NCG120095_DMR_20210505

Winston-Salem /Forsyth CDunty
Utilities
Water •Wastewater •Solid Waste
Old Salisbury Road Landfill, 3336 Old Salisbury Road, Winston-Salem, NC 27127
0: 336-727-8000, F: 336-661-490S, utilities.cityofws.org
January 15, 2021
Ms. Tamers Eplin, Engineering Supervisor II
North Carolina Department of Environmental Quality
Division of Mineral, Energy, and Land Resources, Stormwater Division
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
(tamera.epli n@ ncdenr.gov)
Re: Monthly NPDES Compliance Submittal for December 2020
Old Salisbury Road Landfill, Forsyth County, North Carolina
Permit No. NCG120000
Dear Ms. Eplin:
NC Department of
Environmental Quality
Received
JAN 19 2021
Winston-Salem
Regional Office
As you are aware, the Winston-Salem/Forsyth County City/County Utilities Commission is monitoring
stormwater under Permit No. NCG120000 at the Old Salisbury Road Landfill located at 3336 Old Salisbury
Road in Winston-Salem, North Carolina (NC). The purpose of this correspondence is to provide the
required reporting for outfalls #1, #6, and #11 for the monthly compliance period for December 2020.
The monthly monitoring was initiated following consecutive exceedances of the total suspended solids
(TSS) benchmark at these locations.
Monthly samples were collected from outfalls #1, #6, and #11 on December 14, 2020. The required
discharge monitoring reports (DMRs) are attached for the December 2020 event. We are also including
the qualitative monitoring forms for the December 2020 event. The Commission is investigating the
sources of exceedances of TSS for ponds #1, #6, and #11 and will document any necessary corrective
actions.
r� Also note that we are awaiting a response to our January 28, 2020, submittal related to non -routine
testing as part of the Work Plan for fecal coliform exceedances. If you have any questions or require any
additional information, please contact us. We appreciate your assistance with this project.
Sincerely,
WINSTON-SALEM/FORSYT NTYCITY/COUN UTILITIES COMMISSION
Adam Rickett
Solid Waste Operations Supervisor
City Council: Mayor Allen Joiaes; Vivian H. Burke. Mayor Pro Tempera. Northeast Wad; Gmia D. Adams. North Word; Dan Bum, So rhwas Ward; Robert C. Clark,
Wen Ward; John C. Larson, South Ward; JeNMachmosh, Nmthwal Wad: Annette Scippio, Eat Ward, James Taylor, lr, Southeast Wad; City Memger Lee D. Garrity
County Commissioners, David R. Plyler. Chairman; Don Madn, Via Chair: Flaring El -Ai.; Ted Kaplan; Richard V. Linville; Taaya McDaniel: Gloria D. Whlsenhum:
Call 311 or 336-727-8000 County Msncga Dudley Want, Jr
citylink c cityotws.org Clry/Couory Noisy Commission: RaMell S Turtle. Chaimun: L. Wesley Cunis Jr., Ya Chair, Harold E Day, Tom Griffin, Yv H Him; Duane Loa& Hugh W
J.sdgen; Chns Parker. James RuBin; Donald R. Sumart; Allan Young.

*,tn, ton -Salem • Forsyth County
/County Utilities
Attachments: DMR, Qualitative Monitoring Reports (3), Laboratory Certificates -of -Analyses
C: Jamal Clark, Stormwater Operations Supervisor, City of Winston-Salem, Suite 232, City Hall, 101
N. Main Street, Winston-Salem, NC, 27101, P.O. Box 2511, Winston-Salem, NC, 27102-2511,
[e-mail]
David "Dusty" Y. Reedy II, PG, Golder Associates NC, Inc., 5B Oak Branch Drive, Greensboro, NC,
27047, [e-mail]

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted January 15, 2021
CERTIFICATE OF COVERAGE NO. NCG12 O O O O
FACILITY NAME Old Salisbury Road
COUNTY Forsyth
PERSON COLLECTING SAMPLES Darren Cox
LABORATORY Pace Analytical Lab Cert. # NC633
Comments on sample collection or analysis:
December
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
*Other Class C Watershed
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
n No discharge this period'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal Coliform
Colonies per 100 mL
Total Suspended
Solids
mg/L
PH
Standard Units
Benchmarks
-
-
120
1000
100 or SW
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
1
12/14/2020
0.52
48.7
680
137
6.83
6
12/14/2020
0.52
65.2
918
1070
7.14
11
12/14/2020
0.52
67.5
7600
1430
7.05
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outtall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: if you report a sample value in excess of the benchmark, you must implement Ter 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Q■ No discharge this period2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Nan -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
-
-
15
100 or 504
Parameter Code
-
46529
00552
C0530
NCOIL
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, rier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES EINO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO ❑
REGIONAL OFFICE CONTACT NAME: Tammy EpIIn
Mail an original coov of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring Period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
d/ /1 0 /
Date
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2

IC
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onftlling our thisform, please Wsil https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
n pdes-storm wate r-gps
Permit No.: N/C/& / ( / z/ o/ 0/ 0 / O/ or Certificate of Coverage No.: N/C/G/
Facility Name: 00© CJ-A LAIJV,.c
County:
Inspector:
Date of Inspection: / G1/N/2a 2 o
Time of Inspection: 4 3 S
Total Event Precipitation (inches): 01 S Z
No. 336 - -).3y - ,;--ar-
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
Outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the penmittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. fo6'b it Structure (pipe, ditch, etc.): -Pt iZ(-F
Receiving Stream:
V ri Ar-E-D -Fj?, n.t - oat 71* 4JT4 r�Yz4/ YkU PJ)V 4VLVd
Describe the industrial activities that occur within the outfall drainage area:
Page I of
SWU-242. Last modified 06/01/2019

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: jk Q,, ar. TA-rJ
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): %Jatv'E
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 0
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where I is no solids and 5 is the surface covered with floating solids:
3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stornmater discharge, where I is no solids and 5 is extremely muddy:
3 a (D
Is there any foam in the stormwater discharge? O Yes 0 No.
Is there an oil sheen in the stonn%vater discharge? OYes ® No.
Is there evidence of erosion or deposition at the oud"All'.' O Yes (W No.
Other Obvious Indicators of Stornmater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242. last modified 06/01/2018

Tt
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfilling out thisfortn, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
n pdes-stormwater-gps
Permit No.: N/C/ / i / 2- / d / o / 0lU / or Certificate of Coverage No.: N/C/G/ / 1 1 I I l
Facility Name: -OL-D SPWs6SA-q QOA1 C.&A Uaa)brL-c-
County: FV-SYT-V- Phone No. 33G-6�/_ygoA�.3?1-73ti-�SSi
Inspector: �)RQRcN Cc15o
Date of Inspection: [Q /11140 t
Time of Inspection: 7! 00
Total Event Precipitation (inches):
©, SZ-
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 'Nola 1 Structure (pipe, ditch, etc.): Pt Pt'
Receiving Stream:
()NNrnrn i R, di t-A-ILT 1-0 SAD,'—µ )COW vcyhvPAY ro-c V
Describe the industrial activities that occur within the outfall drainage area:
Page I oft
SWU-242. Last modified 06/01/2019

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: b 6 4- t rf-rt
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): k 0 t -
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
? i 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 D 4 5
7. is there any foam in the stonmwater discharge? o Yes ® No.
8. Is there an oil sheen in the stormwater discharge? OYes ® No. _
9. Is there evidence of erosion or deposition at the ou01111? O Yes ® No.
10. Other Obvious Indicators of Store water Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWl1-242. Last modified 06/01/2018

I C__
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out (hisjorin, please visi( https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
n pdes-stormwater-gps
Permit No.: N/C/& / 1 / z /o / v/ O/ o / or Certificate of Coverage No.: N/C/G/
Facility Name: SAL1561R{ ROF1i C+D LF
County: I-o¢.s y-rt* Phone No. J; X -73" -ISr�s-
Inspector:ILE'^� r d�
Date of Inspection: I `t/ a a z 0
Time of Inspection: Q: /S
Total Event Precipitation (inches): )1 sZ
All permits require qualitative monitoring to be performed during a "measurable storm event."
I
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office. -
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. Pa,Structure (pipe, ditch, etc.): pr=
Receiving Stream:
iU°NP CD -r-K t?A L4 TCl SQ 2i KJpOq cl2ll`C
Describe the industrial activities that occur within the outfall drainage area:
Page I oft
5 W U-2J2. Last modified 06/01/2019

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: lyl&3 uN, -rp-•✓
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N LAq3
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3
5. Floating Solids: Choose the number %%hich best describes the amount of floating solids in the
stornmater discharge, where I is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 3 (4D 5
7, is there any foam in the stormwater discharge? o Yes 0 No. _
S. Is there an oil sheen in the stormwater cli,charbe? OYes ® No. _
9. Is there evidence of erosion or deposition at the outfall? o Yes OP No.
l0. Other Obvious Indicators of Storn»eater Pollution:
list and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU.242. Last modified 06/01/2018

aceAnalytical
Ww .pacelabsxom
December 22, 2020
David Reedy
Golder Associates, Inc.
56 Oak Brank Dr
Greensboro, NC 27407
RE: Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
Dear David Reedy:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on December 14, 2020. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services -Asheville
• Pace Analytical Services - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Gasiorowski
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services. LLC.
Page 1 of 14

aceAnalytical
w".pace] abs.com
Project: Old Salisbury Rd - Stornhwater
Pace Project No.: 92511474
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville. NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VrginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 2 of 14

aceAnalytical
www.pacelabs.cem
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9600 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project:
Pace Project No.:
Old Salisbury Rd - Stormwater
92511474
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92511474001
POND 1
SM 25400-2011
SOB
1
PASI-E
SM 9222D-2006
SOB
1
PASI-E
SM 5220D-2011
JP1
1
PASI-A
92511474002
POND 6
SM 254OD-2011
SOB
1
PASI-E
SM 9222D-2006
SOB
1
PASI-E
SM 52200-2011
JPi
1
PASI-A
92511474003
POND 11
SM 254OD-2011
SOB
1
PASI-E
SM 9222D-2006
SOB
1
PASI-E
SM 5220D-2011
JPi
1
PASI-A
PASI-A= Pace Analytical Services - Asheville
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 14

la'Crt tai A na ly No /
aww.pacelabs.com
ANALYTICAL RESULTS
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: POND 1
Parameters
Lab ID: 92511474001 Collected: 12/14/20 09:00 Received: 12/14/20 11:45 Matrix: Water
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Eden
Total Suspended Solids
137 mg/L 13.5 1 12/15/20 14:25
MBIO 9222D Fecal Coliform EDN
Analytical Method: SM 922213-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Eden
Fecal Coliforms
680 CFU/100 mL 1.0 1 12/14/20 16:34 12/15/20 15:25
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Pace Analytical Services - Asheville
Chemical Oxygen Demand
48.7 mg/L 25.0 1 12/21/20 21:28 12/22/20 07:22
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/22/2020 12:25 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14

aceAnalyrcal
www.pacelabs.com
ANALYTICAL RESULTS
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: POND 6 Lab ID: 92611474002 Collected: 12/14/20 09:15 Received: 12/14/20 11:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2640D Total Suspended Solids Analytical Method: SM 2540D-2011
Pace Analytical Services - Eden
Total Suspended Solids 1070 mg/L 20.8 1 12/15/20 14:25
MBIO 9222D Fecal Coliform EDN Analytical Method: SM 9222D-2006 Preparation Method: SM 9222D-2006
Pace Analytical Services - Eden
Fecal Coliforms 918 CFU/100 mL 1.0 1 12/14/20 16:34 12/15/20 15:25 u1
6220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Pace Analytical Services -Asheville
Chemical Oxygen Demand 65.2 mg/L 25.0 1 12/21/20 21:28 12/22/20 07:23
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12122/202012:25 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

aceAnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
Sample: POND 11 Lab ID: 92511474003 Collected: 12/14/20 09:35 Received: 12/14/20 11:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Pace Analytical Services - Eden
Total Suspended Solids 1430 mg/L 45.5 1 12/15/20 14:25
MBIO 9222D Fecal Coliform EDN Analytical Method: SM 9222D-2006 Preparation Method: SM 922213-2006
Pace Analytical Services - Eden
Fecal Coliforms 7600 CFU/100 mL 1.0 1 12/14/20 16:34 12/15/20 15:25
6220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Pace Analytical Services -Asheville
Chemical Oxygen Demand 67.5 mg/L 25.0 1 12/21/20 21:28 12/22/20 07:23
Date: 12/22/2020 12:25 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 14

ZeAnalXical'
www.pacelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
QC Batch: 586959
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92511474001, 92511474002, 92511474003
METHOD BLANK: 3102294
Matrix:
Water
Associated Lab Samples: 92511474001, 92511474002, 92511474003
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 12/15/20 14:21
LABORATORY CONTROL SAMPLE:
3102295
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250
244
98 90-110
SAMPLE DUPLICATE: 3102296
92511547001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
288
298 3
SAMPLE DUPLICATE: 3102297
92511474002
Cup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
1070
1280
18
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/22/2020 12:25 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14

IaceAnalyAcal
www.pacelabs.cem
QUALITY CONTROL DATA
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
QC Batch: 586835 Analysis Method: SM 9222D-2006
QC Batch Method: SM 9222D-2006 Analysis Description: 9222D Fecal Coliform( MF)-EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92511474001, 92511474002, 92511474003
METHOD BLANK: 3101999 Matrix: Water
Associated Lab Samples: 92511474001, 92511474002, 92511474003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/15/20 15:25
SAMPLE DUPLICATE: 3102000
Parameter Units
Fecal Coliforms CFU/100 mL
92511435001 Dup
Result Result
640
RPD Qualifiers
600 6
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/22/2020 12:25 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 14

laceAnalXical'
www.pacelahs.cem
QUALITY CONTROL DATA
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
QC Batch: 588583
Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011
Analysis Description: 5220D COD
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92511474001, 92511474002,
92511474003
METHOD BLANK: 3109970
Matrix: Water
Associated Lab Samples: 92511474001, 92511474002,
92511474003
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Chemical Oxygen Demand mg/L
NO 25.0
12/22/20 07:21
LABORATORY CONTROL SAMPLE: 3109971
Spike LCS
LCS e/ Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Chemical Oxygen Demand mg/L
750 770
103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3109972 3109973
MS MSD
92511380001
Spike Spike MS
MSD MS MSD
%Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 197
100 100 286
291 89 94
90-110 2 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3109974 3109975
MS MSD
92511474001
Spike Spike MS
MSD MS MSD
%Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Chemical Oxygen Demand mg/L 48.7
100 100 154
152 106 103
90-110 2
Results presented on this page are In the units Indicated by the "Units" column except where an ahem ate unit Is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except m full,
Date: 12/22/2020 12:25 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 14

aceAnalytical
www.pacelabscam
QUALIFIERS
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
u1 Results based upon colony counts outside acceptable range.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/22/2020 12:25 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

(�Ia'neAnalyficalo
www.pacelabs.cam
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Old Salisbury Rd - Stormwater
Pace Project No.: 92511474
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilie, NC 28078
[phone]
Lab ID Sample ID QC Batch Method QC Batch Analytical Method
92511474001
POND 1
SM
254OD-2011
586959
92511474002
POND 6
SM
254OD-2011
586959
92511474003
POND 11
SM
254OD-2011
586959
92511474001
POND 1
SM
9222D-2006
586835
SM
9222D-2006
92511474002
POND 6
SM
922213-2006
586835
SM
9222D-2006
92511474003
POND 11
SM
9222D-2006
586835
SM
9222D-2006
92611474001
POND 1
SM
5220D-2011
588583
SM
5220D-2011
92511474002
POND 6
SM
5220D-2011
588583
SM
5220D-2011
92511474003
POND 11
SM
5220D-2011
588583
SM
5220D-2011
Date: 12/22/2020 12:25 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
586836
586836
586836
588720
588720
588720
Page 11 of 14

aceAnal�flca!
Document Narne:
Sample Condition Upon Receipt(SCUR)
Document Revised: October 2.3, 2020
Page 1 of 2
Document No.:
F-CAR-CS-033-Rev.07 1
Issuing Authority:
` Pace Carolinas Quality Office
aboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑ Atlanta❑ Kernersville©..--
Client Name:
Project H:
Cl(v r
It
ourier: ❑Fed Ex []UPS ❑LISPS � lient'
] Commercial ❑Pace ❑Other:
stody Seal Present? []Yes Jo Seals Intact? ❑Yes []>Qo
Wo#:92511474
1111111111111111111111
92911474
1' _'_ �!.7-v7Date/In, .
itials Pusan Examining Contents:
:king Material: ❑Bubble Wrap ❑Bubble Bags Phione ❑ Other Biological Tissue Froz n?
❑Yes ❑No [9 A
ermometer: [,D+,4et ❑glue ❑f'Ione
�un 10: �� Type of Ice:
L Correction Factor: (
Aer Temp: '� Add/Subtract (°C) ' �1 Temp should be above freezing to 6'C
❑Samples out of temp criteria. Samples on ice, cooling process
aler Temp Corrected (°C): �-� - has begun
DA Regulated Soil { [].DY%A, water sample)
samples origin a in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internatiopally,
f—lvac M n inri.teiino Hnwnii nnri Dainrrn i7irnt7 f1v.,. rLi[:-_`
Comments/Discrepancy:
Chain of Custody Present?
Nal es
No
N/A
1.
Samples Arrived within Hold Time?
[Byes
❑No
❑N/A
2.
Short Hold Time Analysis (<72 hr.)?
LG)Yes
❑No
❑N/A
3.
Rush Turn Around Time Requested?
[]Yes
tgio
[]N/A
4.
Sufficient Volume?
[Yes
❑No
❑N/A
5.
Correct Containers Used?
'[Yes
❑No
[:]N/A
6.
-Pace Containers Used?
�] es
❑No
❑N/A
Containers Intact?
[Yes
Cho
[]N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
❑No
I/A
8.
Sample Labels Match COC?
U s
❑No
❑N/A
9.
vv
-Includes Date/Time/ID/Analysis Matrix:
Headspace in VOA Vials (>5-6mm)?
❑Yes
ONo
[Jtd/A
10.
Trip Blank Present?
❑Yes
❑No
Q I/A
11.
Trip Blank Custody Seals Present?
❑Yes ❑No A
OMrYIENTS/SAMPLE DISCREPANCY
_ Lot ID of split containers:
ENT NOTIFICATION/RESOLUTION
arson contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time:
Field Data Required? []Yes [)No
Date:
Date: _ _ Page 12 of 14

G."'
Document Name: Document Revised: October 23, 2020
/
/,. PaceAnalical Sample Condition Upon Receipt(SCUR) Page 2 of 2
Document No.: Issuing Authority:
F-CAR-CS-033-Rev.07 Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project #
verified and within the acceptance range for reservation 925114741_
P P W0#:
samples. PM: NMG Duo Date: 12/23/20
Exceptions VOA, Coliform, TOC, Od and Grease, DRO/8015 (water) DOC, LLHg CLIENT; 92—Golder
**Bottom half of box is to list number of bottles
z
Or
W,
z
ICI
N
N
V
<
v
C!
i.
N
V
x
w
V
V
i
z
N
r
V
N
A
v
C
O
�'
2
.L
C1
CU
M
V
C)
N
V
a
N
V
S
C
x
_
Q
?
\
«_.
19
7
(
t�
=ti
\
n
M
v
C
0
'C:
CJ
>
�
`
N
Z
_q
>
U
r'
C
V
r
a
G
V
m
a
L.
G
u
Ira
ii
r
a
O
N
CrQJ
O
LA
�
V
a`
nl
O
z
V
a
<
N
L,
_
v
n
i`
IA
-•f
C
E
`
a
C
S
E
r
_R
N
E
¢
Q
S
E
Ln
`y
C
`
-.L
E
0
N
_
<
.\{
V
S
<
tr
Q
N
M
¢
Q
C
\
fl
C
O
<
>O
\
Z
M
M
,Tr
<
O
,s
In
M
.Y
c
2
«+
o
....
a
`m
.N
�
o
y
d
1 i
ry
z
u
n
a
`q,
�
`
ci
¢
•
>
o
•rq
«.
d
c
n
E
E
O
a
_ cc
E
N
O
a
c3
E
t�
7
a
cc
ci
O
a
ca
E
N
rl
to
a
M
E
O
Z
a
m
E
ry Ln
r1
r4
a
ca
E
N
1" �
lJ
00..
CU
y
LL
3
_w
t 1
1
IO-1
l7
a
a
M
,
rz-1
l9
¢
is
N
1
M
l0
¢
_v
1-1
e�•�
a
E
&n
M
l9
a
M
O
M
l�
a
E
C
,
C1
l7
a
`'
d
Q
Cl~1
t9
>
E
C
Cr►
l7
>
E
c
C1
0
a
to
to
Q
O
>
R1
..-
�
>
E
�+
0.
LA
E
to
N
tn
0
N
M
m
E
G
11
G
¢
O
N
to
>
O
C
G1
o
l
/
T�I
��\1
\1
I
-II
N.
.7
pH Adjustment Log for Preserved Samples
iample 10
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot ti
�. �; - _-___
-L ___ �_ - J•________.. _LL-�.:�-
\I .�..L /`-._I:..�
mow.-._1: �..-.. -_��1�- - --_-_ _f •L.•_
L__-_ --_'II L_ __. ..
.. -. _ .. __
..._._ .... _.._.-r ....-, ..-- u - - - -- - -- - r --• - --rr-- ._.... ..... __-._.........� ........ �.,....I"" W"". 16r.,1{IICaIIOn UIIICC �I.e.
t of hold, incorrect preservative, out of temp, incorrect containers.
Page 13 of 14

ENVIRONMENTAL CONSERVATION LABORATORIES CHAIN -OE -CUSTODY RECORD www.encoiabs.Q"'DM
10775 Central Port Dr. 4810 Executive Park Court. Suite 111 102-A Woodwinds Industrial Ct. sf
Orlando. FL 32824 Jacksonville. FL 32216.6069 Cary. NC 277511
(4077) 826-5314 Fax [phone] [phone] Fax [phone] (919) 467-W90 Fax [phone] Page I Of Ica
Client Name
Project Number
Requested
Analyses
RequestedTurnaroundTurnaround
��
r
t,L
I
Times
Note: Rush requests subject to
facility
Address
Project Name/Desc
t-�+�7 "
% t/;==i o -rX C aF n , . -
•�
S Z fa 12k ,` 1 F: •t�`'
J
acceptance by the
City1ST/Zip
PO ! Billing Into
%4 C 7
o
.,/Standard
Tel
Fax
Reporting Contact
s1 ti
'rxc�'Y �i--ULi].:4'L, C��,f
ft
J
Expedited
Due
Samptor(s) Name. Attiiliation (Print)
2
Billing Contact
r t
J
r
(�
Sa ter sl Signature
Site Location /Time Zone
Lab Workorder
-S -7
Preservation
(See
Codes)
(Combine
as necessary)
Item x
Samole ID (Field Identification)
Collection Date
Collection
Time
Comp ! Grab
Matrix
(see codes)
Total : o1
Containers
Sample Comments
-7.t l obz
(
1
j
(
t
! ?
I
I ±
._
t
<-- Total # of Containers
Sample Kit Prepared 6y
Date/rime
Aeb;� By
1
Date/Time
1�IlYZUZc
" ved By ^ ) F
Dale.-Tunet{ ^ t i
IL"S{ l ��
CominenWSpeciat Reporting Requirements
RbIncluished By
Daterrime
Ret&lc by -
Dateffune
t
Relinquished By
Date/Time
Received By
DataTime
t
Cooler x's 6 Temps on Receipt
Condition Upon Fleceipt
Acceptable Unacceptable
Matrix. GW-Groundwater SO -Sail DW-Drinking Water SE -Sediment SW -Surface Water WW-Waslewater A -Air O.Other (delait in comments) Preservation: 1-1ce H.HCl N-HNO3 S-H2SO4 NO-NaOH O-Other (delail in comments)
Note: All samples submitted to ENCO Labs are in accordance with the terms and conditions listed on the reverse of this form. unless prior w: illen agieements exist