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Home My WebLink AboutNCG030669_Monitoring Report_20220131NCDEQ Division of Energy, Mineral and Land Resources yy�� Stormwater Discharge Monitoring Report (DMR) Form for NCG0300b9EC E1VE -1 Metal Fabrication r I Click here for instructions JAN 0 I= Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report "rwithin 30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Reewna b Rfice. Certificate of Coverage No. NCG03 d G (0 9 Person Collecting Samples: /:?0,yE,? T NENSL �Y Facility Name: ,AG/L I %Y Fs$ Laboratory Name: P L'E ANALYT/G L / Facility County: RO WA A/ Laboratory Cert. No.: 7 O Discharge during this period: Yes No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Lj Yes WNo If so, which Tier (I, II, or III)? A copy of this DMR has been uploaded electronically via h>ttps://edocs.deg.nc.gov/Forms/SW-DMR Yes No Date Uploaded: % -Z / - ZcG Z 0, Analytical Monitoring Requirements for Outfalls with Industrial Activities- Benchmarks in (Red) Parameter Code Parameter Outfall 16 Outfall 2 Outfall Outfall Outfall N/A Receiving Stream Class C G N/A Date Sample CollectedMM/DD/YYYY /2 /5) 2021 /z f9 202( 46529 24-Hour Rainfall in inches O. 8? ' 0.8211 C0530 TSS in mg/L (100or 50*) < Q.5 .ny 2. 5 m /t 00400 pH in standard units (6.0-9.0 FW, 7•,,1, 6.8.8.5 SW) 01119 Copper, total recoverable in mg/L O o 073 � q O, ooze and (0.010 FW, 0.0058 SW) 7 01051 Lead, total recoverable in mg/ L < a 50 *' d050 441 (0.075 FW, 0.22 SW) • 01094 Zinc, total recoverable in mg/ L (0.126 O(00 m8� /r�� <O �00 FW, 0.095 SW) • /L 00340 Chemical Oxygen Demand (COD) in mg/L (120) 00552 Non -Polar Oil & Grease in mg/L (25) < fj ^',9 < ', 9 mp� * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L FW (Freshwater) SW (Saltwater) Notes (optional): "I certify by my signature below, 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." Permittee or JULIAM MERCER 9 HFXA609GROUP, COM Email Address /-Z I-ZoZZ Date 70`d-635 -/35 Phone Number CvPY NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG030000 Metal Fabrication Click here for instructions Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within 30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office. Certificate of Coverage No. NCG03 b 6 G 9 Person Collecting Samples: /?O e'Q 6AdSL eY Facility Name: A Gil IT Y F S Laboratory Name: p CC t1NA1.YTAC L r Facility County: RO W4 N Laboratory Cert. No.: 7'1' A o Discharge during this period: Yes No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? If so, which Tier (I, II, or III)? El Yes ONo A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Date Uploaded: % -Z / - ZG Z Yes No Analytical Monitoring Requirements for Outfalls with Industrial Activities -Benchmarks in (Red) Parameter Code Parameter Outfall 16 Outfall 2 Outfall Outfall Outfall N/A Receiving Stream Class C C N/A Date Sample CollectedMM/DD/YYYY 121/9 20,2i /z i9 eoz! 46529 24-Hour Rainfall in inches O$Z 'r 0. V 11 C0530 TSS in mg/L (100 or 50*) G ,Q. 5 � Z, 5 m AL 00400 PH in standard units (6.0-9.0 FW, ,* �, / '7, 46 6.8.8.5 SW) 01119 Copper, total recoverable in mg/L C 0073 � 0, 00727 0 (0.010 FW, 0.0058 SW) 7i o1os1 Lead, total recoverable in mg/ L my <,0050 /,� 4Y � (0.075 FW, 0.22 sw) ,voso 01094 Zinc, total recoverable in mg/ L (0.126 O/dO �'9 ��y O /00 jt FW, 0.095 SW) 00340 Chemical Oxygen Demand (COD) in mg/L (120) 00552 Non -Polar Oil & Grease in mg/L (15) 4 ff ^�,9 < 4 9 mp_ * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA) have a benchmark TSS limit of 50 mg/L All other water classifications have a benchmark of 100 mg/L FW (Freshwater) SW (Saltwater) Notes (optional): "I certify by my signature below, 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." of Permittee or Individual JUL. 'AM MERCEl? C HFXAGONGRO&P. COM Email Address /-ZI-ZoZ,Z Date 70tf-635 J3€_'S Phone Number 11�2ce Analytical www.pacelabs.com January 07, 2022 Robert Hensley Agility Fuel Systems 1010 Corporate Center Drive Salisbury, NC 28146 RE: Project: STORMWATER Pace Project No.: 92579227 Dear Robert Hensley: Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on December 21, 2021. 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 - Charlotte If you have any questions concerning this report, please feel free to contact me. Sincerely, Tyriek Hooks tyriek.hooks@pacelabs.com (704)875-9092 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 alceAnalytical wrdr pecelabs com Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Pace Analytical Services Charlotte South Carolina Laboratory ID: 99006 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification M 37706 North Carolina Field Services Certification M 5342 North Carolina Wastewater Certification M 12 South Carolina Laboratory ID: 99006 Pace Analytical Services Asheville 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification t E87648 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification M 40 CERTIFICATIONS South Carolina Certification M 99006001 South Carolina Drinking Water Cert. M 99006003 Florida/NELAP Certification #: E87627 Kentucky UST Certification M 84 Louisiana DoH Drinking Water #: LA029 VrginlaNELAP Certification M 460221 South Carolina Laboratory ID: 99030 South Carolina Certification * 99030001 VrginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 14 aCUAMalytical www.pacelabs.com SAMPLE ANALYTE COUNT Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92579227001 OUTFALL 2 EPA 1664E ICO 1 PASI-C EPA 200.7 Rev 4.4 1994 CBV 3 PASI-A SM 254OD-2015 ZMC 1 PASI-A 92579227002 OUTFALL 1 B EPA 1664E ICO 1 PASI-C EPA 200.7 Rev 4.4 1994 CBV 3 PASI-A SM 254OD-2015 ZMC 1 PASI-A PASI-A = Pace Analytical Services - Asheville PASI-C = Pace Analytical Services - Charlotte 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 aceAnalytica! www.patelabs.com Project: STORMWATER Pace Project No.: 92579227 Lab Sample ID Client Sample ID Method Parameters 92579227001 EPA 200.7 Rev 4.4 1994 SM 254OD-2015 92579227002 EPA 200.7 Rev 4.4 1994 OUTFALL 2 Copper Total Suspended Solids OUTFALL 1 B Copper Pace Analytical Services, LLC 9800 Kinoey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SUMMARY OF DETECTION Result Units Report Limit Analyzed Qualifiers 7.2 ug/L 5.0 01 /07122 01:19 2.5 mg/L 2.5 12/22/2116:08 7.3 ug/L 5.0 01 /07/22 01:22 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4 of 14 aceAnalytical www.patelabs.com ANALYTICAL RESULTS Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL 2 Parameters Lab ID: 92679227001 Collected: 12/19/21 11:00 Results Units Report Limit DF Received: 12/21/21 11:30 Matrix: Water Prepared Analyzed CAS No. Qual 1664 SGT HEM, TPH Analytical Method: EPA 1664B Pace Analytical Services - Charlotte Total Petroleum Hydrocarbons ND mg/L 4.9 1 12/23/21 09:15 200.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Pace Analytical Services - Asheville Copper 7.2 ug/L 5.0 1 12/30/21 15:01 01/07/22 01:19 7440-50-8 Lead ND ug/L 5.0 1 12/30/21 15:01 01/07/22 01:19 7439-92-1 Zinc ND ug/L 10.0 1 12/30/21 15:01 01/07/22 01:19 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 264OD-2015 Pace Analytical Services - Asheville Total Suspended Solids 2.5 mg/L 2.5 1 12/22/21 16:08 Date: 01/07/2022 04:58 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5 of 14 0 aceAnalytical wtww p�sel�Ds.tom ANALYTICAL RESULTS Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: OUTFALL I Parameters Lab ID: 92579227002 Collected: 12/19/21 12:00 Results Units Report Limit DF Received: 12/21/21 11:30 Matrix: Water Prepared Analyzed CAS No. Qual 1664 SGT HEM, TPH Analytical Method: EPA 1664B Pace Analytical Services - Charlotte Total Petroleum Hydrocarbons ND mg/L 4.8 1 12/23/21 09:15 200.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Pace Analytical Services -Asheville Copper 7.3 ug/L 5.0 1 12/30/21 15:01 01/07/22 01:22 7440-50-8 Lead ND ug/L 5.0 1 12/30/21 15:01 01/07/22 01:22 7439-92-1 Zinc ND ug/L 10.0 1 12/30/21 15:01 01/07/22 01:22 7440-66-6 2640D Total Suspended Solids Analytical Method: SM 254OD-2015 Pace Analytical Services - Asheville Total Suspended Solids ND mg/L 2.5 1 12/22/21 16:08 Date: 01/07/2022 04:58 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 aceAnalyical* www.pacelabs.com QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kinoey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: 667984 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 SGT HEM, TPH Laboratory: Pace Analytical Services - Charlotte Associated Lab Samples: 92579227001, 92579227002 METHOD BLANK: 3499433 Matrix: Water Associated Lab Samples: 92579227001, 92579227002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg/L ND 5.0 12/23/21 09:15 LABORATORY CONTROL SAMPLE: 3499434 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 20 15.7 78 64-132 MATRIX SPIKE SAMPLE: 3499435 35684886001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L S.OU 19.8 15.4 74 64-132 SAMPLE DUPLICATE: 3499436 35684884001 Dup Parameter Units Result Result RPD Qualifiers Total Petroleum Hydrocarbons mg/L 5.OU ND Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01/07/2022 04:58 PM without the written consent of Pace Analytical Services. LLC. Page 7 of 14 aceAnalytical www pstelabs.com QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: 668895 Analysis Method: EPA 200.7 Rev 4.4 1994 QC Batch Method: EPA 200.7 Rev 4.4 1994 Analysis Description: 200.7 MET Laboratory: Pace Analytical Services - Asheville Associated Lab Samples: 92579227001, 92579227002 METHOD BLANK: 3503165 Matrix: Water Associated Lab Samples: 92579227001, 92579227002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ug/L ND 5.0 01/07/22 00:01 Lead ug/L ND 5.0 01/07/22 00:01 Zinc ug/L ND 10.0 01/07/22 00:01 LABORATORY CONTROL SAMPLE: 3503166 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper ug/L 500 540 108 85-115 Lead ug/L 500 499 100 85-115 Zinc ug/L 500 504 101 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3503167 3503168 MS MSD 92578424001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Copper ug/L 0.14 500 500 669 676 106 107 70-130 1 mg/L Lead ug/L ND 500 500 501 506 100 101 70-130 1 Zinc ug/L ND- 500 500 528 528 104 104 70-130 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3503169 3503170 MS MSD 92578969001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua[ Copper ug/L 88.7 500 500 590 583 100 99 70-130 1 Lead ug/L ND 500 500 489 488 98 98 70-130 0 Zinc ug/L 39.8 500 500 536 531 99 98 70-130 1 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: 01/07/2022 04:58 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 14 acieAnalytical www patelabs om QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QC Batch: 667980 Analysis Method: SM 2540D-2015 QC Batch Method: SM 254OD-2015 Analysis Description: 2540D Total Suspended Solids Laboratory: Pace Analytical Services - Asheville Associated Lab Samples: 92579227001, 92579227002 METHOD BLANK: 3499389 Matrix: Water Associated Lab Samples: 92579227001, 92579227002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 12/22/21 16:05 LABORATORY CONTROL SAMPLE: 3499390 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 238 95 90-110 SAMPLE DUPLICATE: 3499574 92579130001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 316 250 23 SAMPLE DUPLICATE: 3499575 92579116001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 285 280 2 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: 01 /07/2022 04:58 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 14 (�Iaa*'UcceeAnalyfical W".pacdabs.com QUALIFIERS Project: STORMWATER Pace Project No.: 92579227 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 (704)875-9092 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. Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as "Total" may vary slightly from the sum of the reported component parameters. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 01 /07/2022 04:58 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14 aceAnalj6cal www.pacalabs.ccm QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: STORMWATER Pace Project No.: 92579227 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92579227001 OUTFALL 2 EPA 1664E 667984 92679227002 OUTFALL 1 B EPA 1664B 667984 92579227001 OUTFALL 2 EPA 200.7 Rev 4.4 1994 668895 EPA 200.7 Rev 4.41994 669317 92579227002 OUTFALL 1 B EPA 200.7 Rev 4.4 1994 668895 EPA 200.7 Rev 4.41994 669317 92679227001 OUTFALL 2 SM 2540D-2015 667980 92579227002 OUTFALL I SM 2540D-2015 667980 Date: 01 /07/2022 04:58 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, I.L.C. Page 11 of 14 laboratory receiy ng rattlples: Ashden0 Greenwood ❑ HUntersville ❑ Ralelgh❑ MaCharyirsville[f Atlanta Kernersville[Q CYFentName! project III WO# : 92579227 - 7 /-ly.�.f Fps I ❑Client IIIIIIIIIII"�IIIIIII� Courier. UFe ax SJUPS ❑CornmerdalR ❑Other;_, �--I� 92579227 Coeody Seal'present? ❑ O � Seats Intact? Ayes No Oate(Initlab Pen°°EaemNlnt LonnnU: /yI 9lalogtalrizsnl ko:en — PacWlg. Material: hAle wrap Obble Bags ❑Mane// ❑ Other • ❑Yes QNo ' TAcmaornet �C.Iwat Oeiae ❑Nana IReunID: The at leer /1 6 Cagrection Factor: Tempshould be abovelree:id8 to 6'C -Cooler Temp: i.L Add)Subtract CC) �.— ❑Sampiesout Ottemp cnadla• SaniPle[ onlro, m011nB prornsa Cooler Tatnp Correctadlr 2 l herbegun USDA Regulated Soll ( N/A, wPlar samplal Olaemnlesorlalnateln e,gmrantlne tone wlNNthe United States: CA. I1Y; ar SClrheek mafn)? Did p��^r�endPtuortomra7❑Yes (lm❑NO��IN � ❑Na riN%A 16. Correct Can9atntrz Used? _. �^ M.ua Sample LZWS Matcb LOCI YCs 0 ❑trya S. CaMM 01TS/SAMPLE DISCREPANCY Oatammo: Person contacted: Project Manager SCURF ROAM; Project Manager SRP Review: Date; Date. RaII10aUReQabed? ❑Vas ONO Page 12 of 14 K 10 £ 6 abed ssauieiu� pauo�tq'dur�7 r►O ,"pt uamd7sojsc*La ploy p j°o 'WO wtUO uori�lW� SNN�O eutp�e�glmtf at�lotwas .� {I��w�o� SM )o rtdo] e'sa{doves 53VII*JQ3 euttax9 Wwty ftpeWe :aION I pappe Psile[pg o dtues N so1 ( ty, t�n�asa}d �a lunR t uollu�asaidytul� paliRl a nat;auaield alto idi g� uotfn oAtiEJUesaid;o od�i 01 I selaWeS paAma rd JO; Sol %u8w3sn(P1d Hd 11 milk NO mom mill ilk No so Mok ak I � � M E�M on I M I MongLIL m Ilk M ilk L 0- ��i►ii��►ii��amom ENO io o logo iNMO tZ/8Z/ZT :also a^G HU : Wd LZZ6LSZ6:#OM L �o L a Qd frpS Ozoz I A ROMVa'P01fivau+�Q sq,p0gja jagwhu 4sll q st xoq jo pq wo13cP G*s eNr �aao 1�� s�oeJa�o �� n��Q 5cti ��►��}w'von:�o�assxs •seldweS uolletaosaidao;-aguej-aauiWO36 GO u1431M Pug P%IJaa c� ua��>'ut�a�yoap.joIpue Hd 3I xvgA ll$4 ddi lieui )12a* rAB�s�ro-s�•a�a-� :•o� �i�`awnzod 41�1�1�� lag Lo n uoWpm aidws �waN 3ua0 - K !o b l 96ed 9 + 'ttt ■iii■■i■■■■ ' ��■■■iii■■■■■■ � ■■■■■i■■■■, .. ■■ii■iii■iii . �■■■._"■■■■■■ Y �■i■■■■■■■■■■: ■■■.■■■■■iii .. �r� �i■iiii■iii.i 1, c. r . • L 0 S11.8Z OA1 3771A-5-?YPPkY IOt J. �7W� Q �N 1121/22, 5:04 PM Thankyou 0 Stormwater NPDES Permit nata Mon ii NG4iMCAROLIN: _ EnWmmenlel Q.011ry ' RECEIVED Permit and Facility Information: DENR-DEMLR Land Quality Section Please enter the permit number and other details for this upload. . IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic upload. Fields marked with a red asterisk are required. Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's) NCG030669 Must begin with NCS or NCG Facility Name:* Agility FS County: * Rowan After uploading here, the original signed hardcopy must be mailed to: DEQ Mooresville Regional Office Attn: DEMLR Stormwater Program 610 East Center Avenue Suite 301 Mooresville, NC 28115 Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville Monitoring Period Information: .............. Monitoring Period What is the YEAR of the sample date(s)? Year:* 2021 Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different years with a new submittal form. Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically requested by DEQ staff. Only upload the completed and signed DMR forms. https://edocs.deq.nc.gov/Fo"stFomVSubmit 113 1/21/22, 5:04 PM Thank you DMR Upload* Click the upload button or drag and drop files here to attach document. DMR 19dec2021 AgilityFS_NCG030669.pdf 1.1 MB Only PDFs are accepted. Comments: * By checking the box and signing box below, I certify that: o I have given true, accurate, and complete information on this form; o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); • I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same way as a written signature; AND o I intend to electronically sign and submit this DMR upload form. Full Name: * Julian Mercer Name of person submitting this form Email Address: * julian.mercer@hexagongroup.com Phone Number:* 7046351365 Signature: * Date: * 01 /21 /2022 hops://edocs.deq.nc.gov/Forms/FormiSubmit - 2/3