NCG030657_DMR_20220107

Boyer Enterprises East, LLC NL. Depaitment,f
E.E.E. Environmental Quality
Received
December 30, 2021 JAN 0 7 2022
Winston
DEQ Winston Salem Regional Office Regional Cti;ce
Attention: DEMLP Stormwater Program
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Subject: STORMWATER SAMPLING RESULTS
MATLAB, INC. - PLANT 14
1623 NORTH FAYETTEVILLE STREET
ASHEBORO, RANDOLPH COUNTY, NORTH CAROLINA
PERMIT NCG030657
Dear Sir/Madam:
Attached please find the Stormwater Discharge Monitoring Reports (DMR). Samples
were not collected due to no discharge. If you have any questions or need additional
information, please contact me at [phone].
Sincerely,
BOYER ENTERPRISES EAST, LLC
Ara(croafiredfiwy
Paul W. Spangenberg
EH&S Compliance Director
Attachments: Stormwater Discharge Monitoring Report
127 Red Hill Church Road 919-971-0415 (24 Hrs.)
Dunn, NC 28208

NCDEQ Division of Energy, Mineral and Land Resources r� ['epa ntF" f
Environmental Qu�iity
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000 Received
Metal Fabrication JAN 0 7 2Z2
Click here for instructions
Winston r.:!em
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DIV,I.Omf11:54fril within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regional effice.
Certificate of Coverage No. NCGO3 0657 Person Collecting Samples: Paul W.Spangenberg
Facility Name:Matlab,Inc.-Plant 14 Laboratory Name: Con-Test
Facility County: Randolph Laboratory Cert. No.:652
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?❑Yes Q No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Yes ❑No
Date Uploaded: 12/30/21
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Outfall 2 Outfall Outfall Outfall
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches
C0530 TSS in mg/L(100 or 50*)
00400 pH in standard units(6.0—9.0 FW,
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L
(0.010 FW,0.0058 SW)
01051 Lead,total recoverable in mg/L
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L(0.126
FW,0.095 SW)
00340 Chemical Oxygen Demand(COD)in
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15)
* 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."
Paa/4 f'av r.lcry 12/30/21
Signature of Permittee or Delegated Authorized Individual Date
[e-mail] [phone]
Phone Number
Email Address

STORMWATER FACILITY INSPECTION FORM
Facility Name: Location: Certification of Coverage No.:NCG030657
Matlab, Inc.—Plant#14 Asheboro, North Carolina Expires: 5/31/2025
Number of Inspector's Name: Date:
Outfalls: 12/29/21
2 Paul Spangenberg
Conibyting Areas
Evidence of pollutants entering system (circle one): Yes No
If yes,describe:
Areas of potential pollutants entering system:
Describe: Chemical and Waste storage buildings.
Control measures present(circle one): 0 No
If yes,describe:
Secondary containment
Additional control measures needed(circle one): Yes No
If yes, describe:
Sediment and erosion control measures present(circle one): e No
If yes,describe:
Rip-Rap at discharge and drainages ditches
Describe any new structural stormwater management measures:
None
Potential Pollutant Areas
Describe any loading/unloading operations:
Trucking,Tank Truck
Describe any outdoor storage activities:
Wood pallets, scrap metal,waste storage piles,municipal waste dumpsters, used equipment, used machinery,and painted
equipment.
Describe any outdoor manufacturing or processing activities:
None
Describe and dust or particulate generating areas:
Dust collector area
Describe any onsite waste disposal activities:
None
Significant Leaks or Spills
Any reportable spills or leaks in the past year(circle one): Yes No
If yes, date: Impact on stormwater system(s):
Certification
By this signature I certify that thishi report is accurate and complete to the best of my knowledge:
Inspector's Signature: /�/r; A ee4y 1/19/

STORMWATER DISCHARGE OUTFALL(SDO)
QUALITATIVE MONITORING REPORT
Certification of Coverage No.: Facility Name: County:
Permit No: NCG030657 Matlab, Inc.—Plant#14 Randolph
Expires:6/30/2026 Asheboro, North Carolina
Inspector Name: Date of Inspection:
Paul Spangenberg 12/29/21
OUTFALL DESCRIPTION
Outfall No.: Structure(pipe,ditch,etc.): Receiving Stream:
1 Ditch Hasketts Creek
Describe the industrial activities that occur within the outfall drainage area:
Painting&Coating Manufacturing
Color
Describe the color of the discharge using basic colors(red, brown, blue,etc.)and tint(light, medium, dark)as descriptors:
Odor
Describe any distinct odors that the discharge may have(i.e. smells strongly of oil,weak chlorine odor,etc.):
Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy(circle one):
1 2 3 4 5 6 7 8 9 10
Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is
the surface is covered in floating solids(circle one):
1 2 3 4 5 6 7 8 9 10
Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10
is extremely muddy(circle one):
1 2 3 4 5 6 7 8 9 10
Foam
Is there any foam in the stormwater discharge(circle one)?: Yes No
Oil Sheen
Is there an oil sheen in the stormwater discharge(circle one)?: Yes No
Erosion Deposition
Is there evidence of erosion or deposition at the outfall?(circle one): Yes No
If yes, list and describe:
Other
Is there other obvious indicators of stormwater pollution in the stormwater discharge(circle one): Yes No
If yes, list and describe:
Rain Event
Was this a Representative Storm Event?— Yes_X_No Total Event Precipitation(Inches): 0.0
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.
Certification
By this signature I certify that this report is accurate and complete to the best of my knowledge:
Inspector's Signature:/ A Arse 400/11