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HomeMy WebLinkAboutNCG020007 DMR SW (2)STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 00013 FACILITY NAME AV/ Ccs it L PERSON COLLECTING SAMPLE(S) 16r CERTIFIED LABORATORY(S) Env YjDv rneyA Lab #�O Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY %--f—Ake- PHONE NO. (ZSZ) �10Z—Z 33 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date No. Sample 50050 Total Flow if a Total Rainfall �j ��rro e�1 I..�a�l p%o5 %orvS SS CIDCollected mo/dd/ r MG inches l L mg l 1.- r\% I L r"I L Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) sw* 3 Z 1b 0.0 12 pH Dab 1 Z"13 Z. ►-t mo/dd/ r MG inches m /l m /l unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes !fn (if yes, complete Part B) Part B• Vehicle Maintenance Activity MonitoringRe uirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /l m /l unit al/mo Form SW -247, last revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 2 NoII (o , ` Total Event Precipitation (inches): Event Duration (hours): G,5 (only if applicable— see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." (Signature of S I L4 1201L, (Date) Form SWU-247, last revised 2/2/2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS000151 FACILITY NAME Arauco Panels USA, LLC. PERSON COLLECTING SAMPLE(S) CERTIFIER LABORATORY(S) Enco Lab # 591 Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Chatham PHONE NO. (919) 642-6600 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 SM5210B SM5220D EPA 353 EPA 351.2 EPA 420.1 EPA 365.4 Total Total BOD COD Total Nitrogen Total Kjeldahl Phenols Total Flow if app.) Rainfall Nitrogen Phosphorous mo/dd/ r MG inches 004 Total Flow (if applicable) Total Rainfall 006 Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG No representative storm event occurred during the month which discharged during normal working hours, therefore no stormwater sample was collected for the month of January 2016. mg/1 mg/1 unit al/mo 004 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements yes _no Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall OR & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mg/1 mg/1 unit al/mo 004 Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date January 2016 Total Event Precipitation (inches): N/A Event Duration (hours): N/A (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 possi of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 Personnel Collecting Samples P Busovne/D. Maddox/S /S Mon rey Certified Laboratories Environmental Chemists Environmental Testing Solutions, Inc. Hexion — STORM WATER SAMPLING REPORT Certificate of Coverage No.: NCS000156 Columbus County, North Carolina Lab ID: 94 Lab ID: 37 STORM EVENT CHARACTERISTICS Total Event Precipitation (ins.)• = Permit Sampling Period -0 Note No qualifying rain event CERTIFICATION STATEMENT By thi i e, I ce 'fy this report is accurate and complete to the best of my knowledge Company Information 1 22f) s. Momentive / 333 Neils Eddy Road Sifinature of Pe ttee or Designee Date Riegelwood, NC 28456 / (910) 655-2263 EXT 5248 AZ9 Az P nt Name and Title Submit 1 (original) Form AT -1 (no DMR) to: NC DENR/DWQ/Environmental Sciences Section 1621 Mail Service Center Raleigh, NC 27699-1621 Submit 1 copy D1VIR (original) and Form AT -1 to: Division of Water Quality Water Quality Section Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Submit 1 copy DhIR (copy) and Form AT -1 to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 @ -2- OCT282015 � 00530 00310 00340 00610r00625 00630 00665 77885 50060 71880 01042 01092 01051 00556 00400 TAA3BTotal Outfall Date mo/dd/yr TSS mg/1 DOD mg/l COD mg1l NH3 mg/I NO3+NO2 mgA Phosphorus mg/l Methanol mg4 TRC mg/l Hexamine mg/l Formaldehyde mg/l Total Copper mg/l Total Zinc mg/l Total Lead mg/l Non -Polar O&G mg/l pH S.U. Acute Toxicity LC50 003 -Dry Projects Sept 004-HCHO Sept 006 -Duck Pond Sept 009-Mamt Shop Sept STORM EVENT CHARACTERISTICS Total Event Precipitation (ins.)• = Permit Sampling Period -0 Note No qualifying rain event CERTIFICATION STATEMENT By thi i e, I ce 'fy this report is accurate and complete to the best of my knowledge Company Information 1 22f) s. Momentive / 333 Neils Eddy Road Sifinature of Pe ttee or Designee Date Riegelwood, NC 28456 / (910) 655-2263 EXT 5248 AZ9 Az P nt Name and Title Submit 1 (original) Form AT -1 (no DMR) to: NC DENR/DWQ/Environmental Sciences Section 1621 Mail Service Center Raleigh, NC 27699-1621 Submit 1 copy D1VIR (original) and Form AT -1 to: Division of Water Quality Water Quality Section Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Submit 1 copy DhIR (copy) and Form AT -1 to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 @ -2- OCT282015 � Personnel Collecting Samples P. Busovne/D. Maddox/S /S.Moi% rey Certified Laboratories Environmental Chemists Environmental Testing Solutions, Inc. ANALYTICAL RESULTS Hexion - STORM WATER SAMPLING REPORT Certificate of Coverage Ndr;..? CSGDU Columbus County, North Carolina Lab ID: 94 Lab ID 37 STORM EVENT CHARACTERISTICS Total Event Precipitation (ins J-0-96-1 Permit Sampling Period. F-7-1 Note: CERTIFICATION STATEMENT By t f(XaeI certify this report is accurate and complete to the best of my knowledge,cZ%23 /6 SPature ofPirmittee or Designee Date Print Name and Title Submit 1 (original) Form AT -1 (no DMR) to: 00530 00310 00340 00610r68 FEB 2 9 2016 00630 00665 77885 50060 Division of Water Quality 71880 01042 01092 01051 00556 00400 TAA3B Outfall Date mo/dd/yr TSS mg/l BOD mg/l COD mg/l NH3 mg/l Division of Water Quality NO3+NO2 mg/l Total Phosphorus mg/1 Methanol mg1l TRC mg/1 Hexamine mg/l Formaldehyde mg/l Total Copper mg/l Total Zinc mg/1 Total Lead mg/l Non -Polar O&G mg/l pH S.U. Acute Toxicity LC50 003 -Dry Projects 1/15/2016 600 9 00 4800 92.10 1500 094 <10 0.024 <25 0 775 00290 0 063 <0 0I <5 739 NA 004-HCHO 1/15/2016 11600 320 1 1260 14.90 225 1 1.71 044 <10 1 0 <25 2 390 00260 0 19 <0 01 <5 1 833 NA 006 -Duck Pond 1/15/2016 1250 4.00 23.00 620 5.4 1.66 045 110 0 028 <25 0.303 00020 0 032 <0 01 <5 688 NA 009-Maint. Shop 1/15/2016 1470 400 1 23.00 0.60 1.4 1 0.220 0 19 <10 001 <25 0.257 00100 0 084 <0 01 <5 7.59 NA STORM EVENT CHARACTERISTICS Total Event Precipitation (ins J-0-96-1 Permit Sampling Period. F-7-1 Note: CERTIFICATION STATEMENT By t f(XaeI certify this report is accurate and complete to the best of my knowledge,cZ%23 /6 SPature ofPirmittee or Designee Date Print Name and Title Submit 1 (original) Form AT -1 (no DMR) to: A EE v NC DENR/DWQ/Environmental Sciences Section �p EP-) 1621 Mail Service Center FEB 2 9 2016 Raleigh, NC 27699-1621 Submit 1 copy Divest. (original) and Form AT -1 to: CENTRAL FILES Division of Water Quality DWI SECTION Water Quality Section Atte Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Company Information Submit 1 copy DMR (copy) and Form AT -1 to: Momentive Stormwater Permitting Unit 333 Neils Eddy Road Division of Water Quality Riegelwood, NC 28456 1617 Mail Service Center (910) 655-2263 Raleigh, NC 27699-1617 EXT 5248 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number SAMPLES COLLECTED DURING CALENDAR YEAR: 0l� (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME PERSON COLLECTRG SAMPLE(S) CERTIFIED LABORATORY(S) iiiCC Lab # Lab # g Vs8NVD Part A: Specific Monitoring Requirements DEC 14 2015 COUNTY3t.fNe—(D'IMR PHONE NO. ( ) & eb,7— ,z;-60 D SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. I Outfall 1: No. Sample Collected 1I I - Total 4 f ,► Rainfall 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) r Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m rr unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m mg/1 unit al/mo Form SWU-247, last revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total vent Precipitation (inches): .,3,o b Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 im,pVonment for knowing violations." � T S ( gnature o ermittee) (Date) Form SWU-247, last revised 2/2/2012 Page 2 of 2 Stormwater Discharge Outfall (SDO) Monitoring Report _, ._.—._ - ----- ---- - -- --- . Permit Number - ' - NCS_OOD166 _ •� Sadipl`es Collected During Calen'da� Veav „ (This monitoring report shall tie received by the,Division Facility Name Perdue Farms Lewiston no later than 30 days from recelpt of sampiIng resu,ts ); ,Persod Collecting Samples' ' Tim MlzelILI county.- ,' Bertie. 'certffied Laboratories Perdue Farms,ina t' Lab # _ 245; Phone Number 252-348=,4326 Enwron rent 1 Lab# 10 —= --_- -- , -- - • _ _ - —�_�t - _ _ -- SIGIIIATURE OF PERMI E OR DESIGNEE MEE E�� �-,�.---^–^-I{t{'�' L�I--�— Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month 9 X YES NO If yes, complete Part B B : Vehicle Maintenance Activity Moniforing'Requirementd _ Date sample 50050 00556 00530 00400 New Motor colleResd Total Flow Oil and TSS pH Od usage Ball No Grease 003 Storm Event Characteristics' Mail Original and one copy to: , Date . 5/21/2015 Divisloh of Water Quality, Total Event Precipitation ( inches) : 05 Attn Central Files I , Event Duration (hours) 14 1617 Mail Service Center ( if more than one stone event was sampled) _ _ _ Raleigh;,North Carolina 27699-1617' Date : Total Event Precipitation ( inches) Event Duration (hours) : "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 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 imprisionment for knowing violations" Signature of Permittee) ( Date ) Rpepir) 1 ?.015 JNFpRMg TION PROCESSJNG UNIT STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000201 FACILITY NAME UNC -CH Hazardous Materials Facility PERSON COLLECTING SAMPLE(S) Sharon Myers CERTIFIED LABORATORY(S) ESC Lab #ENV 375 Lab # Part A: Specific Monitoring Requirements V SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Orange PHONE NO. ( 919 )962-9752 F ATURE OF PERMITTEE OR DESIGNEEUIRED ON PAGE 2. Outfall Date No. Sample Collected 50050 50050 00556 Total Total Non -Polar Oil Flow (if app.) Rainfall & Grease) Total pH BOD COD Suspended Solids TSS mo/dd/ r MG inches m /l m /l units m /l mg/1 001 02/22/16 0.78 0.91 ND 89.0 7.09 8.4 71.3 mo/dd/ r MG inches m /l mg/1 mg/1 unit al/month 001 02/22/16 0.78 0.91 ND NA 89.0 7.09 100 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no (if yes, complete Part B) Part B: Vehicle Maintenance Ae ivity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Non -Polar Oil & Grease (if a 1.) TPH-Oil & Grease Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /l mg/1 mg/1 unit al/month 001 02/22/16 0.78 0.91 ND NA 89.0 7.09 100 Form SWU-247, last revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 02/22/16 Total Event Precipitation (inches): 0.91_ Event Duration (hours): 18 (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." (Signature of Permittee) 3 /7 //6 (Date) Form SWU-247, last revised 2/2/2012 Page 2 of 2 U Stolmwater Discharge Outfall (SDO) Monitoring Report Permd Number : k9000166 r Samples Collected During Calendar Year - 2015 (This monitoring report shall be received by the Division Facility Name Perdue Farms Lewiston no later than 30 days from receipt of sampling results I Person Collecting Samples Tim Mizelle County Bartle Certified Laboratories Perdue Farms Inc Lab # 245 Phone Number. 252-348-4326 Environment Lab# 10 i f��14W SIGSIG TAII�RMIOEE OR DESIGNEE PaA D Cnarifir MnnHnrinn Raniiiremanfs ---- - _ - - Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month X YES NO If yes, complete Part B PDar4 R Vnh,rlu Ma,nfnnanru arhvdv Mnndnnnn Rnnnlmmnnfe - -- _ •� -- - e - IL C-��--IL-- AL 7C-- - =L -- - 7f--- IL-- ,L - -- - --- _JE_ --- JL -JLL__ Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month X YES NO If yes, complete Part B PDar4 R Vnh,rlu Ma,nfnnanru arhvdv Mnndnnnn Rnnnlmmnnfe - -- _ •� -- - e Storm Event Characteristics: Mail Original and one copy to: _ Date 5/21/2015 Division of Water Quality ' Total Event Precipitation ( inches) . 05 j Attn Central Files i Event Duration (hours) : 14 1617 Mall Service Center ( If more than one storm event was sampled) _ Raleigh, North Carolina 27699-1617 Date . Total Event Precipitation ( Inches) Event Duration (hours) : "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision m 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 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 impnsionment for knowing violations" ( Signature of Permittee) ( Date ) - C-��--IL-- AL 7C-- - =L -- - 7f--- IL-- ,L - -- - --- Storm Event Characteristics: Mail Original and one copy to: _ Date 5/21/2015 Division of Water Quality ' Total Event Precipitation ( inches) . 05 j Attn Central Files i Event Duration (hours) : 14 1617 Mall Service Center ( If more than one storm event was sampled) _ Raleigh, North Carolina 27699-1617 Date . Total Event Precipitation ( Inches) Event Duration (hours) : "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision m 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 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 impnsionment for knowing violations" ( Signature of Permittee) ( Date ) Perdue Farms Incorporated P.O.Box 460 Lewiston Woodville, NC 27849 www.perdue.com® Office (252)348-4200 Certified Mail # 7015 0640 0000 4319 7302 June 5, 2015 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Stormwater Analytical Monitoring Permit # NCS000166 Perdue Farms Incorporated, Lewiston To Whom it May Concern: AN"I 1 2015 Please find enclosed duplicate copies of our stormwater analytical monitoring for the above- mentioned permit. This sampling is for the second period of the second year of our permit, consisting of December 1, 2014 thru May 31, 2015. We hope this meets with your approval and should you have any questions or concerns please contact me at 252-348-4326. Sincerely, Wayne Black, REM Environmental Manager Perdue Farms Incorporated A Family Commitment to Quality Since 1920*'" STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: N+3� ' 2 or Certificate of Coverage Number: NCG FACILTfY NAME U h 1. J S t6& S f Jr2 S u m .0 PERSON COLLECTING SAMPLE(S) CERTEFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:aw7irZra K t4 01 r y (This monitoring report shall be received by the Division no later than 0 days from the date the facility receivothe sampling results from the laboratory.) By thi,.Nro, ature, I certify that this report is accurate complete to be best of my knowledge. Date •iip ms'. 50050 , :. , : ^.:. ::::..: :.:...:: .UOSS6..: :,.. , ::; ,00530 : . ,.; 00400'' . ;•:;:.:..:. • ..• To'taTFH ';.;' Total'Railifall:'•; .Oil';&Grease,.,— :Total., •. :;;p .. :.New'Motor'Oil' (if applicable) ' .: '•, •,: °' > :: " Slispt need :. , • Solids :' mo/dd/ r . i MG • inches mm rri :,Units: • . al/mo . . i 1 Does this facility perform Vebicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes 2no (if yes, complete Part B) Part R! Vehicle Maintenance Artivitv Mnnitnrina Rrnniremenk .Outfall •:... ,Date No: $ample.+ Collected " ' •:,' 50050 , :. , : ^.:. ::::..: :.:...:: .UOSS6..: :,.. , ::; ,00530 : . ,.; 00400'' . ;•:;:.:..:. • ..• To'taTFH ';.;' Total'Railifall:'•; .Oil';&Grease,.,— :Total., •. :;;p .. :.New'Motor'Oil' (if applicable) ' .: '•, •,: °' > :: " Slispt need :. , • Solids :' mo/dd/ r . MG • inches mm rri :,Units: • . al/mo . . Form SWU-246-112608 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date a;- Z0/6 Total Event Precipi tion (' ches). , A/ A Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) %*% F-loW Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 pe ons w manage the sy or those persons directly responsible for gathering the information, the information submitted is, to the best of my wlejg,�andef, e, accurate, and complete. I am aware that there are significant penalties for submitting False information, includ g ess t7itpf fiq d imprisonment for knowing violations." (Signature of a 'tte) (Date Form SWU-246-112608 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number_NCS460209 FACILITY NAME _Haynes Wire Company PERSON COLLECTING SAMPLE(S) Angela Beck CERTIFIED LABORATORY(S) James and James Lab #_482 Research and Analytical Labs Lab # 34_ Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Henderson RECEIVED PHONE NO. (828) 393-1258 FEB .2 9 ,' 0p 6 FIL S SIGNATURE OF PERMITTEE OR DF�9I,�3A CTI N REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 Total Flow if a Total pH Rainfall TSS Nickel 00400 mo/dd/yr MG inches mg/L /L 1 02/03/2016 NA 2.5 7.6 <4.90ppm 0.012m 2 02/03/2016 NA 2.5 7.1 9.30ppm 0.007m /L Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —X—no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Notapplicable to Haynes Wire Com any Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease .(if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG, inches mg/1 mg/1 unit al/mo Form SWU-247, last revised 2/212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date: 02/03/2016 Total Event Precipitation (inches): 2.5 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." �� CLI,-- ") la 1-5 / / � of Permittee) (Date) Form SWU-247, last revised 2/2/2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS: NCS0001- 40t�— FACILITY NAME: Southern Resin, Inc. PERSON COLLECTING SAMPLE(S) John Myers CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY: Davidson PHONE NO. (336) 475-1348 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No:, Date Sample . Collected 50050 ' 00556. 00530 '00400" Total Flow � (if applicable) Total Flow (if app.) ''Total Rainfall Formaldehyde COD NH3 - N` NO2'+ NO3 TKN ' Zinc pH ' , nio/dd/yr ' 'MG inches,; mg/1," mg/l mg/1 mg/1 mg/1, mg/l' std routs' SW01 NO FLOW (for Tier 2 sampling requirements) January 2016 d cn Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements t8 E- -� o O� rn Outfall No. ', :Date,,'' Sample . ', Collected 50050 00556. 00530 '00400" Total Flow � (if applicable) Total . '° Rainfall '. Oil& Grease _ (if appl.)' ' . . Non -polar O&G/TPH (Method 1664, ;SGT -HEM, if Total Suspended'. Solids pH ` , New Motor Oil,' Usage'; . �ino/dd% r inches', ml ainit' al/mo, Form SWU-247, last revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." (Signature Permitt e) (Date): Form SWU-247, last revised 2/2/2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS: NCS000235 FACILITY NAME: Southern Resin, Inc. PERSON COLLECTING SAMPLE(S) John Myers CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY: Davidson PHONE NO. (336) 475-1348 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date; Sample Collected 50050 Total` "Flow (if app.) Total Rainfall 1, Formaldehyde COD NH3- N NO2 + NO3' TKN Zinc `pH = mo/dd/yr MG' inches mg/1 mg/l, mg/l , mg/l. mg/1,' mg/1 Std �� units' SW01 02/16/2016 Oil-& Greas6 (if appl.) 1.5 0.654 45 0.599 1.03 2.99 0.062 6.0 New Moto'r'' ' Oi1'Usage "' m6/dd4r MG � � � ' inches In " ` m 1 unit" aUmo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall. ' - Date ` Sample' . ;Collected ' - „��. '50050 '00556 "00530 00400 Total Flow (if applicable) Total" � � Rainfall '.` ' Oil-& Greas6 (if appl.) Non -polar; � ,' O&G/TPH ,' (Method 1664 SGT=i HE f Total � � Suspended' �- Solids ` pH' • � � "' New Moto'r'' ' Oi1'Usage "' m6/dd4r MG � � � ' inches In " ` m 1 unit" aUmo Form SWU-247, last revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 02/16/2016 Total Event Precipitation (inches): 1.5 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." (S' afore of ermittee) (Date): 3/10/2016 Form SWU-247, last revised 2/2/2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS _,'^ FACILITY NAME A Meri`r­(-mT)u5l6kiaAiiotl PERSON COLLECTING SAMPLE(S) 3cc_ r 4 W CERTIFIED LABORATORY(S)En,j''z-&,,be�k4A Ci",mt*Lab#__b�N- A # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: ; ('0 1 '<—' (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. 51 d a 1, 1- d R c! 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. IJ Outfall Date No. Sample Collected 50050 Total TotalCh- Flow if a Rainfall GOD S \ i 'rec+ -b V4 y I t: ©� � i K N rare -c., al e o hr, mo/dd/ r MG inches rti .ti. L L— f"S A" it NA 0, --7 5 to N, o fc 1 -1- S® i• < 10 Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TP]H (Method 1664 SGT -HEM), if appi. Total Suspended Solids P11 New Motor Oil Usage mo/dd/ r MG inches m /l m /I unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Ae ivity Monitoring Requirements l V 1\ yes _no Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TP]H (Method 1664 SGT -HEM), if appi. Total Suspended Solids P11 New Motor Oil Usage mo/dd/ r MG inches m /l m /I unit al/mo Form SWU-247, last revised 2/2/2012 Page l of 2 (Go n 4-� h Ve-c� STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0 Q /0 rr 4144 FACILITY NAME PERSON COLLECTING SAMPLE(S) in1i,.� z CERTIFIED LABORATORY(S) I:.nv . n.;s• Lab #_2\M 0 #y Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2-019 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY L PHONE NO.( cl► o) k 3 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date No. Sample Collected 50050 Total Flow if a Total Rainfall Iv���(InaA0 t � {-��1� 1 isoro 1 c o\n.v 1 1 mo/dd/ r MG inches /1— Mc) / V t-. I t /►9 is- 0, ;9S t l0 t 143 L 10 . m /I mg/1 unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv MonitorinE Reauirements ! V Outfall Date No. Sample Collected 50050 00556 00530 00400 Total: Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /I mg/1 unit al/mo Form SWU-247, last revised 212/2012 Page] of 2 STORM EVENT CIIARACTERISTICS: (Date Total Event Precipitation (inches): " Event Duration (hours): 2.,OS J (only ii'applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event (Duration (hones): (only if applicable — see permit.) Mail Original and one copy to: Division-of\'Vater-Quality — Attn: Cental Piles 1617 kinil Service Censer Raleigh, North Carolina 27699-1617 "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 file system, or those persons directly responsible for gathering the information, the inlormation submitted is, to file best of my knowledge and belief, true, accurate, and complete. I sun aware that there are significant penalties ffor submitting fsllse information, including the possibility of lines and imprisonment for knowing violations." Signature of Permittee) (1)atc) Form SWLJ-217, last revised 2/2/2012 Page 2 of 2 - cArdiffl, DEMLR- Storm water Permitting Program Attn: Storm water Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 February 1, 2016 RE. Cargill, Lzcorporated, Raleigh, NC—Stormwater Discharge Pernd1W 0%00:2. _8� Year 5, Period 2 - Analytical Monitoring Results CI FEB 17 Zo IQ CENTRAL FILES DWR SEC-rjoo In accordance with the Cargill, Raleigh facility's Stormwater Discharge Permit NCS000282, Part III, Section E, Cargill is submitting Discharge Monitoring Reports for the Year Five, Period Two monitoring period. Monthly monitoring is required for the Raleigh facility as per the Tiered program requirements in Part II, Section B of the facility permit. For the month January, SD001 & SDO02 samples were not obtained due to not enough rain for storm water sampling. For the dates of 1/1,/.1.6--tl�r,,1/314-201�6. If there are any questions regarding this submittal please feel free to contact me at (919) 899-6604. Sincerely, 1 ael Klauke Plant Superintendent 1400 S. Blount Street Raleigh, NC 27603-2506 SDO01 Characteristic Benchmark Lab Results Tier COD 120 mg/L BOD 30 mg/L Total Phosphorus 2 mg/L TKN 1 20 mg/L If there are any questions regarding this submittal please feel free to contact me at (919) 899-6604. Sincerely, 1 ael Klauke Plant Superintendent 1400 S. Blount Street Raleigh, NC 27603-2506 SDO02 Characteristic Benchmark Lab Results Tier COD 120 mg/L BOD 30 mg/L Total Phosphorus 20 mg/L TSS 100 mg/L If there are any questions regarding this submittal please feel free to contact me at (919) 899-6604. Sincerely, 1 ael Klauke Plant Superintendent 1400 S. Blount Street Raleigh, NC 27603-2506 Is Cargill, Incorporated Raleigh, NC 0 Page 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCD 00282 CERTIFICATE OF COVERAGE NO. NCG06 N/A FACILITY NAME: Cargill Inc. PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY–ESC Lab. Lab# ENV375, DW21704 N/A Lab#_N/A_ Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: -2015 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY WAKE PHONE NO. 919-899-6604 PLEASE SIGN ON THE REVERSE --> Outfall'No.` Date Sample�Collected h ;mm/dd/yyyy� Total Suspended. Solids,– , mg/L ' � �pH � �.< , T-"" ` Cheniical'Oxygen" Standard Units Demand; mg/L Benchmark - ' - 100' 6-9� s120' RNC-SD001 2/04/2016 7.81 6.98 66.6 RNC-SDO02 14.9 0.973 0.607 N/A N/A N/A N/A N/A Outfall No. � Pate ,Sample Collected; mm%dd%yyyy- Biological Oxygen"< Demarid,mg/L . Total Phosphorus:."".- mg/L, Nitrate +Nitrite . �- Total Kjeldahl (NO3+NO2),,mg/L- Nitrogen, rng/L Benchmark _ = _ 30' 2 101 20 RNC -S DO01 2/4/2016 14.9 0.973 0.607 5.31 RNC -S DO02 N/A N/A N/A N/A N/A N/A Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date 2/4/2016 (first event sampled) Total Event Precipitation (inches): 0.27 Event Duration (Hours) 5 Date (list each additional event sampled this reporting period and rainfall amout Total Event Precipitation (inches): Event Duration (Hours) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NC S000251 or Certificate of Coverage Number: NCG FACILITY NAME Georgia-Pacific Chemicals LLC PERSON COLLECTING SAMPLE(S) Tim Riddick CERTIFIED LABORATORY(S Universal Laboratories Lab# 543 Summit Environmental Lab# 631 Georgia-Pacific Chemicals LLC Lab# 5464 Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Northampton PHONE NO. 85-12 2 /, (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete t0 the best of my knowledge Outfall No. Date Sample Collected 50050 Total Flow -cresol o -cresol m -cresol Cresol Phenol Formaldehyde NPDES Flow (a_ Wier mo/dd/yr MG m /I mg/1 mg/1 mg/1 mg/1 mg/1 MGD 001 03/26/15 0.030 0.049 n/a 002 03/26/15 0.141 <0.005 <0.005 <0.005 <0.005 0.019 * 0.317 n/a 003 03/26/15 0.016 0.034 n/a 004 03/26/15 0.022 0.046 n/a *Denotes a revised analytical concentration for phenol. The original DMR dated April 21st, 2015, included an incorrect value for phenol. Form SWU-246-051100 Page 2 of 3 ;`� STOR,N4WATER DISC�RGE OLTITAI_,L (SDO} MONITORLNG REPORT ,v sP m=� or SAMPLES COLLECTED DU'[? -LNG CALENDAR YEAR: _ Permit Number: No * (This monitoring report shall be : eceived by the Division no Iater than 3d days from Cezti£ca[e of Coverage VTumber: NCG the date the facility receives the sampling resuits from the laboratory.) couNTY FACELITY NAME 5 �`�-''�'� P NTE NO. PERSON COLLECTUgG SA_MT?-MT?- e CERTIFIED C.ABORATORY(S) Lab #— -75 E OR DESIGNEEI Lab # (SIGNATURE OF P By this signature, i certify that this report is accurate col-piete to the gest of my K:iowiedge Part A: Specific "oniforiug Requirements Does tlus facL:C�' PcrfCrm 'Vr- uc: Mai[ Original and one COPY to- STOELM EVENT CRA-RACTERISTLCS• Division of Water Quant;' Attn Central Files Date 1617 Mail Service Center Total Event Precipitation (inches): — Ralcigb, North Caro Lina 27699-i6 i7 Event Duration (hours): (oaly if applicable - see pe-rw ) (f more :Ban one storm eveni was sampled) Date Total Event Precipitation (rrchesj: ,Cao 'icable - see PC=',) Event Duration (hours): (o� y - P= ,S;on in nce "I oertifY, under penalty Of law, that this document and all attacicments were aad evaluateepared under n: -v direction tl e for- tion sub fitted cBased� on mY iaq¢irvre.� t`�e Person system designed to assure that qualified perscunel properly gather i the- inforrruitwn submitted' is, to tile best or persons wha eu-1nage the sgstem, or base persons directly respOasibie for gat,tering the information, of my lmow[edgr and belief, true, accurate, and compiete I am aware that there are significant Penalties for submittzrg false inforn-tion. mC''uc:ng the p�-ccintitry of fcncs and iniv sonnet for knowing vioEations." ( ignature of Permittee'1 •'Al i- _ STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000292 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Resinall Corporation PERSON COLLECTING SAMPLE(S) Bill Lewis CERTIFIED LABORATORY(S) Summit Environmental Technologies Lab # Lab # Part A: Specific Monitoring Requirements COUNTY Northampton PHONE NO. (252) 585-1445 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date No.- Sample Collected 50050 Total Flow (if app.), Total Rainfall Chem. Oxygen Demand COD((TP) Total Phosphorus: „ Total Suspended Solids TSS Total Nitrogen (TN) pH_ v mo/dd/ r MG inches m /L m /L m /L m /L units MG inches mg /1 - mg/1 unit al/mo 001 05/11/2015 0.0137 0.3 77.0 < 0.50 17.0 < 1.00 7.211 002 05/11/2015 0.0130 0.3 30.3 < 0.50 12.0 1.22 7.199 � 1 m Fn g Does this facility perform Vehicle Maintenance Activities using mor Mn 5 al of new motor oil per month? _ yes X no (if yes, complete Part B) s Part B: Vehicle Maintenance Activitv Monitoring Requirements -4 Outfall Date No. Sample Collected _ W 50050 00556 00530 00400' Total Flow_ (if applicable) Total Rainfall Oil & Grease (if appl.) Non=polar O&G/TPH (Method_ 1664 SGT -HEM), if a I; Total' Suspended Solids pH ' New Motor , Oil Usage mo/dd/ 'r MG inches mg /1 - mg/1 unit al/mo Form SWU-247, last revised 2/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 05/11/2015 Total Event Precipitation (inches): 0.3 Event Duration (hours): 6.25 (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." (Signature of June 9, 2015 (Date) Form SWU-247, last revised 2/2/2012 Page 2 of 2 STORMWATER DISLHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NC AUX or Certificate of Coverage Number: NCG FACILITY NAME cr s,),-, v 144an 14 / PERSON COLLECTING SAMPLE(S) 0 CERTIFIED LABORATORY(S) /,a tyyeu Lab I- ' -53 Lab M Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: /_ ('this monitoring report shall be receival by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY t) S % PI WE NO. A3 -A) joW (SIGNATURE OF PERMITTEE OR DES�GNE r V� By this signature, I certify that this report &,c rate complete'lo the best of my knowledge. CleNT u t Dw� ErT/LeS 1 I I I a T tDate Sample Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Zyyes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activit Monitoring Requirements Outfall Date 50050 00556 00530 00400 No. Sample Total Flow Oil and Total pH New Motor Collected Grease Suspended On Usage Solids mo/dd/yr MG mWI mgA unit gallmo e 6 Form SWU-246-051100 Page 1 of 2 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Zyyes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activit Monitoring Requirements Outfall Date 50050 00556 00530 00400 No. Sample Total Flow Oil and Total pH New Motor Collected Grease Suspended On Usage Solids mo/dd/yr MG mWI mgA unit gallmo e 6 Form SWU-246-051100 Page 1 of 2 Form SWU-246-051100 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS: 000312 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring reportshall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME: DARTAggy& &a& LLC PERSON COLLECTING SAMPLE(S) Mike Chapman (Shealy Lab) CERTIFIED LABORATORY(S) Shealy Environmental Services Lab # NCDENR 329 Shealy Environmental Services Lab # NELAC E87653 Part A: Specific Monitoring Requirements COUNTY: Mecklenburg PHONE NO. (704) 395-9559 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date No. Sample Collected 50050 Total Flow if a Total Rainfall TSS COD PH mo/dd/ r MG Inches M /l M /l S.U. 001 02/25/2016 --------- 0.65 43 15 6.64 Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /l m /l unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv MonitorinLy Reauirements Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /l m /l unit al/mo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date: 02/25/2016 Total Event Precipitation (inches): 0.65 Event Duration (hours): _n/a_ (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." of Permittee) 3 / o ,Z o%lo ate) Form SWU-247, last revised 2/2/2012 Page 2 of 2 PERMIT COVERAGE NO.t 50000321T" FACILITY NAME Lubrizol-Gastoma PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Prism Labs STORMWATER DISCHARGE OUTFALL (SDO) ANALYTICAL MONITORING REPORT Lab # Lab # Part A: Specific Monitoring Requirements 50050 00556 Outfall No. Date Sample Total Collected Flow Biochemical Oxygen Demand Total Chemical Zinc pH Suspended Oxygen Solids Demand mm/dd/yy MG mg/l m mg/l mg/l 02 1/19/2016 5.1 8.9 <50 0.19 7.54 pH New Motor Oil Collected Recoverable' (MBAS)` Usage mm/dd/yr MG mg/1 ug/1 mg/l unit gal/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (all samples collected during a calendar year, shall be reported no later than 30 days from the date the facility receives the sampling results) COUNTY Gaston PHONE NO. 70 15-4165 (SIGNATURE OF PERMITTEE OR DESIGNEE) PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge Outfall Date 50050 00556 01051 38260 00400 No. Sample Total Flow Oil and Grease Lead, Total Detergents pH New Motor Oil Collected Recoverable' (MBAS)` Usage mm/dd/yr MG mg/1 ug/1 mg/l unit gal/mo STORM EVENT CHARACTERISTICS Date 1/18/2016 Total Event Precipitation (inches): Event Duration (hours): 72 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): 0.78 nec D�. l V MqR o.8 � 2016 CS1VT1;Z4L F/ DIAIR Seer1 AS Yes X No Attn: (ventral r11es DEHN R Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Form MR18 Page 1 of 2 Footnotes: 1 Applies only for facilities at which fueling occurs. 2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations. "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." (Signature of Permittee) 3��/� (Date) Form MR18 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) ANALYTICAL MONITORING REPORT PERMIT COVERAGE NORK, FACILITY NAME Lubnzol-Gastonia PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Prism Labs Lab # Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected Total Biochemical Flow Oxygen Demand Total Chemical Zinc pH Suspended Oxygen Solids Demand mm/dd/yy MG mg/I mg/I mg/1 mg/I 02 2/9/2016 4.8 13 <50 0.15 6.8 Total Flow Oil and Grease Lead, Total Detergents pH New Motor Oil Collected Recoverable` (MBAS)` Usage mm/dd/yr MG mg/I ug/I mg/I Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (all samples collected during a calendar year, shall be reported no later than 30 days from the date the facility receives the sampling results) COUNTY Gaston PHONE NO. Z4 915;;4!45 (SIGNATUR F PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge Outfall Date 50050 00556 01051 38260 00400 No. Sample Total Flow Oil and Grease Lead, Total Detergents pH New Motor Oil Collected Recoverable` (MBAS)` Usage mm/dd/yr MG mg/I ug/I mg/I unit gal/mo STORM EVENT CHARACTERISTICS Date 2/7/2016 Total Event Precipitation (inches): Event Duration (hours): 36 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): 0.67 91-41 CIVI) MAR 0 8 2015 CEN-rRAL FILE$ VVR SECTjOn, Yes X No Attn: Central Ales DEHNR Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Form MR18 Page 1 of 2 Footnotes: 1 Applies only for facilities at which fueling occurs. Z Detergent monitoring is required only at facilities which conduct vehicle cleaning operations. "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." (Signature of Permittee) (Date) Form MR18 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT - Permit Number NCS 0 0 0 3 2 5 FACILITYNAME Patch Rubber Company PERSON COLLECTING SAMPLE(S) Not applicable CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Halifax PHONE NO.2( 5 2) 53 6-257 4 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. � 1 • 11 1 i Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Ae i ity Monitorin Requirements Outfall Date No. Sample Collected 50050 otal Total Flo"Uapp.Rainfall• •� 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl- Total Suspended Solids pH New Motor Oil Usage mo/dd/yr MG inches mg/1 m /l unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Ae i ity Monitorin Requirements Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl- Total Suspended Solids pH New Motor Oil Usage mo/dd/yr MG inches mg/1 m /l unit al/mo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): N/A Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, tinder 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." I "1 (Signature of Permittee) 6-06-2Di5 (Date) The Facility was unable to collect the required samples from a "Representative Storm Event" for the month of May 2015. "No Flow" Form SWU-247, last revised 21212012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000325 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Patch Rubber Company PERSON COLLECTINGSAMPLE(S) Marto Carter - CERTIFIED LABORATORY(S) arterCERTIFIEDLABORATORY(S) Pace Analytical Lab#_ Lab # Part A: Specific Monitoring Requirements COUNTY Halifax PHONENO. 2( 52)536-2574 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall. No. Sample Collected 00556 . •� 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appQ Non -polar O&G/TPH (Method 1664 SGT -HEM), if aPpL Total I Suspended Solids pH New Motor Oil Usage mo/dd/vr NIG inches mg men unit gal/mo 'Docs this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Date No. Sample Collected 50050 00556 00530 1 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appQ Non -polar O&G/TPH (Method 1664 SGT -HEM), if aPpL Total I Suspended Solids pH New Motor Oil Usage mo/dd/vr NIG inches mg men unit gal/mo Form SWU-247, last revised 2/212012 Page l of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: 11/ 19 / 15 Division of Water Quality Date Attn: Central Files Total Event Precipitation (inches): 0.44 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one stoma event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "I certify,under enal of law, that this document and all attachments were prepared under m direction or supervision in accordance with a p b' P P y P system designedto 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 lt`nowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including possibility of fines and imprisonment for knowing violations." 17, (Signature ofPermi ee) (Date) r Form SWU-247, last revised 212/2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0 0 0 3 2 5 FACILITY NAME Patch Rubber Company PERSON COLLECTING SAMPLE(S) _ Not applicable CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Halifax PHONE NO.2( 52)536-2574 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Ac ivity Monitorin Requirements Outfall No. Date I Sample Collected Total Rainfall• •� 00556 00530 00400 Total Flow (if'applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM),,if lippl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mg/1 m /l unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Ac ivity Monitorin Requirements Outfall No. Date I Sample Collected 50050 00556 00530 00400 Total Flow (if'applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM),,if lippl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mg/1 m /l unit al/mo Form SWU-247, last revised 212/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): N/A Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty o aw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assur that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who man /ity the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledgd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibyof finesand imprisonment for knowing violations." (Signature of Permittee) 2-12- 2- 11f. (Date) The Facility was unable to collect the required samples from a "Representative Storm Event" for the month of January 2016. "No Flow" Form SWU-247, last revised 212/2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 0 0 0 3 2 5 FACILITY NAME Patch Rubber Comoanv PF.RSONCOLLECTINGSAM PLE(S) Not applicable CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Halifax PHONE NO.2( 521536-2574 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Date No. Sample Collected Sample Collected 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage moldd/vr MG inches mg1l Ingn unit eaumo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Xno (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage moldd/vr MG inches mg1l Ingn unit eaumo Form SWU-247, last revised 1/2/2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): N/A Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty f law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assu c that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who mann -the system, or those persons directly responsible for gathering the Information, the information submitted is, to the best of my knowled and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the pos3i lily of fines and imprisonment for knowing violations." (Signaturc,6f Permittee) (Date) The Facility was unable to collect the required samples from a "Representative Storm Event" for the month of February 2016. "No Flow" Form SWU-247, last revised 212/2012 Page 2 of 2 FEHR GRANN,,4t ENGINEERING & ENVIRONMENTAL Certified Mail No.: 7015 0640 0003-0331 4043 Return Receipt Requested .� ! March 14, 2016 7 2016 1E101&:(0PY MAR I Division of Water +Qdality Attention: �C/enttal Files CENTPA LT601S LES 1617 Mai,l,Sery ce Center DWR S_ Raleigh. North Carolina 27699-1617 Storm Water Discharge Outfall (SDO) Monitoring Report - February 2016 Patch Rubber Company 100 Patch Rubber Road Weldon, NC 27870 Dear Sir/Madam: Enclosed please find the Storm Water Discharge Outfall (SDC) Monitoring Report for storm water discharge from the above -referenced facility for February 2016. Please note the following: • The facility was not able to collect the required samples from a "Representative Storm Event" for the month of February 2016. • The facility will continue monthly collection of storm water samples for analysis. If you have any questions regarding these documents, please do not hesitate to contact this office. Sincerely, r Amy L. Trimble, CHMM Environmental Scientist ALT: mll Enclosure 0APatch Rubber Company\16-105\Final\ALT 16-105 - Storm Water SDO February 2016 Cover Letter.docx 221 E Main Street I Suite 200 1 Freeport, IL 61032 1 p•815.235.7643 I f:815.235.4632 I www fehr-graham.com Insight Experience. Results STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCS 000328 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 CERTIFICATE OF COVERAGE NO. NCG: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Bestway South, Inc. COUNTY Iredell PERSON COLLECTING SAMPLE(S) Richard Petrovich (GM) PHONE NO. ( 704 ) 585 - 6373 CERTIFIED LABORATORY Statesville Analytical Lab # 37755 Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Specific Monitoring Requirements ,aOutfall, No. --Date Date Sample, Collected, mo/dd/ r 00530= 00400 ,Qil,and °Grease; °r m 'Total Arsenic Total Chromium Total Copper ,m/L m' m /L BODS Benchmark - 0.36 °' 1 0.007 „ 30- SDO-001 02/22/2016 .33 Sample 11d 00530, 00400 Total Suspended Solids Total Nitrogen - pH, m " " m Standard units COD a m 100 ` - - 30 .Within 6.0 — 9.0 120 ° Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _X_ no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall 'Date,, - No, r Sample Collected; mo/dd/ r 00556 00530= 00400 ,Qil,and °Grease; °r m . Total Suspendeid$o_tids, m pH Standard units° ° ` New,Motor Oil°Usage, Annual averse al/mo Benchxnarit - 30 100 6.0-=9.0° = 0,e116/11li.L SWU-246-112608 Pave, 1 of 9 STORM EVENT CHARACTERISTICS: Date 02/22/2016 Attn: DWQ Central Files Total Event Precipitation (inches): —2.08 -- Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 fine&and-mimpsonment for knowing violations." of Permittee) (Date) SWU-246-112608 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCS 000328 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 CERTIFICATE OF COVERAGE NO. NCG: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Bestway South, Inc. COUNTY Iredell PERSON COLLECTING SAMPLE(S) Richard Petrovich (GM) PHONE NO. ( 704 ) 585 - 6373 CERTIFIED LABORATORY Statesville Analytical Lab # 37755 Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Specific Monitoring Requirements Outfall No. a . Date Sample Collected, mo/dd/ r . 00530 " 00400,,, _ ®il audGrease, m /L Total Arsenic Total Chromium Total Copper . m /I. m ;m YL _ BODs.- u. , ni Benchmark,'- Benchmark' - �' 0.36 � � 1. � � 0:007 30 - SDO-001 02/22/2016 .33 Sample 11d 00530; - 00400�, _ - Total Suspended°Solids- ` Total Nitrogen pH, � _ m mg/L<, " Standard units � COD m /L 100 30 Within 6:0 =9'.0 '` 120`'`` Did tlus facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes x_ no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements OutfallDate No. Sample Collected; mo/dd/ r 00556; 00530 " 00400,,, _ ®il audGrease, m /L `Total Suspedded Solids, , = _ m /L T pHC,- s Standard units 'New Motor Oil Usage, Annual average al/mo Benchmark' - �' 30 100 6.0 — 9.0,- - - 6�y SWU-246-112608 STORM EVENT CHARACTERISTICS: Date 02/22/2016 Attn: DWQ Central Files Total Event Precipitation (inches): _2.08 - Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 imps sonment for knowing violations." of Permittee) 57 a .0 (Date) SWU-246-112608 Page 2 of 2 Bestway South,Inc. 165 Halyburton Road Stony Point, NC 28678 March 8, 2016 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699 - 1617 MAR 10 2016 CENTRAL FILES DWR SECTION Re: Submission of Stormwater Discharge Outfall Monitoring Report (DMR) Bestway South, Inc. (Iredell County) NPDES SW Permit '�OU©32�8 Dear Storm water Permitting Unit; We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall Monitoring Report for Bestway South, Inc., NPDES Stormwater Discharge Permit NCS000328. This submission is for storm water discharge #1, sample # 11 d. This sampling reflects guidelines per our previous permit. We have still not received a new permit. We are continuing our monitoring as though it is still in place. As per normal, our copper levels exceeded the benchmark level, but were lower than in previous sample results. In response to this benchmark value being above limit, we are continuing with our Tier Two response as outlined in our permit. I now will re -sample at the next possible rain event which produces an outfall. The Tier Two response will be documented in our storm water pollution prevention plan as required and sampling will be conducted in a timely manner and, as always, we will continue to try and improve our results. z �j I Richard Petrovich General Manager Bestway South, Inc. Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & 1 copy STORM-WATER-DISCMIRGR OVIftM- ($D0) . MONPPORINO T _ Permit Numkr. NCS - O O '� 3� or $Ah6%i?.S.COLLECTED DURING CAL1??MAR YEAR ZO I Certificate of Coverage Nmnber. NCG MIS mophoring report shall be recdved.by a Ditldon no la than 30 days from ` . the data tie faepity-ieceires the x mp>ig iesft ttomi the tabors iyt,) FAC=YKAMX_ ilabffi4- t-tCi U . dViDCZ,! C}�•Q , t L, . COUNTY C:f cart.' PBRSON COLLECTING SAPLL(S) ONgNo.. CEMILVIED LABORATORY(S) S fah dT_ C' (. aL (SIGNATURE OF PERSUrM OR D " B7 thLs report is te. Part;A; Spedile Mon1kring.Req�Wrcments complete to the best of bq knowledge. ; -�nyw - [1•' +i- -er •.t.�•'1J;.0 i.i .h. ,-.;,�:':�r_ �:�,: '"'- _ :lar%:y.t:s�`sµ :�'•��:`•_= �r �_ •:y�sr%i_:.i -r;. .a•_. Y.-li.r u �_ji�n.+��-vs:'i i i•_ E�� Sti'4. i -t. �n _ _ a Ste._.. .r �^]',"fL _ .� m��71•. ji ,vM .'�.�.�".�'•` - ��/�/, �'►!•(•y�����g�� - Y+h •`r?�:s �ny� � :�-'y-++ - •r��f' .�S -�� .i• arae '.�1i ,.�)..: ti r^.. :�_^-?.- _ �+F l.:.o•+:.•:'{�-i_..• 1\: - - _ _ - .t: S.Y .�'!� �' �rlv tX�rq+�'T:�� :..i�,F�1.(/��'��$''� i`c. �3t:.= :lar itu - -•-C. - : t ]• _ .�' ..s!. . ,s1 _ •, v., - - .�� ter,{Y CI}a.k.�'4. r. +��^y 1. _ �!�.l- j.• _ • � f'�si'3if/-� Y3 - „_'2 _ Z= •. � y} 1f a' . i i .. '•1... ��t - l� '�' �� �-•. • •� � - �Y �- .-ti r / �'-1'_ �.-.-fit- - _ _"�i_�• A ._ - .t•.. �_; •r,. . � aA��a�''L-'�'�._ . - •.�. ;'r.'t: � _ -•!?-'Y ;;a+•::':� •'t _ C: ;r . _ I i. s.` '"". _ L"r+�•_•.+Qa'- - -.t:-- a�� �}.?�-��:t `�'y_...i i ,.'.'e �.ty� •[.:^4• _�: • � _:C'.,:a� _�:."' :-.ice �':-'+'a: �-!>•- r'� �.4t ���,r�=y:1'a., • ri _ • Z,•i.'�� -j :Y� - -�: .�-f� 't ,�� 1ia.f . =Y.j} .:i: t•: �.::,._o 'it -•r, ,�,;:_ :;ti :' •. y�r1 .� s.acf" y._• .�u4z. ^ '-i: •' '+'��-.�_- - ;;'�,a._ �t•T':I Does this facility perform Vehicle m2intenanca-Activities using more than 55 gallons of new motor oil per t{mnth? _yes �o (ryes, complete Part B), Form'SWU:146.2n608- -- Does this facility perform Vehicle m2intenanca-Activities using more than 55 gallons of new motor oil per t{mnth? _yes �o (ryes, complete Part B), Form'SWU:146.2n608- -- / STORM EVXNT CHARACrVW=t Mail Qi%indarid one Copy -to: Division of Water Quality Date_ AML Central"Files Total Event Ffrctpttatton ()riches):, - — 1617 wService Center. . Preen Dmmffon {hears): �_ (Only if applicable - see Perna) Raleigh, North Carolina 27699-1617 rif move thanone storm event-vMx sample¢} Date Total Event Precipitation (ham): m): - - Event Duratiop (homrs).- --_'(Only if applicable -see permit) - 'Z eer ft mtder penal* of law, that this document and all attachments were- prepared under my direction or seogervision;ir �obordance with p system designed to assure that quaffed personnel property gather and evaluate the information submitted. Based on my iuVn of the per -"A or persm who manage the system, or those persons directly rMonsible for gathering the information, the information subinided is, to the best of my knowledge and belief, true, accurate, and eomplefa _I am aware that there are significant penalties for submitting false information, the posa'ti�ffity of ftmand imptkentnrnt forlmowftviolat UL,v (Signature of Permittee) Z .. (Date) _-- -- -. _ - _. _ _ - _ -•-- -_ _ -__-- --_-- - -- �_ For�dnS�fli7-?A6-1.1�6a8- STORMWATER DISCHARGE OUTFALL (SDO) MONTHLY MONITORING REPORT STORMWATER OUTFALL NUMBER 005 (PAGE I OF 2) Permit Number C90003'49?� SAMPLES COLLECTED DURING CALENDAR MONTH: NOVember OF CALENDAR YEAR: 2015 DEC 18 2015 CENTRAL FILES DWR SECTION ('Phis monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory) FACILITY NAME: NCRP-Lumberton, LLC COUNTY: Robeson PERSON(S) COLLECTING SAMPLE(S): Stephen R Coates 5K and N/A PHONE NUMBER: (910) 738-8742 CERTIFIED LABORATORY(S): Environmental Chemists,INC Lab # 37729 SIGNATURE OF PERMITTEE OR DESIGNEE REOUIRED ON PAGE 2. N/A Lab # N/A Is this outfall currently in Tier 2 (monitored monthly)? YesFx NoF_� (if "Yes", please provide explanation below Explanation: 11ay 30th. 2012 Zinc Sample resulth of 0.107 mg/1 was above the benchmark of 0.067 ml;/I. If this outfall is currently in Tier 2 (monitored monthly), was monthly monitoring conducted?N/AE] Yes EX NoEl Explanation: 'I'cslio;, iNas completed on 10/2/2015 Part A: Specific Monitoring Requirements Outfall 005 Date Sample Collected Total Rainfall 50050 00530 Total Suspended Event Duration 'Total Flow Solids 00340 00400 00998 00999 01034 01067 01042 Chemical Oxygen Demand pH Beryllium Boron Chromium Nickel Copper Units: mm/dd/yy Inches Minutes MGD MG/L MG/L SU MG/L MG/L MG/L MG/L MG/L _� {__ `�r�ia � i�_1 �' -�� - �:d �� '"(�_ � _ 1 23 0.017 447.0 3. ar �: t���Yt�•rt � �®r�_ <0.01 _ 0.181 �,;�:_� �� ;; 0.170 y- _ 10-5 F•rQ:a Result: 11/04/15 1 301.0 6.9 0.359 O.OGO Result: 1 0.035 1 26.100 1 47 <0.2 Result: Outfall 005 Date Sample Collected 01092 01002 01147 01077 01027 01027 01097 01051 01104 81020 71900 'Linc Arsenic Selenium Silver Cadmium Antimony Thallium Lead Aluminum Sulfate Low Level Mercury EPA 1631 Units: mm/dd/yy MG/L MG/L MG/L MG/L MG/L MG/L MG/L MG/L MG/L MG/L UG/L !'� ?O:�tFini� -� __�� ��0F'i"r0r(.,.,(� �iO00i -, i_ _ ' � . .. _ .� _ + semi i� - t . =1 ' _1 -.-� �` _l ( __._ y- _ 10-5 7,f( y Result: 11/04/15 1 1.560 0.036 1 <0.01 <0.01 I <0.01 I <0.01 I <0.01 1 0.035 1 26.100 1 47 <0.2 Result: Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? YcsE_J NoEX STORMWA'I'ER DISCHARGE OUTFALL (SDO) MONTHLY MONITORING REPORT STORMWATER OUTFALL NUMBER 005 (PAGE 2 OF 2) STORM EVENT CHARACTERISTICS: Mail Original And One Copy To: Division Of Water Quality Attn: Central Files Date: 11/04/15 1617 Mail Service Center Total Event Precipitation (inches): 1_0 Raleigh, North Carolina 27699-1617 Event Duration (hours): 23.00 (only if applicable - see permi (if more than one storm event was sampled) Date: Total Event Precipitation (inches): 0_0 Event Duration (hours): (only if applicable - see pennit.) "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." / 2 /6, -/5- (Date) Permit Number: NCS000349 SAMPLES COLLECTED DURING CALENDAR MONTH: STORMWATER DISCHARGE OUTFALL (SDO) MONTHLY MONITORING REPORT STORMWATER OUTFALL NUMBER 005 (PAGE 1 OF 2) January OF CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory) FACILITY NAME: Lumberton Renewable Energy COUNTY: Robeson PERSON(S) COLLECTING SAMPLE(S): William J. Huggins0, and N/A PHONE NUMBER: (910) 887-3557 CERTIFIED LABORATORY(S): Environmental Chemists, Inc. Lab # 37729 SIGNATURE OF PERMITTEE OR DESIGNEE REOUIRED ON PAGE 2. N/A Lab # N/A Is this outfall currently in Tier 2 (monitored monthly)? Yes=- NoF-� (if "Yes", please provide explanation below) November 4th. 2015 and Deemcher 7th, 2015- ISS Sample results of 447.0 mg/l, and 168.0 mg/L (respectively) were above the benchmark of 100 mWL. Nickel Sample results of 0.359 mg/l, and 0.604 (respectively) were above the benchmark of 0.26 mg/L. October 2nd. 2015. November 4th. 2015. .in(] December 7th. Explanation: 2015: Copper Sample results of 0.014 mg/L, 0.060 mg(L, and 0.080 mg/L (respectively) were above the benchmark of 0.007 mg/L. "Zinc Sample results of 0.223 mg/1.. 1.560 mg/l.. and 2.470 mg/1_ (a espectiveli) were aboNe the henchmnt k of 0.067 mg/L. Aluminum Sample results of 2:_'40 mg/1., 26.100 mg/l., and 9.980 mg/1_ were abo%we the benchmark of 0.75 mg/1.. If this outfall is currently in Tier 2 (monitored monthly), was monthly monitoring conducted? Yes No I X N/A= (if "No", please provide explanation below) Explanation: No Representative Storm Event during the mouth of.lanuarN. 2016. i Part A: Specific Monitoring Requirements Outfall 005 Date Sample Collected Total Rainfall 50050 00530 Total Suspended Event Duration Total Flow Solids 00340 00400 00998 00999 01034 01067 01042 Chemical Oxygen Demand pH Beryllium Boron Chromium Nickel Copper Units: mm/dd/yy Inches Minutes MGD MG/L MG/L SU MG/L MG/L MG/L MG/L MG/L MG/L MG/L MG/L - - - - - - - -- - - - - - 7 Result: ;, ""��;,_•- - �1��,r - �'� - -.��� - '�,<.__ iI - --..'0.75;R-„tJ����"i#XEi.k�"I.�ri..TMil!?��_� — — Result: Outfall 005 Date Sample Collected 01092 Zinc 01002 Arsenic 01147 01077 01027 01027 01097 01051 01104 81020 71900 Selenium Silver Cadmium Antimony Thallium Lead Low Level Mercury EPA Aluminum Sulfate 1631 Units: mm/dd/yy MG/L MG/L MG/L MG/L MG/L MG/L MG/L MG/L MG/L MG/L UG/L '�ttc�'��7'��_ `'rd' _- - — - � -- � :�Oa;l�� y,,?: - __ -- ;, ""��;,_•- - �1��,r - �'� - -.��� - '�,<.__ iI - --..'0.75;R-„tJ����"i#XEi.k�"I.�ri..TMil!?��_� — — Result: Result: Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Yes Nor - I STOR;NINvATER DISCHARGE OUTFALL (SDO) MONTHLY :MONITORING REPORT STORMwATER OUTFALL NUMBER 005 (PAGE 2 OF 2) STORM EVENT CHARACTERISTICS: Mail Original And One Copy To: Division Of Water Quality Attn: Central Files Date: 1617 Mail Service Center Total Event Precipitation (inches): 0_0 Raleigh, North Carolina 27699-1617 Event Duration (hours): (only if applicable - see permit.) (if more than one storm event was sampled) Date: Total Event Precipitation (inches): 0_0 Event Duration (hours): (only if applicable - see permit.) "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." (Sign ermittee) (Date) North Carolina Renewable Power, LLC. 2100 Southbridge Parkway, Suite 540 Birmingham, AL 35209 February 29, 2016 RECEIVE® Attn: Central Files Division of Water Quality MAR 0 7 2016 DEHNR CENTRAL FILES 1617 Mail Services Center DWR SECTION Raleigh, NC 27699-1617 Subject: January 2016 Discharge Monitoring Report NPDES Stormwater Permit =" North Carolina Renewable Power, umberton, LLC. To whom it may concern: Enclosed is the discharge monitoring report for the above referenced facility, for January 2016. Please contact me with any questions. Sincerely, `4/ e& Mark Fowler Environmental Manager 205-403-5287 cc: File William J. Huggins, nrg Energy Services Sandy Singles, nrg Energy Services STORMWATER DISCHARGE OUTFALL (SDO) MONTHLY MONITORING REPORT COASTAL CAROLINA CLEAN POWER, LLC - STORMWATER OUTFALL NUMBER 001 and 002 (PAGE l OF 2) Permit Number: NCS000351�,;;,,. ,.,,, , SAMPLES COLLECTED DURING CALENDAR MONTH: November OF CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory) FACILITY NAME: Coastal Carolina Clean Power, LLC COUNTY: Duplin PERSON(S) COLLECTING SAMPLE(S): Michael Houston and N/A PHONE NUMBER: (910) 296-0400 CERTIFIED LABORATORY(S): James R. Reed & Associates Lab N 289 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Pace Analytical Lab N 40 Is outfall 001 currently in Tier 2 (monitored monthly)? Yesu Nou (if "Yes", please provide explanation below Explanation: Exceeded the benchmark for Total Aluminum , Total Copper and TSS If outfall 001 is currently in Tier 2 (monitored monthly), was monthly monitoring conducted? N/A[:] Yes Noa Explanation: No representive samples were pulled during the month of November, 2015 Is outfall 002 currently in Tier 2 (monitored monthly)? Yes❑x NoF� (if "Yes", please provide explanation below Explanation: Exceeded the benchmark for Total Aluminum and Total Copper If outfall 002 is currently in Tier 2 (monitored monthly), was monthly monitoring conducted? N/AE] Yes NoEj Explanation: No representive samples were pulled during the month of November, 2015 RECEIVE® DEC 18 2015 CENTRAL FILES DWR SECTION Outfall 00400 00530 00340 01104 01042 71900 71900 Total Chemical Chemical Low Level 001 Date Sample Suspended Oxygen Total Total Mercury EPA Suspended Collected Total Rainfall pH Solids Demand Aluminum Copper 1631 Units: mm/dd/yy Inches SU MG/L MG/L MG/L MG/L UG/L Result:77 Units: mm/dd/yy Inches SU - MG/L MG/L MG/L Result: UG/L c Outfall 00400 00530 00340 01104 01042 71900 Total Chemical Low Level 002 Date Sample Suspended Oxygen Total Total Mercury EPA Collected Total Rainfall pH Solids Demand Aluminum Copper 1631 Units: mm/dd/yy Inches SU - MG/L MG/L MG/L MG/L UG/L c - Result: , Result: Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Yes NoFX-� STORMWATER DISCHARGE OUTFALL (SDO) MONTHLY MONITORING REPORT COASTAL CAROLINA CLEAN POWER, LLC - STORMWATER OUTFALL NUMBER 001 and 002 (PAGE 2 OF 2) STORM EVENT CHARACTERISTICS: Date: Total Event Precipitation (inches): (if more than one storm event was sampled) Date: Total Event Precipitation (inches): Mail Original And One Copy To: Division Of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." � I Ie- (Signa ure Of Permittee) ( ate) STORMWATER DISCHARGE OUTFALL (SDO) MONTHLY MONITORING REPORT COASTAL CAROLINA CLEAN POWER, LLC - STORMWATER OUTFALL NUMBER 001 and 002 (PAGE 1 OF 2) Permit Number: NM SAMPLES COLLECTED DURING CALENDAR MONTH: February OF CALENDAR YEAR: 2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory) FACILITY NAME: Coastal Carolina Clean Power, LLC PERSON(S) COLLECTING SAMPLE(S): Michael Houston and N/A CERTIFIED LABORATORY(S): James R. Reed & Associates Lab # 289 Pace Analytical Lab # 40 outfall 001 currently in Tier 2 (monitored monthly)? Yes ED NoEl (if "Yes", please provide explanation below (planation: Exceeded the benchmark for Total Aluminum, Total Copper and TSS outfall 001 is currently in Tier 2 (monitored monthly), was monthly monitoring conducted? N/AD YesEI NoEEI cplanation: No representive samples were pulled during the month of February, 2016 outfall 002 currently in Tier 2 (monitored monthly)? Yes❑x NoD (if "Yes", please provide explanation below cplanation: Exceeded the benchmark for Total Aluminum and Total Copper outfall 002 is currently in Tier 2 (monitored monthly), was monthly monitoring conducted? N/Am YesF7 NoF-1 cplanation: No representive samples were pulled during the month of February, 2016 COUNTY: Duplin PHONE NUMBER: (910) 296-0400 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. IX PF/ AMR 2 8 2016 DWR SECiIpN �utfall 00400 011340 . 00340 03104 -01.043_ , _ 73'900 hemical001'Date'Sample 002 Date Sample Suspended' Oxygen SOxygen Total Total Total MercuryEP,A Collected: T_ o_ talRainfall H Copped , Alamiuum Cop : i NIG/L, MG %3 x ;aqr,;_D_,�440� MG%LMG/ - -- UG%1 - _ Resultg T - Result:;W., _ - 7 T7 r Result: — - 011l�all 80400 A0530! - 011340 0-1104 01'0¢Z l 71900` , ,Low Level r - Total Chemical, 002 Date Sample Suspended' Oxygen Total Total Mercuyy EPA' Collected'_ Total Rainfall pA Solids- ' - ;Demand _ :Aluminoin, Copped 1631 - Units: �tnm/dd/yy. Ing- es._ -SU MG/L NIG/L, MG %3 MG%L' Result:;W., _ - 7 T7 Result: — Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Yes NoE STORMWATER DISCHARGE OUTFALL (SDO) MONTHLY MONITORING REPORT COASTAL CAROLINA CLEAN POWER LLC - STORMWATER OUTFALL NUMBER 001 and 002 (PAGE 2 OF 2) STORM EVENT CHARACTERISTICS: Date: Total Event Precipitation (inches): (if more than one storm event was sampled) Date: Total Event Precipitation (inches): Mail Original And One Copy To: Division Of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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. Rased 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." Signatu Of Permittee) (Date) STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000233 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 �a E (This monitoring report shall be received by the Division no later than 30 days from 1AE D the date the facility receives the sampling results from the laboratory.) FACILITY NAME Trinity Manufacturing. Inc. MAR 2 8 2015 PERSON COLLECTING SAMPLE(S) Todd Ba CERTIFIED LABORATORY(S) TestAmerica Labo4 Z4;r M ville TN NC Lab 387 ALS/Columbia Analytical Services. kelso. WA NC Lab #605 Part A: Specific Monitoring Requirements COUNTY Richmond PHONE NO. ( 910 ) 419-6566 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date No. Sample Collected 50050 SM 52108 EPA 410.4 SW -846 90208 EPA 300.0 SW846 9040C Total Flow (if applicable) Total Flow (if app.) Total Rainfall BOD benchmark COD benchmark Chloropicrin (TOH) Chloride benchmark pH benchmark Testing Lab mo/dd/yr MG inches 30 mg/L 120 mg/L µg/L 860 mg/L 6 - 9 OF -1 02-04-16 0.5 4.67 24.1 111 7.19 Test America OF -1 02-04-16 0.5 i 42 8.46 ALS Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Requirements X no Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m /l m /l unit allmo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail two copies to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolma 27699-1617 "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." 03-11-2016 (Lab report received 03-11-2016) (Signature of Permittee) (Date) Form SWU-247, last revised 2/2/2012 Page 2 of 2 i