HomeMy WebLinkAboutNCG030103_MONITORING INFO_20190521STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v U& p 3 D /0-3
DOC TYPE
❑� HI 70RICALFILE
CMONITORING REPORTS
DOC DATE
❑ OZ U/ q v �a-
YYWMMDD
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 5120/19
CERTIFICATE OF COVERAGE NO. NCG03 0 1 0 3
FACILITY NAME Moen Incorporated
COUNTY Lee
PERSON COLLECTING SAMPLES John West
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Q Monthly'_ In a ✓'cA_ _Lonthl
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Mother C
RECEIVED PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
MAY Z 1 �019
1 r7c ❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
{mo/dd/yrj
x4-hour rainfall
amount,
Inches3
Total Suspended Solids
D11AlR SF-
t�H,
Standard units
TION
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organl&
Benchmarks
_
-
100 mg/L or 50 mg/L`
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
i mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
01
03/21/19
0.4
2.6
8.5
0.0056
<0.0010
0.062
<5.0
NA
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469,31).
Permit Date: 11/1/2018-05/31/2021 5WU-245, last revised 11/1/2018
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
"0), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Chris Gundler
Name (Print name)
Plant Manager
Title (P ' le)
c4z���
61/419
Signature Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L°
Parameter Code
-
46529
NCOI L
00552
C0530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results !or at end of monitoring period In the
case of "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware t t there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
Date
SWU-245, last revised 11/1/2018
Page 3 of 3
Storm Water Discharge Outfall
Qualitative Monitoring Report
(To be completed during a rainfall.)
For: Moen Incorporated, 2609 Cox Mill Road, Sanford, NC 27332 (919) 258-3341
Certificate of Coverage No.: NCG030103 Receiving Stream: Trib. Of Carrs Creek
Inspector: ���� Wr s- Date: Time:
Weather Conditions:
By this signature, I certify that this report is accurate and complete to the best of my
Knowledge:
Inspector
Outfall Number
1
2
3
4
Color: Describe the color of the discharge using basic colors
(red, blue, brown, etc. and tint (fight, medium, dark) as
descriptors. Write "None" if is
r
` l� `�
-u—
01"
no color present.
Odor: Describe any distinct odors that the discharge may
have (i.e., smells strongly of oil, weak chlorine odor, etc.).
"None"
Write is no odor is present.
Clarity. Choose the number which best describes the clarity
the discharge 1 is 10 is
1
of where clear and very cloudy.
Floating Solids: Choose the number which best describes
the amount of floating solids in the stormwater discharge
where 1 is no solids and 10 is the surface covered in floating
solids.
Suspended Solids: Choose the number which best
describes the amount of suspended solids in the stormwater
discharge where 1 is no solids and 10 is extremely muddy.
Foam: Is there any foam in the stormwater discharge? YES
NO
Al,
�v
or
Oil Sheen: Is there an oil sheen in the stormwater discharge?/f/�
YES NO
��
41J
'+' a
or
/V c�
Other Obvious Indicators of Stormwater Pollution: YES or
NO. If "YES,list the outfall number and describe below.
v" U IX/0
Comments:
Note: Low clarity, high solids, and/or the presence of foam or oil sheens may be indicative of pollutant
exposures. These conditions must be reported to the Environmental Coordinator and warrant further
investigation.
t'f
ifia R ISM
M7iAe0aRT0R1E% 1W_
Moen, Inc
John West
2609 Cox Mill Rd.
Sanford, NC 27330
NC Certification No. 402
Full -Service Analytical do NC Drinking water Carl No. 37735
Environmental Solutions SC Certification No, 99012
Project: Stormwater
Project No.: March 2019
Lab Submittal Date: 03/26/2019
Prism Work Order: 9030417
Case Narrative
414119 16:04
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
�1� � r
�Af
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Jackie Ziner For Terri W. Cole
Project Manager
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent or Prism laboratories, Inc.
449 5pringbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 -Toll Free Number. 1-80015294364 - Fax: 7041525-0409 Page i of 5
I S M I Fullironmen al Solution s
Environmental Solutions
�.eo�nvaes, .1e
Sample Receipt Summary
04/04/2019
Prism Work Order: 9030417
Client Sample ID Lab Sample ID Matrix DatelTme Sampled DaterTime Received
01 9030417-01 Water 0312V19 6:30 03/26/19 13:50
Samples were received in good condition at 3.8 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O- Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Top Free Number, 1-800/529-63U - Fax: 7041525-040 Page 2 of 5
-SoMes
�P R I S M I Fullimnmen al Sak io R
Laboratory Report
Environmental BolWiona 0410412019
ueonarotiea .
Moen, Inc
Attn: John West
2609 Cox Mill Rd.
Sanford, NC 27330
Project: Stormwater
Project No.: March 2019
Sample Matrix: Water
Client Sample ID: 01
Prism Sample ID: 9030417-01
Prism Work Order: 9030417
Time Collected: 03/21/19 06:30
Time Submitted: 03/26/19 13:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateMme ID
General Chemistry Parameters
Oil & Grease (HEM)
BRL
rng1L
5.0
1_4
1
'1fi648
3128119 8:53
SLS
P9C0553
Total Suspended Solids
2.6
mg/L
2.6
0.40
1
'SM2540 D
3MW19 16:18
CBM
P9C0579
Total Metals
Copper
0.0056
mg1L
0.0050
0.00012
1
*200.8
412119 16:09
JAB
P9D0024
Lead
BRL
mg1L
0.0010
0.00013
1
'200.8
4019 16:09
JAB
P9130024
Zinc
0.062
mg1L
0.010
0.0012
1
*200.8
412119 16:09
JAB
P9D0024
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number. 1-0001529-0364 . Fax: 7041525-W9 Page 3 of 5
Prep Method: 200.8
Lab Number Batch Initial
9030417-01 P9D0024 50 mL
Sample Extraction Data
Final Date/Time
50 mL 04/02/19 7:40
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-0364 - Toll Free Number: 1-0001529-0364 - Fax: 70US25-0409 Page 4 Df 5
PRISM
�� rasS.,-'ll wa
1 Fuii-Service Analytical &
Environmental Solutions
449 Springbrook Road • Charlotte, NC M17
Phone 7041529.6364 • Fax: 70415234409
Client Company Name: MzA--A TA
Report To/Contact Name:
Reporting Address:
CHAIN OF CUSTODY RECORD
Ma—L OF •t OUOTII r To mauns PROPER srLLINO:
Project Name: - r
Short Hold Analysis: (Yes) (No) LIST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 1 II 111 N)
provisions andlor QC Requirements
Invoice To: C
Address
Samples INTACT upon arrival?
Received ON WET. ICE?
PROPER PRESERVATIVES indicated?,:
Received WITHIN, HOLDING TIMES?
CUSTODY SEALS,INTACT?
VOLATILES reed. WIOUT HEADSPACE?
PROPER CONTAINERS used?
TEMP: Therm ID:, r r3. Observe
YES" NO NIA
U7
o
uO
m
co
Phoneltf7i aft-7t/ Fax (Yes) (NO)• dC Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTIBAMPLING PERSONNEL
Emall Address-. — Requested Due Date Cl 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days O 5 Days
Cardfi adotl: NEI AC DOD
FL NC
EDD Type: PDF^ xcel_Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days O cue t Se
Site Location Name: xant yr Samples received after 14:00 will be processed next business day.
gC OTHER-`
NIA
Site Location Physical Address:/fir Turnaround time Is based on business days, excluding weekends and holfdays.
Water Chlorinated: YES NO_
iRENDER PDN DMONS RISY LABORATORIES. LIERnNG CEB
Smple Iwd Upon Collection: YES_
NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS
REQUIESTED
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
'TYPE
NO,
SIZETIME$
/ / ///
//
ID MO.
HOURS
SLUDGE)
SEE BELOW/,�I
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Sampler's Signature Sampled By (Print Name) e Lwrn �tl,�t_ AfllHation
Upon relinquishing, tWhaln of Custody Is your authorization for Priem to proceed with the analyses as requested above. Any changes must be
PRISM USE s NLY
submitted In writing fo the Prism Project Manager. There will be charges for any changes after analyses have been Initiated.
FtwnwAw W. RPMMW BY: "ehee
AddMonal Commends:
Site Arrival Time:
nae,re
She Departure Time:
Ot Date
Field Tech Fee:
Ma&tod of t
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGA114ST COC UNTIL RECEIVED AT THE UW07010ff.
O Fed Fat O UPS O Harwi d iwred 13 Pdwn Fisid Swvins O
NPDES: U87L GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERGLA LANDFlLL
OTHER:
OoNC❑SC oNC ❑SC ❑NC ❑SC UNC ❑SC ❑NC ❑SC ❑NC❑SCI QNC ❑SC UNC ❑SC
I
13NC ❑SC
ITIONS
`CONTAINER TYPE CODES: A =Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL