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NCG030301_MONITORING INFO_20190318
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑HISTORICAL FILE (H' V�IONITORING REPORTS DOC DATE ❑ C2 YYYYMMDD Permit No.: Ni/C jC Facility Name: County: Inspector: Date of Inspection: Time of Inspection: ,AZKW, pA NCIONp Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. littp://pot'tol.i7ecielil .org,/�;reb��valivs jsv /npdessw#tab-4 5 or Certificate of Coverage No.: v77rcr.6" *Tc—[_�w�I,� r.iE-i ( LC. Phone No. ;2L^;_2--1 Total Event Precipitation (inches, - Zoo O ED 2019 Pli_E5 OWR SECTION Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement PIease refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. I i I A "measurable storm event" is a storm event that results in an actual discharge from the permitted I site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour E storm interval does not apply if the permittee is able to document that a shorter interval is 1 representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, Ice fy that thisreportis accurate and complete to the best of my knowledge: �I� (Signature of Permittee or Designee) PAGE 107 2 WU-242, LAST MODIFIED 10/25/2012 loploville Divislort 2592,Hope Mills Road - Fayetteville, NC 28306 (910) 864-19201864-8774 fax , I'm��Ba, CHAIN OF CUSTODY RECORD PAGE 'i bF 1 CLIENT NAME kADDRESS, rT em1 a5;-am S 3� 3� ` ? po# pROJEG37LCCATI{,N: j Oh,S r �— `^� 1, C L�.CODE: TYPE DFANALYSIS PRESERVATION (CODE) � A= None B = HNO3 (pH<2) * <6°C C = H2SO4 (pHo 2) * <60C IJ = NaOH 6 C E = ZN Acetate * <6°C F HCI G = Sodium Thlo CONTACTPr=RSON: `,� „14f `r y�m�N 1`+!"�J ' r! EM IL1: hA YMA �` Gh� i- coryl 0 m SAMPLED BY: /n[3►.s PHONE NUMBER: -ys idO-1,7t7 DATE I METHOD OF SHIPMENT: 2 �2�.- ( IRS O it SAMPLE TYPE PATE TIME COMP ORAL PH -FLOW TEMP'C CHL a'NR SULFIDE NC. -2•22- ! ` AAA. ' cU U 10 rC cc• cY 10 fl 1 WWI .o LUu RI h SVC 1DA BL VJT TRACKING# 1Z2010190170011197 ALL CURRENCY USD REF 1: REF 2: HC 0.00 CNS 0.00 FAT: SHP SHIPMENT PUO RATE CHARGES: SVC 38.64 USD OV 0.00 COD 0.00 RS 0.00 DC 0.00 DOO 0.00 AH 0.00 PR 0.00 ROD 0.00 TOT PUB CHO 30.04 PUB+HC38.04 THIS DOCUMENT IS NOT AN INVOICE. ph Field: ph Field: Water Level #1 Tamp Field 1: Temp Field 2: Water Lave] it2 Lab Initials—P. Turnaround time: REGULAR FLUSH Comments orSoaclal Hazards: IS DATA POR REG. COMPLIANCE PURPOSE? NO YES WHICH: FayetbBvills Division 2392 Hope WIls Road FayeHaw'[1e, NC 28306 (910) W4-19n 12 •K9f303l ' CHAIN OF CUSTODY RECORD l � s� • Cf l _ • - c* r r r •. R. • K • r <3'r- E = a • Sao JnWais- Turn=un3 time: REGULAR RUSH R.tbyu�n.e ny: o.m ae a by �] am .�. or.« Tum 3 4 sr. um r... or u o.s. rm. 5 r pk rme pn rimm - yYasrLMIF1 Temp Field'i: Temp 19rld �—: Water Levai $2 Comments or Special Haze, ks: �u REVIEWED 1S DATA FOR REG_ COMPLm7c rc OSE7 NO YES WHICH: IC3�be[S �� `' `, bo+lies X-Page 2of2 *MICROBAC" Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9130311 AP Exhaust Technology Project Name: Stormwater Samples - Ou falls,-- - — - - Monthly Mr. Danny Harriman Project / PO dumber. NIA 300 Dixie Trail Received: 02125/2019 Goldsboro, NC 27530 Reported: 03/01/2019 Analytical Testing Parameters Client Sample ID: Outiall #3, Grab Sample Matrix: Stormwater Collected By: Hammon Lab Sample ID: K9BO311-01 Collection Date: 02122/2G19 9:30 Metals Method: Metals AqueouslEPA 200.7 Rev 4A 1994 Zinc Result 0.138 RL units Note Prepared Analyzed Analyst O.DO2 rMIL 02/26/19 1306 02126/19 1306 TAB Client Sample ID: Outfall #5, Grab Sample Matrix: Stormwater Collected By: Hammon Lab Sample ID: K9B0311-02 Collection Date: 02/22/2019 9:30 Metals Method: Metals AqueouslEPA 200.7 Rev 4.41994 Zinc Result RL Units (Vote 0.087 0.002 mg1L Prepared Analyzed Analyst 02125/19 1528 02/26/19 1528 TAB Client Sample IA: Outfall #7. Grab Sample Matrix: Stormwater Collected By: Hammon Lab Sample ID: K9BO311-03 Collection Date: 02122J2019 9:30 Metals Result RL Units NOW Prepared Analyzed Analyst Method: Metals AqueouslEPA 200.7 Rev 4.41994 Zinc 0.087 0.002 mg/L 02/26/19 1531 02/26119 1531 TAB Definitions RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDLS Report Comments Reviewed and Approved By: Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet in the footnote are present and an authorized signature is included. Client Relationship Specialist, Environmental Reported: 03/01 /2019 12:38 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 Of 2 M 1. Outfall Description: Outfall No.3 Structure (pipe, ditch, etc.) ly—IA) Q t Receiving Stream: Describe the industrial activities that'jccur within th outfall dra- inage area: rn MucEr-- 1:- k L. AU, ri-- M A� -) (A 4 4..cxL r--&&- IA L ex, j r - d . rrA ,✓IFsc 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.] and tint (light, medium, dark) as descriptors: Cie" 3. Odor: Describe chlorine odor, etc.]: odors gnat thq discharge may have i.e , smells stron)ly of oil, weak o11T od0e- - 5inc115 1i/i w=T !. ]rr L 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 10 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes I0 B. is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes ( No 10. Other Obvious Indicators of Stormwater Pollution: List and describe X bAt Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. PAGE 2 0 F 2 SWU-242, LAST MODIFIED 10/25/2012 L Outfall Description: Outfall No. 5— Structure (pipe,ditch, etc.) J r'Arj N Receiving Stream: Describe the industrial activities th t oc r within the out#all drainage area: Fit 2. Color. Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C& 3. Odor: Describe an distinct odors thatthe discharge may have (i.e., smells. strongly of oil, weak chlorine odor, etc.): w�; djrr Srn�I 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: �1 2 3 4 5 5= Floating Solid: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 & Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is eXtremely muddy: € 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? 1-0. Other Obvious 1hdicators of Stormwater Pollution: List and describe��' Lz Note: Low clarity, higb solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. PACE 2 aF 2 5WU-242, LAST MODIFIED 10/25/2012 1. Outfall Description: I Outfall No..7 Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occurithin the outfall drainage area: MAILY-6 6Y h-Ay-r /7.4n, u-�Prc`tr-ir k- 2. Color: Describe the color. of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: G 16-ftK_. 3. Odor. Describe any distinct odors that the discharge. may have (Le., smellsstrongly of oil, weak chlorine odor, etc.): _ -- — L OVE 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear . and 5 is verycloudy: 2 3 :4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where x is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy. 2 3 4 5 7. Is there any foam in the storFriwater discharge? Yes O. Is there an oil sheen in the stormwater discharge? : Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of StormWater Pollution: List and describe w& Note: Low clarity,ligh solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant eVosure. These conditions warrant further investigation. PAGE 16F 2 5wU-242, LAST MODIFIED 10/25/2012 • Semi-annual Stormwa Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted I— q` 1 6 CERTIFICATE OF COVERAGE NO. NCG03 0.3 J . FACILITY NAME 6115SioNs [.InNaiosi6s L/-C COUNTY it PERSON COLLECTINd SAMPLES LABORATORYfAlc, rJ2d&, -S LaYCert. # NG DNKIF - Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR DC—L ;to+_7 SAMPLE PERIOD ❑ Jan -June �ly-Dec or ❑ Monthly' (month) DISCH SG�I�lr;OECOLASS 011W �W [�J r t �lA R—C �// 1.1 ❑Zero -flaw ❑Watersupply [:]SA FEB Zola ❑Other : EE T ARE* EMEMBER TO SIGN ON PAGES 2 AND/OR 3 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/Total Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks =_=> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L '� • a,e-�"7 oo A /13 .o0 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfa11. 2 For 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. 4 See General Permit, Table 3 identifying 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: 11/1/2012-10/31/2017 5WU-245, LAST REVISED 10/25/2012 PAGE I OF 3 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. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one cane of this DMR. includina all "No Discharge" reports, within 30 dovs of receipt of the tab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations." (Signature of Permittee) PERMIT DATE: 11/1/2012-10/31/2017 I -?-/ 6- (Date) SWU-245, LAST REVISED 10/25/2012 PAGE 3OF3 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 (TTO), I 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." �, 1)0 Name (Print nam ) E 1+ j,5 �l T'tle iPrint title) J��4 L&wPn&,j (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?Z Outfall No. Date Sample Collected' lmo/dd/yrj 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 2 OF 3 A a 4 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For,guidance on filling out this form, please visit. IZttp:% jportal.ncdenr.orgf�veb/wq/ws/su/npdessw#tab-4 Permit No.: or Certificate of Coverage No.: Facility Name: M s —kclpj a o LG County: A.4PE Phone o. �_�4' 580awo Inspector: N Date of Inspection: 1 Time of Inspection: cl S " q Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [1Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or . "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. i A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour f storm interval does not apply if the permittee is able to document that a shorter interval is ? representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: I)m "�j _ {Signature of Permittee or Designee) • PAGE 1 OF 2 SWU-242, LAST MODIFIED 10/25/2012 1. Outfall Description: , •Outfall No..5 Structure (pipe,.ditch, etc.) 11 DC Receiving Stream: Des ribe thp, industrial ac�ti ;"ties that occur within th butfall drainage area: /1� �� NI IP-Or' &-A ��k4Sir S� c rr7m c 2:. Color: Describe the color of the discharge using basic colors.(red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: .3.'.. Odor: Describe any distinctQdors that the discharge may have (i.e.; smells.strongly of oil, weak chlorine odor; etc.): 4.- Clarity: Choose the number which best describes the clarity of the discharge, where Lis. clear . and 5 is very cloudy: 2. 3 4 5 5.- Floating Solids:. Choose the number which Best describes the amount of floating solids in the stormwater discharge, where -I is no solids and 5 is the surface covered with floating solids: 2 3 4. 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5, is extremely inuddy: 2 3 4 . 5 • 7. Is there any foam in the stormwater discharge? Yes NQ 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfalt? Yes eITON 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity,:high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further: investigation. • - ... PAGE 2OF2 SM-242, LAST MODIFIED .10/25/2012 . ' . 1. outfall Description: Outfall No. a Structure (pipe, ditch, etc.) DQ Receiving Stream: Describe the industrial activitip&that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: CA g C� K, `f '1^l 3. Odor: Describe any d" tinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Otj & 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: E) 2 3 4 5. 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: �. 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes 1� 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. 1. PAGE 2 OF 2 SWU-242, LAST MODIFIED 10/25/2012 I. Outfall Description: Outfall No. � :. Structure (pipe, ditch, etc.) C_ Receiving Stream: Describe the industrial activities that occur within :the outfall drainage area: Z.. Color: Describe the color of the discharge using basic colors d, brown, blue, etc.) and til (li,ght, medium ParkZas descriptors: c> I. _�1 S]�j�c - .Sins ll�nc�� S0 tds d 3: Odor: Describe Wistinct odors that the discharge. may have (i.e:; smells: strongly ofoil, weak chlorine odor;etc.):Rrti .4. Clarity: Choose the number which best describes the clarity of the discharge, where 1.is. clear and 5 is verycloudy: :4 .5 S. Floating Solids''.. Choose the number which best describes the amount of floating solids in the stormwater discharge, where'l is no solids and 5 is the surface covered with floating solids: 1 Z 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5Js extremely muddy: 1 2 4 5 7. Is there any foam in the stormwater. discharge? Yes No. 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at.the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative. of pollutant exposure. These conditions warrant further: investigation. SWU-242, LAST MODIFIED 10/25/2012 Semi-annual Stormw�,,� _Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE No. NC(503 o 3 a FACILITY NAME l�ti"� �Of1_S.S 11)01-S i EC�IN�Iac/ESA _ /VC. COUNTY C" PERSON COLLECTIN SAMPLES H' LABORATORYJ�r� L4__5 LaWCert. # SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly' month DISCHARGING TO CLASS [ W [Jr W ❑Trout ❑PNA ❑Zero -flow ❑Water Supply []SA Comments on sample collection or analysis: RECEIVED ❑Other Part A: Stormwater Benchmarks and Monitoring Results DEC 2 8 2016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTRAL FILES DWR SECTION ❑ No discharge this period?' Outfall No. Hate Sample , Collected (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids p , H Standard units Copper Lead Zinc Non-Polar O&G/ Total Petroleum Hydrocarbons Total c Organnicicss Benchmarks =_-> _ - 100 mg/L or 50 mg/0 6.0 -- 9.0 0.007 mg/L 0.03 mg/I. 0.067 mg/L 15 mg/L 1 mg/L 3 •b-/ O. O ^.8 0.0o cp �r7.003 o.af S.�(P 5 •6-Ap 0•003 0.031 o•`j 6 -/ L 0.18 37.3 ram. 0. 003 c> SY . SS 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive'benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge:m_onitoring report with a checkmark here. The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites mavibe eli ible for a waiver of the rain gauge requirement. r, 5� „ a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where tWmor�jprotective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operationsi)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: 11/1/2012-10/31/2017 5WU-245, LAST REVISED 10/25/2012 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 (TTD), 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." Name (P ' t n me) cs-44 SQL, . Title (Print title (Signature) (Date) Note: Results must be reported in numerical format. Do not t 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 m 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 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 5D mg/L* 6.0 — 9.0 5U Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 2OF3 0 • . 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. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B, • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK £XCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copv of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina Period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) r'�:•�7-�i� (Date) PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 3OF3 RECEIVED { NCDENR Stormwater Discharge Outfall (SDO) DEC 2 S Z016 Qualitative Monitoring Report CENTRAL FILES DWR SECTION Forguidance on filling out this form, please visit. http:/lportal.ncdenr.of-g fweb/wq/kvs/su/npdessw##tab-4 Permit No.: N/c / or Certificate of Coverage No.: N/C/G/O/3/o/3/O/L/ Facility Name: Of 6Wi4&iaAS a o nL- county: Wf Mc. f Phone No. ! - Bo• �ao� Inspector: _ Date of Inspection: Time of Inspection: Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or • "measureable storm event" (requirements vary, depending on the permit). ? Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and ' that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 i inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. j A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: —1�)rv1 j rna1-a (Signature of Permittee or Designee) • PAGE 1 OF 2 SWll-242, EAST MODIFIED 10/25/2012 1. Outfall Description: Outfall No.a Structure (pipe, ditch, etc.) t Receiving Stream: Describe Wius al aciivitiei that occq within t4e outfall drainage a: C.'t C2 -1 O 't- � P1lA, U 1 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the dischargemay have (i.e., smells. strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1. 3 =4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids_ in the stormwater discharge, where'l is no solids and 5 is the surface covered with floating solids: 1 3 4 5 6. : Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 O 3 4 5 7. Is there any foam in the storm' water discharge? Yes No, 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of StormwateTr Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition be indicative of pollutant exposure. These conditions warrant further investigation. PAGE 2 4F 2 SWU-242, LAST MODIFIED 10/25/2012 E l� 1. Outfall Description: 0I.A 11 No. Structure (pipe, ditch, etc.) Receiving Stream: P I'D Des lbe the' ndustrial activities that occur within the outfall drainage area: ! �tiw� 44R aura -g-- k � 2. Color: Describe the color of the discharge basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Cf 3. Odor: Describe any distiodops that the discharge may have (i.e, smells. strongly of oil, weak chlorine odor, etc.): _ 9QAA5_ _ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: � 1. 0. 3 :4 S. 5. Floating Solids: Choose the number which best describes the arnount of floating solids in the stormwater discharge, where'l is no solids and 5 is the surface covered with floating solids- to3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5'is extremely muddy- 1 h 3.. 4 5 7. is there any foam in the stormwater discharge? Yes B. Is there an oil sheep in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes Note: Low clarity,:high solids, and/.or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. . - PAGE 2 OF 2 SWU-242, LAST MODIFIED 10125/2012 1. Gutfall Description: -Outfall No. Structure (pipe, ditch, etc.) l� Receiving Stream: Describe the industrial activities that oc r within the outfall drai a e area: Z. Color: Describe the color of the discharge wing basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: r4 � ►V V-^ 3. Odor. Describe any distinct odors that the discharge may have (Le., smellsstrongly of oil, weak chlorine odor, etc.): oR.V 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1. 2 �. 4 S. 5. Floating Solids: Choose the number which Best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4� 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5'is extremely muddy: 1 2 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes r No l 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. PAGE 2 OP 2 5WII-242, LAST MODIFIED 10/25/2012 ' r^� NON-STORMWATER DISCHARGE ASSESSMENT CERTIFICATION Date of Test or Outfall Directly Method Used to Test Describe Results from Test for the Identify Potential Pollutant Sources Name of Person Evaluation Observed During the or Evaluate Presence of NonStormwater Conducting the Test Discharge Evaluation { Outfall001 Visual o + Not associated with industrial activity Outfall002 Visual Building B: Roof Drains & Trailer Loading and -- ryy0 Ja Storage. Not associated with industrial activity Outfall003 Visual Building B: Roof Drains, Trailer Loading and Storage, Trash Compactor, Wooden Pallets, & Scrap b (" Open'I'Dp Metal Dum sters Outfall 004 Visuai Building B: Roof Drains & Trailer Storage, Not 0 LJ associated with industrial activi Outfall 005 Visunl Building C: Roof Drains, Metal Racks, Vehicle N 0 Parking & Trailer Storage Outfall 006 Visual b �I� V%.? Not associated with industrial activity Outfall 007 Visual 5°m� /a7�1 r� u`' Buildings C, D & E: Roof Drains, Scrap Metal Dumpsters and Compactors, Vehicle Parking, Coolie Tower, & Miscellaneous Metal Storage CERTIFICATION I, N 4 4Vt7Ar--) (responsible company official), certify that under penalty of law that this document and all attachments were prepared un er 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 imprisonment for knowing violations. Si ature44znAvu-i Date f' ;t--2, l-,/s' CERTIFICATE OF COVERAG FACILITY NAME COUNTY (QA A�G PERSON COLLECT!NG SAM Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted No. NCG03 03 io i /SSb�: < I��_L7iuCs/oo� Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YE R SAMPLE PERIOD an -June 0 July -Dec or ❑ Monthly' (monthl DISCHARGING TO CLASS [�QRW CJH W ❑Trout [-}Pid•A ❑Zero -flow ❑Water Supply []SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?Z outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks 100 mg/L or 50 mg/0 6.0 -- 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L -q-613i'11 L— �aOD5-0 0,,,3 tM L 0.1a901 <C.tc>/n L. .95 oo .039 n co -1.;� ' 1 S .1 I'rl L S, 2 J. cufd f o, ocy2 o u r, /'ri L ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying 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: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 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 (TTO), I 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 5tormwater 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." Name (Print name) &'S Title (Print titl (Signature) ( Date) Note: Results must be reported in numerical format. Do_not_repart 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 me/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?z Outfall No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or S0 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 2 OF 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME; Mail an ariainal and one copv 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 Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) PERMIT DATE: 11/1/2012-10/31/2017 ell , L�� --1 � (Date) SWU-245, LAST REVISED 10/25/2012 PAGE 3 OF 3 I NCQENR Stormwater Discharge Qutfall (SDD) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http://Mortal,ncdenr.olg/ivebZwq/%vs/suZnl2dess%v#tab-4 Permit No.: or Certificate of Coverage No.: Facility Name:_ inR.5slot..5 TEc.R1uaiosz8.t LCC County: W A N E Phon Nen o `{ tit- mO - --AO a t> Inspector: AN>ti!j YW(-) _ Y Date of Inspection: - Al ~ 1 q Time of Inspection: � 8 • tS- Total Event Precipitation (inches): 0. 5 (10 ' V l�- pp p � Was this a "Representative Storm Event" or "Measureable Stort �Ev'e�ft�aQ ned by the permit? (See information below.) C�11'r Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, j some permits do not have this requirement. Please refer to these definitions, if applicable. t A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) `, PAGE 1 OF 2 SWU-242, LAST MODIFIED 10/25/2012 -� -1. Outfall Description: +" Outfail No. _?�L Structure (pipe, -ditch, etc.) _Po G Receiving Stream: Describe the industrial activities that occur vAthin a outfalldrainage area: ✓r1 u . 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Gif�4t^ 3. Ddcir: Describe any distinct odors that the discharge may have (i.e., smells. strongly of oil, weak chlorine odoF, etc.): d 4. clarity: Choose the number which best describes the_ clarity of the discharge, where 1 is clear . and 5 is very cloudy: S. 1"loath g Solid; Choose the number which hest describes the aanount of floating solids in the stormwater discharge, where'l is no solids and 5 is the surface covered with floating solids: V.2 3 4 5 6. Suspended Solids: -Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 'is 6' Aremely muddy: { 2 3 4 - 5 7. Is there any fob in the stormwater discharge? Yes No 8. is there an ofl sheen in the sto=water discharge? Yes 9. Is there evidence of erosiob or deposition at the outfall? Yes - o No 10. Ciiher Obvious liadlcators of Storrawater Pollutiop_: List and describe Note; I,nw clarlty,lhigh solids, and/pi the presence of foArn, ofl sheen, or erosion/deposition maybe indicative of pollutant eVosu_re. °lam ese conditions vi—arramt further-fr±ve gation. PAGE 2 OF 2 SM-242, LAST MODIFIED 10/25/2012 1. Outfall Description: Outfall No. � Structure {piper ditch, etc.) �� ram. ,fJ rOC Receiving Stream: D 'be the industrial activities that occur within the outfO drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium dark) as descriptors: C.lEj!!j:C -- - 3. Odor. Describe any distinct odors that the discharge n:ay have (i.e., smells.strongly of oil, weak chlorine odor, etc.): QIJ c 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is dear . and 5 is very cloudy: 5. Roating Solid: Choose the number which nest describes the ainwnt of floating solids in the storm -water disd3a_=ge, where'l is no solids and 5 is the surface covered with floating solids: 6. Suspended Solids.. Choose the number which best describes_ the amoulit of suspended solids in the stormwater discharge, where I is no solids and 5'is extremely muddy: { 2 3 4 . 5 7. Is there any foam in the storrnwater discharge? Yes ATo �. Is there an oil slieen in the siormwater discharge? Yes &o 9. Is there evidence of erosion or deposition at the outfall? Yes S Om Q> No : 0, Ciiher Obvious Indicators of Stertr Water Pot-lutlaia: T ist and describe Note: bo�5a clarity,:hlgh solids, and/car the presence of f0m, oil sheen, or er-osion/deposition maybe andicati ja of pollutant eVosu e. These condi ions wait furl er-invest±gation. PAGE 2 OF 2 SWU-242, LAS`f MODIFIF-D fo/25/2012 4 1. Outiall Description: p Outfall No. Structure (pipe, -ditch, etc.) 12 G� ' Receiving Stream: T De be the industrial a es that occur the outfall drainage area: .M'O n.k- hA T rYIA�ry ri`Y- 2, Color: Describe the color df the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: CI&kL 3, 0d61-: Describe any distilct odors that the discharge may have (Le., smells. strongly of oil, weak chlorine odor, etc.): 4. Ciaa-ity: Choose the number which best describes the clarity of the discharge, where 1 is clear . and 5 is very cloudy: 2 3 :4 5- 5. Floating Solids. Choose the number which best describe' s the amount of floating solids in the stormwater discharge, where'l is no solids and 5 is the surface covered with floating solids.- 2 3 b. : Suspended Solids: Choose the number which best describes the amount of suspetided solids in the stormwater discharge, where 1 iS no solids and 5 is extremely muddy' -2 3 - 4 7. Is there any foam in the stormwater discharge? Yes ri. is there an oii sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious ltidicators of Stormwater pollution: List and describe 5 Note: Low clarity,:h gh solids, and/oi the pressure of Win, oii sheen, or e- 6sion/deposition may be inidcative of vAutaut eVosure. These co-nditions warrant farther investigation. LN swu-242, LAST MODIFIED 10/25/2012 rAGZ z of z 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. FOR PART AND PART B MONITORING RESULTS: A BENCH MARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. . TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES IF YES, HAVE YOU CONTACTED TH DW REGI AL OFFICE? YES L�O ❑ REGIONAL OFFICE CONTACT NAME: �1\ NN G Mail an oriainal and one coo v of this DMR,_inclu mina all "No Discharge" reports, wlthin_30 days ofreceint of the lab results for atend -of monitorin-period in the case o "No Discharge"' reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sipnature of Permittee) {Daft_) we A(LC- w r+h Ito � S iFFrv�p [ w �c 1! PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 3 OF 3 *MICROBAC- Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9C0377 AP Exhaust Technology Project Name: Storywrdter Samples - Outfi Monthly Mr. Danny Hammon Project I PO Number: NIA 300 Dixie Trail Received: 03/2212019 Goldsboro, NC 275W Reported_ 04104/2019 Case Narrative Mnrarl: 0.56' Analytical Testing Parameters Client Sample ID: Outfall #3, Grab Sample Matrix: Stormwater Collected By: Hammon Lab Sample IA: K9C0377-01 Collection Data: 03:21 /2019 8:15 IMethod: EPA200.7 Zinc, Total Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley Result RL Units Note Prepared Analyzed Analyst 0.102 0.0200 mg/L 03/28/19 0642 04/02/19 1837 KKB Client Sample ID: Outfall #5, Grat Sample Matrix: Stormwater Collected By: Hammers Lab Sample ID: K9C0377-02 Collection Date: 03121/2019 8:20 I Method: EPA200.7 Zinc, Total Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley Result RL Units Note Prepared Analyzed Analyst 0.0694 0.0200 mg/L 03128/19 0642 04/02119 1848 KKB ClientSampie ID: Ou", all #7, Grab Sample Matrix: Stormwater Collected By: Hammon Lab Sample ID: KgC0377-03 CollecUon Dahe: 03121 /2019 8 25 Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley Result RL Units Note Prepared Analyzed Analyst Method: r=PA200.7 Zinc, Total 0.0971 0.0200 mg/L 03/28/19 0642 04/02/19 1859 KKB Definitions MDL: Minimum Detection Limit RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Microbac Laboratories, loc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.884.1920 p I www.microbac.com Page 1 of 3 MI Oro 6ac�Payettsvlll0 SHORT HOLDS AGGEPTED MONDAY- THURSDAYUNTIL 1600 §MICRO SAC" 2t 92 Hope Mille Rd. CHAIN Or CUSTODY RECORD 44`7l`` Fayetteville, NC 2820(1 NUmher Instructions an beck J, Lab RoportAddrass Sg� f? tivolooAddrasa }�' TurnaroundTim© 7 BEOOMPLEI Al3YMlCROBAG .� j CllentName; ( {,GCS �CllentNama: [� Routine (G to 7 buslnass days) Temp. Upon Receipt (°C) The 1l} _ Addross: ' )0 " � all Address: []RUSH" (notlfylab) Molding Tlma City,State Zip., .L , pity, State, z[p: Samplea Received an Ice? Yes No NIA (needed bye Contact: LvoftatlContact:_ RaportType CuetodySaaleIntact? Yee No NIA TBlephonn No.: reepNo.:� t WResults Only [ J Level 1 [ J Level2.[ ] 1-0e13 [ ] Leval [ ] EPO Send Report via: j_T_Mall [ ].fax ,all Send Invoice vie; ( JMa11 _ Pro)BCt: Location: ]An Nw. Coln(]11flnaB�Yl�Itlrlltla�r+lrl�� � 98 Na sam,hied by_(I?gIN7j; �•. hr �!" _ Sampler 5(gcature: Wipiar PhoVa No„w- " Matrix Types: Soll! olld (S), sludge, Oil, Wlpe, Drinking Water (DW), Groundwater (GW), Surface Water (SW}, Waste Water (WW), Other (apeoity) Preaervativfl Ty es; {1).HNO3, (2 112504, 3 HCl 4 NaOH, (51ncAoetBta, (B) Methanol,(7) Sodium Slsulfete, 8 Sodium Thlpaulfaie, g Hanano: Uj Un reserved ^_ _,• , _, , I R15QUE1.8751) ANALYSIS k ' I]ato TIMa No, of Drab Preservative J Lab[D CllantSurnplelI] �C Matrix or AddltlonalNotes Catlactad CollectedContatnora Comp type 1 1 7 1W.2*DAA iPosslhle Hazard Idantifleatko 111-lazardous [J Non-Hazardoua [J_13adioactive Sam [I Dispose as appropriate []Return [JArchlva t Comments 0 4'Pr` 9N -slri p, Rpllnqulahed fay (signature) DstalTlme 1 Relinquished Fly (signature) DatelT[me • I Rollnqulshod By (signature) ❑atelTime IRar--etvad sy (algnature) ❑etalTlme IReceivod By (signature) DatalTims I (Reco[vad Dy (signature) DatelTlms l tlY. ILI101Su II Permit No.: N/C C: Facility Name: County: 10 Inspector: Date of Inspection: Time of Inspection: 6 a.A,7vA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http./-/12ortal.ncdenr.org./web./wq/ws/su/npdessi,v#tab-4 RECEIVED MAR 18 2019 CENTFRAC FILES ')"'R ,SEC.,.IO�I • %Q/Q/ Total F.vent Precipitation (inches): • b q Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). } Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement Please refer to these definitions, if applicable. i A "representative storm event" is a storm event that measures greater than 01 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. this signature, 19¢rtify that this (Signature of Permittee or Designee) is accurate and complete to the best of my knowledge: PAGE 1OF2 5WU-242, LAST MODIFIED 10/25/2012 Facilities`c..,ac incorporate a solvent management plan into the Stormwater Poi. _.on Prevention Plan may so certify, and the requirement for TTO me ring 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 (TTO), I 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 P evention Plan." Name (Prin e) S Afi Tillie (Print title) 4w4olj (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&', 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?r Outfall No. Date Sample Collected, (mo/dd/yr) 24-hour rainfall amount, Inchess Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If y report a sample value in excess of the benchmark, you must Imp,.M n.ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. T FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIgN B. a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE$ OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Biro ❑ IF YES, HAVE YOU CONTACTS H \kn4�jREGIO AL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: I �� lr(oorc Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 r, lesraoac-Fayetbngle M1CRD$AC 2592Hope Mills Rd CHm xKB1.0225' gp Fayetteville, NC 28866 Numhe I����9 N Lab Report Address Client Name: J� }� r _ _ tS$ OAr 5 I. C; CJ] Tt? -rn [ Invoice Address y- ,,,, s er.nt wame: 1P C► •+� �SlQ1'lS ! �4 i Turnaround Tune TO BE4 i [) Ro�dine [5 Lo 7 busuress days) Temper. --.-, -�, : Therm ID [) RUSH' lab) --' �rL -C> (XI �r� k k . DII` ; C+ ` F-f, -1 ( (notify _ Address: ` Address: f Oi7 HPldieg Tana y � City, State, zip: JJS�n %V.C' ' oZ�$ t:ity, 5trle, Lp: (�aY a� �`�` �f �- (needed by) Samples Received on InaT Yes No NIA vl2�Iirs's•LGA contact �N )4 �p c ReportType Custody Seals Uft-7 Yes No WA �X+By.� Telephone No.: (,�` [� 5(( t [Fo- Telephone No= � ' j4 7''' [[Resuks Only [iLevel I [jLevet2 ElLa O EP-e el4 [)FDD - Send Report via: [)Mal [WIC (address) Send lmroice vo: -- '------,-- - i]" H �) �y�I_ .(jl��}C�R{�j•5�_ aft'% Praject Loretion: PO Na.: Compliance Monitoring? ___)ABenryylPogmm Sampled by(PRDM- 11Nh �p� Samper - --�-- Sampler Phone I if ` -'-if�t Sign lrbow Nv : L 596 ^(cy� ' Matrix Types: ISWLSolldl (S), Sludge, M Wipe. Driuk Water {DW). Groundwater (GM, Surate Water (SW), Waste Water [WW), Other (specify) " Preservative Types: (1) HNO3. (2) H2SO4. (3) HCl. (4) NaOH, (5) the Acebft. (6) Med arsol, M Sodium Bisulfate, (8) Sodom Thin�, (9) Hexane. (U) Unpreserved REQUESTED ANALYSIS P ' C i C c E o a Rate Time a Preservatve Lab in Client Semple Collected CoRteted_ _ - f' Ci Types — _.. Addidonai Rotas Possible Heard Identification [) Haardous [ ] Non-Han:dous [ ] Racroadive Sample Disposition [] Dispose as appropriate () Ramon [I Atchlve - -- - Com nts 'Relinquished By (signature) DamTane cvrived By [sig»Xiuee(`}j�+�� Dabar'ane Reiinquished Bae Y(Signature) DatNre--__- Received BY[signau-) D ateMfffie, Oa 4$ lQ'-aa ReGnrryishod 9y [sigrmtwe)--'.._DahfTsne � � - _.- Regived BY (sigrsa7ure) —F J-DatelTime -_--.___._._____._- rev.12126i2617 Page- 9! Page 4 of 4 OMICROBAC® Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K81..0225 Client Sample ID: Outfall 7, grab Sample Matrix: Aqueous Collected By: Hammon Lab Sample ID: K8L0225-03 Collection Data: 12/10/2018 10�00 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B oil & Grease (SGT-HEM) c5.00 5.00 mglL 12/17118 1004 TAB Method: SM 2540 D-2011 Total Suspended Solids <4.17 4.17 mg/L 12/13/18 1330 MT Method: SM 4500 H+B-2011 pH at 25 °C 4.3 1.0 pH Units H 12/17/18 1430 DC Metals Result RL Units Note Prepared Analyzed Analyst Method: Metals AqueouslEPA 200.7 Rev 4.4 1994 Lead 0.051 0.005 mgiL 12/19118 1626 12/19/18 1626 TAB Zinc 0.389 0.002 mg/L 12/19/18 1626 12/19118 1626 TAB Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley Result RL Units Note Prepared Analyzed Analyst Method: EPA200.7 Copper, Total 0.00912 0.00500 mgA- 12/15/18 0926 12/18/18 1924 LSJ Definitions H: Anaiyte was prepared and/or analyzed outside of the analytical method holding time J: The analyte was positively identified, but the quantitation was below the RL MDL: Minimum Detection Limit RL: Reporting Limit Project Requested Certifications) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information an this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated ` in the footnote are present and an authorized signature is included. Reviewed and Approved By: Brittany Smith Administration Reported: 12/24/2018 13:00 Microbac Laboratories. Inc. 2592 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com Page 3 of 4 OMICROBACg) Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8L0225 Client Sample ID: Outfall 5, grab Sample Matrix: Aqueous Collected By: Hammon Lab Sample ID: K8L0225-02 Collection Date: 12110/2018 9:45 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 16" Rev. B Oil & Grease (SGT-HEM) <5.00 5.00 mglL 12/17/18 1004 TAB Method: SM 2540 D-2011 Total Suspended Solids 14.0 4.17 mg/L 12/13/18 1330 MT Method: SM 4500 H+B-2011 PH at 25'C 4.6 1.0 pH Units H 1211711B 1430 DC Metals Result RL Units Note Prepared Analyzed Analyst Method: Metals AqueousJEPA 200.7 Rev 4.419% Lead 0.013 0.005 mg1L 12/19/18 1547 12119/18 1547 TAB Zinc 0.207 0.002 mg/L 12/19118 1547 12119/18 1547 TAB Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley i Result RL Units Note Prepared Analyzed Analyst Method: EPA200.7 Copper, Total <0.00500 0.00500 mg/L J 12/15/18 0926 12/18118 1921 LSJ Microbac Laboratories. Inc. 2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 2 of 4 *MICROBAC& Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8L0225 AP Exhaust Technology Project Name: Storinwater Samples - Outfalls, Semilfrly Mr. Danny Hammon Project I PO Number. NIA 300 Dixie Trail Received: 12112/201B Goldsboro, NG 27530 Reported: 12124/2018 Analytical Testing Parameters Client Sample ID: Ou#all 3, grab Sample Matrix: Aqueous Collected By: Hammon Lab sample ID: K81-0225-01 Collection Date: 12/10/2018 9:30 Wet Chemistry Method: EPA 1664 Rev. B Oil & Grease (SGT-HEM) Method: SM 2540 D-2011 Total Suspended Solids Method: SM 4500 H+13-2011 pH at 25 'C Result RL Units Note Prepared Analyzed Analyst <5.00 5-00 mg/L 12117118 1004 TAB 5.17 4.5 4.17 mg/L 1.0 pH Units H 12/13/18 1330 MT 12/17/18 1430 DC 31S - -� - _ -Resutt _ - -Rl_ Units Note Prepared Analyzed Anatyst Method: Metals AqueouslEPA 200.7 Rev 4.4 1994 Lead <0.005 0.005 mg l- 12/19/18 1543 1211911a 1543 TAB Zinc 0.168 0.002 mg/L 12119/18 1543 12/19118 1543 TAB Analyses Subcontracted to: Microbac laboratories, Inc. - Ohio Valley Result RL Units Note Prepared Analyzed Analyst Method: EPA200.7 Copper, Total <0.00500 0.00500 mg/L J 12/15118 0926 12/18/18 1917 L5J Microbac Laboratories. Inc. 2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com page 1 of 4 Semi-annual Stormw. ;r Discharge Monitoring Report for North Carolina Division of Water Quali y General Permit.No.'NCG030000 Date submitted CERTIFICATE OF COVERAGE NO; NCG03 D � O FACILITY NAME LYY) j$smys COUNTY PERSON COLL91C:r0b,4< NG SAMPLES N wo►� LABORATORY L La ert. # L fL f+ Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June E -:h%y=Dec or ❑ Monthly' (month} DISCHARGING TO CLASS [eM ❑HQW [ 9ftut � ❑Zero -flow ❑Water Supply []SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) r] No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, lnches3 Total Suspended Solids pH, Standard units Copper 0 ,O 10 Lead Zinc Non -Polar 0&G/Tatal Total Petroleum Hydrocarbons Toxic Organics" Benchmarks -==> I-1 p 18 p 100 mg/L or 50 mg/0 6.0 - 9.0 15 mg/L 1 mg/L S a 8 p. 0. o l3 A� -7 <q- , 3 112, ,oSl 9 < 9,00 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For 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. "See General Permit, Table 3 identifying 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: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 10F 3 1: - Out611 Description: . - Outfall No. Structure {pipe,: ditch e — _ ri Receiving Stream: u D s e t11e in 'al.activiti that occur .within:th- butfall drainage area: .r 2: Color:: Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint {light, medium, dark) as:descriptors: Odor: Describe: an distinct odors that the discharge may have (i.e.- smells strongly.of.oil, weak - chlorine odoi; etc.): O(v 4.' Clarity: Choose the number which best describes the clarity of the discharge; where 1.is clear and 5 is .very cloudy: .. :.. 2: 3 Ss Floating Solids:. Choose the number which best describes the amount of floating solids in the stormwater discharge, where'l is no solids and 5 is the surface covered with floating solids- 2 3 4..: $ 6. : Suspended Solids: Choose the number.which best describes the amount of suspended solids in the st6rinwater discharge, where 1 is no solids and S, is extremely4nuddy: �. 7.. - Is there any foam in the stormwater discharge? Yes No. 8. Is there an oil sheen in the stormwater discharge? Yes 9.. Is there evidence of erosion or deposittonat.the outfall. ' Yes. ( N 14. Other Obvious Indicators ofStormwateir Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative: of pollutant e*�asure. These conditions warrant further: investigation. PAGE20F2 SWU-242, LASTMODIFIED.10/25/2012 1: . Outfall Description: Outf.all No. Structure (pipe,: dAc�h, etc_) Receiving Str_ eam: `i h' l' D c ' e the Ind "al. ctivitie A at occur.within: outfal rainag�e area: = 2:. Color:: Describe the color of the disch r e usin basic colors red,: brown, blue, etc. and tint (light, medium, dark} as descriptors: �� . 3.:. odor: Describe: any distir4 odors that the discharge may have (i.e:; smells strongly of oil, weak . chlorine odor, etc.):'— N 4. Clarity: Choose the number which best describes the clarity of the discharge; where 1.is clear and 5 is verycloudy: 2: 3 5.. Floating Solids:. Choose fhe number which best describes the arn_ount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids. 2 .3 4_: 5 6. :Suspended Solids: Choose the number which best:describes the amount of suspended solids in the stormwater dischar e Where 1 is no solid§ and 51s extreme] inudd 7., . Is there any foam in the stormwater- discharge? Yes o. . 8. is there an oil sheen in the storrawater discharge? Yes Io 9.. Is there evidence of erosion or deposition at:the outfall? Yes 10. Other Obvious Iridicators of Stormwater Pollution: List and describe Note: Low clarity,'high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative.of pollutant exposure. These conditions warrant further:investigation. .. -PAGE2 OF SWU-242,LA5T-MODIFIED.10/25/2012 1. . Outfall Description: Outfall No. Stcuctur Receiving Stream: 2. Color: Describe the color of the disch ge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark] as descriptors: GI LJIL . .3. Odor: Describe any distinct odgr5 that the discharge may have (i.e.; smells:strongly of oil, weak chlorine odor, etc.]:' ArC 4. Clarity: Choose the number which best describes the clarity of the discharge; where 1 is. clear and 5 is very cloudy: 2. 3 4 5: S. Floating Solids':. Choose the number which best describes the amount of floating solids in the stormwater discharge, where:1 is no solids and 5 is the surface covered with floating solids': 1 3 4 5 6. Suspended Solids: Choose the number which best.describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5:'is extremely muddy: 1 3 4 5 .. 7. Is there any foam in the stormwater discharge?Yes ' 8. is there an oil sheen in the stormwater discharge? Yes CO) 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity,'high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further: investigation. PAGE 2 OF 2 - - SWU-242, LAST MODIFIED.10/25/2012 NON-STORMWATER DISCHARGE ASSESSMENT CERTIFICATION Date of Test or Outfall Directly Method Used to Test Describe Results from Test for the Identify Potential Pollutant Sources Name of Person Evaluation Observed During the or Evaluate Presence of Non-Stormwater Conducting the Test Discharge Evaluation Outfall001 Visual ci Not associated with industrial activity Outfall 002 Visual Building B: Roof Drains & Trailer Loading and Storage. Not associated with industrial activity Outfall 003 Visual Building B: Roof Drains, Trailer Loading and Storage, Trash Compactor, Wooden Pallets, & Scrap Open Top Metal Dum sters Outfall 004 Visual Building B: Roof Drains & Trailer Storage. Not associated with industrial activity Outfall 005 Visual Building C: Roof Drains, Metal Racks, Vehicle 'Parking & Trailer Storage Outfall 006 Visual Not associated with industrial activity Outfall 007 Visual Buildings C, D & E: Roof Drains, Scrap Metal Dumpsters and Compactors, Vehicle Parking, Cooling Tower, & Miscellaneous Metal Storage CERTIIICATION 1, �N N i17dN (responsible company official), certify that under penalty of law that this document and all: - attachments were prepared un er 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. l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. i ature i�r Date Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE Na. NCG030�a4�- f / SAMPLE COLLECTION YEAR Ate/ FACILITY NAME 60 &—nenuc316W I t: t 1 Zo o 5/41 SAMPLE PERIOD Jan -June �Iy-Dec COUNT! or [� Monthly3 month PERSON COLLE f+ G SAMPLES yM, J DISCHARGING TO CLASS W W E]Trout LABORATORY . lG2ti } C LAA; I Cart. # — L_1miz / RECEIVED []zero -flow []Water Supply ❑SA Comments on sample collection or analysis: [Other FEB 0 2 2916 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES Part A: Stormwater Benchmarks and Monitoring Results DWR. SECTION No discharge this perradr Z outfall No. Date Sample Collected' (mo/dd/yr) 24rainfall amount, inches3 Total Suspended Solids PH, Standard units Co Copper Lead Zinc Non-Polar O&G/hour Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 3 9.3 0.00s 0.00 3 0. o s C- -C. a � 5 .a+ O 1 5.5, D •col 0.00 3 0.030 451 a 0 16\.1s' /Av .00 o•oQS 0.003 0.0 S n� 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For 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. 4 See General Permit, Tattle 3 Identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling Is applicabie 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: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 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 (TTO), I 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." Name (Print name) Title (Print title) (Signature) (bate) Note: Results most be reported In numerical format. Do not re ort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be r'rpnrWin the format "<X 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 Kermit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Dutfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* G.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. PERMIT DATE:11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 2 OF 3 Note. !f you report a sample value In excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS; • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORT E PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME; M! an 0 1 one mu of th&J2M& i Judi all "No-Dis ar " re or i n 3 s re ei t o e! results at end o it er! d In the case o o ! c "r or to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN_ THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations." {Signature of Permittee) PERMIT DATE:11/1/2012-10/31/2017 r)-d - / CL (Date) SWU-245, LAST REVISED 10/25/2012 PAGE 3 OF 3 CC6KR Storlmwater Discharge Oultfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visiL- http:././portal.Dcdenr.org/web/wq.lws/su./updessw#tab-4 Permit No.: NX A Facility Name: County: [J Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): tl.A — Certificate of Coverage No.: Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. i A "measurable storm event" is a storm event that results in an actual discharge from the permitted € site outfail. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval ` from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 4" rrvr-) (Signature of Permittee or Designee) PAGE 1 OF 2 SWU-242, LAST MODIFIED 10/25/2012 - 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) I JOE Receiving Stream: Describe the in ustrial a 'vitas thgt occur withi e outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark] as descriptors: Gj 3.. Odor. Describe any distinct odoor,at the discharge. may have (L. -, smells strongly of oil, weak chlorine odor, etc.): _ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1. is clear ands is very cloudy - 2 3 4 S. 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. : Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: . 2 3 4 5 7. 'Is there any foam in the stormwater discharge? Yes A° B. is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Judicators of Storm►niater Pollution. List and describe 44 Note: Low clarity ligh solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further1rivestigation. PAGE 2 OF Z Swll-242, LAST MODIFIED 10/25/2012 _ I. Outfall Description: Outfall No. E Structure (pipe, ditch, etc.) Receiving Stream: Describe the j4dustriaksctivities f4at occur_gthiy44ke.outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint [light, medium, dark) as descriptors: C - 3.. Odor: Describe any distinct o0ors at the discharge may have (i.e., smells. strongly of oil, weak chlorine od&, etc): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy - 2 3 :4 5. 5. Floating Solids; Choose the number which best descn'hes the am' -O' nt of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surfece covered with floating solids: 2 3 4 5 6. : Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and S is &tremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes QD R. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes ( o 10. I`lther Obvious lAdicators of Stormv ater Polltrtlon: List and describe Idobe: Low clarity; high solids, and/4or the presence of foam, ail sheen, or erosion,/deposition may be indicative of pollutant exposure. These conditions warrant further4avesligation. ' .nAM20e2 SWII-242, LAST MODIFIE➢1oX/2012 -- I. Outfall Description: J _ t— ` Outfall No,�j Structure (pipe, ditch, etc.) Receiving Stream: Describe the in dmstrial a ties at o�ct}r within draina a area: 2. Color: Describe the color of the discharge n " basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor- Describe any distzn odors that the discharge. maY have (Le., smells. strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1. is clear and 5 is very cloudy: �. 2 3 .4 S. S. Floating Solids- Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. : Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: © 2 .3 4 5 i. Is there any foam im the stormwater discharge? Yes Q S. Is there an oil sheen in the stormwater discharge? ' Yes 9. Is there evidence of erosion or deposition at the outfall? Yes I� 16. Other Obvious Iridicatorrs )of Stormwater Pollution. List and describe NOW, LOW clarity ligh solids, and/*r the pretence of foam, oil sheen, or erasion/deposition maybe indicative of pollutant exposure. These conditions warrant furtherAnvestigation. PA(E 2 6F 2 swU-242, LAST MODIFIED 10/25/2012 Semi-annual Stormwater Discharge Monitoring Rel2ort for North Carolina Division of Water Quality General Permit No. NCG030000 , Date submitted •� CERTIFICATE OF A VRAGE NO. NCGO3� O L. SAMPLE COLLECTION YEAR c> �'1`G /ZV rs T FACILITY NAME SAMPLE PERIOD Jan -June ❑ July -Dec ~ COUNTY or ❑ Monthly' (month) r PERSON COLLECT NG SAMPLES DISCHARGING TO CLASS [JMW [�QW QTrout �PNA 1"r7 ❑Zero -flow ❑Water supply ❑5A C,, LABORATORY rem La ert.# Nc.&" RECEIVED ❑Other Comments on sample collection or analysis: SEP 01 2015 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION ❑ No discharge this periodr'z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3i Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L J 15 mg/L 1 mg/L I`P►�I -IB�Ir' t.v .08 ` '6•�0 .aa5, L .0016 Q �. �S.mr•+ c„ a•� Fr�l — -i81 S .o •oa rn Z .3 .01r %- .ors c. .oq c. •w c. —1$ -ur L . Ol .Dols L • CA mi, L 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement. "See General Permit, Table 3 Identifying the especially sensitive receiving wate'r 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: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 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 forma naging compliance with the permit monitoring requirement for total toxic organics (T70), I 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." Name (Print name) Title (Print title) (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 me/i!' 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. n No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =_=> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 2OF3 i • i 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. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGI NALQ FFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: _7bm +<.` 4klro '►] ?Sz— B-3943 Mail an oriainal and one coov of this DMR, including all "No Discharae" revorts. within 30 days of_receipt of the lab results for at end of monitoring period in the case of "No Dischargereports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." M AJ4,-4h'!®li (Signature of Permittee) PERMIT DATE: 11/1/2012-10/31/2017 $ ,?6- rS-- (Date) SWU-245, LAST REVISED 10/25/2012 PAGE 3OF3 fi �C®5NR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htt112ortal.ncdenr.org/web/wq/ws-/su/nl2dessw4ttab-4 Permit No.: N/C11511/3/J/P/O/ C—' or Certificate of Coverage No.: Facility Name: H &XIMAWT i-ELI tio02jAL, T-1%'C-- County: ( 1`41-£ Phone No. _ 4l p- o' if t/O Inspector: _ Im Date of Inspection: Time of Inspection: _ b'•3� • m Total Event Precipitation (inches): 1-0 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event' or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfali. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: RE'ui� (Signature of Permittee or Designee) PAGE 1 OF 2 5WU-242, LAST MODIFIED 10/25/2012 Fayetteville Division Certificate of Analysis AP Exhaust Technology pate Reported: 07/10/15 Mr. Darcy Hartmton Project: Stormwater Samples - Outfalls, SemiVrly Daze Received: 06/19/15 300 Dixie Trail Date Sampled: 06/18/15 Goldsboro NC, 27530 Sampled By: Client Outfall3, grab K5F0824-01 e Result Units Analyzrd Analy-zed By Method Qualifies Analyzed by: MrroW latixatnnes, Inc. - Fable Copper <0.00500 mg/L 06125/15 19:38 JAW EPA 200.7 Rev 4.4 1994 S 1 Lead <0.00150 mglL 06/25/15 19:38 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (SGT HEM) <5.00 mg1L 06/30/15 W 10 NCH EPA 1664 pH 5.6 pH Units 06/22/15 15:00 DSK SM 4500 H+B-2000 H (Aqueous) Total Suspended Solids 2.08 mgfL 06/22/15 13:30 MLW SM 2540 D-1997 SI Zinc 0,183 mg/L 06/25/15 19:38 JAW EPA 200.7 Rev 4.4 1994 Outfall5, grab K5F0824-02 I_ Aualyte Result Units Analyzed Analyzed By Method Qualifi= f ArwWed by: MY[foAaC Lamrator i , Dc - FayetLevak Copper 0.0150 mg/L 07/10/15 01:16 JAW EPA 200.7 Rev 4.4 1994 Lead 0,00200 mg/L 07/10/15 01:16 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (SGT-HEM) <5.00 mg1L 06130/15 I1:10 NCH EPA 1664 PH 6.3 pH Units 06/22/15 15:00 DSK SM 4500 H+B-20W H (Aqueous) Total Suspended Solids <1.00 mg/L 06/22/15 13:30 MLW SM 2540 D-1997 Zinc 0.0930 mg/L 07/10/15 01:16 JAW EPA 200.7 Rev 4.4 1994 Outfall 7, grab K5F0824-03 Analyte Result _ Units Analyzed Analyzed By Method Qualifier l Aaaly� by: ybotac LabaetXws, Inc. - Fayetwvile Copper 0.0110 mg/L 07/10/15 01:16 JAW EPA 200.7 Rev 4.4 1994 Lead <0.00150 mg/L 07/10/15 01:16 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (SGT-HEM) <5.00 mg/L 06130/15 11:10 NCH EPA 1664 pH 5.6 pH Units 06/22/15 15:00 DSK SM 4500 H+13-2000 H (Aqueous) Total Suspended Solids 1.80 mg1L 06/22/15 13:30 MLW SM 2540 D-1997 Page 1 of 4 Favetteville Division Certificate of Analysis AP Exhaust Technology Date Reported: 07110/ 15 Mr. Danny Hammon Project: Stortnwster Samples - Outfalls, SemWrly Date Received: 06/19/15 300 Diane Trail Date Sampled: 06/18/15 Goldsboro NC, 27530 Sampled By: Client Qutfall 7, grab K5FO824-03 Analytc Result Units Analyzed Analyzed By Method Qualifier An*,W by: Mierobac labWatvift, IM. - Faye ttrAle Zinc Q0690 mg/L 07/10/15 01:16 JAW EPA 200.7 Rev 4.4 1994 QC Bateb Ran. - (Wawa. L.&—*w:a, I— Analy. Result Units Sourre RPD Limit Total Suspended Solids 2.95 mg/L K5FO824 35 5 Copper 0.0420 mg)L K5FO824 165 200 Copper 0,245 mg/L K5F0824 1 200 Copper 0249 mg/L K5F0796 0.8 200 Copper ND m gL K5F0786 200 Tots] Suspended Solids 584 mg/L K5FO834 4 5 Total Suspended Solids 3080 mg/L K5F0780 0.8 5 pH 5.6 pH Units K5FO824 0 200 pH 6.3 pH Units K5FO824 0 200 Zinc 0.179 mg/L K5FO824 2 15 Lead ND mglL K5F0824 200 Lead 0.252 mg/L K5F0833 4 200 Zinc 0.256 mgiL K5F0833 2 200 Lead 0.00200 mg/L K5FO933 0 200 Copper 0.301 mg/L K5FO933 2 200 Lead 0.00300 mg/L K5F0796 0 200 Copper 0.00400 mg/L K5FO933 0 200 Zinc ND mg/L K5FO833 15 Zinc 0.429 mg/L K5FO824 3 200 Zinc 0.395 mg/L. K5F0796 0.3 200 Zinc 0.158 mg/L K5FO786 10 15 Lead 0.241 Mg/1- K5FO824 3 200 Lead 0.226 mg/1- K5FO786 0.4 200 Page 2 of 4 AP Exhaust Technology Mr Danny Hammon 300 Dixie Trail Croldsbora NC, 27530 Samples received a[ lab at an inane t temperanne. Notes and Definitions Fayetteville Division Certificate of Analysis Project: Starmwater Samples - Outfx]K SemiVrly S l Relapve Petcent Difference (RPD) outside accepted recovery limits Analyze was prepared andlor analyzed eumide of the analytical method holding time Sum Certifications: NCDNR i4l KCDOH 937114 Date Reported:07/10/15 Date Receivad: 06/19/15 EWc Sampled: 06118115 Sampled By: Client Ressppeecrf lily Submitted B=uc K Sanders. Senior "an Manage Thank you for your Euswm*$. We irmte yotr feamack to nr lead d asmoelo ymr Rea:contact the Dimman MarOW. Rib Duns at 976684_IWD with any WMonaWumaialaomrUd J.Tr BofQPnmdvtMRmdWIGmWY.,W.cam Page 3 of 4 M2CR06.-:�C II�d�SF0824- CHAIN OF CUSTODY RECORD ��I���1'I PAGE 1 OF 1 rWOE, /C i • PRESERVATION (CODE . .., .� L . A w None • = H2SO4 e = NaOH ®■�■mo ®m ® 01 //, fi�nn- ��11 Awl: RM mm �■■ ■■■■ r ■■■■■■■■■■ ■■■■■�■■ Turnaround time: REGULAR RUSH Comments ar Special Hazards: U�ys iqa • • •�•� pn ru,a: Wrier Level i1 IS DATA FOR REG. COMPLIANCE PURPOSE? Temp Field 1; Temp Fleld 2: Water Level ez NO YES 1JVHICH. } \ ad d pe x e � rtk 4ae cr�iw� . + bb U-7, ? r- k Cl 0 ru f n 4v. 14d Page 4 of 4 1. Outfall Description: Dutfall No. Structure [pipe, ditch, etc.] t Dt Receiving Stream: Describe the dustri l.acti' 'es that occur within the outfall drainage area: 2.. Color: Describe the color of the dischar a using basic colors (rod, -brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ _ .G� .3." Odor. Describe any distinct odors that the discharge. may have CU., smells: strongly of oil, weak . chlorine odor; etc.): A1Qh6 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1. is clear and 5 is very cloudy :. 3 1 .. 2. 4 5 S. Floating Soli& Choose the number which best describes the amount of floating solids in the stormwater discharge, where' 1 is no solids and 5 is the surface covered with floating solids: 2 3 4..: 5 6. ::Suspended Solids: Choose the number which best.describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and S is extremelyinuddy 2 3 4... 5 7. 'Is there any foam in the stormwater, discharge? -Yes B. ]s there an oil sheen in the stormwater discharge? Yes 9. is there evidence of erosion or deposition at.the outfah? Yes 10. Other Obvious Indicators nfStormwater Pollution: List and describe .. Note: Low clarity; high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further:investigation. SWU-iQ, LAST MODIFIED.10/25/2012 1. Outfall Description: ©utfall No. S Structure (pipe, ditch, etc.) t �' Receiving Stream: Describe the industri activities tha occur within the outfall drainage area: 2.. Color: Describe the color of the discharge using basic colors (red,. brown, blue, etc.] and tint (light, medium, dark) as descriptors: GI E7bC, .3. Odor. Describe any distinct odors thatAe discharge may have (Le., smells.sttongly.of oil, weak . N+�M; chlorine odor; etc.): . 4. Clarity: Choose the number which best describes the clarity of the discharge; where l.:is clear and 5 is very cloudy: - 2: 3 4 5 5 Floating Solids: Choose the number which best describes the ainuunt of floating solids in the storrnwater discharge, where:1 is no solids and 5 is the surface covered with floating solids'. 2 3 4 S 6. Suspended Solids: ' :Choose the number which best describes the amount of suspended solids in the stormwater discharge, Where 1 is no solids and S; is extremely muddy: 2 : 3-: 41 S 7. Is there any foam in the stormwater discharge? Yes . 8. Is there an oil sheen. in the stornlwater discharge? Yes l�Y 9. Is there evidence of erosion or deposition at.the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clariM:high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further -investigation. \1 . PAGE 2 OF 2 M-M, LAST MODIFIED,10/25/2012 1. Outfall Description: Outfall-No.—T Structure_ (pipe, ditch, etc.) Receiving Stream: Describe the industrial activilies that occur thin the outfall drainage area: 0 2:. Color: Describe the color of the discharge using basic colors (red, brawn, blue, etc) and tint (light, medium, dark) as descriptors: C•1 3:. Odor. Describe any distinct odors tliaLthe discharge. may have (U , smells strongly of oil, weak chlorine odor, etc.): IV ; 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1. is clear . and 5 is very Cloudy: V : 2. 3 4 5: 5.. Floating Solids:, Choose the number which best describes the amount of floating solids in the stormwater discharge, where l is no solids and 5 is the surface covered with floating solids: 1 .© 3 4..: 5 6. Suspended Solids: .Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5, is extremely muddy: .1 :3 .: 4 5 7. Is there any foam in the stormwater discharge? Yes �! 8. is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at.the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity,: high solids, and/or the presence of foam, oil sheen, or erasion/deposition maybe indicative of pollutant exposure. These conditions warrant furtheninvestigation. - .. .. PAGE 2OF2 SWU-242, LAST MODIFIED.10/25/2612 0 0 0 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted S' 0 "r S CERTIFICATE OF COVERAGE NO. NCG03 o —0 FACILITY NAME & 6PIM ISSAo LS COUNTY E PERSON COLLECT NG SAMPLES A",4 9*VrMrJ LABORATORYMIC4I 0&*!.. C 4,1 .lib Cert. # IV(— DOX Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR AoIS SAMPLE PERIOD [Ef7an-June ❑ July -Dec or ❑ Monthly' (month' DISCHARGING TO CLASS [ fRW ❑HQW PiYout �PMA []Zero -flow ❑Water Supply ❑SA w. []Other r AIN 0 6 2015 PLEASE REMEMBER TO SIGN ON PAGES z AND/OR 3 -i 1)tiAiR 0E710U INFORN,IATGN PROCESSM UNIT ❑ No discharge this period?' C01.0i Outfall No. Date Sample Collected' (mo/dd/yr) 24hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L S 54(- . S A.�s c, �►9 �0.005� o.crot5o a.ot�t� .00 s Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For 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. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s 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: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 1 OF 3 ai-A NCDENR St ormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: littp:I/portal.ncdeni-.oi-g/%veb/wg/ws/su/npdessw#tab-4 Permit No.: or Certificate of Coverage No.: N/C/G/'0/3/F�'�/ Facility [Name: J P r►'J/nt5 r- 4-c-h/a .:PAf - County: W4VNE Phone No. 41f 4 580 -dodo Inspector: A er)rno'.) Date of Inspection: —r I ` Is - Time of Inspection: ua . 07 Total Event Precipitation (inches): Was this a `Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 t inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted I s site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour 3 storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I jertify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) • PACE 1OF2 a SWU-242, LAST MODIFIED 10/25/2012 1 � ( /---k -0 0 1. Outfall Description: Outfall No. -5' Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odo s that the dischargemay have (Le., smells.strongly of oil, weak chlorine odor, etc.): /i DA 4. Clarity. Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: Z) 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foarn in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious indicators. of Stormwater Pollution: List and describe N LET Note: Low clarity,:high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. PAGE 2OF2 i SWU-242, LAST MODIFIED 10/25/2012 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 (TTO), I 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." Name (Print name) Title (Print title) (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 m 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 putfall No. Date Sample collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 -- 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 2 OF 3 Nate: 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. FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one Gop�r of this DMR, Fncludina all "No Discharge"_retorts, within 30 days of receipt of_the lab results for at end o monitorino period in the case of "No Discharge"' reports, to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) PERMIT DATE: 11/1/2012-10/31/2017 s 30 -/s- (Date) SWU-245, LAST REVISED 10/25/203.2 PAGE 3 OF 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qualit General Permit No. NCG030000 Date submitted 9- i � - is C> RTIFICATE OF CRVERAGE No. NCG03 O .D 0 ( FACILITY NAME Af EXWy COUNTY t PERSON COLLE I G SAMPLES I�TO/V LABORATORY La ert. # 9-DA)X Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR ��ts SAMPLE PERIOD [?1'an-June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS [dRW [�tnW ❑Trout ❑Zero -flow ❑Water Supply ❑SA []Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ) No discharge this period?Z Outfall No. Date Sample Collected) (mo/ddlyr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks ===> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0,067 mg/L 15 mg/L 1 mg/L 5 I��+y•r5 c" 5. l S. - <D.C>o3 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, Table 3 identifying 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 eiectronic 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: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 1 OF 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for T1TO 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 n0 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 (TTO), I 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." Name (Print name) Title (Print title) (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 me/U' 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?z outfail No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 2OF3 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. 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWCJ O FICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: —rom C-e-lb A-5; rl Y$ .3%3 Mail on oriainal and one copy of this DMR, including all "No Discharge"reports,_w thin_30 dogs of receipt of the lab results lor at__end_of_monitorincperiod in the case of "No Discharge" reports] to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27G99-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sipnature of Permittee) PERMIT DATE: 11/1/2012-10/31/2017 (Date) SWU-245, LAST REVISED 10/25/2012 PAGE 30F3 VMICROBAC' Fayetteville Division Certificate of Analysis AP Exhaust Technology Date Reported: 02/11/15 Mr. Danny Hammon Project: Storm water Samples- Outfalls, SemiYrly Date Received: 01127115 300 Dixie Trail Date Sampled: 01/24/15 Goldsboro NC, 27530 Sampled By: Hammon Outfall 5, grab K5A0768-01 Analyze _ Result Units Analyzed Analyzed By Method Qualifier Anatyzed by: Ek ment One Copper <0.003 m (L 02/10/15 00:00 KS EPA 200.7 Rev 4.4 1994 Lead 0.024 mg/L 02/10/15 00:00 KS EPA 200.7 Rev 4.4 1994 Zinc <0.003 mg/L 02/10/15 00:00 KS EPA 200.7 Rev 4.4 1994 Analyzed by: Mcrobac Laboratories, Int. - FayeUeville Oil & Grease (SGT-i EM) 2.94 mg/L 02/03115 04:30 JAW EPA 1664 B PH 5.2 pH Units 01130W I3:15 DSK SM 4500 H=13-2000 H (Aqueous) Total Suspended Solids 5.60 mJL 01/29/15 08:09 SW SM 2540 D-1997 QC Batch Run -(E& more) Analyze Result Units Source RPD Limit Copper ND mg/L '[none] Lead ND mg/L. '[none] Zinc ND mgfL '[none] 15 QC Batch Run - (Afi—h eLaborornnes, m.-Fujmequ,) Analvte Result Units Source RPD Limit Total Suspended Solids III mJL K5A0772 10 5 Total Suspended Solids 42.0 mg/L K5A0711 17 5 Total Suspended Solids 29.0 mg/L K5A0669 7 5 Notes and Definitions i] Analyze µas prepared andlor analyzed outside of the analytical method holding time B Detected in the associated Method Blank Microbac Laboratorles,Inc. _ Page i 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com AP Exbaust Technology Mr. Danny Hammon 300 Dixie Trail Goldsboro NC, 27530 State Certifications. NCPNR 411 NCDOH 437714 �VMICROBAC' Fayetteville Division Certificate of Analysis Project: Sto rmwater Samples - Outfalls, Sem iYrly Date Reported: 02/ 11115 Date Received: 01R7l15 Date Sampled: 01/24/15 Sampled By: Hammon Respectfully Submitted �,t2A�ct C/uaiacZ.4s-� Jmane Overstreet, Project Manager Thank you for your business. We nnYre your feedbnrk on our lesrl ofrervlrr myna Please rwrra"r the Diwnan Mmagm Rob Dermer a 910-864-1920 with mw quesriorrs. You may nrsa rorrrrscr J. Trewr Boyce, President or preslckruUdmlrroba-.mm Microbac Laboratories, Inc. page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 ! 910.864.1920 p j 910.864.87741 j www.micronac.com =- Fayetke Ufe DMWon 2592 Hope Nulls Road Fayettevlle, NC 28306 (910) 864-19201864-8r C[wk,6F :CUSTODY -RECORD PAGE `K6A0768` I�IIIllIII�iW�l��ll� � i l , ■sue e�� � ®�����.��®���■�■� �rrrma • plltfWtC Wd9BCL¢Pe17Fi IS wilt%ruK mr-u. %,wrji1'LvAmuCYLJrtt' r Gf einpFleld is F!d CL2 WaterLevel M NO YES (/ WHICH: 'enp Field 2: Field C111orinC: i Page':3; of 3i RECEIVED NCDEN R _ r to 19 2015 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report CF. FILES DWR SECTION Forguidance on filling out this form, please visit. http_jlpol-tal.ncdenr.orgLiveb'/M/ws /su /npdessw#€tab-4 Permit No.: N/C& Facility Name: County: �� Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): or Certifigate of Coverage No.: N/C/G/0/—�/ a/,3/ Pd/ Phone No. 0 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 2e ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). 1 Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be ' performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. '. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. j A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is i representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office____ By this signature, I certify that this report is accurate and complete to the best of my knowledge: _ bm- A"W)J — (Signature of Permittee or Designee) PAGE 1 OF 2 SWU-242, LAST MODIFIED 10/25/2012 1. Outf l Description: _ - Outfall No. Structure (piPe,_ditch, etc.) Receiving Stream: Describe industrial a vltzes that occur within the outfall drainage area: 2: Color:' Describe the color of the discharge using basic colors (red,.brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3:. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly.of oil, weak_ chlorine odor, etc.):' IVo7U�: 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1. is clear and 5 is very cloudy: Kr 2: 3 :4 5 .. 5: Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5is the surface covered with floating solids: z. 3 4 , 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the: stormwater discharge, where 1 is no solids and S is extremely'muddy: Z 3-: 4 :. 5 7. is there any foam in' the stormwater. discharge? Yes No, 8. Is there an oil sheen -in the stormwater discharge? Yes DNo 9. Is there evidence of erosion or deposition at.the outfall?' Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe fie Note: Low clarity,'high solids, and/or the presence of foam, oil sheen, or erosion/deposition .... may be indicative: of pollutant exposure. These conditions warrant further investigation... PAGE 2 OF 2 SWU-242, LAST MODIFIED -10/25/2012 4 0. NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http: f Jportal.ncdenr.org, webfwq wslsu/npdessw#tab-4 Permit No.: N C0� ' / v/ C�/ �_C�' or Certificate of Coverage No.: NIC/G/s�i3/ U/3/ D/l/ Facility Name: E N 4o IES County: Phone No, o- a000 Inspector: WI-) Date of lnspection 1 --) 0 ` 13 Time of Inspection: 9 ! Gy A177. Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ['des ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "rneasureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted i site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certifylthat this report is accurate and complete to the best of my knowledge: M (Signature of Permittee or Designee) PAGE 1 OF 2 SWU-242, LAST MODIFIED 10/25/2012 1. Outfall Description: outfall No. 3 Structure (pipe, ditch, etc.) P(12 Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ (Y &-A-P, 3. Odor: Describe any distinct odor that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): IV DN 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious`` Indicators of Stormwater Pollution: P List and describe 14 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erasion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. PAGE 2OF2 SWU-242, LAST MODIFIED 10/25/2012 1. Outfall Description: OutfalI No. -4:-; Structure (pipe, ditch, etc.)P I - Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharg using basic colors (red, brown, blue, etc.) and taint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors at discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): _ C)/-_ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 11 ' 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: C) 2 3 4 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes Na 8. Is there an oil sheen in the stormwater discharge? Yes No 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other obvious Indicators of Stormwater Pollution: List and describe MIA IA Note: Low clarity, high solids, and/or the presence of foam, ail sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. PAGE 2 OF 2 S U-242, EAST MODIFIED 10/25/2012 1. Outfall Description- 0 utfall No. Z Structure (pipe, ditch, etc.) 14-ck Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint {light, medium, dark] as descriptors: _ C ��.f�- 9 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0AC 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1) 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 4 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: S 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious In/d`iicators of Stormwater Pollution: List and describe to ! !t Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. PAGE 2 OF 2 SWU-242, LAST MODIFIED 10/25/2012 Semi-annual Stormwater Discharge Monitoring -Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG03V _a o _L FACILITY NAME AP xAlc . COUNTY W C PERSON COLLE ING SAMPLES I YM/v LABORATORY 1C.t0'0At. i.4bS ert. # C.5N2 1 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR OC 1 20'q SAMPLE PERIOD ❑ Jan -June �Iy-Dec or ❑ monthly' month ® Er�I�1,SGl-IgRDG TO CLASS QORW �IQW [:]Trout �NA 1 l� C I V e L! ❑Zero -flow ❑Water Supply ❑SA DEC 0, 8 2014 ❑Other CENTRAL FILESPLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period:2 Outfall No. Date Sample Collected 1 (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics s Benchmarks =__> ro -16 _I r - 4 100 mg/L or 50 mg/L 6.0 -- 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L tee -I6 -1y 14 S . AS 10L '{ . 3 - 00214 .00)0 o5 /O-lO-Jq jl '� .00 rn �I•? .00a .00io 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For 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. " See General Permit, Table 3 identifying 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: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012 PAGE 1 OF 3 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. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [� IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end .o of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." -111-NIMm-0A) (Signature of Permittee) PERMIT DATE: 11/1/2012-10/31/2017 (Date) SWU-245, LAST REVISED 10/25/2012 PAGE 3OF3 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http_j/portal.ncdenr.ar web/wgJws/su/npdessw#tab-4 Permit No.: N/C/A/Q/y(Q/D/Q/LY or Certificate of Coverage No.: N/C/G/Q/ 3/�/3/�/1/ Facility Name: Ft County: s�, Inspector: Date of Inspection: Time of inspection: a Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Rees ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. I A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted i F site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is l representative for local storm events during the sampling period, and the permittee obtains approval i from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) PAGE 1 OF 2 SWU-242, LAST MODIFIED 10/25/2012 1. Outfall Description: - �./ Outfall No. Structure (pipe, ditch, etc.) �� �- T Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 1 2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C 3. Odor: Describe any distin odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): WIVE 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 .4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 'C, 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further. investigation. PAGE 2 OF 2 SWU-242, LAST MODIFIED 10/25/2012 (5>MECROBACR Fayetleville Division Certificate of Analysis AP Exhaust Technology Date Reported:11104114 Mr. Danny Hammon Project: Stormwater Samples - Outfalls, Sern!Vrly Dale Received: 10117/14 300 Dive Trail Date Sampled: 10/15/14 Goldsboro NC, 27530 Sampled By: Harrnnon Outfall 3, grab K4J0524-01 I Analyte Result Units Analyzed Analyzed By Method Qualifier J Analyzed by: Microhx laboratories, Inc- - Chit:agolar4 Copper 0.0024 mg/L 10/24/14 14:56 SA EPA 200.8 Rev 5.4 Lead <0.0010 mg/L 10/24/14 14:56 SA EPA 200.9 Rev 5.4 Zinc 0.054 mg/L 10/24/14 14:56 SA EPA 200.9 Rev 5.4 Analyzed by: Wrobac LabxaWries, Inc. - Fayette Ile Oil & Grease(SGT-HEM) 1.12 mg/L 10120'14 09:30 JAO EPA 1664 B pH 4.3 pH Units 10/17/14 14.15 DSK SM 450011+B-2000 H (Aqueous) Total Suspended Solids 5.25 m€1L IWY14 0935 JAO SM 2540 D-1997 Outfall 5, grab K4J0524-02 Analyse Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Micmbec Laboratord 6 1rc. - Okagoland Copper 0.016 mg1L 10124114 15:00 SA EPA 200.8 Rev 5.4 Lead 0.0069 mg/L 10/24/14 15:00 SA EPA 200.8 Rev 5.4 Zinc 0.063 mg/L 10/24/14 15:00 SA EPA 200, 8 Rev 5.4 Anayzerl by. mi bac Laoor wb , Inc. - Fayem lle Oil & Grease (SGT-HEM) 1.12 mg/L [0120/14 09:30 JAO EPA 1664 B pH 4.7 pH Units 10117/14 14:15 DSK SM 4500 14+13-2000 H (Aqueous) Total Suspended Solids 4.25 mg/L 10172114 09:35 JAO SM 2540 D-1997 Outfall 7, grab K4J0524-03 Anah1e Result Units Analyzed Analyzed By Method Qualifier Anayzed by: Microhac tel uzrlunes, Inc. - QUragdand Copper 0.0024 m&L 10/24/14 15:04 SA EPA 200.8 Rev 5.4 Lead <0.0010 mg1L 10/24/14 15:04 SA EPA 200.8 Rev 5.4 Malyzed by: Kiao tabmtwig, Inc- - Fayeatviile Microbac Laboratories, Inc. Page 1 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com OMICROBAC' Fayetteville Division Certificate of Analysis AP Exhaust TeehnolM� Date Reported: 11l04l14 Mr. Danny Hammon Project: Stormwater Samples - Outfalls, SemiFrly Date Received: 10117/14 300 Dixie Trail Date Sampled, 10115/14 Goldsboro NC. 27530 Sampled By: Hammon Outiall 7, grab K4J0524-03 Anahie Result Units Analyzed Analyzed By Method Qualifier Anetyrod by: K otw tanoretnrw. 1w. - Fayetteville Oil R Grease (SGT-HEM) 1.53 mwl- 10/20/14 09:30 JAO EPA 1664 B PH 4.7 pH Units 10/17/14 14A5 DSK SM4500H+B-2000 H (Aqueous) Total Suspended Solids 6.00 mg/L 10/22/14 09:35 JAO SM 2540 D-1997 Outiall 7, grab K4J0524-03REi Anahie Result Units Analyzed Analyzed Be Method Qualifier AmPped by: iaionbar Laboratories. Inr. - OhimgoWid Zinc 0.021 mg/L. 10124/14 17:03 SA EPA 200.8 Rev 5.4 QC Batch Run- roc- Analyte Result Units Source RPD Limit zinc 0.710 me1L 14JO992 1 66 20 Copper 0.287 mglL 14J0982 1,10 20 Lead 0.215 mg/L 14J098? 1.06 20 Zinc 0.203 mg/L 14JO976 3.87 20 Lead 0.198 mglL 1430976 1.98 20 Copper 0.0215 mglL 14JO976 2.32 20 QC Batch Run - (+''a as y.oa rat„r c - F �rrrniflr) Anahie _ Result Units Source _ RPD Limit f Total Suspended Solids 113 mglL K4J0593 11 5 Total Suspended Solids 314 msrL K4J0550 27 5 Total Suspended Solids 1.50 melt K4J0655 15 5 Microbac Laboratories, Inc. Page 2 of 4 2592 Hope Mills Road I Fayetteville, NC 28306 19110.8641920 p 1910.864.8774 t I www.microbac.com <�DMICROBAC` Facetteville Division Certificate of Analysis AP ExhaustTechnolop' Date Reported: 11/04/14 htr. Danny Hammon Project: Stormwater Samples - Oulfalls, Semi t'rly Date Received: 10/17/14 300 Dixie Trail Date Sampled: 10/15/14 Goldsboro NC, 27530 Sampled By: Hammon Not" and Definitions H Analyte was prepared an&or analyzed outside of the analytical method holding time E V'alueabocequantitation range B Detocted in the associated Method Blank State Certifications: Respectfully Submitted NCDNR fill NCDOH i87714�"��0�'�za'�" VVVVVV Jeanne OrersrreM Project Manager Thank you for your husiness_ Wei"teyourteOZGdk n"1eAof Sff1Awtoyw. Ream contact the DINson Martapar, Fmb Daps at 91 a 854- 1WO with any quetions )eu may ar m caiact J. Trevor Boyce. Prmckrt al p audadamacbm.cokn Microbac Laboratories, Inc. Page 3 of 4 2592 Hope Mills Road i Fayetteville. NC 28306 1910.864.1920 p 1910.864.8774 f l www.microbac.com * M i C R O B A C - F1ett 110 nhr< 1 2W Hope MIS Road -- Fayetft%ft, NC 28306 (910) 864-19201864-87 ` K4JO524" CHAIN OF CUSTODY RECORD PAGE ate- .-. - • r ... r t4 LT zc i� ■m 0 ' p6FWtl peF VftwLemn Tmp RNd 1: - prep FbW x water UPW tt :44 Twrmror nd tine_ REGULAR RUSH r0--1-14 . cmwmb aS Lips IS DATA FOR REG- COMPLIANCE PURPOSE? NO YES WHICH: Page 4 of 4