NCG030549_MONITORING INFO_20170518

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
p "' n� `1 b 5 ►`�
YYYYMMDD

.t
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qy;ality General Permit No. NCG030000
Date submitted .53
CERTIFICATE OF COTAGE NO. NCG03 je��
FACILITY NAME Ale r Cur 4 $ 174 r--
COUNTY _ COT
4.10 rt
PERSON COLLECTING SAMP S ; weft
LABORATORY Wad Lab Cert. # .S~O
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o21
SAMPLE PERIOD E Jan -June July -Dec
or ❑ Monthlyl (month)
RETC LING TO CLASS ❑ORW ❑HQW ❑❑ Trout PNA
MAY � ❑Zero -flow ❑Water Supply []SA'
2 20j% ❑Other
WR "� FIGS PLEASE REMEMBER TO SIGN ON, PAGES 2 AND/OR 3 4
�rloN
No discharge this period
QuMall No
Date Sample
1
24-hour rainfall
Total Suspended Solids
' pH,
Copper
Lead
Zinc
Nan Polar 0&6/
,Total Petroleum
Total Toxic
.Collected
(mo/dd/ r)
amount,
Inches3.
Standard units
:Hydrocarbon
Organlcss
Benchrnarb�-aQ>
x.....
100 mg/L or'a`O rrig/L
fi ayY9 0
0.007 mg/L
0.033 mg/L.
O.Ofi7 mg/L
15 n!6/L
1 mg/L::'
1 Mnnthly camnlino iinatParl of caml-anni,ail must beein with the second consecutive benchmark exceedance for the same narameter 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
5WU-245, last revised 10/25/2012
Page 1 of 3

ri-
Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
"0),1 certify that to the best of my knowledge and bellef, 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 5tormw`at�er Pollution Prevention Plan.."...
Name (Print name)
Title (Print title)
(Signature) (Date)
Note: Results must be reported In numerical format. 13o not jappX% Below Detection limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, #bey must be reoortgd In format, " me/1.". 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
outfalrluo ,
` coil ctecE�
¢
arxt °un
o,.
� � .�` �
�pola1r�01P)� by5
� 'fi
V
Benchmarks =-Ls -
3�
*_ V
iLr
Footnotes from Part A also apply to this Part B
See General Permit text, Table 5, identifyingthe 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

..' � !.. � ••! -- �.w,.M-..L+;d.:t.+w:oa•'wivy.le..y..�c�l n.� alnyt+:A .. '.t> � i%.nrm. �...ay. �::i�
Note: if you report a sample value in excess of the benchmark, you must Implement Tier 1, Tler 2, or Tier 3 responses. See General Permit text.
FOR PART A, allO PART B MONITORING REST, LU
• 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 REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an original, gild one cave of this OMR. Including all "No Discharge" reports, within 30 days of receipt o the lab results for at and of moral orina er a
In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files-
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION_F__ORANY INFORMATIQN REPORTED:
"1 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 penAes for submitting false information, including the possibility of fines and imprisonment for knowing violations,"
(Signature of Permittee)
Permit Date:11/l/2012-10/31/2017
E
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

le,- --
NCDU
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this farm, please visit r. r w n essw
Permit No.: N/C/a6z/10/� �/ or Certificate of Coverage No.:
FacilityNam : P � r l,,r�r c,
ow �s
County: n Phone No. _ 7a�- 6S6 S—C? I
Inspector:
Date of Inspection: - S =If 7
Time of Inspection:
Total Event Precipitation (inches): • .S
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
14 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a representative storm
event" or "measureoble 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,
I 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 s
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, I certtiii that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

�� (e, --08
1. Outfall Description: r
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream: lkawn Gre- K
Describe the industrial activitie that oc within the outfall drainage area:
"- / a r� War /C
2. Color: Describe the color of the scharge 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.): •'yG o dc.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 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 2- 0 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
8. Is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes N
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

MENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit r. r w n essw -
Permit No.: h!&/%-0/ 16 .o/L6/ or Certificate of Coverage No.:
Facility Name: Pa dc� Gur rs �::&7 c.
County: Aa r� Phone No. 43dg5771 _
Inspector: d l
Date of Inspection: _',e— 7
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 duHng 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 "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
F 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
i precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measuTable'storm event must have been at least 72 hours
i prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
j interval' is representative for local storm events during the sampling period, and the perrnittee
I obtains approval from the local DWQ Regional Office.
By this signature, I certify at this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall D scription: / 0
outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:au.ar� CrGi��
Describe the industrial activities atpccur wit in butfall drainage area:
�[t
2. Color: Describe the color of the discharge usi g basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ .14 fz� t
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): .yG "e✓ r
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 1 is no solids and 5 is the surface covered with floating solids:
1 2- 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 5 is extremely muddy:
1 2 / 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 Ne
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

1dRTER6rECH LR85.IR..
POST OFFICE BOx 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Power Curbers #1 COLLECTION DATE:
4/5/2017
PERMIT #: COLLECTION TIME:
15:12
ADDRESS: Power Curbers, Inc. RECEIVED DATE:
4/6/2017
P.O. Sax 1639 RECEIVED TIME.,
15:40
Salisbury, NC 28145
REPORTED:
4/27/2017
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE ANALYST
TSS
110.0
mg/L
4M17 jrg
Lead
<0.005
mg/L
418/17
Oil & Grease
<5.6
mg/L
4/7/17 jdg
LOG ID: 1704-089 REPORTED BY: NC CERTIFIED LAB # 50
fs� *
Tony Gragg, Lab Supervisor

RESEARCh & ANA[yTICA1
LAbORATOR1ESr INC.
For: Water Tech Labs, Inc.
P.O. Box 1056
Granite Falls, NC 28630
Attn: Joe Gragg
Report of Analysis
4/19/2017
I
•tC�.'�t LLCM'•.
Cjj :
Li: � i •TAP
NC #34 Z to
NC #t37701 ? Z
•......• `lam'
Client Sample ID: Power Curbers #1 Lab Sample ID: 33133-08
Site: Water Tech Labs Collection Date: 415l2017 15:12
Parameter Method Result Units Rep Limit Analyst Analysis DaterTime
Lead, Total EPA 200.7 <0.005 mg1L 0.005 KL 4/8/2017
NA = not onotyzed
P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: [phone] Fax. [phone] www.randalabs.com Page 1
rai coa basic vld

.y
RESEARCh & ANALyTiCAt
LAbORATORlES� INC$
coo
For: Water Tech Labs, Inc.
P.O. Box 1056
Granite Falls, NC 28630
Attn: Jae Gragg
Report of Analysis
4/19/2017
` �p1r:i�rrrr�i
O+�'IYTi
has NC #34 y� to
NC #37701
��ri�`�f�t? A1��� �`♦
Client Sample ID: Power Curbers #2 Lab Sample ID: 33133-09
Site: Water Tech Labs Collection Date: 4/5/2017 15:25
Parameter Method Result Units Rep Limit Analyst Analysis DatefTime
Lead, Total EPA 200.7 <0.005 mg/L 0,005 KL 4/8/2017
NA = not analyzed
P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
raf coa basic vla

(dRTFRTECl51 LRBs.Inc_
4
POST OFFICE BOX 1056 - 45 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828) 3964444
SAMPLE: Power Curbers #2 COLLECTION DATE: 4/5/2017
PERMIT #: COLLECTION TIME: 15:25
ADDRESS: Power Curbers, Inc. RECEIVED DATE: 4/6/2017
P.O. Box 1639 RECEIVED TIME: 15:40
Salisbury, NC 28145
REPORTED: 4/27/2017
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE ANALYST
TSS
43.3
mg/L
4/7117 jrg
Lead
<0.005
mg/L
4/8117
Oil 8 Grease
<5.6
mg/L
4/7/17 jdg
LOG ID: 1704-090 REPORTED BY: NC CERTIFIED LAB # 50
fgl�
Tony Gragg, Lab Supervisor

y
k Af,-,,,,T° r , . ,r �EF-C' r- T L � � - , S� Iac- � ,� lrl
5 Pinewood Plaza Drive - P.O_ Box 1056
Granite Falls, NC 26630
Phone [phone] - Fax [phone]
CLIENT: Power Curbers, Inc.
Attn. David Hancock
727 Bendix Dr. 28146
Salisbury, NC 28145-1639
6
Sample Collection
Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location
FacilityName
DATE
TIME
TEMP.
Grabl
Composite
No
Plastic/
Glass
Location 1
Grab
3
Plastic&
Glass
oil & Grease, Pb, TSS
Location 2
3 : z 7
, 8��
Grab
3
Plastic&
Glass
oil & Grease, Pb, TSS
Relinquished By.
Date:
Time:
Re ' ved B
Date:
Time:
Relinquished By:
Date:
Time:
Re ived By:
Date:
Time:
PRESEMV TON:
f �
j] H2SO4
Na
03
j] Dechlornating Agent
j] Other
SAMPLE TEMP. @ LAB (°C) o24

`v Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality, General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVE GE NO. N�G03 - �, SAMPLE COLLECTION YEAR
FACILITY NAME nc� P ��; S r.. V.iBr!' �_•' SAMPLE PERIOD Jan -June July -Dec
COUNTY e •� C-t f2)TS or ❑ Monthly)_ (month)
PERSON COLLECTING SAMP S 3 DISCHARGING TO CLASS []ORW ❑HQW []Trout ❑PNA
LABORATO7e A, 7Za Lab Cert. # t []Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis. RECEIVED ❑Other
FEB .2 0 2016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
Part A: Stormwater Benchmarks and Monitoring Results CENTFZAL FILES
MAID ec:r-rir%ai
j_,_f No discharge this period?'
Outfall No .
:Date Sample
1
'24-hour rainfall
Total Sus ended Sollds
P
pH,w
Co Peer
Lead
Zinc'-'
c
an oar /
N P I 013,G
Total Petroleum
Total Toxic
Collected..
(mo/dd/yr)
amount,
s:lnches'
Standard units
Hydrocarbons
Organi&:
Benchmarks man>
-
:100 mg/L or 5fl mg/L
fi 0 - 9 fl ;:
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1'mg/L
/ !S
�2,
i2A !
1
9�l
ddK5
I
Mnnthiv samnlina f inatP:;d of cami-annuall must heeln with the second consecutive benchmark exceedance for the same naramptPr at tha cams m itfall
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 maybe 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/Z5/2012
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 certlfication 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 andbelief, 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 Po-llllution Prevention Plan.."..
• ve�
Name (Print name)
Title (Print title)
(Signature} (Date)
Note: Results must be reported in numerical format. po_not wort Below Detection Limit, BDL, <PQL, Non -detect, ND, or. other similar non -numerical
format. When results are below the applicable limits, they must he rogirtgd In the format. "<XXX 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 Tler I, 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.dischorae this nerinrl;O2
Outfall
., :,, �. .-.. ,.,. ,
� Collctretl ,
,}ilk
.,.•{rrT�/�tlk�!} ..
arrtouritsiCr�
- (r3�C
h�
palm; OiJ,1 PN byf:
Yeti
-id
4 1Y
ill
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 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 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 ATANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one copy of this DM& Including all "No Discharge" My -oils, Wjt_h1n JAI days of receipt of the lab results Ior at end of monitorinaperj
In the case of No Discharge" reportsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FPR ANY INFORMAJIQN BEEQRTEf)
"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 forgathering 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 p falties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3