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HomeMy WebLinkAboutNCG030589_MONITORING INFO_20181010STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. � CC7 O 3 V DOC TYPE ❑ H ORICAL FILE ONITORING REPORTS DOC DATE ❑ YYYYMMDD i tt�ti rvdm. �"s+ar- sr+r• KIN. nitik . }. �� Semi-annual:Sformwater Discharge Mooring Report A for North Carolina MiVision of Water Qualit Gen ral P mit No. NCG030000 - - - Date submitted _ %,0 -i:IV f�: CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments oryryssam a collection or analysis: /</d C1.5CA gr Se Part A- Stormwater Benchmarks and Monitoring Results ``' '.J SAMPLE COLLECTION YEAR OCi 15 ?,,,.,,,SAMPLE PERIOD ❑ Jan -June �uly-De or ❑ Monthly' Q C- (month) �I. ' DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA ''Af�f% � S�CTIG` ❑Zero -flow ®Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 o 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 O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks 100 mg/L or 0 mg/L4 6.0-9.0 0.007 m L 0.03 m /L 0.067 m /L 1S mg/ 1 mg/L Outfall 1 pZ9 , 2S Outfall 2 025' ' 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. '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. ' 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 !- 'r44- ---- -' I .014 _ —_ 4 :}7 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate-aisoivent management plan into the-Stormwate� Polfution Prevention Plan may so-certify,-andithe-requirement for TTO monitoring - ,may be waived. The solver ranagement plan shall include a list of the_total-toxic organic compounds used and the -other elements listed in the General Permit. For those facilities letting to employ the TTO monitoring waiver, he discharger shall sign the following certification statement: r "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." Grew Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to Elkay Plumbing Products Lumberton Facility (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. !Vote: 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 s 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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 f{ !1 1102111 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 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK FXCFFDENCES FOR -jH F SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO e] IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an orfginal and one copy_of this DMR, including all "No Discharge" reports, within 30 days 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 tha�be rsonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those peresponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Lt. ft.(($ (Date) Permit Date: 11/1/2012-10/31/2017 .O - SWU-245, last revised 10/25/2012 Page 3 of 3 ice. +ti -• �__. , . _, . _fit r __. iA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://portal.ncdetir.org/web/lr/nodes-stormwater/ Permit No.: N/C/G/ 0/ 3/ 0/5/ 8/ 9/ or Certificate of Coverage No.: Facility Name: Elkay Plumbing Products County: Robeson _ Inspector: Rodney Date of Inspection: Time of Inspection: Total Event Precipitation (inches): Phone No. 910-733-3112 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) KYes ❑ 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 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 sigga}ureZ�/' ertif�that this report is accurate and complete to the best of my knowledge: gnatur�o Perm -it —tee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: I Outfall No. Structure (pipe ditch etc.} 'Irl �- 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: f -. 3. Odor: Describe any distinct odors 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 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: 1 2 3 4 5 b. 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 f 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 D d"ChCrl�?� 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�. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qua G neral Permit No. NCG030000 Date submitted .5 I CERTIFICATE OF COVERAGE NO. NCG0305$9 SAMPLE COLLECTION AR .2ol 9 FACILITY NAME Elkay Plumbing Products SAMPLE PERIOD Jan -June ❑ July -Dec COUNTY Robeson or ❑ Monthly' /Q `J month PERSON COLLECTING SAMPLES Rodney Vernon DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA LABORATORY Microbac Lab Cert. # 37714 ❑Zero -flow ®Water Supply ❑SA Comments on sarpple collection or analysis: RECEIVED ❑Other Part A: Stormwater Benchmarks and Monitoring Results MAY 14 Nig PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -> CENTR.AL FILES DWR SECTION No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Total Suspended Solids- pH Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics', Benchmarks =_=> _ - :16o mg/L or 59 mg/0 6.0 — 9.0 0.007 mglL 0.03 m L 0.067 m L 15 mg L 1 mg/L outfall 1 Outfall 2 5 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. '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 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 (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." Gregg Baran Name (Print name) Plant Manager Title (Print title) Z L11v Does Not Aoply to Elkay Plumbing Products Lumberton Facility 5 (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' (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. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. * 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 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: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No 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 qu ifi d personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons it spon le for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware th re are s' ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature 5-1- If y (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 fivil-Kwill '�r �`'� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htth://port �i.ncdenr.E)r f �weta jE[ /ii���IL tiE� r[n«W, [; Permit No.: or Certificate of Coverage No.: Facility Name: Elkay Plumbing Products County: Robeson Phone No. 910-733-3112 Inspector: Rodney Vernon 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 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 signat)lrg, I cerjrfy,that this report is accurate and complete to the best of my knowledge: (Signature of FVrmittee or Designee) Pagel of 2 5WU-242, Last modified 10/25/2012 -'�n4-inq loon cll— )o c/ /)o Dtl� 74 //-6 e? e 1. Outfall D ription: Outfall No. 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 odors 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 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: 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 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 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: 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 5WU-242, Last modified 10/25/2012 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qlua4y General Permit No. NCG030000 Date submitted C 3 CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR RECEIVED SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly( (month) NOV 4 g ?01 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ®Water Supply ❑SA (;r>�TI7F31y r1iF ❑Other [} VR SECT101,,: PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No dischorge this period?' Outfall No. Date Sample Collected; (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&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 i mg/L Outfall 1 Outfall 2 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. a 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 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." Greer Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to Ellkay Plumbing Products Lumberton facility (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' (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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORT E SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO F REGIONAL OFFICE CONTACT NAME: Mike Lawyer Moil an original and one copy of this DMR, including off "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 person direr nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware tot ere are s nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /W23 //a- (Signaturk of Pekin4tee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report For guidance on filling out thisform, please visit: hlltt,l/h2n.cru'•titntc•nc•u�lsull=mitts Dncuincnls.Ittntiinti,�cl rtrt� Permit No.: N/C/6 Facility N County: Inspector: Date of Inspection: Time of Inspection: ,6/5121�1 �r Certi9 f�a, )e of oN �ti rY1,6 � � / Phone No, Total Event Precipitation (inches): / V No.: N/CIGI_I_I_l—l—l—1 %�'7 •- �1Ir Was this a Representative Storm Event? (See information below) Yes F71 No Please check your pennit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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 everjk7may contain up to 10 consecutive hours of no precipitation. By th)4 signs tt#, I certif�ihat thNs report is accurate and complete to the best of my knowledge: of P�ylnitree o—rDesignee) 1. Outfall Description: Outfall No, r Structure (pipe, ditch, etc.) �r� _ k, Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the (light, medium, dark) as descriptors: using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe Any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ We Page I of 2 SwU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: DI 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: D2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where l is no solids and 5 is extremely muddy: 6) 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes C 8. Is there an oil sheen in the stormwater discharge? Yes lo0 9. Is there evidence of erosion or deposition at the outfall? Yes 6) 10. Other Obvious Indicators of Stormwater Pollution: rD n , List and describe ' ,� �/ pfvfv lely) � 4 7� 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 S W U-242-1 12608 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qual' y General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO.,N00030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson RECEIVED PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 MAR U 2 2017 Comments on sample collection or analysis: CENTRAL FILES UVVR SECTION Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION Y AR SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA ❑Zero -flow ®Water Supply [_]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 [�fNo discharge this period?Z Outfall No. Date Sample 1 Collected (mo/dd/yr) 24hourrainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non-Polar O&G/ Total Petroleum Hydrocarbons Total Toxic 5 Organics Benchmarks =__> - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L IS mg/L 1 mg/L Outfall 1 , Outfall 2 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 1 of 3 _N. 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." Grep_g Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to Elkay Plumbing Products Lumberton Facility (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' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) s 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 S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2of3 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 REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No 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 thak qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those pe I Io s rr ctly r ponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awarCj t there, a significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sign (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quali Gen al Permit No. NCG030000 Date submitted iD O (p CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson RECEIVED PERSON COLLECTING SAMPLES Rodney Vernon 1/ I� LABORATORY Microbac Lab Cert. # 37714 NOV 10 2016 Comments on sample collection or analysis: CENTRAL FILES uv R SECTION Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR �;? o 16 SAMPLE PERIOD ❑ Jan -June [P16ly-Dec or ❑ Monthly' OC74b,6er(month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ®Water Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 efvo discharge this period: 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 Organics5 Benchmarks =_=> _ - 100 mg/L or 50 mg/L4 6.0 — 9 0 0.007 g/L 0.03 m /L 0.067 mg/L 15 m /L 1 mg/L Outfall1 >¢ iC1eA AAA Outfall 2 17 a 10/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. 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 SWU-245, last revised 10/25/2012 Page 1 of 3 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 (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." Gregg Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to ElkaV Plumbing Products Lumberton Facillt (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?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (5GT-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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR ThjE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 daysof receipt of the lab results or at end of monitoring eriod 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 p rsonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons direc es i e for hering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that th re signifig6nt nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 �c�s t4' �• �'+ :t��} , �,K_� •_ '1 'k'il c� :�.i'__ ' >, ti:1 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality nerai Permit No. NCG030000 Date submitted S CERTIFICATE OF COVERAGE NO. NCG030589 SAMPLE COLLECTION YEAR Q C'I �P FACILITY NAME Elkay Plumbing Products SAMPLE PERIOD [g Jan -June El July -Dec COUNTY Robeson or ❑ Monthly' _ _ (month) PERSON COLLECTING SAMPLES Rodney Vernon DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑P LABORATORY Microbac Lab Cert. tf 37714 p , ` D ❑Zero -flow ®Water Supply Comments on sample collection or analysis: a -EG . V ❑Other 6 206 CENTRAL F! LES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 37% Part A: 5tarmwater Benchmarks and Monitoring Results C)1NR SECTION [d� 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 O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss 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 Outfall 1 Outfall 2 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. 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 A 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. Foe'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." Gregg Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to ElkaV Plumbing Products Lumberton Facility (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?' 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 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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 2 of 3 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: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob 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: 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 persoI dire responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awart tVaP4'fieLeare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sign4ture (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3of3 mi-annual Stormwater Discharge Monitorine Resort for North Carolina Division of Water Date submitted CERTIFICATE OF COVERAGE NO.1NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results IJ ral Permit No. NCG030000 SAMPLE COLLECTION YEAR C><"0/0 SAMPLE PERIOD ❑ Jan -June ❑ July-D [�eco/ or uonthlys /�Mc_I1 (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ®Water Supply ❑SA ❑Other ©F7ni'11 !r-r-, PLEASE REMEMBER -TO SIGN ON. -PAGES 2 AND/OR 3 4 APR 2.7 2016 V�dis'c'h'&§F,this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper t. Lead -VIA1 tent rr(UU! Zinc baINU UP41T Non -Polar O&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 Outfall 1 Outfall 2 ' 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 SWL1-245, 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 nag ing compliance with the permit monitoring requirement for total toxic organics MO), 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." Gregg Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to Elkay Plumbing Products Lumberton Facility (Signatu re) (Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg(L , where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period ?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General permit text. Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 2 of 3 -/ • IIIIIb, FOR PARTA 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 SECT N B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE,14OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES PNo ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob 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 27699-2617 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 person Arectly re onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware thfit ar ignificant penalties For submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signatu Y-tI2_ (_6 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual_Stormwater Discharge Monitoring Report for. North Carolina Division of Water Quill 0 Ge eral Permit No. NCG030000 Date submitted 8 L r'4�, CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR c?, C1/4 SAMPLE PERIOD ❑ Jan -June ❑ July// -Dec RECEI V CHA [� or Ionthly' r month DIS RGING TO CLASS [JORW []HQW Trout ❑PNA MAR 11 2016 ❑Zero -flow ®Water Supply []SA CENTRAL FILES ❑Other DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -� ❑ No discharge this period?' Outfall No. Date Sample p 1 Collected (mo/dd/yr)- 24-hour rainfall amount, Inches; Total Suspended Solids - pH, Standard units Copper Lead � Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic s Organics I Benchmarks 100 mg/L or 50 mg/L4 .0 6.0 — 9.0 0.007 g/L 0.01ing/L 0.067 &/0 15 mg/L 1 mg/L Outfall 1 02 g b , D /Y} L, . &ig10 OOZY , DD /h Outfall 2 02IF71 L 4,D G 0,07 ,QC1 M 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. ;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/l/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 (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." Greee Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to Elkay Plumbin Products Lumberton Facility (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, the 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 Genera! 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, 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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. _! 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SESPON B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES RrNO IF YES, HAVE YOU CONTACTED THE DWQ.REGIONAL OFFICE? YES 5 NO REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results Lot 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 pers ns directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am away re)are ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sign 3 A 6 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quanc;�5'zl� Gen ral Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR o-2 SAMPLE PERIOD ❑ Jan -June n July -Dec REC+ or ❑ Monthly' fiA/ (month) �1 DirSCHLARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA FE8 2 9 Z016 ❑Zero -flow ®Water Supply ❑SA CENT nOther CWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> No discharge this period?z rr row illy CW2 Q •.o WW9.0 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 Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 Outfall 2 ' 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 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." Greee Baran Name (Print name) Plant Manager Title (Print title) Does Not Apply to Elkay Plumbing Products Lumberton Facility (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 Genera! Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period: 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. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 2 of 3 FOB 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: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No 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 persf ns directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awargr}�,frre significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *z_ Z�- - /!� (Sign*ture 4f AWrmittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharee Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted I/ — / ? — a 4r4 CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR oC SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑ Monthly' ,04if6 (month) R E.�'���QeARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LL ❑Zero -flow ❑Water Supply ❑SA JAN 2 8 2016 ❑other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks =__> _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 / $ L < (9,11A5'ft [ U; 0 03 0; Q l), 5' 5 rnL Outfall 2 C D, oDSM t< O r 0D 3 3 5 ' 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. 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 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." Gregg Baran Name (Print name) Plant Mana er Title (Prin i �-1 1111(6 (Sign at re) ( to 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/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:' Outfal! 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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR P4LR.T 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 SEC N B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO ❑ REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina period in the case of "No Discharge" reports) to: T 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 Oectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware tha jre ig ' scant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Ed �m &.--- / /, (6 {Signature f er (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3of3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General ermit No. NCG030000 Date submitted foZ _,D?3 1� CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR C>2D 15 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ['Monthlyl /yo f%I�&64,onth) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA l ❑Zero -flow ❑Water Supply ❑SA RECEIVED ❑Other JAN 2 a 2016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTRAL FILES pWR SECTION ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inchesa Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 /! s s r ,SQ Ca ivi L , , Q I16 OR bS ,N a < s /tit L Outfall 2 f o7s Jrz) �/ �� M �L lP • 0,19 6 QD.3Ai 4�,��S�M l r.5 M ' 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/l/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." Gregg Baran Name (Print name) Plant Title ( Note: Results must be reported in numerical format. 1ZrZ3l�� (Date 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?' Outfall Na. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES iN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 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: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports)to: Division of Water Quality Attm 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 q lified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those perso s direc pons le for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware ap F ere arp significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Sig (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 1111 $ Jac) l—.T CERTIFICATE OF COVERAGE NO. NCG036 .5 9 (p FACILITY NAME Car.+1Rn1S Sa ATPas_4 Zy► COUNTY rnQJC �Qr,Iav0.q PERSON COLLECTING SAMPLES _ 'Qo...S�y�� LABORATORY'a,4 ��cbyr e5 _ Lab Cert. # A 6 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR,015 _ SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' A] ovew►bee (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow [:]watersupply ❑SA1 ❑Other NOV 2 3 2015 � CENTRAL FILE,';PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 � C DVVR SECTION =ZC9 ❑ No discharge this period?' Outfall No. `Gate Sample ...`24'hou Collected x :. Cit. amount, :...:.:Inches 3 ' ` Total Suspended'Solids ... pH; Standard units � Copper ... Lead . Zinc Non-Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics 5 Benchmaiks ===> - - 100 mg/L or 50,mg/0 :6'.0'= 9.0 U:007•mg/L 0:033:mg/L 0.067 mg/L 15.mg/L 1 mg/L 111b';t12o'6 -2 „ a ,,, !. L b. 00 ;t r*tJ1.1 y ma 1L 1 d p15 �'. 10 L (o . 6 . bo1 ]L o. oo a M l t . C, JL 5.7 TM Iffl— J 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 rnusf still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data�Mm an on-'sitetirain;gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially serisitive receiving water classifications where the more protective benchmark applies. sTotal Toxic Organics sampling is applicable onlyfor.those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes: 'Vorpurposes of Ns.p�ermit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample Ifor 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 AAND 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 ATANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X NO ❑ REGIONAL OFFICE CONTACT NAME: MR. Z.4i,: & iQV%9,v5 Mail an_original and one copy of this DMR, including all "No Discharge"reports, within 30 days of receipt o the lob 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 4awaret they are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 6 7//5 ermitt e) ( te) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 DEN Storrnwater Disclharge.Outffall. (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: httl2://portal.ncdenr.org/web/wq/ws/sulnpdessw#tah-4 Permit No.: or Certificate of Coverage No.: Facility Name: L County: MtC0e Inspector: lga h Date of Inspection: Time of Inspection ll �03)'�015 ' 00 ►4 ff% Total Event Precipitation (inches): a • V%C . Phone No. -754- lo44 - 5000 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) U1 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 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 sigrfatge, I cygiW that this report is accurate and complete to the best of my knowledge: ture of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 i 0 I ._.. MCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit. http:L/portal.ncdenr.org/web,LwaLws/su/n dp essw#tab-4 Permit No.: WE/ Facility Name: County: MIRci Inspector: IQ, a� or Certificate of Coverage No.: N/C/G/0/3/O/ „�0.olS Sov�IM1ecS�- , �.v1L. hbV*5 _Phone No. -704- %'44- S0o0 Date of Inspection: 20 s5 Time of Inspection: : 65 A w+ Total Event Precipitation (inches): �— Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Dd 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 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 signa/ure, I geytify�hat this report is accurate and complete to the best of my knowledge: or Designee) Page 1 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 — / Z — IS CERTIFICATE OF COVERAGE NO. NCG030589 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results ao/s AMPLE COLLECTION YEAR RECEIVE SAMPLE PERIOD ❑ Jan -June ❑ July -.De NOV 2 0 2015 or �Ionthlyl (month) � DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA� CENTRAL FILES ❑Zero -flow ❑Water Supply ❑SA) DWR SECTION ❑Other _ C=cg PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> ❑ 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 Total Petroleum Hydrocarbons Toxic Organics' Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 xua 5 . ? 5 3 5 D, &) s- D, DD 3 e o ?9 5 Outfall 2 �U /5 , S 7,Z0/Y1 L &90e, A C O, 003 eq 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. 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 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." UceTRt'L e* Name (Print name) Plant age Tit ' rint ti e) (Signatu (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 mR/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, 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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES /INO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES P NO ❑ REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 tha qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those pe s ns directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awa a that- ere re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1. (Signat�re qt rmittee) It lP (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Disch for North Carolina Division of Water Quality Ge Date submitted CERTIFICATE OF COVERAGE NO. NCG03 60 0 6 �10" O 3 FACILITY N L u S COUNTY r-Pf PERSON COLLECMTING SAMPLES D C)Af LABORATORY / )91c)-o A Q C- La Cert. # ents ;�a ple�lectio r analysis // MD Part A: Stormwater Benchmarks and Monitoring Results Monitoring Re ort G� ra ermit No. NCG030000 L� _ )AMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June ❑July -Dec CIA, or �Monttlyl month a ING TO CLASS ❑❑ORW QW [:]Trout❑PNA i `�❑Zero-flow ❑Water Supply [:]SA oo 4 9 NA5 ❑Otter CENT R FILES PLEASE REMEMBER TO SIGN ON•P� 2 AND/OR 3 DW R SECTION 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 Total Petroleum Hydrocarbons To Organics5 Benchmarks 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 m /L 0.033 mg/L 0.067 g/L 15 mg/L 1 mg/L i a } ' 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. " 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 !Vote: 'lf 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 REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or attend 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 "I certify, under penalty of law, that t s'document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that ualified personnel pr erly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those p ons ectl e?sicant r gathering the information, the information submitted is, to the best of my knowledge and relief, true, accurate, and complete am a are that t e re p nalties for submitting false information, including the possibility of fines 7/- imprisonment for knowing violations." /_ (Sig-nature of Peyyittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 for North Carolina Division of Water CERTIFICATE OF COVERAGE NO. NCG030000 FACILITY NAME Elkay Plumbing Products COUNTY Robeson PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Date submitted e hCr,o3KV RECEIVED Part A: Stormwater Benchmarks and Monitoring Results a AUG 21 2015 CENTRAL FILES DWR S N eral Permit No. NCG030000 SAMPLE COLLECTION YEAR �D( —5 SAMPLE PERIOD ❑ Jan -June ❑July ec or �onthly' r U month DISCHARGING TO CLASS ❑ORW ❑H W ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other 01"S REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -� o discharge this period?2 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 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 Outfall 1 Outfall 2 ' 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. 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 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for FIO monaming may be +vaived, The solvent management plan shall include a list of the total to>:ic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the i i0 monitoring waiver, the discharger shall sign the following certification statement: "3ased upon nny inc;airy of the person or persons directly responsible for managing compliance v,,ah tine permit monitoring requirement for ;oral icioc organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated Toxic organics into the stormwater or areas .-.hich are a?posed to rainfall or StOfrn Water runoff has occurred since filing the last discharge monitoring report. i further certify that uus faciirt:• :s rmplernenting the all the provisions of cite solvent management plant included in the Stormwater Pollution Prevention Plan." Derck Prinilc Name (Print name) Plant Manager Title 2ap (5Igr,:ttr fel 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 I, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gat of new oil per month. Ej No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches -'EPA Non -polar O&G/TPH by 1664 {SGT•HEM) Total Suspended Solids pH Benchmarks =_-> 15 mg/L 100 mg/L or 50 mg/L' 6.0 — 9.0 SU j I Footnotes from Part A also apply to this Part B ' See General Pei rnit text, fable S. identifying the especially sensitive receiving Later classifications v:here the more protective benchmark applies Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/l/2012.10/31/2017 SWU-2a5, last revised 10/25/2012 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 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: Mike Lawyer Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lob results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attw 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 ocument and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel pr gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those person ' ctl respon ' e f �g hering the information, the information submitted is, to the best of my know) ge and belief, true, accurate, and complete am aware -that th are si 1fi a pens ies for submitting false information, including the possibility of fine and im risonment for knowing violations." nature of Per i teej (Dat Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 Semi-annual Storm_wat r Discharge Monitoring Report All io*** for North Carolina Division of Water QuG neral Permit No. NCG030000 Date submitted .7 ali/ 5 CERTIFICATE OF COVERAGE NO. NCG030000 SAMPLE COLLECTION YEAR FACILITY NAME Elkay Plumbing Products hC C,O 3 SAMPLE PERIOD ❑ Jan -June ❑ Jl1-Dec COUNTY Robeson or Rf onthlyl U 10eE (month) PERSON COLLECTING SAMPLES Rodney Vernon LABORATORY Microbac Lab Cert. # 37714 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results IZUEiVb CCTHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA JUL 13 2015 ❑Zero -flow []WaterSupply ❑SA [:]OtherCENTRAL FILES ,,,Z DWR SECTION P PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 '/"' discharge this period?z Outfall No. Date Sample Collected; (mo/dd/yr) 24-hour rainfall amount, s Inches Total Suspended Solids pH, Standard units Capper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic s Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 Outfall 2 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. 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 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." Derek Pringle Name (Print name) Plant Wie 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 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' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (5GT-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. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 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 SECT B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE R THE SAME PARAMETER AT ANY ONE OUTFALL? YES 2NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: Mike Lawyer Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 "I certify, under penalty of law, that thiedocument and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel rop rly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those per s dire tly respon gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aw e that th e e sigh' is t pe Ities for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permi el (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 CERTIFICATE OF FACILITY NE COUNTY n Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality ene al Permit No. NCG030000 Date submitted 1V LJ D J No., qQ3/() 0 Q PERSON COLLECTING SAMPPES CCr? LABORATORY_ZL IG401QG _ tab Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR C9 015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or MIM"onthly' (month) RECENLIOG1NG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA .SUN 18 206 ❑Other CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> '4C 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 Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks =__> _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L ' 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. 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 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." Der,✓/<' /!1le— Name (Print name) Title (P int t le) (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 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 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 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 EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES R-N-O ❑ IF YES, HAVE YOU CONTACTED E D Q REG ONAL OFFICE? YES � NO ❑ REGIONAL OFFICE CONTACT NAME: 4' Ai r Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No 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 p5 ss directly res onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am a re th t there ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Z, (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report ' for North Carolina Division of Water Qua1it GenA6ral Permit No. NCG030000 D to sub ' d T / �Sb� CERTIFICATE OF FACILITY NAME SAMPLE COLLECTION YEAR COUNTY ` 12b f'7d`'1 PERSON COLLECTING SAMPLES LABORATORY /1I J �DlJ�t � Lab Cert. ti %%/� Com. �nentspn sa pie coly�ctio or anal is: N� .�uinr c4n-f Zoe' // Part A: Stormwater Benchmarks and Monitoring Results RC1wr APR 2 0 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec Dl�t/ - LLr 1 sECT10j or OMonthly %�/Q�CrI (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA maft% [A so 1104fl�5.FILE A R rME XER TO SIGN ON PAGES 2 AND/OR 3 No,dischorge this period?' Outfall No. Date Sample (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc ✓ /-� Non -Polar O&G/ - -- - Total.Petroleum drocarbons Hydrocarbons Total Toxic 5 Or anics g Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 - 9.0 0.007 mg/L 0.03 mg/ -LW-' -0.067 mg/L 15 mg/L 1 mg/L Q 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, 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 v br,-. Naived. 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 Stormwaat�ernPollution Prevention Plan." Name (Print name) 11;�/ah _�' /'1'1 a n C? 9 -e_r Ti PQitle p V/D / / S (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/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 Pier 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, 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 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. V .t 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 K* ❑ IF YES, HAVE YOU CONTACTED Tj D Q REGI AL OFFICE? YES [�'IGO ❑ REGIONAL OFFICE CONTACT NAME: / ' / / �' QC,�W e% Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring Period in the case of "No Discharge" renortsl 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 per irectly responsible -far gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that 4here are siggif' nt pe alties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Per (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 -A Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality)Gen al Permit No. NCG030000 Date submitted � / / 0/ /% S CERTIFICATE OF COVERAGE NO. FACILITY NAME , Z Aa--f / ILIB- b 05 ICG03_—cam �- M6—IA,? r OCIU6 � s COUNTY D ,e.5 O r PERSON COLLECTI G SAMPLES '4f �GJ/ X A)04) LABORATORY Lab tert. # 39 7 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR rol— SAMPLE PERIOD ❑ Ja June ❑ July -Dec T=7_0 or Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ❑Other 15"10 MAR 2 3 ZOj$LEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTRAL FILES DNlR SECTION No discharge this period?' 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 Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 6, % o,� 5 a.0016,? 6, /Z. At- 1Z/s S < , DO .71 D o /4 D, Do /v p, ' 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. 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 A 4..I 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 Pr ntion Plan..'. Name (Print name) PJ Ct f7 -/- an er Title ( rint rtle) (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. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&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 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 It SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECT ON B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES � NO ❑ IF YES, HAVE YOU CONTACTED T D REG10 AL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: l�C{ Mail an aid inal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results !or at end of monitoring period in the case of "No Discharge" reporW 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 roperly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly respo ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware tna2 tlmre are [Signature of Pe(ffiittee) nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Q= T, NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htti):.//poi-tat.iicciciu-.ot-g/web/h"/tii)des-stoi niwater/ Permit No.: N/(;/_ Facility Na County: —A&rl Inspector; Oc Date of Inspection: Time of inspection: U O/ D/ D/ O/ 6/ or Certif�te c l iE a y /Plum /�1 �3 �"roa /7 Phone No. Total Event Precipitation (inches): 1 C2 5 Coverage No.: NI CI CI D/ 3i110I 0 - - 7'3 7 — 72) //C2- Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Z"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 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 thi�signatur}/l cer�if�ffat this report is accurate and complete to the best of my knowledge: (Signature of Peoiittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: --D . Outfall No. �Structure (pipe, ditch, etc.) /t- Receiving Stream: Describe the industrial activities that occur within the Outfall drainage area: 2. Color: Describe the color of the discharge uz basi (light, medium, dark) as descriptors: Cle 6Tr / lors (red, brown, blue, etc.) and tint 3. Odor: Describe any distiVct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /V 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: D 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 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: 10l 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes N 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: d List and describe /V Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 ,r, jj� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on frliinq out this form, please visit: httli:Z/portal.nalenr,org/web/kr/nudes-stoi�mwater/­ Permit No.: N/C/,,/ Facility Na County: Inspector: Date of Inspection: _ Time of Inspection: _ Total Event Precipitation (inches): I U, S Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) �s ❑ 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 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 signaXj-e, I cVrtibj at this report is accurate and complete to the best of my knowledge: (Signature of Wrmittee or Designee) • Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: l} Outfall No. Structure (pipe, ditch, etc.) ijo-e- Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the dis barge us (light, medium, dark) as descriptors: L' /C q,/— / 3. Odor: Describe any di weak chlorine odor, etc.): basic colors (red, brown, blue, etc.) and tint ct odors that the discharge may have (i.e., smells strongly of oil, 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: 0 2 3 4 5 b. 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: io 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 0 8. Is there an oil sheen in the stormwater discharge? Yes Q 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious indi cators of Stormwater Pollution: List and describe A 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. r di Page 2 of 2 5WU-242, Dist modified 10/25/2012 OMICROBACm Fayetteville Division K Certificate of Analysis Elkay Manufacturing Date Reported: 03/11/15 Mr, Rodney Vernon Project: Outfall /Stormwater Samples - Nlonthl> Date Received: 02127/ 15 880Caton Road Date Sampled: 02/25/15 Lumberton NC. 28360 Sampled By: Vernon Outfall #I, grab K5130972-01 Analyte Result Units Analyzed- Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper 0.025 mg/l., 03/05/15 12:33 RPL EPA 200.8 Rev 5.4 Lead 0.0068 tng/L 03/05/15 12:33 RPL EPA 200.8 Rev 5.4 Zinc 0.16 mg/L 03/05/15 12:33 RPL EPA 200,8 Rev 5.4 B Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (HEM) 7,78 mg/L 03/06/15 09:25 MLW EPA 1664 Rev, B Total Suspended Solids 109 mg/L 03/05/15 13:30 Sw SM 2540 D-1997 1-1 Outfall #2, grab K5B0922-02 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbm Laborator es, Inc. - ctvcagoland Copper 0.0016 mg/L 03/05/15 12:37 RPL EPA 200.8 Rev 5.4 Lead <0.0010 mg/L 03/05/ i 5 12:37 RPL EPA 200.8 Rev 5.4 Zinc 0.085 rng/L 03/05/15 12:37 RPL EPA 200.8 Rev 5.4 13 Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (HEM) <5.00 Total Suspended Solids <1.00 mg/L 03/06/15 08:25 MLW EPA 1664 Rev, B Al2 mg/L 03/05/15 13.30 SW SM 2540 D-1997 H QC Batch Run - (,tlierobac 1 ahnrwories, Inc.-Chiengoland) Analyte _ Result Units Sowce RPD Limit Zinc 0.203 ing/L I5C0150 0,770 20 Copper 0.0207 mg/L 15CO150 2.16 20 Lead 0,190 mg/L 15CO150 2.88 20 Zinc 0.277 mg1L 15C0111 0.674 20 Lead 0.191 ing/L 15C0111 0.830 20 Copper 0.104 mg/L 15COI11 0.195 20 QC Batch Run - (Microbetc Laharurnries, Inc. - taYelferille) Analyte Result Units Source RI'D Limit Total Suspended Solids 737 nio/L K5CO079 4 5 Microbac laboratories. Inc. page 'f of 3 2592 Hope Milts Road I Fayetteville, NC 28306 1910.864.1920 p 1910,864.8774 f I www.microbac.com VMICROBAC' Fayetteville Division Certificate of Analysis Elkay Manufacturing Date Reported: 03/11/15 Mr. Rodney Vernon Project: Outfall /Stormwater Samples - Month[ Date Received: 02/27/ 15 880 Caton Road Date Sampled: 02/25/15 Lumberton NC. 28360 Sampled By: Vernon QC Batch Run - (bllcrobac Luhorutorie. lne. - Fgt,etterille) Analyte Result Units Source RPD Limit Total Suspended Solids 16.0 mg/L K5130919 32 5 Total Suspended Solids 106 mg/L K5C0045 1 5 Notes and Definitions H Analyte was prepared andlor analyzed outside of the analytical method holding time B Blank Contamination A 12 MSIMSD fail recovery. but the LCS passes criteria. State Certifications: NCDNR 411 NCDOH 437714 Respectfully Submitted 1 Bonnie K. Sanders. SenioT Project Manager Thank you for your business. We• nn ia•}r,ur J rdlx,c k un our' lest! uJ;tt•rricc 7n ruu. Plcasc cunlur! lJre Un'isrrrrr ,Yluexrgrr, Ruir Uer rncr u! 91IJ-,4ha-! 420 irilh am quesfiurrs. You nror also cowaeI J. 7irror lforce, Prtsidcw at prv,cidew(c&rrticrohuccnrrr Microbac Laboratories, Inc. Page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864,1920 p 1910.864.8774 f I www.microbac.com 1111 I J r`K5Bf092l12- *MIcRoBac' Fayetteville Division 2592 Hope Mills Road — Fayetteville, NC 28306 (910) 864-1920 /864-87 1l1�,1+1�1f1111111�11j1111jjjj11111111�1�11� CHAIN OF CUSTODY RECORD PAGE 1 OF 1 CLIENT NAME& ADDRESS: PO PROJECT I LOCATION: #OF TYPE OF ANALYSIS PRESERVATION CODE Elkay Manufacturing Lumberton, NC B CODE: A = <4°C ONLY 880 Caton Road O B = HNO3 (ph<2) + <4°C CONTACT PERSON: W Lumberton, NC 28358 RodneyVernon T ¢ c = H2so4 (pn<2) + <a°c T L LIJ C (D 06 LU a d U D = NaOH + <4°C E= ZN Acetate + <4°C PHONE: 910-737-3112 SAMPLER: Vernon E J O Q J Z F=Sodium Thio. DATE 1 METHOD OF SHIPMENT: S O N LAB ID # SAMPLE TYPE DATE TIME COMP CRAB pH D.O. TEMP'C CHLORINE X 3 A Outfall #1 �f/' X 1 B B B X Outfall #2 �� I J C X 3 A �oJ X 1 B B B X / h ®/ / \ I / lin by D e Timey io2 Re ed by: Signature) i Date Time -'4 w fc' 2 a a 15 �� S eiinqulshed by: Date Time Received y: {Signature) Date Time 3 4 Relinquished by: Date Time Received by: ISIgnaturel Date Time 5 6 Relinquished by: Date Time Received by: t519naturel Date Time 7 1 $ Comments or Special Hazards: Page 3 of 3 r, ..W. for N f �C�036� CERTIFICATE OF COVERAGE NO. FACILITY NAM€ �L COUNTY /c/Oh e4inl') Semi-annual Stormwater Discharge Monitoring Report j rolina Division of Water Quail y Ge -eral Permit No. NCG030000< !� Date submitted [ 0340 0 PERSON COLLECTING SAMPL S LABORATORY, r. f'C>6 Qc Lab Comments on sample collection or analysis: SAMPLE COLLECTION YEAR C �3 SAMPLE PERIOD ❑Jan -June Jul Dec - or [Monthly' /�7/1 6zr month >� DISCHARGING TO CLASS ❑ORW ❑HQW Trout ❑PNA 0- CEI ED ❑Other ® 8 y5PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Part A: Stormwater Benchmarks and Monitorin Results zr-i.cA��{Q.s g r.1 ;, � r_r_ . `r`� �J ❑ No dischorge this period?2 ❑Zero -flow ❑Water Supply ❑SA Outfall No. Date Sample p 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 Organicss Benchmarks =__> _ - 100 mg/L or SO mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L } ; CPS DrD� )O' 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. 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: r" "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." _Dl�o,c Fn)\f�r- Name (Print name) gL_,a.'_-7 WV,.Aj ACC T' Prin tle) 02--�3—IS. (S.' ature (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 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 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 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 11eNOOE B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEVNOOR THE SAME PARAMETER AT ANYONE OUTFALL? YES IF YES, HAVE YOU CONTACTED T DW REG NAL OFFICE? YES ❑ REGIONAL OFFICE CONTACT NAME: / �t'kCk- Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No 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 perso ec sponsible r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am awa that there ar signs t pen Ities for submitting false information, including the possibility of fine a7z,5 prisonment for knowing violations." 3 (Signature of Permi��er (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 VMICROBAC Fayetteville Division Certificate of Analysis Elkay Manufacturing rw]ILE Date Reported: 0 1/3 0/15 Mr. Rodney Vernon ct� u Pro]cfall IStorm�rater Samples -Biannual Date Received: 01119/15 880 Caton Road Date Sampled: 0 1/18/15 Lumberton NC, 28360 Sampled By: Vernon Outfall #l, grab K5A0460-01 Analyle Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microhac Laboratories, Inc. - Fayetteville Copper <0.0100 mg/L 01/26/15 12:31 JAW EPA 200.7 Rev 4.4 1994 Lead <0.00150 mg/L 01/26/15 12:31 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (I-IEM) 5.05 mg/L 01/29/15 08:25 NCH EPA 1664 Rev. 13 B Total Suspended Solids 1.40 mg/L 01/20/15 08:55 SW SM 2540 D-1997 Zinc 0.159 mg/L 01/26/15 12:31 JAW EPA 200.7 Rev 4.4 1994 Outfall #2, grab K5A0460-02 I Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Fayetteville Copper <0.0100 mg/L 01/26/15 12:31 JAW EPA 200.7 Rev 4.4 1994 Lead <0.00300 mg/L 01/26/l5 12:31 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (ITEM) 5.92 mg/L 01/29/15 09:25 NCH EPA 1664 Rev. B B Total Suspended Solids 1.75 nig/L 01/20/15 08:55 SW SM 2540 D-1997 SI Zinc 0.169 nig/L 01/26/15 12:31 JAW EPA 200.7 Rex, 4.4 1994 QC Batch Run - (Alicrobar Uhoraforie,%, Inc. - Fupelrerrllc) Analyle Result Units Source RPD Limit Copper 0.555 ❑ig/L K5A0273 Lead 0.00200 mg/L K5A0509 200 Lead 0,00200 mblL K5A036l 200 Copper ND mg/L K5A0460 200 Lead ND mg/L K5A0460 200 Zinc 0.162 mg/L K5A0460 4 15 Total Suspended Solids 16.0 mg/L K5A0402 13 5 Total Suspended Solids 1.75 mg/L K5A0460 0 5 Copper ND mg/L K5A0509 200 Copper 0.0130 mg/L K5A0361 32 200 Copper 0.0130 mg/L K5A0588 42 200 Microbac Laboratories, Inc. Page 1 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1 910,864.1920 p 1 910.864,8774 f I www.microbac.com &)MICROBAC `' Fayetteville Division Certificate of Analysis Elkay Manufacturing Date Reported: 01/30/15 Mr. Rodney Vernon Project: Outfall /Storma'ater Samples - Biannual Date Receive& 01/19/15 880 Caton Road Date Sampled: 01/19/15 Lumberton NC, 28360 Sampled By: Vernon QC Batch Run - Olierobae haboraroris s, lne. - F'arerrerille) Analyte Result Units Source RPD Limit Copper 0.0150 ing/L K5A0665 24 200 Copper ND ing/L K5A0617 200 Copper 0.0280 mg/L K5A0273 4 200 Zinc 0.0600 mg/L K5A0617 2 15 Lead 0.498 mg/L K5A0273 Lead ND mg/L K5A0273 200 Zinc 0,0100 mg/L K5A0665 Il 15 Lead 0.00400 ❑ig/L K5A0617 67 200 Zinc 0,161 mg/L K5A0273 3 15 Zinc 0,0370 rng/L K5A0509 I8 15 Zinc 0.136 rng/L K5A0361 15 15 Zinc 0,697 mg/L K5A0273 Lead ND mg/L K5AO588 200 Lead 0.00800 ing/L K5A0665 0 200 Zinc 0.120 ing/L K5A0588 0.8 15 Notes and Definitions S1 Relative Percent DilTerence (RPD) outside accepted recovery limits 13 Delected in the associated Method Blank Stale Certifications: NCDNR #11 NCDO1i 937714 Respectfully Submitted ,Leanne Overstreet, Project Manager Thank you for your business. W • ini-ae cour,fi'edbus k on our lesef q sen'ire w sou. Please contoo the Dioi.suon ,thwager. Rob Dermer ar 910-R61-1920 n'irlr arn' yuesrimm, rrru nrcn' also ranrar•1 .1. Timor Basce. Pmaident ar president a'nrierxrhuc.com Microbac Laboratories, Inc. Page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910.864,8774 f I www.microbac.com Fayetteville Division 2592 Hope Mills Road - Fayetteville, NC 28306 (910) 864-1920 / 864-8774 fax ��91CROBACdi *K5A0460* CHAIN OF CUSTODY RECORD CLIENT NAME SADDRESS: PO# PROJECT I LOCATION: #OF TYPE OF ANALYSIS PRESERVATION CODE Elkay Manufacturing Lumberton, NC B CODE: A = <4°C ONLY CONTACT PERSON: 880 Caton Road o � W � S = HNO3 (ph<2) + <4°C Lumberton, NC 28358 Rodney Vernon T Q C = H2SO4 (ph<2) + <4°C T ' L w LLI Q Q U D = NaOH + <4°C E = ZN Acetate + <4°C PHONE: 910-737-3112 SAMPLER: Vernon t E -� O w Z F = Sodium Thio. GATE! METHCD OF SHIPMENT: Microbac s LAB ID # SAMPLE TYPE DATE TIME COMP GRAB pH D.O. TEMP ^c CHLORINE CHLORINE Outfall #1 1 ! -30 �� X y r �f /" C X ,#' B B B a U f X 1 A L C � D� Outfall #2 r X B B B a 1 X 1 A lirt is a y,: pate Time (L'=ignature) Date Time 2 -�� Ia.0 Relinquish by: Date Time Received by: (Signature) Date Time 3 4 Rehnquished by: Date NEEM TimeEllllllllllllllllllll Received by: {Signature) Date Time 5 6ate Relinquished by: Time Received by: (Signature) 1.D T 7Date 8 17t Comments or Special Hazards: b. C I CL Page 3 of 3 AGA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidunce on fillir;y out this form, please visit: htt p: portal.ncdennor weh lr n )des-stormwater/ Permit No.: N/C/.- Facility Name County: d 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.) Uj`fe, ❑ No Please verify whether Qualitative Monitoring must he 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 01 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,Ycer�ify tot tHis report is accurate and complete to the best of my knowledge: re of Permitfee or Designee) Pagel of 2 SWU-242, last modified 10/25/2012 1. Outfall Description: Outfall No. � 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 ing asic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: G�e4r l ,��i` 3. Odor: Describe any dis weak chlorine odor, etc.): A t odors that the discharge may have (i.e., smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: (9 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: 0 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 foam in the stormwater discharge? Yes dD B. Is there an oil sheen in the stormwater discharge? Yes 6) 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-24Z, Last modified 10/25/2012 ��A NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance onfilling llling out this form, please visit: httt/iiortal.ilcdenr.orglweb/lr/nudes-storiliw itcr/ C} Permit No.: N/C/ J/ 0/0/ C% ?- Q/ or Certificate of Coverage No.: Facility Nan. e— County: Phone No. 910 - 73 %- 1-3/l ;L Inspector: e, Date of Inspection: Time of Inspection: Total Event Precipitation (inches): I 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 "meosureable 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 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 th is,,�Ttgnatu�e,,l)ce (Signature of Pey, 6ittee or thi:'sreport is accurate and complete to the best of my knowledge: srgnee SWU-242, Last modified l Of Z5/20 ] 2 Page 1 of 2 1. Outfall D tion: Outfall No. Structure (pipe, ditch, etc.) 1 C� Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge usi g basi olors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C/Ce?r 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0/1 e- 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: 0 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 foam in the stormwater discharge"? Yes No S. 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 5WU-242, Last modified 10/25/2012 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qualit Gen ral Permit No. NCG03 Date submitted �% CERTIFICATE OF COVERAGE NO. NC 03 D Q Q SAMPLE COLLECTION YEAR FACILITY N E /f?�f/1 COUNTY c^ to / PERSON COLLECTING SALES f _ (� LABORATORY �i C-/'oor Lab ert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE PERIOD ❑�?JaR-Jue. ❑ July -Dec or onthly (month) DISCH ��I�,6 CLASS ❑ORW ❑HQW ❑Trout ❑PNA ;� �J �V ❑Zero -flow []water Supply [:]SA JAIL 0 � 2015 ❑Other CENTRAL SECTION E REMEMBER TO SIGN ON PAGES 2 AND/OR 3 No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Nan -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 S 41)3 o D o, /D � n7 �y 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the s utfall. 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 gang, Fr-equirement. 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, m sacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contain 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 !Pn, tion Plan." /a/ / _f Name (Print name) 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH , Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 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/l/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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES PrNO ❑ —00 IF YES, HAVE YOU CONTACTED T�� D Q REQIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: / l I uJ Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt oLthe lab results (or at end of monitoring period in the case o "No Dischar e" reports) to: ^ Division of Water Quality Attm 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 s document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel pro erly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those person y respo or gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am awar at ther are 'g i nt enalties for submitting false information, including the possibility of fines and impri onment for knowing violations." (Signature of Permi ) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htt ortai.ncdenr.or w lr n pdes- t rniwacer Permit No.: N/C/J, Facility Na e: County: o < Inspector: o /� 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 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 Iocaj DWQ Regional Office. By this, Sign atu/epl c9,Ffi V tNt this report is accurate and complete to the best of my knowledge: (Signature of PArlfnittee Or'Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 VMICROBAC�! Fayetteville Division Certificate of Analysis Elkay Manufacturing Date Reported: 12/16/14 Mr. Rodney Vernon Project: Outfall /Stormwater Samples - Monthly Date Received: 11/25/14 880 Caton Road Date Sampled: l 1/25/14 Lumberton NC, 28360 Sampled By: Vernon Outfall #1, grab K4K0715-01 1_ Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper 0.0035 mg/L 12/04/14 14:51 SA EPA 200.8 Rev 5.4 Lead <0.0010 mg/L 12/04/14 14:51 SA EPA 200.8 Rev 5.4 Zinc 0.10 mg/L 12/04/14 14:51 SA EPA 200.8 Rev 5.4 B Analyzed by: Kcrobac Laboratories, Inc, - Fayetteville Oil & Grease (HEM) 5,19 mg/L 12/02/14 07:35 JAO EPA 1664 Rev. B B25 pH 6.1 pH Units 12/01/14 09:30 DSK SM 4500 H+B-2000 H (Aqueous) Total Suspended Solids 6.50 mg/L 11/26/14 10:20 NCH SM 2540 D-1997 Outfall #2, grab K4K0715-02 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper 0.0039 mg/L 12/04/14 14:55 SA EPA 200.8 Rev 5.4 Lead <0.0010 mg/L 12/04/14 14:55 SA EPA 200.8 Rev 5.4 Zinc 0.10 mg/L 12/04/14 14:55 SA EPA 200.8 Rev 5.4 B Analyzed by: Microbac Laboratom, Inc. - Fayetteville Oil & Grease (HEM) 5.48 mg/L 12/02/14 07:35 JAO EPA 1664 Rev. B B25 pH 5.5 PH Units 12/01/14 09:30 DSK SM 4500 H+B-2000 H (Aqueous) Total Suspended Solids 7.75 mg/L 11/26/14 10:20 NCH SM 2540 D-1997 QC Batch Run - (ficrohar l,ahnraroriec. Inc,-Chicagnrand) I Analyte Result Units Source RPD Limit Zinc 0,219 mg/L 14L0059 0.417 20 Copper 0,0333 mg/L 14L0059 1.14 20 Lead 0.192 mg/L 14L0059 0.260 20 Zinc 0.205 mg/L 14L0059 1.61 20 Lead 0.178 mg/L 14L0059 0.231 20 Copper 0.0264 mg/L 14L0059 0.197 20 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' - � ' '- 1. Outfall Description: 9 Outfall No. Structure (pipe, ditch, etc.) � _ r Tc-Ct Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the dispharge using basi colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C7,'gr� t 3. Odor: Describe any di�sr}nct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Al(� ..Q 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: C% 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 6) 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 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes Na 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 A`G`A�*, NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidunce on filling out this form, please visit: [i.ttl)://[)-Qytal.ncdeiii-.org/web/Ir/tipdes-storiiiwatet-/ Permit No. Facility Na County: Inspector: Date of Inspection: //' —d l;i — / `/ Time of Inspection: _—� 30 4",— Total Event Precipitation (inches): , ,5 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 pleasuring 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�na9dr , I &fifiSi thalthis report is accurate and complete to the best of my knowledge: (Signature of l e�mittee or Designee) Pagel of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. .2- Structure (pipe, ditch, etc.) r01 Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge usi g b (light, medium, dark) as descriptors: eQ 'a colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinctdors 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 1 is clear and 5 is very cloudy: D 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: 0 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? 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 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water QualiW Geyferal Permit No. NCG030000 • �n %� �'�, � Date submitted CERTIFICATE OF COVERAGE NO. NCG03 Q SAMPLE COLLECTION YEAR cP20 141 FACILITY N SAMPLE PERIOD ❑Jan -June ❑ July -Dec COUNTY O = REC✓11 �� or RMonthlyl (month} PERSON COLLECTING SAMPLES ait1p DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA LABORATORY l7k roha. Lab eert. # DEC 0 2 Z014 ❑Zero -flow ❑Water Supply [:]SA Comments on sample collection or analysis: MEN QOther � � CENTR�iL FILES � PLEASE'REMEMBER TO SIGN ON PAGES 2 AND/OR 3 � (a - Part A: Stormwater Benchmarks and Monitoring Results rlLL'• ❑ No discharge this period: 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 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 ?1 a Qr 01?,5 C 4r0OJ D D 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 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 Pre 'on Plan." Del-'ek Name (Print name) 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/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?' 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 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 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 FIND ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 per Ierly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those person directly sponsi le f gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am awa that her re si ' scant p nalties for submitting false information, including the possibility of fines d impr' onment for knowing violations." 1 (Signature of Per ee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 CERTIFICATE OF FACILITY NArE COUNTY 0J Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qualit General Permit No. NCG030000 r1C VDD �^ Date submitted 1d " I/ERAGE NO. ISICG03 O 6 D PERSON COLLECTING SAMPVS O ' —� LABORATORY_ P) i ��O Q C1 Lab Cert. # Comments on sample collection or analysis: Q SAMPLE COLLECTION YEAR �2o/4 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or FRII&nthly' 0C_Ag�er (month) ?MVJ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Su I ❑SA Part A: Stormwater Benchmarks and Monitoring Results RECEIVED ❑Other pp [:]Other OCT 2 7 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES DWR SECTION ❑ No discharge this period?z Outfall No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons 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 1 i / , 5 �, 44 � o. DD 41 < a. oo/ D, C 7 � f � y D, 6 D g- 0 - oc 0 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark ezceedance•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 ma 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 definitionds found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). ��� eco 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) Titl itl ) (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 Genera! 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 Na. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids p#{ 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 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: •10 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: Mail an original and one cony of this DMR, including all "No Discharge" reeorts, within 30 days of rece1ot of the lab results for at end of monitoring period in the case of "No Discharge" reuortsl 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 pers directly respon or gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am a re tha there are�i ificant knalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," (Signature of P r ittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG 30000 Date submitted � - 5 - / 5 !�`l C� 40 7e #qj211n_e. e D SAMPLE COLLECTION YEAR c1 CERTIFICATE OF COVERAGE NO C O3 �� D I' " ��`/� FACILITY NA SAMPLE PERIOD ❑ J June July -Dec COUNTY f' or Monthly' �E�(fly1 enmonth) PERSON COLLECTING SAMPL S ��ie/v DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout❑PNA LABORATORY l C/'o _ CQ e Lab Cert. # / RECEIVEHZero-flow [:]Water Supply ❑SA Com nts on sampJe co11 ction or analysis: `` / �p FEB 0 9 2015 Other rr7q ��S4 P6% �n U /? PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 e �e iwi� CTRA� i~1LES f'r+ l?I !�� DVk/R SECTION Part A: Stormwate Benchm r s an Monitoring Results ��% n Na discharaeilhis ,oerrod?2 ij Outfall No. Date Sample 1 24-hour rainfall Total Suspended Solids pH, Copper Lead Zinc Nan-Polar. 0&G/ otal Petroleum Total Toxic s Collected amount, Standard units �Hyclabons Organics (mo/dd/yr) inches- 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 715 M 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark e'Cceedance 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. '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 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.."" Z::� f _Cj( Name Prirint name) Titl (Signatu re) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil Per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 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 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 MART A AND PART S 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 R. • 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 copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring Period in the case of "No 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 grope)ry gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persop<Tire—city responsible f r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am awar hat ther re signi ' a alties for submitting false information, including the possibility of fines and imprisonment for knowing violations." LS/Z,5- (Signature of Permit(de) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 ern NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: littp://portal,ncdem-.org/web/Ir/npdes-stormwater/ Permit No. Facility Na County: _, Inspector: Date of Inspection: [1C1fiZ1,311/0151�19 Time of Inspection: //,' /C) A•Hti- Total Event Precipitation (inches): I f/ Was this a Representative Storm Event or Measureable Storm Evenf�' s4` defined by the permit? (See information below.) P Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representut"i e arm 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 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 anoroval from the local D By this.signature/ceftify tha Regional Office. report is accurate and complete to the best of my knowledge: of Perm#ee or Designee Pagel of 2 sWU-242, Last modified 10/25/2012 1. Outfall Description: �,/ Outfall No. / Structure (pipe, ditch, etc.) C-/ /1TCh Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the disc arge using b sic tors (red, brawn, blue, etc.) and tint (light, medium, dark) as descriptors: L° 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A Jon `C' 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: 0 2 3 4 5 b. 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: 6) 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 fo 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe ko-"� 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 r' ..,m� A' NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidonce on filling out this form, please visit. http_://portal.ilcdenr.orglweb/ir/nudes-SLormwater( Permit No.: N/C/� Facility Name, County: Inspector: e Date of Inspection: Time of Inspection: C') Total Event Precipitation (inches): 4, 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 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 thisXignatur�, I certify t hi`s\eport is accurate and complete to the best of my knowledge: (Signature of Puttee Pagel of 2 sWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. _C� 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 usin (light, medium, dark) as descriptors: Cre Q r lors (red, brown, blue, etc.) and tint 3. Odor: Describe; nyd r�ctt doors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.: J 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: d 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 5 b. 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: z2 3 4 5 7, is there any foam 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? 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. r SWU-242, Last modified 10/25/2012 Page 2 of 2 6)MICROBAC' Fayetteville Division Certificate of Analysis Elkay Manufacturing Date Reported: 11/02/14 Mr. Rodney Vernon Project: Outfall IStormwater Samples - Monthly Date Received: 10/16/14 880 Caton Road Date Sampled: 10/16/14 Lumberton NC, 28360 Sampled By: Vernon Outfall #1, grab K4J0508-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper 0.029 mg/L 10/23/14 14:06 SA EPA 200.8 Rev 5.4 Lead 0.0056 mg/L 10/23/14 14:06 SA EPA 200.9 Rev 5.4 Zinc 0.058 mg/L 10/23/14 14:06 SA EPA 200.8 Rev 5.4 Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (HEM) <5.00 mg/L 10/17/14 08:15 JAO EPA 1664 Rev. B Total Suspended Solids 3.00 nIg/L 10/17/14 09:40 Sw SM 2540 D-1997 Outfall #2, grab K4J0508-02 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc.- Chicagoland Copper 0.025 mg/L 10/23/14 14: l0 SA EPA 200.8 Rev 5A Lead 0.0059 mg/L 10/23/14 14: l0 SA EPA 200.8 Rev 5.4 Zinc 0.064 mg/L 10/23/14 14: l0 SA EPA 200.8 Rev 5.4 Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (HEM) <5.00 mg/L 10/17/14 08:15 JAO EPA 1664 Rev. B Total Suspended Solids 1.00 mg/L 10/17/14 09:40 Sw SM 2540 D-1997 QC Batch Run - (Afkrobac Labrrrallrriec, Inc.-Chicaxoland) 1 Analyte Result Units Source RPD Limit Zinc 0.193 nig/L 14JO944 0.395 20 Copper 0.0200 mg/L 1430944 1.70 20 Lead 0.183 mglL 14JO944 0.682 20 Zinc 0.194 mg/L 14JO944 2.66 20 Lead 0.190 mg/L 14JO944 3.62 20 Copper 0.0201 mg/L 14JO944 4,47 20 QC Batch Run- (AHerobac Laboralar;m lnc. - Fa�rrlevrfle) Analyte Result Units Source RPD Limit Total Suspended Solids 143 mg/L K4J0512 6 5 Microbac Laboratories, Inc. Page 1 of 3 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 Elkay Manufacturing Date Reported: l 1l02114 Mr. Rodney Vernon Project: Outfall IStormwater Samples - Monthly Date Received: 10/16/14 880 Caton Road Date Sampled: 10/16/14 Lumberton NC, 28360 Sampled By: Vernon QC Batch Run - (Wernhac l.ahorulories, Inc. - Farerrerille) Analyze Result Units Source RPD Limit Total Suspended Solids 2.57 mg/L K4J0497 25 5 Total Suspended Solids 10.0 mg/L K4J0483 0 5 State Certifications: NCDNR #II NCDOH #37714 Respectfully Submitted Bonnie K. Sanders, Senior Project Manager a Thank you for your business. We insure ruur feedback on our let el ofsen•ice to.von. Please comaci the 1)i -mon ;tlarrager, Rob termer a1 910-8644920 wish unr } quecrionv. You mat, alwa contact I rrvi-or Hot're. Preaidew at presidem ❑,micmhuc.conr Microbac Laboratories, Inc. _ Page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com Nov 1 1 `h 2014 Tier [I Corrective Action Outfall 1 and Outfall 2 exceeded the Copper limits of .007mg/L set by the State of North Carolina on 10/16/14. The Actual readings were Outfall 1 at 0.029 nig/L and n,�t,n ? .il n tans mcr/i Elkay Plumbing Products 880 Caton Road Lumberton NC 28360 (910)-737-3112 office (910)-740-4053 cell rodney.vernon a,elkay.com NAICS 332998 NPDES NC002457 l t (5)MICROBAC"' Pavetteville Division Certificate of Analysis [-- — "AM_E N D-E_D_'_' _ Elkay Manufacturing Date Reported: 01/27/l5 Mr. Rodney Vernon Project: Outfall /Storm«vater Samples - Monthly Date Received: 12/29/14 880 Caton Road Date Sampled: 12/29/14 Lumberton NC, 28360 Sampled By: Vernon Outfall #I, grab K41-O825-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Fayetteville Copper 0.0190 mg/L 01/23/15 18:04 JAW EPA 200.7 Rev 4.4 1994 Lead <0.00300 ing/L 01/23/15 18:04 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (HEM) 16.5 mg/L 01/13/15 09:00 NCH EPA 1664 Rev. B B25 Total Suspended Solids 2.00 mg/L 12/31/14 07A5 JAO SM 2540 D-1997 Zinc 2.85 mg/L 01/26/15 16A7 JAW EPA 200.7 Rev 4.4 1994 Outfall #2, grab K4 L0825-02 Analyte Result Units Analyzed Analyzed By Method Qualifier ` Analyzed by: Microbac Laboratories, Inc. - Fayetteville Copper 0,0180 li 01/23/15 18:04 JAW EPA 200.7 Rev 4.4 1994 Lead <0.00300 nig/L 01/23/15 18:04 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (HEM) 12.7 mg/L 01/09/15 l 1:55 NCH EPA 1664 Rev. B Total Suspended Solids 1.50 mg/L 12/31/14 07:45 JAO SM 2540 D-1997 Zinc 2.97 mg/L 01/26/15 16:47 JAW EPA 200.7 Rev 4.4 1994 QC Batch Run - (SLirrehar Lohoratorii% lne. - Pnpetreville) Analyte Result Units Source RPD Limit Total Suspended Solids 16.8 ing/L K4L0843 19 5 Total Suspended Solids 14.0 mg/L K41-0884 0 5 Total Suspended Solids ND mg/L K4L0890 5 Copper ND mg/L K5A0181 200 Lead ND li K5A0181 200 Report amended on January 27, 2U15 for work order K4L00825 that was originally reported on January 26, 2015 to remove unrequired/unrequested testing. Notes and Definitions B25 <1 Liter of sample analyzed Microbac Laboratories, Inc. Page 1 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com Elkay Manufacturing Mr. Rodney Vernon 880 Caton Road Lumberton IBC, 28360 State Certifications: NCDNR #11 NCDOH #37714 VMICROBAC'!' Fayetteville Division Certificate of Analysis Project: Outfall 1Stormwater Samples - Monthly r........--.. _ .. A M-E-N-p-E-0-*--- -- Date Reported: 0 1/2 7/15 Date Received: 12/29/14 Date Sampled: 12/29/14 Sampled By: Vernon Respectfully Submitted Bom)ir K. Sanders, Senior Project Manager Thank you for your business. We im ire cnurjre dlr erk nn uru leer! rf :service rn cos. Please comin't the Division ,i Gnmrger, Rnh Derrrrer u7 910-864-19211 rskh uoc qu251imm. Km may also emilact J. Tm vrrr Havice. Pw,,idenu sr pwr. idenr ahrrirmhurx(sm Microbac Laboratories, Inc. page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910.864,8774 f I www.microbac.com Fayetteville Division 2592 Hope Mills Road -- Fayettevttte, NU [b6IJO to IV) Oo'+- i z7GLj + , - '-" KoL082s ICR0BAC CHAIN OF CUSTODY RECORD PAGE i OF I ENT NAME &ADDRESS: PO PROJECT I LOCATION: ( /I CONTA 7PSON . h.e 0A PHONE: (PLED BY: / � � 3 �- 3 irk DATE) METHOD OF SHWMENT: U) LU O En u_ O it TYPE OF ANALYSIS PRESERVATION (CODE.) `" � —' �`(� �[ I S L L (3 — GORE; A =None l3 = HNO3 (pH<2) + <6°C C = H2SO4 (pH<2) + <6°C D = NaOH + c6°C E = ZN Acetate + <6°C F = HCl IS= Sodium Thio LAB ID 71 SAMPLE TYPE ❑AT TIME COMP GRAB PH FLOW TEMP'C CHLORINE suLFiDE F I I -La I LLL 1 -.1 1 / Lab lnitials--i� is Date 7�� Recelved b nature DatIZ''��t t� 7 t 0 2 tuls�e pate Time Received by. nat lej Date Time 3 r 4 I Iuish eCV Dale I Time eceived by: j5iqnai�Av Date Time 6 ph Field: ph Field: Temp Field 1: Temp Field 2: Water Level #1 Water Level #2 Turnaround time! REGULAR RUSH Comments or Special Hazard =: O v lS DATA FOR REG COMPLIANCE PURPOSE? NO_ YE5 WHICH: Page 3 of 3 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: littl2://t)ortal.jicdeiii-.org/web/lrini)des-storiiiwater/ Permit No.: N/C/" Facility Nam .0 County: Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): f S 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). 119 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 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 thisgigna (Sgnature of Pe ify tKat'this ttee or Designee art is accurate and complete to the best of my knowledge: 5WU-242, Last modified 10/2S/2012 Pagel of 2 ' 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.] Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the dischVge using sic (light, medium, dark) as descriptors; Ct G rs (red, brown, blue, etc.) and tint 3. Odor: Describe any distingf odors that the discharge may have (i.e., 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: 0 � 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 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: 01 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 [lA4o' 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 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this fbrnr, please visit: littp:ZZInartal,ncdenr.org/web/lr/npdes-stormwaterl Permit No.: N/C/- Facility Nam : 1 County: Inspector: p Date of Inspection: Time of Inspection: 'total Event Precipitation (inches): rJ �sirrai�ir IiIWA Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit"? (See in formation 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 "rneasureable 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 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 smnpling period, and the permittee obtains approval from the local DWQ Regional Office. By this,signature,xy,ertifyMt thisl`eport is accurate and complete to the best of my knowledge: (Signature of Perr)(itt'ee or Designee) �9 Page I of 2 SWIJ-24.2, last modified 10/25/2012 1. Outfall Description: Outfall No. _c::Z Structure (pipe, ditch, etc.] Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the ditch rge usin asic (light, medium, dark) as descriptors:"o � rs (red, brown, blue, etc.) and tint 3. Odor: Describe any distin t odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): lyolkz 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: 0 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: 7. Is there any foam in the stormwater discharge? Yes 6-01-11 8. Is there an oil sheen in the stormwater discharge? Yes Q 9. Is there evidence of erosion or deposition at the outfall? Yes 6D 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 A 19 A f NCDENR Stormwater Discharge Outfall (SDO) r.. Qualitative Monitoring Report For guidance on filling out this form, please visit: htti)://12ortal.ncdenr.oi-g/web/lr/np(les-stormwater/ Permit No.: N/C/30, or Certificate pf Cgverage No.: Facility Na County: o Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): . 1 ne No. Ql D — 7,� 2 —,1 /l .. 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 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 thi5Xign)tuffe, I cgrA tha\this report is accurate and complete to the best of my knowledge: ture of/pOrmittee or Designee) Pagel of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No..� Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfali drainage area: 2. Color: Describe the color of the disf harge usi (light, medium, dark) as descriptors: ''7 ar" I colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors 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 1 is clear and 5 is very cloudy: 1 Q 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: 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: (9 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes do B. Is there an oil sheen in the stormwater discharge? Yes 6) 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Storrmmw/ater 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 ;A Mw NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit. htt :/./portal.ncdenr.org/web jr/nodes-stormwater/ Permit No.: N/C/ Facility Na County: Inspector: Date of Inspection: Time of Inspection: o/ o/ o ff % Va Total Event Precipitation (inches) or Certificate of C _5 ne No. No.: N&I/ j /2/J/ —4S/ el rsrAratiA= Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 21"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 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 tV signat�re fl ceyUry that This report is accurate and complete to the best of my knowledge: (Signature of P,�fmittee or Dleriignee) Page 1 of 2 SWU-242, Last modified 10/25/2012 '1. Outfall Description: Outfall No. Structure (pipe, ditch, etc,) C Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using (light, medium, dark) as descriptors: —( /-c_e?1-'/ 3. Odor: Describe any di weak chlorine odor, etc.): ---, colors (red, brown, blue, etc.) and tint ct odors that the discharge may have (i.e., smells strongly of oil, 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 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: a 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: (9 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes (AO-) S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes!J 10. Other Obvious Indicators of Stormwater Pollution: List and describe &--�ia�� 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 5WU-242, Last modified 10/25/2012 ELKAY October 23, 2014 Division Of Water Quality 1617 Mail service Center Raleigh North Carolina 27699-1617 In accordance with the General Permit to Discharge Stormwater Under the National Pollutant Discharge Elimination System, Elkay Plumbing Products Co is providing a TIER Three notification. While we continue to make progress in eliminating zinc for our stormwater outfalls, zinc has exceeded the Table 3 Benchmark Values on 4 occasions. Please contact Rodney Vernon at 910.3-7- 112 if you have any questions. SipYcerely, Rodney Vernon Rodney Vernon Elkay Plumbing Products Lumberton Environmental Lead 880 Caton Rd Lumberton North Carolina 28358 Business 910-737-3112 Cell 910-740-4053 rodney.vernon@elkay.com 880 Caton Road, Lumberton, NC 28360-0458 1 (910) 739-8181 1 elkay.com �MICROBAC`�' Fayetteville Division Certificate of Analysis Elkay Manufacturing Date Reported: 10/08/14 Mr. Rodney Vernon Project: OutfalllStormwater Samples - Monthly Date Received: 09/25/14 880 Caton Road Date Sampled: 09/25/14 Lumberton NC, 28360 Sampled By: Vernon Outfall #1 K410791-01 1 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Miuobac Laboratories, Inc. - Chwagoland Copper 0.0041 mg/L 10/06/14 13:17 SA EPA 200.8 Rev 5.4 Lead <0.0010 mg/L 10/06/14 13:17 SA EPA 200.8 Rev 5.4 Zinc 0.071 mg/L 10/06/14 13:17 SA EPA 200.8 Rev 5.4 B AnatyZed by: MiCrobaC Laboratories, Inc. - Fayetteville Oil & Grease (HEM) <5.00 mg/L 09/25/14 12:30 NCH EPA 1664 Rev, B Total Suspended Solids 2.25 mg/L 09/26/14 08:50 SW SM 2540 D-1997 Outfall #2 K410791-02 Analyte Result Units Analyzed _ Analyzed By Method Qualifier Analyzed by: Kxrnbac Laboratories, Inc. - ChKagoland Copper 0.0046 mg/L 10/06/14 13:21 SA EPA 200.8 Rev 5.4 Lead <0.0010 mg/L 10/06/14 13:21 SA EPA 200.8 Rev 5.4 Zinc 0.075 mg/L 10/06/14 13:21 SA EPA 200.8 Rev 5.4 B Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (HEM) <5.00 mg/L 09/25/14 12:30 NCH EPA 1664 Rev. B Total Suspended Solids 1.75 mg/L 09/26/14 08:50 SW SM 2540 D-1997 QC Batch Run - (Microbac Laboratories. Inc. - Chicagaland) Analyte Result Units Source RPD Limit Zinc 0.203 mg/L 14JO071 0.920 20 Copper 0,0230 mg/L 14JO071 0,433 20 Lead 0.195 mg/L 14JO071 0,643 20 QC Batch Run - (Micrnbac I.aborarories. Inc. - Fayetteville) Analyte Result Units Source RPD Limit Total Suspended Solids 8.80 Ing/L K410844 5 5 Total Suspended Solids 3.50 mg/L K410836 55 5 Total Suspended Solids 36100 nig/L K4I0797 8 5 Samptes received at lab at an incorrect temperature. Microbac Laboratories, Inc. Page 1 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality Genqra,l Permit No. NCG030000 Date submitted le) CERTIFICATE OF COVERAGE NO. CG030 b D a FACILITY NAME ZL u/Y1br COUNTY e S 077 PERSON COLLECTING SAMPLES LABORATORY Lab 'Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR -2o/4 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or �VlonthlyI 4OC74oler (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (rno/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 S0 mg/! 6.0 — 9..0 0.007 mg/LJ 0.03.mg/L 0.067 m�]g/L 15 mg/L 1 mg/L D 1 //)) / � 0 / I � of � � � O 6, Do �/ �` Q/.� ocv �Q u/ 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. 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 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 Stormw�ater Pollution Prevention Plan." Name (Print name) Al a�� r TitlVrAIti /ro ,-2-?- (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 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 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 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 original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring ,period in the case of "No 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 openly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those per directly respon c r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am avyKre thal tore are/i ificant nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of IPr ittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 ACiA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. httl://Vortal.ncdeni-.oi-g/web/lr/npde5—sstQr»iwatei-/ Permit No, Facility Na County: _ Inspector: Date of Ins Time of Ins Total Event Precipitation (inches): j, S" 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 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 thi ign tUje, I cnr /-�—t—ha this report is accurate and complete to the best of my knowledge: (Signature of#rmittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 `l. Outfall Description: Outfall No. L Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the di s harge usi € (light, medium, dark) as descriptors: C 4r i icecolors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A)0LO(? 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 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 An V 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: (9 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 40 B. Is there an oil sheen in the stormwater discharge? Yes 6) 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious IIndicators of Stormwater Pollution: List and describe X �� A AtTt-- 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 madifted 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http:J/portal.ncdenr.org/�Jlr/npdes-stormwater 3DD Permit No.: N/C/0D �/_/_/_/_ or Certificate of Coverage No.: N/C/G/0/3/j/ Facility Napie: L i 04IU64S County: Phone No. 10 r 73 ? -3/JZ Inspector: Date of Inspection: 1 Time of Inspection: 11�/P Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 9"Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureahle 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 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 tV signat)lre fl ce i that t';his report is accurate and complete to the best of my knowledge: (Signature of Phfmittee or Donee) Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: , Outfall No. 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 bap colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: T 3. Odor: Describe any dist* ct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): le- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 Q 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: (9 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? 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 5WU-242, Last modified 10/25/2012 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qu It Geyler I Permit No. NCG030000 j Date submitted• / �/0 30 9 CERTIFICATE OF COVERAGE NO. CG03 D SAMPLE COLLECTION YEAR I FACILITY COUNTY PERSON COLLECTING SAMPLES v e LA BO RATO RY & 4:rO.64C_ LA Cert. # Comments on sample collection or analysis: 0 OAJ Part A: Stormwater Benchmarks and Monitoring Results SAMPLE PERIOD ❑ J -June ❑ July -Dec or Q JP-June (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA RECEIVED Zero -flow ❑Water Supply []SA [_][:]Other SEP z 2014 CENT PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 FILSs DWR SECTION ❑ No discharge this period?' Outfall No, Date Sample Collected' (mo/dd/yr)- 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Capper Lead �' . Zinc Non -Polar O&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 0010 <d 00 2 �•D S 7 o b n r' 0.00 7 0 4 S< 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. ' 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. 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 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 11 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 cony of this DMR. including all "No Discharge" reports, within 30 days of receipt of the lab results for 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. am aware that ther are si nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Ce (Signature of Permittee) (Date) Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http: //porLal.ncdenr.org/webllv/npdes-storiiiwater/ Permit No.: N/C/G/D/3/0/0 0/D/ or Certificate of Coverage No.: N/C/G/Ll/ Facility Na County: Phone No. �%/0 7331 2 Inspector: _ o t ----- Date of Inspection: 242,3 114-- 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.) Pal -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 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/!fign�t9re,.l �e)Kify that' this report is accurate and complete to the best of my knowledge: (Signature of(dermit ee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http//uortal.ncdenr.or =/, web/ir/nudes-storttiwater( Permit No.: Facility Nat County: ---� Inspector: Date of Insl Time of Ins Total Event Precipitation (inches): i J Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See infor ation 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 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,signaturA Vertify thylthis reAort is accurate and complete to the best of my knowledge: (Signature of PerrV;ttee or Designee) N Pagel of 2 SWU-242, Last modified 10/25/2012 VMICROBAC' Fayetteville Division Certificate of Analysis :. **AMEND_ED.** Elkay Manufacturing Date Reported: 08/26/14 Mr, Rodney Vernon Project: Outfall IStormwater Samples - Biannual Date Received: 07/23/14 880 Caton Road Date Sampled: 07/23/14 Lumberton NC, 28360 Sampled By: Vernon DRAFT: Outfall #1 K4G0699-01 Analyze Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper <0.010 mg/L 07/28/14 17:19 AG EPA 200.7 Rev 4.4 Lead <0.0075 mg/L 07/28/14 17:19 AG EPA 200.7 Rev 4.4 Zinc 0.34 mg/L 07/28/14 17:19 AG EPA 200.7 Rev 4.4 B Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (HEM) <5.00 mg/L 08/01/14 22:04 MSL EPA 1664 Rev. B Total Suspended Solids <1.00 mg/L 07/25/14 07:15 JAO SM 2540 D-1997 DRAFT: Outfall #2 K4G0699-02 Analyze Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagotand Copper 0.014 mg/L 07/28/14 17:24 AG EPA 200.7 Rev 4.4 Lead <0.0075 mg/L 07/28/14 17:24 AG EPA 200.7 Rev 4.4 Zinc 0.048 mg/L 07/28/14 17:24 AG EPA 200.7 Rev 4.4 Analyzed by: Microbac Laboratories, Inc. - Fayetteville Oil & Grease (HEM) <5.00 mg/L 08/01/14 22:15 MSL EPA 1664 Rev, B Total Suspended Solids 27.2 mg/L 07/25/14 OT15 JAO SM 2540 D-1997 QC Batch Run - (Microbac Laboratnriec, Inc. - Orleaguland) Analyze Result Units Source RPD Limit Zinc 2,01 mg/L 14G 1208 0.348 20 Lead 2.00 mg/L 14G1154 1.83 20 Zinc 1.94 mg/L 14G 1154 2.04 20 Lead 1.96 mg/L 14G 1208 1.18 20 QC Batch stun - (ificrobae Laboratories. Inc. - Fayeoevilfe) 1 Analyte Result Units Source RPD - Limit Total Suspended Solids 31.5 mg/L K4G0823 16 5 Total Suspended Solids 135 mg/L K4G0807 17 5 Report amended on August 18, 2014 for work order K4G4699 that was originally reported on August 4, 2014 to add copper results. Microbac Laboratories. Inc. Page i of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1 910-864.1920 p 1910,864.8774 f I www.microbac.com �MICROBAC`' Fayetteville Division Certificate of Analysis Elkay Manufacturing Mr, Rodney Vernon Project: Outfall IStormvvater Samples - Biannual 880 Caton Road Lumberton NC. 28360 Notes and Definitions T Sample received improperly preserved / incorrect temperature B Blank Contamination State Certifications: NCDNR #ll NCDOli #37714 "AMEND-ED" Date Reported: 08120 4 Date Received: 07/23/14 Date Sampled: 07/23/14 Sampled By: Vernon Respectfully Submitted DRAFT REPORT, DATA SUBJECT TO CHANGE Thank you for your business. We invile rourfeedback on our level of.service iu vorr. Please ennrucr the Division dlanager. Ruh Dermer at 910-864-1920 pith am questions. Yma mar alto contact J. T+vwn- BoYee Pre.ridenr ar pre.ridenr@.nrir+rrhuc.cnm Microbac Laboratories, Inc. Page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com *K4GO699* Fayetteville Division 2592 Hope Mills Road — Fayetteville, NC 28306 (910) 864-19201864-877` ?1S> M 1 G R 0 B A C 111I!!!IIl�I!!!IlI�lI�Il CHAIN OF CUSTODY RECORD I." PAGE 1 OF 1 CLIENT NAME& ADDRESS: PO* PROJECT I LOCATION: OF TYPE OF ANAL S PRESERVATION CODE CODE: A = <4°C ONLY Elkay Manufacturing Lumberton, NC 880 Caton Road o l� y' S = HNO3 (ph<2) + <4"C CONTACT PERSON: Lumberton, NC 28358 Rodney Vernon T w Q � C = H2SO4 (ph<2) + <4°C T L N F- Lu 0 C O Qf I C 1 V `� D= NaOH + <4°C E = 2N Acetate + <4°C PHONE: 910-737-3112 SAMPLER: Vernon ENS J a F =Sodium Thio. DATE! METHOD OF SHIPMENT: Microbac S O LAB ID # SAMPLE TYPE DATE TIME COMP GRAB PH D.D. TEMP•c CHRES. ORINE �p X 3 A A 3p X 3 C C 01 1 Outfall #1 aw � V X 1 B X 3 A A UOutfall #2 X 3 C C �2 X 1 B T7 I Comments or Special Hazards: Roll wish by " Date Time P Recaly ure Date 171�7 Time 3( 1 .23 2 j`� 1 z' 3 n4ulahad b Date Time Received by: (Signal ) Oate Time 3 4 Relinquish by: Date Time Received by: (Signature) Date me 5 6 Relinquishe by: Tim by: (5lgneture) Dam Time jDaweReceived 0t7 Page 3 of 3 for No CERTIFICATE OF COVERAGE FACILITY NAME El — COUNTY 0,6 e5oi7 Semi-annual Stormwater Discharge Monitoring Report a lina Division of Water QuaLiit G r I Permit No. NCG030000 r Date submitted 7 a3ro O 4 O LIMQ/NCr PERSON COLLECTING SAMPLES (/L'.i LABORATORY La Cert. # Comments on sampl�-¢ol��ction,or analysis: No raj � l ��,4 � i ) Orin, Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR cx?o r 1 NG� SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or RMonthlyl (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ❑Other SEP I PLEASE REMEMBER TO SIGN ON -PAGES 2 AND/OR 3 4 2014 CENT �WR �(,Tr-ES No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches-3 Total Suspended Solids pH, Standard units Copper Lead Zinc 'Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L I 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 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. 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 SWLI-245, last revised 10/25/2012 Page 1 of 3 W -: mate: 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 li 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 4OR 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 copy of this AMR including all "No Discharge" reports, within 30 da s of receipt of the lob 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 th re e. iggificarAVenalties 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 0�-aw (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Storm_water Discharge Monitoring Report for Nortoiina Division of Water Quafi Ge er f Permit No. NCG030000 L 1/� 0 Date submitted 7/10 CERTIFICATE OF COVERAGE NO. NtG03 120 0 6 FACILITY NA IE G COUNTY S PERSON COLLECTING SAMPLES I LABORATORY /' l %C1?0 3tQC Lab dirt. # 37 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results RECEIVE[ JUL 2 2 2014 SAMPLE COLLECTION YEAR GE111 I ML FILES SAMPLE PERIOD � Ian -June ❑ July -Dec IMISOG or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ' ❑PNA ❑Zero -flow ❑Water Supply ._❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' 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 B - 5' 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0,067 mg/L 15 mg/L 1 mg/L Cu a- 0.-1 7 a0 V,003 0,001 0,15 < 5 Cu a # 9.75 -7. ( 0,004 d.oD n. < 5 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 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 ?liete: 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 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME QUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION D. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO IYI REGIONAL OFFICE CONTACT NAME: 7� Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 reSDonsible forrgathng the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there ar sig if can p al es f r 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 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling our this form, please visit: hip://h2o.enr.state.ne.Lis/su/Forms Doc umetits. hin0miscforms Permit No.: N/C/ Cl 3 01011 Facility Name: County: Ry-,6 p0 Inspector: Date of Inspection: CoY! C Time of Inspection: g " 00 Total Event Precipitation (inches): or Certificof Coverage No.: N1CIG1_I_I—1 I I_I 3jA & r utf5 Phone No. If IQ - i 3 Z 3/ Was this a Representative Storm Event? (See information below) 2/yes ❑ No Please check your permit to verifi' if Qualitative Monitoring must be performed during a representative storm event (requirentents van'). 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, By th' sign ur I cens report is accurate and complete to the best of my knowledge: (Signature of P mittee or Designee) 1. Outfall Qes ription: Q Outfall No. �I Structure (pipe, ditch, etc.) / l06, Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: _NONE 2. Color: Describe the color of the discharge (light, medium, dark) as descriptors: C A a/- r (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): )o--A�e— Page I of 2 S W U-242-1 12608 4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear and 5 is very cloudy: l 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: l`_/ 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes Aloes 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 S W U-242-112608 =A=G1 MA", NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: htt�):.//aortal.ncdenr.org/web/]r/nudes-atormwater/ Permit No.: N/C/ D Facility Name: County: Inspector: Date of Inspection: _ Time of Inspection: .' / C/ Total Event Precipitation (inches): _ _ i* N/C/G/—/—/—/—/—/—/ Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [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, 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 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'signatA/e, 1 oy(if a his report is accurate and complete to the best of my knowledge: ture ofArmittee o Page 1 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. 46�- '-) 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 usin (light, medium, dark) as descriptors: C le- q r z sic o)ors (red, brown, blue, etc.) and tint r �j �- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A)o)m 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 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: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes a. is there an oil sheen in the stormwater discharge? Yes 0 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe 4axR Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 (V MICROBAC` Fayetteville Division Certificate of Analysis Elkay Manufacturing Date Reported: 06/30/14 Mr. Rodney Vernon Project? Outfall IStormwater Samples - Biannual Date Received: 06/10/14 880 Caton Road Date Sampled: 06110/l4 Lumberton NC, 28360 Sampled By: Vernon Outfall #1 1406250-01 I Analyte Result Units Analyzed - Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper 0.0037 mg/L 06/20/14 13:40 SA EPA 200,8 Rev 5A Lead 0.0012 mg/L 06/22/14 10:07 SA EPA 200.8 Rev 5.4 Zinc 0.15 mg/L 06/20/14 00:54 SA EPA 200.8 Rev 5.4 Analyzed by: Microbac Laboratories, Inc. - Fayetteville BOD 4.77 mg/L 06/11/14 12:05 DSK SM 5210 B-2001 COD, Total 16.7 mg/L 06/17/14 09:30 DSK SM 5220 D-1997 Oil & Grease (HEM) <5.00 mg/L 06/20/14 13:11 MSL EPA 1664 Rev, B Total Suspended Solids 7.00 mg/L 06/12/14 09:10 JAO SM 2540 D-1997 Outfall #2 1406250-02 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper 0.0043 mglL 06/20/14 13:44 SA EPA 200.8 Rev 5.4 Lead 0.0010 mg/L 06/22/14 10:11 SA EPA 200.8 Rev 5.4 Zinc 0.16 tog/L 06/20/14 00:58 SA EPA 200.8 Rev 5.4 Analyzed by: Microbac Laboratories, Inc. - Fayetteville BOD 4.59 mglL 06/11/14 12:05 DSK SM 5210 B-2001 COD, Total 10.1 mg/L 06/17/14 09:30 DSK SM 5220 D-1997 Oil & Grease (HEM) <5.00 mglL 06/20/14 13:11 MSL EPA 1664 Rev B Total Suspended Solids 8.75 mg/L 06/12/14 08A0 JAO SM 2540 D-1997 QC Batch Run - (,Nicobar laboratories, Inc. -Chicagoland) L Analyte Result Units Source RPD Limit f Zinc 0.172 mg/L 14FO745 0.690 20 Copper 0.0181 mg/L 14FO745 1.68 20 Lead 0.171 mg/L 14F0745 0,347 20 QC Batch Run - (bficrobae Laboratories, Inc. - I--ayrneville) Analyte Result Units Source RPD Limit Microbac Laboratories, Inc. Page 1 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1 910-864.1920 p 1910.864.8774 f I www.microbac.com VMICROBAC" Fayetteville Division Certificate of Analysis Elkay Manufacturing Date Reported: 06/30/14 Mr. Rodney Vernon Project: Outfalt /Stormwater Samples - Biannual Date Received: 06/10/14 880 Caton Road Date Sampled: 06/10/14 Lumberton NC, 28360 Sampled By: Vernon QC Batch Run - (Microbac 1,a6oraforie.%. Inc. - f (yeneviAe) Analyle Result Units Source RPD Limit COD, Total 11.1 mg/L 1406250 9 20 BOD 832 mg/L 1406263 1 20 Total Suspended Solids 8.25 mg/L 1406258 3 5 Total Suspended Solids 1.25 mg/L 1406266 5 Total Suspended Solids 11,8 mg/L i406321 3 5 Total Suspended Solids 41,0 mg/L 1406309 0 5 Microbac Laboratories, Inc. Page 2 of 3 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1 910.864.8774 f I www.microbac.com �C__,&o CERTIFICATE OF FACILITY NAME COUNTY Rid`, Semi-annual Stormwater Discharge Monitoring_R_eport for North/Ca),o ina Division of Water Quality General Permit No. NCG030000 3 b5V. N PERSON COLLECTING SAMPLES _ /� 1/1P / I / LABORATORY r ICTOI-) CkG Lab Cert. ## Comments on sample collection or analysis: Date submitted Part A: Stormwater Benchmarks and Monitoring Results U� SAMPLE COLLECTION YEAR c;26'l3 C?9f SAMPLE PERIOD ❑ Jan -June [eJuly-Dec _ or ❑ Monthly' (month) �VlL� � V MUT ❑ORW ❑HQW ❑Trout ❑PNA Df5Ck1' RGIN.G+TO CLASS ❑Zero -flow []water Supply [:]SA APR 2 5 Z014 ❑other CENTRAL 1=1LV� EASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -3 DWQIBOG No discharge this period: Outfall No. �/ Date Sam le p Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids p •H. Standard units Copper Lead Zinc 'Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks ===> 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.Ob7 mg/L 15 mg/L 1 mg/L 4) 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 mere. 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. 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 Noi r: 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. 0 2 EXCEEDANCES IN A. ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION' E. e TIER 3: HAS YOUR FAGLITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES D-NO [I IF YES, HAVE YOU CONTACT ED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" report within 30 days of receipt of the lab resultsfor at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 77699-1617 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 property 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 th it4epe-are �i ntfi�Tn'txpenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations! (Signature of Permittee) /2- /,7./T (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised'10/25/2012 Page 3 of 3 April 22'` 2014 Tier 1 Corrective Action Outfall 1 and 2 Zinc limits were exceeded during Our last outlall testing; we are investigating the cause and having upstream samples tested by our laboratory Microbac. We are actively trying to eliminate the cause. We have discovered a roof vent fan may he the cause, it is pulling up an oily mist which does contain Zinc. We will continue to test and track down belore the next scheduled outfall testing. Enclosed is the last Outlall DMK's showing the Zinc limits and the actual level tested. Please contact me if_ you require; further information, nvuncy v cA J LVH Elkay Plumbing products 880 Caton lid Lumberton NC 28358 (910) 737-3112 oil -ice (910) 740-4053 Cell rodncy.vernon a clkay.com NAILS 332998 NPDII'S NCO024571 7' Mi771 Fayetteville Division 2592 Hope Milis Rd Fayetteville, NC 28306 910.864.1920 Phone 910.964.8774 Fax Certificate of Analysis Elkay Manufacturing Date Reported: Deccraber 13, 2013 Mr Rodney Vernon Project: Storinwater Samples - Biannual Date Received: Novcmber 08, 2013 880 Caton Road Date Sampled: November 07, 2013 Lumberton NC, 28360 Sampled By: Vernon Outfall #1 1311170-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Ejeld Data PH 6.89 pH Units 11/7/13 7:45 Vernon pH A k*zed by: Microbac - Fayetteviile Division BOD <2.00 mg/L H/8/13 14:45 DSK SM 5210 B-2001 G3 COD, Total <10.0 mg/L 11/13/13 14:15 DSK SM 5220 D-1997 Lead <0.00100 mg/L 1 I / 18/ 13 12:09 JAW SM 3113 B-2004 Oil & Grease (HEM) <5.00 mg/L 1 1/14/13 11:30 MSL EPA 1664 Rev. B Total Suspended Solids <2.50 tng/L l 1/12/13 9:00 JAO SM 2540 D-97 Analyzed by: Microbac Laboratories, Inc. - Chicagoland Copper 0.0026 mglL 12/11/13 14:08 RPL EPA 200.8 Rev 5.4 Zinc 0.11 mglL 12/1 1/13 14:08 RPL EPA 200,8 Rev 5.4 Outfall #2 1311176-02 Analyte Resuit Units Analyzed Analyzed By Method Qualifier Field Data PH 7,02 pH Units 11/7/13 7:55 Vernon PH Analyzed by: Mcrobac - Fayetteville Division BOD <2.00 mg/L l 118/l3 14:45 DSK SM 5210 B-2001 G3 COD, Total <10.0 mg/L 11/13/13 14:15 DSK SM 5220 D-1997 Lead 0,00116 mg/L l 1 / 18/ 13 12:09 JAW SM 3113 B-2004 Oil & Grease (HEM) <5.00 mglL l 1/14/13 1 1:30 MSL EPA 1664 Rev, B Total Suspended Solids 18.8 mg/L 11/12/13 9:00 JAO SM 2540 D-97 Analyzed by: Microbac Laboratories, Inc. - Chicagotand Copper 0.0030 mglL 12/1 1/13 14:14 RPL EPA 200.8 Rev 5.4 Zinc 0,13 mglL 12/11/13 14:14 RPL EPA 200.8 Rev 5.4 State Certifications: NCDNR #11 NCDOH #37714 USDA 43787 Res%ppecttully Submitted Bonnie K. Sanders, Senior Project Manager Page 1 of 2 Elkay Manufacturing Mr, Rodney Vernon 880 Caton Road Lumberton NC, 28360 Fayetteville Division 2592 Hope Mills Rd Fayetteville, NC 28306 910.864.1920 Phone 910.864.9774 Fax Certificate of Analysis Project: Stormwater Samples - Biannual QC Duplicate Results Date Reported: December 13, 2013 Date Received: November 08, 2013 Date Sampled: November 07, 2013 Sampled By: Vernon Anaiyte Result Units Source RPD Limit $OD 432 mg/L 1311164 9 20 Total Suspended Solids 32800 trig/L 1311155 7 5 Total Suspended Solids 52.3 mg/L 1311174 6 5 Total Suspended Solids 52.5 mg/L 1311195 5 5 COD, Total N D mg/L 1311176 20 Lead ND mg/L 1311230 20 Zinc 0.197 mg/L 13LO357 0.401 20 Notes and Definitions G3 No wimple dilution met the requirement of a DO depletion of at least 2.0 mg/L andfor 1.0 mg/L State Certifccalions: NCDNR #11 NCDOH #37714 USDA #3787 Respecifiilly Submitted Bonnie K. Sandcrs, Senior Project Manager Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG03 0 0 0 D 1 FACILITY NAME Aurvti(3 /ti1C� i�fcGC1's COUNTY 62A,04,n PERSON COLLECTING SAMPLES ecX11, e% lrFiE'AS /V LABR OATORY GC M r ta h Q __� _ Lab/Cert. # /I Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR a013 SAMPLE PERIOD Jan -June [P-Wly-Dec or ❑ Monthly' (,month) DISCHARGING TO CLASS DORW C]HQW [Trout ❑PNA ❑Zero -flow ❑Water Supply []SA Other PLEASE REMEMBER TO SIGN ON PAGES Z AND/OR 3 4 ❑ No discharge this period?` butiall No. Date Sample Collected' (mo/ d/yr) 24-hour rainfall amount, lnches3 Total Suspended Solids pH, Standard units Copper Lead Zinc 'Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic organics' Benchmarks =__> 't 3 r 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L �. 7. 0z op 30 / p, U Monthly sampling Winstead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. `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. ° See General Permit, Tabie 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 SWLI-245, Iasi revised 10/25/2012 Page 1 of 3 , Note. )f 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. - , J . 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 E- s 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 copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob 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 aesigned 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