HomeMy WebLinkAboutNCG060317_MONITORING INFO_20190222STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V U&C 60a rI
DOC TYPE
❑ HISTORICAL FILE
i� MONITORING REPORTS
DOC DATE
�-
❑
YYYYMM DD
.. • SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
` for North Carolina Division of Water Quality General Permit No. NCG060000
f r %' , p 0 3! Date submitted % Z Z 2-&S— RECEIVED
CERTIFICATE OF COVERAGE NO. NCG06 0 0 D SAMPLE COLLECTION YEAR '-:20 JUN 2 5 2015
FACILITY NAME 8�45� .ST�?� /j%iL-�Ia6 FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL E
COUNTY C_r_ . ❑ use/process meats ❑ use animal fats/ byprodutMWR SECTION
PERSON COLLECTING SAMPLES LL DISCHARGING TO SALTWATERS? [:]YES XNO
LABORATORY-';a1220s L Lab Cert. # V io
/v c DPJ "3 Y795SS` PLEASE REMEMBER TO SIGN ON THE REVERSE �!
IfP/9 '041c 0090�
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall Z, /Q or n No discharge this period'
� .�:... -. ?. tv
Outfall No
R„,� „- - g•�
�,- _ ,
j -"a�.l_�.: `e;i,_' .Y ... o .,_�
Sample Collected„
9 :r ` .+`,''-. II'
mo%d"d/Yr, _
�,
TSS,
L'rry
,jmg/L'^,,,
� ..
; pHi,
fi e `
�_5tandar`dunits „:.
_ _
- .,.
COD, ; <
�mg/L�
- - .IL
F O.il and,Grease,
ai.�
y mg/,L.', ,,�.?
"'+g' fi 'T i; ��..... ' -
`Fetal Coliform�;,
y �',• ��.
,�Colonlesip
-"be^�f.;��z'e�1=^
? r Enterococcis ;
olonies per 100�m1e
B n #mark
" � �_ ;
_,Y
r 100'ar_50
--wit in�6 0 - 9 0
120 ..
30x*, w..K
rr ,� r 000�cM�
2 7wi. .ii
500 FSh.
a oy6,604
20
Q S7D
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at AU outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [q no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Ouffall No . ;�
Sample Collected,
mo/dd/yr .;_._?„mg/._L,
Oil arid'Grease,
` �755;`;' �
mg/L� -
pH
F,Standad.units,�.
New 0 to or 011 Usage, c,
Annual averageagal/ma,;t
Benchmarks
-
100.Orr 50
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(f yes, complete Part B)
S WU-249
Last Revised: October 18, 2012
prop I of 7
*,FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NOK
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMR including all "No Discharge" re orts within 30 days of recef t o the lab results Lor at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh,, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signa0 f e of Permittee
6/aa/%—
(Date)
Additional copies of this form may be downloaded at: httl2://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
haae.') of l
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
IV1 IVUI LlI %.01IUII1143 LJIVIWUII VI VVCILCI %ALJCIIL VCIICICII rC11III L 1W. I114L7V0DUVV
Date submitted %I .23Is — -'`
CERTIFICATE OF COVERAGE NO. NCGO6 01 L 2
FACILITY NAME
COUNTY — "' LL
PERSON COLLECTING SAMPLES D K CA in 118 4F L�
LABORATORYS71aT11 U!w£ Lab Cert. # d
ANp,-* 1 CAc_ A/cp4) vc 37
Part A: Stormwater Benchmarks and Monitoring Results
Outfan'Nn.
.9arr pIbt6Ilkt6d,
rtio%dd/yr.
'SS,
ng/L
pH,
Standard units
COD,
mg/L
oil'an&drease, -
trig/L
fecal Collfor,` •
m
Colonies jeer 140 ml
i
�nteincocd ,"
Cnloniis per: iDO;ml.'
Benchmark
l00 or 50 ; ;
'. Within fi0 - 9.0
120
30..
1000
500
b 7 Y 5
.S 2
3S'
AS.z
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes &no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OutfaII No
„u •,`
Sample Collected,
: mo/,dd/.yr.',
,011[and Grease,
E
mg
FSS,'
mg/,L°
pH; °
A �:
Standar`d'units
New Motor Oil Usa$eg
Annua6aVerage,gal/mo ;
eenchma�k`�
=r30
M`100 or 50
rb O �:g 0
Fx., Ir
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SAMPLE COLLECTION YEAR 60 / S
FACILITY ACTIVITIES INCLUDE (check all that apply): U -
�daness meats Ouse animal fats/byproducts V "
5ALTWATERS? ❑YES SNO
DEC 01 2015
PLEAS9 REMEMBER TO SIGN ON THE REVERSE 4',•>•
CENTRAL FiLE5';_
DWR SEC olfa�event rainfall 2 it or ❑ No discharge this period' 'X
(if Yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• -1 EA- EDANCES 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 [JNOK
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO X]
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR includingall "No Dischar e" reports, within 30 days a revel t o the !a6 results ar at end o
monitoring period in the case of "No Discharge" reports to;
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
of
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date:
Reported:
For:
Comments:
Analytical Results
10/28/2015
11 /06/2015
Stormwater
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
151028-14-01
Chemical Oxygen
1
35
mglL
HACH8000
10129/2015
CL
Demand
151028-14-01
Oil and Grease
1
<52
mg1L
EPA1664RevB
11/0412015
MD
151028-14-01
TSS
1
15.333
mglL
SM254OD-1997
10/30/2015
WL
151028-14-02
Chemical Oxygen
2
30
mglL
HACH8000
10/29/2015
CL
Demand
151028-14-02
Oil and Grease
2
<5.3
mg/L
EPA1664RevB
11/04/2015
MD
151028-14-02
TSS
2
6.375
mglL
SM254OD-1997
10/30/2015
WL
Respectfully
submitted,
LP-WOL, �[
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 1 of 2
Client: 4 y
e
STATESVILLE ANALYTICAL
122 Court Street • . P.Q. Box 228
Statesville, NC 28687
(7G4) 872-4697. .r.
Chain of
Custody Record.
Address: o
a + S
Contact Person: -l'i 'R01f Phone # cl ! _ 73 FAX# ?/�1 01- - , &
PO # Requisitioned by: T Mme D t�
Customer
Sample ID# Sam
p
Lab -ID # -
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
Matrix
parameters requested for analysis
sn,ape
w
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s
rs
Dv G
ff
Relinquished by: p � � � A. �
Received by: J
Relinquished by:
Received by:
.
Composite sa lnq ft.
Time begin_ pm Dated
Time end ar"ir , pm Date �t1J1..�
CQmnosite Sampling #2:
Time begin ;LD ,-pm Date 1Ej2z1j_Z_
Time end % m Date�f�!`
Time 35 m, pm Date ��
�•
Time / ✓ am pm Date/_��J7Sl
Time am, pm Date _ J�/
Time am, pm Date ��_
Lab comments:
D ,/
Sam pled by:
Transported by:
Holding times met:
Compliance work:
Non-compliance work:
I
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date Rt kmmrZdFjli Z// 9 -
CERTIFICATE OF COVERAGE NO. NCG060 3 1 7 MAR 2 8SAI&JQLE COLLECTION YEAR 1;20 1 1
FACILITY NAME Bay State Milling Company FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Iredell C N, RJkL FILE use/process meats [] use animal fats/byproducts
PERSON COLLECTING SAMPLES kj-J �/� L �--':;;IG 4RGENG TO SALTWATERS? OYES XNO
LABORATORY - fVi(_L1Z A.A a Cert. # NG A( 5/�O
/"Ad 4' 3 7 % 35' PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall' / 1(or ❑ No discharge this period'
Outfall No°
;Sample Collected,
• -Nmo/dd/yr-
TSS,:
mg/L,e .
pH, ,
5tanda4units.
CQD,
mg/L ,
Oil and Grease,
mg/L
Fecal Collform ,
Cdlonies per l00 m1'
Enterdcocci , -
Colonies per 100 m1. r`
Benchmark
r'.. -
100 or,50.
Within :Q-9.0;.
120
30
lOQO
S
r
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes 9 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
_,,:Outfalll Na
t;.--
Sample" 6111ected,
mo%dd/yr
.•r, - Ciii and`.Grease,'
mg/Lf ,
TS5; _
mg/L:
pH,�r
:— __:, __
Standard units
NewAdtor 0nI Usage,
'An ual average gal/rrio
'.Benchmark ,
- . '
30
100 or 50
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
if yes, complete Part B)
SWU-249 Last Reviged: October 18, 2012
Page I of 2
*FOR PART A AND PART B MONITORING RESULTS:
y • 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:
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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2
Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 02/18/2019
Reported: 03/22/2019
For:
Comments:
Sample Number parameter Sample ID Result Unit Method Analyzed Analyst
190218-13-01
Chemical Oxygen
#1
<25
mg1L
HACH8000
02/21/2019
CL
Demand
190218-13-01
Oil and Grease
#1
9.1
mg1L
EPA1664Rev8
02/20/2019
CL
190218-13-01
TSS
#1
22
mg/L
SM2544a2011
02/22/2019
WC
190218-13-02
Chemical Oxygen
#2
<25
mg/L
HACH8=
02/21/2019
CL
Demand
190218-13-02
Oil and Grease
#2
6
mg/L
EPA1664RevB
02/20/2019
CL
190218-13-02
TSS
#2
10.5
mg/L
SM2WD-2011
02/22/2019
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
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ALA
STATFSYlLLE ANALY7lCAG
122 Coen Sueet • P.O. Box 229
Stateaville,NC 29681
quil) 872-4697
Chain of
Custody Record
Address:
Od
Mot,
Conttxt Per$": _ .�- Phone N e _
FAX#
Po 0 Requisitioned br.
Customer
In�ID s
Time SaMPIRd
IRrab
Date Sampled
(Grab
atr
fmo. w
war
Pararnstare raques<ad for anelyah.
CIO
7'
#
t3.o2C
0
Relinquished by:
Received by:
Relinquished by:
Received by:
-- - -
Composite SamSam Iing�g pt:
'rime begin1c11¢6 pm Date a--JAJ-d
Time end 7% pm Date -1 /&,%
Time begin r pm Date �I[(,J/g
Time and�m Date 2-I JK4
Time �3O am, pm Date z �II � Sampled by:
Time ii30 am, pm Date —2, t l�' Transported by:
Time am, pm Date _ 0./Holding times met t
Time am, pm Date
Compliance work:
Non-compliance work:
Lab Commonta:
� � b y Ik-07,P (7
��
` ' \
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division *f Water Resources General Permit No.NCGD6O0W0
Date submitted 1/2 //1 CENED
CERTIFICATE 0fCOVERAGE NO. M[GO60 3 1 7
B 8���U|� Company--------
FACILITY NAME
COUNTY Iredell
PERSON COLLECTING SAMPLES
Part A: Stmrnn*vmterBenchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that T I&
use/process meats El use animal &� KiA, MN
DISCHARGING TO SALTWATERS? OYES FVNO
PLEASE REMEMBER TOSIGN OWTHE REVERSE 4
� itTot�e�n�k�V orF1Nodischarge this period 3
P.
` Only applies tofacilities that use/process meats.
zThe total precipitation must horecorded using data from anon-site rain gauge.
^ For sampling periods with nodischarge at2U outfalls. You must still submit this discharge monitoring report with a checkmark here.
^ See General Permit text, Table 3'idendfying the especially sensitive receiving water classifications where the more protectiv6 benchmark applies.
Did this facility performVehicle Maintenance Activities using more than 55gallons of new matoroil per month? Elyes Q0~~
Pm,tB: Vehicle Maintenance Area Monitoring Results: only for facilities averaging *SGgal ufnew motor mU/nnunth.
d'
'Oi and Grease,
g
mg
rk
` Only applies mfacilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
^Forsamp|in8pedodow|thnodischarQeatalyoutfoUs,youmusts,|Usubmitthisd|ucharQemunitndngrepurt with ocheckmarkhere.
+See General Permit text' Table 3' identifying ,he especially sensitive receiving water classifications where the more protective benchmark applies.
(jjgjcomplete Part 8)
8VyD-240 Last Revised: October i8,Z0l2
Page |of2
*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 SECTIONS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO �g—
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMR including all "No Discharge" re arts within 30 days of receipt of the lab results tor at end of
monitorina geriod in the case o "No Discharge" re arts to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, iny��o§sibility of fines and imprisonment for knowing violations."
(Sigrgature of Permittee)
Z-7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orglweb/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised; October 18, 2012
Page 2 of 2
Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 12/14/2018
Reported: 01/03/2019
For:
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
181214-09-01
Chemical Oxygen
OF1
<25
mg/L
HACH800o
12/17/2018
CL
Demand
181214-09-01
Oil and Grease
OF1
7.49
mg/L
EPA1664RevB
12/28/2018
CL
181214-09-01
TSS
OF1
7.485
mg/L
sM2540o-2011
12114/2018
WC
181214-09-02
Chemical Oxygen
OF2
<25
mg/L
HACH8000
12/17/2018
CL
Demand
181214-09-02
Oil and Grease
OF2
6.29
mg/L
EPA1664RevB
12/28/2018
CL
181214-09-02
TSS
OF2
6.75
mg/L
SM254OD-2011
12/14/2018
WC
Respectfully submitted,
a'-W0G0-r-htI
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
Condition of Receipt
Sample Number 181214-09-01 Temp on Arrival: 2.3
PH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
PH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Sample Number 181214-09-02 Temp on Arrival: 2.3
PH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
PH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 a Statesville, NC 28687 • 704/872/4697
Page 2 of 3
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STAMVUJZ ANALWMCAL
122 Caul Snd - P.O. Bait 228
suftnil NC 28U7
(704)872d697
Chain of
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Addle":
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Cnted Persl 0n: Phone FAX#
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PO N RequIsitknedby � S Dees)
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Time end ', 6h. pm • Data W-j±—S
t:ompashe SamMfna 12:_
Time begin.'' Zv & pm Dste"J-1
Time end % pm Date 1_1&/
Time ULU am, Date � / sampled by:
Time I `Um, e�tReeied
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1�Relinquished
Time am. pm Date--J—J—.. , liolding,tirnes met:. '
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Compliar6 work: ✓ `'
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0/ PN (o
■ a �"
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Condition of Receipt
Temp on
Sample Number 141117-16-01 Arrival: 2
PH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
PH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Temp on
Sample Number 141117-16-02 Arrival: 2
PH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
PH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2
Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 11/17/2014
Reported: 12/0212014
For: Stormwater
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
141117-16-01
Chemical Oxygen
OF1
46
mg/L
HACH8000
11/18/2014
CL
Demand
141117-16-01
Oil and Grease
OR
<6.0
mg/L
EPA1664RevB
11/25/2014
MD
141117-16-01
TSS
OF1
33.67
mg/L
SM254OD-1997
11/19/2014
HM
141117-16-02
Chemical Oxygen
OF2
38
mg/L
HACH8000
11/18/2014
CL
Demand
141117-16-02
Oil and Grease
OF2
<6.4
mg/L
EPA1664RevB
11/25/2014
MD
141117-16-02
TSS
OF2
56.8
mg/L
SM254OD-1997
11/19/2014
HM
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
*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 Z
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copV of this DMR includin all "No Discharge" re orts within 30 da s of receipt of the lab results or at end o
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signaturg f Permittee)
j2 /Z/ /-Z
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality Gpneral Permit No..NCG060000
Date submitted 12- // Z/
RECEIVED
CERTIFICATE OF COVERAGE NO. NCGO6 SAMPLE COLLECTION YEAR a 0 / 4-
_P1 / 2 DEC 0 9 1914
FACILITY NAME: RAY SM747� ' ^1-42l116 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY_Zf Duse/process meats Duse animal fats/byprodu&ENTFZAL FILES
PERSON COLLECTING SAMPLES __=o GLr DISCHARGING TO SALTWATERS? DYES �NO DWR SECTION
LABORATORYLab Cert. # VC C047--t,9
IVC,
671% #/L/C 0 Cyocf 'S<S.— PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 14 or D No discharge this period3
t AMA
tt
1
nd
'1.A' ,
�,'f
zt&'Cil cwifof
0
4Imar
•1
1,
0,'
�'
Within
'
"A
7brn
!
8
/Z 7
1-3 &7
IS-LI
.4 Z>
0711
CZ2
6, 23
IF
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at M outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes [21no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
N j o;�e
,�Woutfalli'N
2
Z'SaMp
'qWTSS,
PW
g
lk"r
'iiw.jMotorj0l Usage, %-g,
P'074�ARA 1%4''Nl
!Benchmark.
u
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at 2ny outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yeS complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Q ality General Permit No. NCG060000 RECEIVED
fAj` �t G ��' Date submitted '7 a3 l JUL g .,1j¢
CERTIFICATE OF COV RAGE NO. 06 ® O SAMPLE COLLECTION YEAR CENTRAL FILES
FACILITY NAME S LL FACILITY ACTIVITIES INCLUDE (check all that apply): OWO/BOG
COUNTY use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES _ tlA- '6 7c'f Ai DISCHARGING TO SALTWATERS? [-]YES KNO
LABORATORY S (/? �s S 1/ u!;—i4MLab Cert. # VY67
ANA 4,y tc,*4- N c-0 w 6e4rx A 377ss
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Or
Total event rainfall z_ or ❑ No discharge this period'
�Outfall No
»
Sample CallettedT55,€
;mo/dd/.yr
Al
mg�L
rpH,Pas
.
;;a5tandard!units!
COD,
::.1
rrig/Lr
x-011iandiGrease,
tmg/L h, , , -,
Fecal Collform ,
�.�� ^'
:Colanles; per.,100,m1
Enterococcf ,;
,U Colonies per._f00;m1$
Benctimarkn,�.,.
s
100'for 50 :'
. ,Illlithn b 0`9 0
:' 124_
6 1Ajf &V
Z/,-57-
-C D
b
A 2
11616RlIqZ
i
4
'
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes VLno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OutfallNo
w
Sample Collected,
:-;-Inia/dd/,yr ,
Oil end Grease,
<� dmg/L :. :'
TSS, ?:
m ;L,
pH;
- Standar.d..units.
New Motor oi! Usage;
Annual average
Beiichmarlc„ =
-
"� 3 30 y
`. 100 nr: 50 ,
60 - 9 0..'
(if yes, complete Part B)
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W 11-249 Last Revised: October 18, 2012
plop 1 of 7
IN
*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 cojoltof this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Additional copies of this form may be downloaded at: http://f)ortal.ncdenr.org/web/wq/wsl.su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
N(ye.. ? of 7
r
7/23/2014
Dear Sir,
I pulled a second sample on SDO # 2. It ran over on TSS BY 12. We had put in steps near a drain and this
was the cause for it to go over 100. The second sample ran very good. Tried to pull within 30 days of first
sample but we didn't have the rain. Samples would have been sent on sooner but delay was waiting on
lab.
Thanks
John Campbell
Packing/Shipping Supt. 9,
� Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville NC 28115
Entered 6/9/2014
Reported: 6/17/2014
For: Stormwater
Date
Sample ID
Parameter
Cust ID
Result
Units
Method
Analyzed Analyst
140609-2.1
COD
SDO1
<20
mg/L
HACH8000
6112/14
MD
140609-2.1
Oil & Grease
SDOi
10.7
mg/L
EPA1664RevA
6/12/14
MD
140609-2.1
pH
SDO1
6.78
STD units
SM4500HB-2000
6/9/14
MD
140609-2.1
TSS
SDO1
14.5
mg/L
SM2540D-1997
6/12/14
HM
140609-2.2
COD
SD02
<20
mg/L
HACH8000
6/12/14
MD
140609-2.2
Oil & Grease
SD02
6.6
mg/L
EPA1664RevA
6/12/14
MD
140609-2.2
pH
SD02
6.87
STD units
SM4500HB-2000
6/9114
MD
140609-2.2
TSS
SD02
112
mg/L
SM254OD-1997
6/12/14
HM
Respectfully submitted,
�6 V\"/\ Ljp%--�
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NC00909
P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697
Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville NC 28115
Entered 7/11/2014
Reported: 7/23/2014
For:
Storm water
Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst
140711-10
NH3N
OF#2
<0,5
mg/L
SM4500NH3E 7121/14
WL
140711-10
Oil & Grease
OF#2
<5.9
mg/L
EPA1664RevA7/22/14
MD
140711-10
T5s
OF#2
33.7
mg/L
SM2540D- 7/11/14
JM
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
P.O. Box 228 * Statesville, North Carolina 28687 * 704/872/4697
for North Carolina Division of Water Qualityrmit No.
Date submitted 41C
CERTIFICATE OF COVERAGE NO. NCG06_() SAMPLE COLLECTION YEAR Z6
FACILITY ACTIVITIES INCLUDE'(check all that apply):
COUNTY r— use/process meats [] use animal fats/byproducts;
UL PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
x 1 ~
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION Total event ro - - or 0 No discharge this period3
mo
en
ix
�Onlyapplies unfacilities that use/process meats. �
;The total precipitation must be recorded using data from anon-site rain gauge.
aForsampdingpododovithnudischurgeatany�outfa|b.Youmuststi||subm|tthisdischargemonitndnQoeportwithacheckmarkhene.
`See General Permit text, Table 3' identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?E:] yes kno
Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Nt
ey
ark
` Only applies to facilities that use/pmmomeats.
zThe total precipitation must berecorded using data from anon-site rain gauge.
a For sampling periods with no discharge at gny outfalls, you must still submit this discharge monitoring report with a checkmark here.
-SeeGenem|Pe'mittext,Tob|e3,idendfyingtheespedaUysnnsit\verece|vim8m/pte,dxoificadonswhcre1hemorep'otectivebenchmarkopp|ioo.
(Lf yes, complete Part B)
SWO-249 Last Revised: October \8,20l2
*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.
a 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(SignatOO df Perm
Ia /6
(Date)
Additional copies of this form may be downloaded at: http:lll2ortal.ncdenr.orglweb/wq/ws/sulnpdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted (. &E Izt.
r
'CERTIFICATE OF. COVERAGE NO. NCG060 3 L2
FACILITY NAME !S &6 Sfj±a /6
COUNTY (t' C.L
PERSON COLLECTING SAMPLES TaIti #J C4711 /Mg LC —
LABORATORY ST.eT�s�Z45-,
4A)ACY74 Lab Cert. # !!�(/d
NC jo tv d 3 7
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 201 (d _
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ZNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z2,( or ❑ No discharge this period3
Outfall ho.
Sample'Collid6d,
mo%dd%yi.;
TSS, .
mg/L.
pH,
Standard units
COD,
mg/L
• Oil and, -Grease;'
mg/L
Fecal Coliform , •-'
Colonies. per 160m1_
Enterococd ,'`
Colonies per 100.MI. '..
-Benchmark
100 orSO.
s`WithIM&O - 9.0
126
30
1000
500
.< s�
�
jUN
FILES
Only applies to facilities that use/process meats. DWR SECTION
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Kno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No
Sample°Collected,: .
, 011;an Grease;
'pH,
Silh ar`dunits ••
New Motor OII.L!Sage,
-Ann ualiaverage;gal/,mo':.
300'-
" 10044
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at aU outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2
*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 11 SECTION B.
• ..TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO R
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ LN
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMUncluding all "No Discharge" re_ports_, within 30 daVs of receipt of the lab results for 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Sign of Permit ) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgZws/su/`npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2
qqI
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENDPAL PER ITT NO, NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR; �:
CERTWCATE OF COVERAGE NO, NCG06 0-$1Z) i�;�wCring report is due at the Division Ao later than 30 dAye from
�liaift'a facility receives the a m lye resul from the laboratory,)
FAc>ZTrY NAmE r1J�o / w FEB 1 8 2019 COUNW 7/ ' _ z
PERSON COLLECTING SAMPLES PHONE NO, ,d
CERTIFIED LABORATORY 111,2a�kTil" Lab # -'i KHl_ FILES
Lab 4 �Ff'�R SECTION PLEASE SIGN ON THE REVERSE
Part A, Spealflo Monitoring Requirements
Outfall Date 00530 00400 6-6340 00556 31616
No, Sample Total Susponded PE, Chomical'Orygon Oil and Grease, Focal Collform,
Collected, solids, Standard units Demand, mg/L Colonies per 100 ml
mo dd/ m m
Bencbmark 100 Wit in 6,0 9 0 120 30 1000
Ve M
Note; If you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you must Implemont Tier I or TIer2 responses.
Soo 0onoral Permit text,
Did this thollity perform Vehlolo Maintenance Activities using more than 55 gallons of now motor all per month? _ yea _no
(if yes, complete Part 8)
Part. Bt Vehicle Maintenance Activity Monitorin¢ Requirements
Outran
No,
I Date
Sample Collected,
mo/dd/ r
00556
00530
00400
On and Grouse,
m ra
Total Suspended Solids,
m
gH)
Standard units
New Motor Oil Usage,
Annual average al/mo
Benchmark
..
30
100
6.0 — 9,0
Note; if you reporl a sampled value In excess of the benohmark value, or outside the benohmark range for pH, you must lmplemonl Tier 1 or Tlor 2 responses,
See General Permlt text,
STORM EVENT CHARACTEWSTICS;
Date / (first event sampled) V
//Total Event Precipitation (inobes)t !
Data (list each additional event sampled this reporting patlod, and rainfall amount)
Total Event Precipitation (inches),
Mall Ortglnal and one copy to;
Uivlalon of Water Quality
Attn.- DWQ Central Flies
1617 Mail Service Contor
Raleigh, Norih Carolina 27699.1617
S WU-249.102107
Pago 1 of2
I
Li.kL---,A
" Y certify, under penalty of law, that this dooumeat and all attachments were prepared under my direction or
supervision in accordance with it 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. Y am aware.that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations"
(Signature of Permittee) (Date)
SWU•249-102107
Page 2 of 2
6iivirochem -
ANALYTICAL & CONSULTING CHEMISTS
House of Raeford
Post Office Box 40
Rose Hill NC
Attention: Joe Teachey
Lab ID Sample ID:
18-53561 Site: fmol
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertawn Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@environmentalchcn ists.com
Date of Report: Jan 10, 2019
Customer PO #:
28458 Customer ID: 08100079
Report #: 2018-21276
Project ID: Stormwater
Collect Date rime Matrix Sampled by
12/21/2018 1:35 PM Water Client
Test Method Results Date Analyzed
Dry Dry No Sample
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
18-53562 Site: FM2 12/21/2018 1:40 PM Water Client
Test
Method
Results Date Analyzed
Oil & Grease (O&G) EPA 1664
<5 mg1L
01/08/2019
Residue Suspended (TSS) SM 2540 D
18.6 mg/L
12/24/2018
pH SM 4500 H 8
6.60 units
12126/2018
COD SM 52200
116 mg/L
01/03/2019
Comment
Reviewed by: kLM)Q-'Q_
RepoPt tt_ 2o18-21276 Paoo 1 of 1
mow ENVIRONMENTAL CHEMISTS, INC OFFICE: 9ID-3 2-0223iFAX 9t10.3 2-44245
NCDENR: DWO CERTIFICATION # 94 NCDHHS: OLS CERTIFICATION 4 37729 Info@envlronmentalchomiste.com
Analytical & Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
Client: douse of Raeford
PROJECT NAME: Stormwater
REPORT NO:
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO:
PHONE/FAX:
COPY TO:Chris Murray
email:
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
OMM'
1009Y.-TEMT-METU�=
ANALYSIS REQUESTED
8188811
Bill
I
MOM
�ME.Pro�m"73MMEpto�lloilll,COD,TSS,O&G,pH
W7
mill
Temperature when Received: jj., V r Accep Resampl*Reue ted:Delivered By: eceived By: Date:
Comments: _OUND:
SEMI-ANNUAL STORMWATER DI LARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO6000O
Date submitted
CERTIFICATE OF COVERAGE �,� �
GEE ,,NO. NCGO6-0
�n
FACILITY NAME "".rFm;LCriuA
COUNTY �� a= C__
PERSON COLLECTING SAMPLES 'rl ,, J
LABORATORY 2Lx b Cert. # ?.
NG oil
Part A: Stormwater Benchmarks and Monitoring Results
r p� SAMPLE COLLECTION YEAR o / I of ID
FACILITY ACTIVITIES INCLUDE (check all that apply): OCT 2 2 2018
11 use/process meats ❑ use animal fats/byproduduNT
RAL DISCHARGING TO SALTWATERS? []YES D&NO QWR eCTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period?
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
pH,
Standard units
COD,
m L
Oil and Grease,
m L
Fecal Coliform ,
Colonies per 100 ml
Enterococcl ,
Colonies per 100 ml
Benchmark
-
100 or SO
Within 6,0 - 9.0
120
30
1060
S00
46 7
6 r
,�
iu
=•
_n T
1 Only applies to facilities that use/process meats. "~'Y ""L t-I1_3=5
2The total precipitation must be recorded using data from an on -site rain gauge. CWR SECTION
3 For sampling periods with no discharge at My outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gat of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd r
Oil and Grease,
m L
TSS,
mglL
pH,
Standard units
New' Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any. outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(i yg& complete Part Bj
SWU-249 Last Revised: October 18, 2012
Page 1 of 2
,*FOR PART At PART B MONITORING RESULTS: •
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART If SECTION B.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME;
Mall an oriainal,and one copy of this DMR, lncludina all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitorina period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
D IgzzL
(Date)
Additional copies of this form may be downloaded at: httpjjportai.nccienr.org/web/wg/ws/suinpdessw#tab-4
SWU-249
Last Revise& October 18, 2012
Page 2 of 2
Analytical Results STATESVILLE
ANALYTICAL
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 09272018
Reported: 10/042018
For: Stormwater
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
180927-16-01 Chemical Oxygen
OF#1
39
mg/L "AUMMM
10/01/2018
CL
Demand
1S0927-18-01 Oil and Grease
OF#1
7.75
mg/L E?A1564RevB
10/032018
CL
180927-16-01 TSS
OF#1
9.667
mglL SM254OD-2011
09/28/2018
WC
180927-16-02 Chemical Oxygen
017#2
37
mg/L "ACHS=
10/012018
CL
Demand
180927-16-02 Oil and Grease
OF#2
<5.41
mg/L EPA1864Rer9
10/03/2018
CL
180927-16-02 TSS
OF#2
12.333
mg/L SMA254062011
09/282018
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page f of 3
r
Condition of Receipt
Sample Number 180927-16-01 Temp on Arrival: 2.3
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Sample Number 180927-16-02 Temp on Arrival: 2.3
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Sox 228 • Statesville, NC 28687. 704/872/4697
Page 2 of 3
GI ent:
t •
l • r _ 1
SIA'MSVI1,I.FANAI.Y9I AI.
122 Cain Street Ilt1. RM 22N
Cmtmille, NC 211691
(704) 9724b47
Chain or
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Add •
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Time am, pm Date �!Z l! V Transported by,
Time am, pm Date ,_1_I,W.,. Holding times met:
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SEMI-ANNUAL STORMWATER 1011I90ARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 'F jza/ z
CERTIFICATE OF OVERAGE NO. NCG06 9 .3 7 SAMPLE COLLECTION YEAR ,-Z I %
FACILITY NAME .5 T4 Tf2 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY �+�� 0 f^ c- _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES _ f _�A#1 DISCHARGING TO SALTWATERS't []YES [�INO
LABORATORY STD mil//�� .d•ab CerL # ei S -O
NC_ 4 ccJC ,eTr 3 77SS-
rj' ,11.4 d1VC_ o q
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
AUG 18 2017
CENTRAL FILES
DWR SECTION
PLEASE REMEMBER TO SIGN 019 THE REVERSE 4
, ;L5 I-7t-Ar/pj
Total event rainfall Ir.� or n No discharge this oeriodj
Outfall No.
Sample Collected,
mo/dd/ r
TSS,
L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 mi
Enterococci ,
Colonies eer 100 ml
Benchmark
-
100 ar 50
Within 6.0 — 9.0
120
30
1000
Soo
v4,9
2
r
- l
+�
?
1 Only applies to facllities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3For sampling periods with no discharge at ity outfalis. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?[] yes �no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/ r
Oil and Grease,
L
TSS,
m L
pH,
Standard units
New Motor Oil Usage,
Annual avera e.gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
' The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at jU outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if n complete Part 8)
SWU-249 Last Revised: October 18, 2012
Page l of 2
*FOR PART Ago 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 ❑ NOZ
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orl anal and one c9gy of this DMR Including all "No Dlschar e" reports within 3D d s o revel t o the lab results or at end o
monitorin eriod 1n the case o "No Dischar e" re arts to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY IIIIFORMATION REPORTED:
"l 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. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
of
(Date)
Additional copies of this form may be downloaded at: http://portal.nc:denr.orp,/webjwci/ws/su/npdessw#ta_b-4
SWU-244
Last Revised: October 18, 2012
Page 2 of 2
Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 07/31/2017
Reported: 08/04/2017
For:
Comments:
Sample Number Parameter Sample ID Result Unit
Analyzed Analyst
170731-12-01 Chemical Oxygen OF1 81 mg/L H1GHB400'-` 08/03/2017 CL
Demand
170731-12-02 Chemical Oxygen OF2 99 mg/L HACH8000 08/03/2017 CL
Demand
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date
Reported
For:
Comments:
Analytical Results
07/1012017
07/ 19/2017
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
170710-25-01
Ammonia Nitrogen
#1
0.56
mg/L
SM4500NH3E-1997
07/14/2017
MD
170710-25-01
Oil and Grease
#1
<5.05
mg/L
EPA1664RevB
07/18/2017
CL
170710-25-01
TSS
#1
6.470
mg/L
SWWD-1997
07/14/2017
WC
170710-25-02
Ammonia Nitrogen
#2
<0.5
mg/L
SM450ONH3E-1997
07/14/2017
MD
170710-25-02
Oil and Grease
#2
5.39
mg1L
EPA1664RevB
07/18/2017
CL
170710-25-02
TSS
#2
<3.333
mg1L
SM2WD-1997
07/14/2017
WC
Respectfully submitted,
&'�jy-ht,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
Condition of Receipt
Sample Number 170710-25-01 Temp on Arrival: 3
Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, tab
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Chemicals in containers, lab
Received on Ice
Sample Number 170710-25-02 Temp on Arrival: 3
Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Ammonia Nitrogen
Sulfuric Acid Chemicals in containers, lab
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2of3
Client:
tirATF:.tiYII.I.F ANAI.YTI('Al.
122 Coun Street • P.O. Bin 228
$IAC%vllle. NC 211h1i7
(7(W I K72.4697
Chain of
Custody Record
Addr
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Contact Person: Phone A FAX# 2�
PO N Requisitia ed (Turw oath)
C.uawso,
Sample 10a
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Date Sampled
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Time end ,JE! ` p am, 0! Date _7 t!17
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STAMSVILL!( ANALYTICAL
12-1Coun Stroel • Y.O. [lox 228
Staiarilk,l+lC 29687
(704) R724697
Address: b}
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Time beginz?-! � am,�r Dale Z/� I[ r�
Time end ��% am, r) Dale JI r r
t;DMgQsite BanlGlina #2*
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Time and ' O am, r& Date -i—1 i p1
Tlme It pm Date 73� �� Sampled by:
Time !. i t " Date -71. �r -_c Transported by:
Time am, pm Date ^/ / Holding times met:
Time am, pm Date �/��
- Compliance work:
Non-compliance work:
Late Comments.
Y� 0 ! 6 r//r C 2 `p<*S
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SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No, NCG060000
Date submitted 3f % Z/7
CERTIFICATE OF CRVERAGE NO. NCG06-011-1 SAMPLE COLLECTION YEAR 90 / 77
FACILITY NAME 1�4`f STfi 7 A Udy 6 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY REggjjZTrocess meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES _J l o �.w CI4 m PliZ LL TO SALTWATERS? []YES KNO
LABORATORY, A!5' V&L9 ANiS'Cl/rlab Cent. # 1{r{P MAR 0 9 2017
AIC-O kJ '4 39P PLEASE REMEMBER TO SIGN ON THE REVERSE 4
S�ENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results IMR SECT101,iirotol event rainfall2 +66 /V or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/ r
TSS,
m L
pH,
Standard units
COD,
mjjL
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies er 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
!00 or 50
Within 6.0 - 9.0
120
30
1000
Soo
a
,<
I
,z
,
' Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at an outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no (ifyes, complete Part B)
Part 6: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r
Oil and Grease,
miji.
TSS,
m L
PH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page i of 2
*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 ❑ N0�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mall an orlgfnal and one copif of this DMR Including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitorina period In the case o "No Dischar e" re orts to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Permittee
3117,1,12
(Date)
Additional copies of this form may be downloaded at: htto:Lportal.nccienr.org,/web/wnlws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2
Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 02/15/2017
Reported: 02/27/2017
For: Stormwater
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
170215-21-01
Chemical Oxygen
#1 OF
50
mg/L
HACH8000
02/16/2017
Cl_
Demand
170215-21-01
Oil and Grease
91 OF
<5.18
mg/L
EPA1664Reva
02/24/2017
CL
170215-21-01
TSS
#1 OF
62
mg/L
SM W[4 -7997
02/17/2017
CR
170215-21-02
Chemical Oxygen
#2 OF
29
mg/L
HACH8000
02/16/2017
CL
Demand
170215-21-02
Oil and Grease
#2 OF
<5.21
mg/L
EPA16&RevB
02/24/2017
CL
170215-21-02
TSS
#2 OF
7.619
mg/L
SM254061997
02/17/2017
CR
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
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