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HomeMy WebLinkAboutNCG030469_MONITORING INFO_20190218STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. /v 03� DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ aOl� Da ) WYYMMDD January 9, 2019 NC Department of Environment and Natural Resources Division of Water Quality DWQ Central Files 1617 Mail Service Center Raleigh, NC 27669 Re; Stormwater Report Air System Components Tarboro, North Carolina Permit No. NCG030469 Johnson * Controls RECEIVEI- FEB 18 2019 CENTRAL FILE; D1NR SECTION In accordance with our construction and operation Stormwater Permit NCG030469, Section E Reporting Requirements, we hereby submit this report summarizing the Outfall #1 sample results along with the Quantitative and Qualitative Monitoring Reports for the July -December 2018 sampling period. 1, the undersigned, certify that, to the best of my knowledge and belief, the submitted information is true and complete, and that the amounts and values in this report are accurate based on reasonable estimates using data available to those who prepared this report. If you have any questions or comments regarding this report, please contact Tara Carr at (252) 641-5993 or tara.n.carr@jci.com. Sincerely, / C '�- Mark Drabing Plant Manager Johnson Controls Attachment Semi-annual Stormwater Discharge Monitorine Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted II I q CERTIFICATE OF COVERAGE NO. NCG03-0- q_ LL C FACILITY NAME jdanLM CUYTt7Ul5 (A,r {'nmaXtCQ1S) COUNTY �dsjecorllw „ PERSON COLLECTING SAMPLES Tnra l►nr f LABORATORYAAicAii o o- Lab Cert 0 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 20 1?) SAMPLE PERIOD ❑ Jan June [July -Dec or ❑ Monthly' (m!nth) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Na discharge this period?? Outfall No. z Date Sample Collected' (n-,6/dd/Yr) 24-hour ralfibil amount, Inches' a Total Suspended Solids P14 Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Henchnmrb --=-s _ - 100 mg/L or 50 mg/L 6.0 - 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L is mg/L 1 mg/L 12 1B 042 39.15 o. 0 4 o . ooS o . a - < S. 00 ' 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. -'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 TI`O 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 (TfO), 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." `TA rA f" Name (Print name) 1,-AutlytIaC hYA24 UOC.tilflfffr Title (Print title) U Ij- v (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 thg format, "<XX mtt/t", 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 2, 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 Outfafi No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 16" (SGT-HEM} Total Suspended Solids pH Benchmarks 1S mg/L 100 mg/L or SO 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. Permif Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: !f you report a sample value in excess of the benchmark you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PARTB 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 # S ION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEE1kN9ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YESNO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one cony of this DMR lncludina all "No Discharae" reports, within 30 days of receipt of the lab results for at end Qf monhadna period In the core of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." I 9 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 A CCD VR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit, hap, /oortal.ncdennorg/web/wAfws1su%npdessw#tab-4 Permit No.: �+(/S./_/_/_/^//_/_/ or Certificate of Coverage No.: hj/JC/(./-Q/.a/,Q/-/-Lp/2/ Facility Name: JoMbon Ontiv1S fair Sj, to (oOCOMrehtsl County: A Phone No. 0-31)LoLi 1 - 54q 3 Inspector: -I?] v-n on,(,( Date of Inspection: 121 lt4 j lb Time of Inspection: 10' 00 AtM Total Event Precipitation (inches): 0. f (U-4 mi,nUtfS) 1 wi ,%eve%A(nti 2a hour -hAai) 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 even t"or "measureable storm even t"(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 i prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee ' obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: of Permittee or Designee) Pagel of 2 SWU•242, last modified 10/25/2012 1. Outfall Description: Outfall No. i Structure (pipe, ditch, etc.) P►pe �^ Receiving Stream: TAv Q%\Jtl r Describe the industrial activities that occur within the outfall drainage area: rY1el41S nAanu#'a(-WVe - am xWnc 40MMA in5W"O r ' h-AWMe%S skeeN cakiYmvr,u�tn, ecltvearnid 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: W CLY►A A-f6J\Sf-0.re'(1�, ruWo -�JAW ct-ft))nt 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Nore 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: 01 2 3 4 5 7. Is there any foam in the stormwater discharge? es 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 -(Vo 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 Swill-242, Last modified 10/25/2012 Air System Components Ms. Tara Carr 3301 N. Main Street Tarboro, NC 27886 Case Narrative Field pH (by client): 6.5 Analytical Testing Parameters 0MICROBAC4 Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8L0312 Project Name: Air System Components Project I PO Number: MUST HAVE PO TO RELEASE Received: 12/17/2018 Reported: 01 /04/2019 Client Sample ID: Stormwater, grab Sample Matrix: Stormwater Collected By: Carr Lab Sample ID: K8L0312-01 Collection Date: 12/14/2018 10:07 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. 8 Oil r3< Grease (SGT-HEM) <5.00 5.00 mglL 825 01/03/19 1126 TAB Method: SM 2540 D-2011 Total Suspended Solids 38.5 6.25 mg1L 12119/18 1007 MT Metals Result RL Units Note Prepared Analyzed Analyst Method: Metals Aquoous/EPA 200.7 Rev 4.4 1994 Lead <0,005 0.005 mg1L 12119118 1744 12t19118 1744 TAB Zinc 0.176 0.002 mg1L 12/19118 1744 12/19118 1744 TAB Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley Result RL Units Note Prepared Analyzed Analyst Method: EPA200.7 Copper,'Total 0.0864 0.00500 mg1L 12126116 1307 12/26/18 2207 LSJ Definitions B25: <1 Liter of sample analyzed MDL. Minimum Detection Limit RL: Reporting Limit Project Requested Certifications) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Microbac Laboratories, Inc. 2592 Hope Mills Rd 1 Fayetteville, NC 28306 1910.864.1920 p 1 www.microbac.com Page 1 of 3 OMICROBACO Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS KBL0312 Report Comments Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sampla(s) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature is included. Reviewed and Approved By: ': E?ZAX '— CJ Jeanne Overstreet Client Relationship Specialist, Environmental Reported: 01 /04/2019 15:04 Microbac Laboratories, Inc. 2592 Hope Mills Rd 1 Fayetteville, NC 28306 1910.864.1920 p 1 www.microbac.com L Page 2 Of 3 OMICROBAC' Faystta 11 DMdon 2S92 Hope M@a Road - Fayetlarrlllo, NC 28308 (010) 804-1020185"774 fax CHAIN OF CUSTODY RECORD PAGE _1,_ OF __ t • ■ , - r-. Sam� ■©e e■■■■■■■■■ �■■■■■ Lab Inldalay �� `� is Tumaround fts: REGULAR RUM ' t-, e: D oawwft a spatial Hazwdw ] a ph Fl.w: ph Flaw: Wotar Lnsl n IS DATA FOR REG. COMPLIANCE PURPOSE? Twnp fWd 1: Tornp Flald ]: www L "l e2 NO_ YES X NHICH•. jf/���'� D .REV►CIJ"� - ?epe3of3 LPWA AVAPA RMERR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit http l/aortai.ncdenr.org/web/w li lau/ni2dessw#tab-4 Permit Na.: N/C/Cl./A/ / 2%41JI2/1V or Certificate of Coverage No.: Q 3/,{,2/q/(x/n/ Facility Name: , ki Innso 0 ODn't'i U County: Phone No. 9- Inspector: -r rC- 00--f _ - [late of Inspection: 5110116 Time of Inspection: It `,`2-OJW JUN 2 7 18 Total Event Precipitation (inches): 0,3 CENTRAL FILES DWR SECTION Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) P"Y'es ❑ 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 j prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office_ By this signature, I certify that this report is accurate and complete to the best of my knowledge: of Perms or Designee) Page 1 of 2 SWU•244 Last modified 10/25/2012 1. Outfall Description: Outfall No. 1 Structure (pipe, ditch, etc.) PiVE --- Receiving Stream: Tar R%'Ver 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 i (light, medium, dark) as descriptors: no -p-o_kpr 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): ml (Ol odor `--plant Mek+Ue r 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O 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 No 8. Is there an oil sheen in the stormwater discharge? Yes Na 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, last modified 10/25/2012 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG03-t FACILITY NAME . IAWRO n (`0yNrMl S COUNTY PERSON COLLECTING SAMPLES-rCL(a C CLtf LABORATORYV_1tcro)ncLc Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION y R 20 I SAMPLE PERIOD Jan -June [] July -Dec or ❑ Monthw (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 rainfa[i amount, Inches' Total suspended Solids , ` " PH,Total Standard units Copper w 'r; Lead _ Zinc Non -Polar O&G/ 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 D � 2 5//v1�$ 0•3 274.3 rnglc. 8.1 O. o101 0.00235 0.OBLU <5.00 ' 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 5tormwater Pollution Prevention Plan." ra Car( Name (Print name) _tKanuki,sztu-konQ, �c4ng Title (Pr' t title} lot U I I$i IV ( ignature) (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 ma/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 rer 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, Inchee Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =_> _ - 15 mg/L 100 mg/L or SO nWL* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part 6 * 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 5WU-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 rer I, Tier 2, or rer 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 SE ION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK-EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YESO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: N fA S-eW - -tv 07W W (`av�t�-_rti i1e5-arpt��ver1 64 Pzcfh[,Tugr er -:t-I1o10*- Mall an orlainal and one copy of this DMR lncludina all 'No Dischorae' reoorts. within 30 days of receipt of the lab results for at end of monitorina period in the case af. "No Discha e' retrornl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." l7 �kmLt (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 OMICROBAC* Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8E0292 Air System Components Project Name: Air System Components Ms. Tara Carr Project ! PO Number: MUST HAVE PO TO RELEASE 3301 N. Main Street Received: 05/17/2018 Tarboro, NC 27886 Reported: 06/06/2018 Analytical Testing Parameters Client Sample ID: Stormwater, grab Sample Matrix: Stormwater Collected By: Carr Lab Sample ID: K8E0282-01 Collection Date: 05/16/2018 11:20 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil & Grease (SGT-HEM) <5.00 5.00 mglL 05/30/18 1005 TAB Method: SM 2540 D-2011 Total Suspended Solids 27.3 2.50 mglL Analyses Subcontracted to: Microbac Laboratories, Inc. - Ohio Valley 06/21/18 0931 MT Result RL Units Note Prepared Analyzed Analyst Method: E200.8 Copper, Total 0.0181 0.00200 mglL 06/04/18 0830 06104/18 1402 JYH Lead, Total 0.00235 0.00100 mglL 06/04/18 0930 06/04/18 1402 JYH Zinc, Total 0.0826 0.0250 mglL 06/04/18 0830 06104118 1402 JYH Definitions MOIL: Minimum Detection Limit RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments Reviewed and Approved By. Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted, The data and information on this, and other accompanying documents, represents Jeanne Overstreet only the sample(s) analyzed. This report is incomplete unless all pages indicated Project Manager in the footnote are present and an authorized signature is included. jeanne.overstreet®m icrobac.com 0610612018 08:45 Microbac Laboratories, Inc. 2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.mlcrobac.com Page 1 Of 2 Fayetteville Division 2592 Hope Mills Road - Fayetteville, NC 28306 (910) 864-1920, •K8E0292* {*MICROBAC` CHAIN OF CUSTODY RECORD NUNN Tarboro, NG 27886 • .M • C = H2SO4 s = NaOH ,,. Lan ph Field: ph Field; Water Level p1 Temp Field 1: Temp Field 2: Ylfatsr Level 82 Initials-♦ Turnaround time: REGULAR , RUSH Comments or Special Hazards: REVIEWED IS DATA FOR REG- COMPLIANCE P NO YES X WHICH: NCDEN Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted — l 1 Z21 j� CERTIFICATE OF COVERAGE NO. NCG03c) Li cc q SAMPLE COLLECTION YEAR 2_M 4 FACILITY NAME JQOfEDn 00f)±WJ5—A;�&_j__sTenen-I-f . SAMPLE PERIOD ❑ Jan -June July -Dec COUNTY BIWO-Omrp PERSON COLLING SAMPLES �Ct+f C�C'13 x R C or ❑ ASSoMonthly' ❑HQW [:]Trout th❑PNA `C C[�G TO CLASS ORW LABORATORY LAiCNb4J0 C. Lab Cent. # j�N � �t �� 1� ❑❑D#herZero-flow ❑Water Supply ❑SA Comments on sample collection or analysis: �+C 1 0 l7U CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period?z Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&61 Total Petroleum Hydrocarbons Total Toxic Orgatticss 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 A F 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:11/1/2012-30/31/2017 SWU-245, last revised 10/25/2012 Pagel 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." i aYu C�c_r r Name (Print name) Title {Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mvjL". 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, Inchee Non -polar o&G/TPH by EPA 1664 (SI T-HEM) Toil Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or SD 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 firer 3 responses. !See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION $. • 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 EXCEEDEN S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 0 NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES W NO ❑ REGIONAL OFFICE CONTACT NAME: Mall on original and one cony of this DMR, includina all "No DischyMe" reports. within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" renorts7 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." I (pate) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharne Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG03 O 4 to 9 SAMPLE COLLECTION YEAR 201_+ FACILITY NAME h0-gon-k roN S SAMPLE PERIOD Z] Jan -June ❑ july-Dec COUNTY EdQecomr3e or [:]Monthly' imonth) PERSON COLLECTING SAMPLES TiaXA Car Y DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA LABORATORY "i (rm bctc. _ Lab Cert. # RECEIVED ❑❑Zer flow [—]Water Supply [:]SA tt o on sample collection or, analysis: F>- Part A: Stormwater Benchmarks and Monitoring Results JUL 1 0 ZOit CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period?' Outfall No. . _ Date Sample Collected (mo/dd/yr) '24-hour rainfail amount, inches Total Suspended Solids . - � . . _ pH,- Standard units _ .. Copper � �, ` Lead �:. Zinc .. - Non -Polar O&G/ Total Petroleum Hydrocarbons _ Total Toxic Organics s 9enMmorks -- ==> _ - 100 mg/L or 50 nWO 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L is mg/L i mg/L �/a • 1 O.5 i 04038 -Co, 003 0 - 3 45 ~- 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.A2; 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 inducted in the Stormwater Pollution Prevention Plan." Name (Print name) V�1U&C.tu V- I vtc,_&q�r�ee�r Title (Print title) ignature) (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 mtt/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? O►utfall No. Date Sample Collected' (ma/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 (*il 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 FO THE SAME PARAMETER AT ANY ONE OUTFACE? YES�NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: *LeAW r r:► i tiLhP C�'IE Mail an oriainal and one copy of this DMR. includina all 'vNo Discharae"renorts. within 30 days of receipt of the lab results for at end of manitorina period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." qm {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 CERTIFICATE OF COVERAGE NO. NCG03Q Q SAMPLE COLLECTION YEAR aOKo FACILITY NAME SAMPLE PERIOD ❑ Jan -June july-Dec COUNTY � �� or El monthly' (month) PERSON COLLNG SAMPLES :MM (fin Lr b ING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Lab Cert. # I I JAN 13 2017 ❑Zero -flow ❑Water Supply [—]SA Comments on sample collection or analysis: []Other Part A. Stormwater Benchmarks and Monitoring Results CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION No discharge this period?' outfall No. Date Sample Collected 1 (mo/dd/yr) 24-hour rainfall amount, Inches' l Total Suspended Solids pH, Standard units Copper .Lead Zinc Non -Polar O&G/ Total Petroleum Hy#rocarbons Total Toxic s Organlcs Benchmarks - 100 mg/L or SO mg/L 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 I(o " 11o.1 < o wZ co.ob3 0- 016 S. 22 /o/A 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. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving 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: 11/1/2012-10/31/20/17 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." V_E;j Name (Print name) C—AS Title (Pri t titl ( ign ure (Date) Note: Results must be reported in numerical format. Do not re»ort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be 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, lnches3 Non-pola r O&G/TPH by EPA 1664 (SGT-HEM) Tots! Suspended Solids pH Benchmarks =__> - - 15 mg/L 10o 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:11/1/2012-10/31/2017 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 REQUIREMENT'S. SEE PERMIT PART R SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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. includin-a-all 'No Dlschorae' reports, within 30 don of receipt of the lab results for at end of monitoring period In the cam( "Ift Dischame'reparft) 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 d' wily res able for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware tha7ere sign' icant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Penmittee) Permit Date: 11/1/2012-10/31/2017 /4-d- jDate) SWU-245, last revised 10/25/2012 Page 3 of 3 P �CCro3o��j *MICROBACt R E b E I V E D Fayetteville Division JAN 1 3 2017 CENTRAL. FILES Certificate of Analysis DWR SECTION Johnson Controls, Inc. Date Reported: 12/29/16 Ms. Tara Carr Project: Stormwater Sample - Outfall 91 Date Received: 12/20/16 3301 N. Main Street Date Sampled: 12/19/16 Tarboro NC, 27886 Sampled By: Carr Stormwater, grab K6L0899-01 Analyte _ Result Units -- Analyzed Analyzed By, Method Qualifier Analyzed by: Microbac Laboratories, Inc. - Fayetteville Copper <0.005 mg/L 12/21/16 14:14 AC EPA 200.7 Rev 4.4 1994 Lead <0,003 mg/L 12/21/16 14:14 AC EPA 200.7 Rev 4.4 1994 OiI & Grease (SGT-HEM) . 5.27 mg/l. 12/22/16 06:40 JAW EPA 1664 Total Suspended Solids 20.8 mg/L 12/22/16 08:53 SW SM 2540 D-1997 Zinc 0.094 mg/L 12/21/16 14:14 AC EPA 200.7 Rev 4.4 1994 QC Batch Run - (Mlcrobae Laboratories, Inc. - Fayetteville) Anal to Result Units Source RPD Limit Copper 0,246 mg/L K61,0898 2 10 Lead ND mg/L K6L0898 200 Lead ND mg/L K6L0769 200 Lead 0.235 mg/L K61,0898 1 200 Copper 0.240 mg/L K61,0769 9 10 Copper ND mg/L K6L0898 10 Copper ND mg/L K6L0769 10 Copper 0.249 mg/L 0051181 2 200 Lead 0.256 mg/L 0051181 4 200 Zinc 0.275 mg1L K6L0898 1 10 Total Suspended Solids 212 mg/L K61,0920 1 5 Total Suspended Solids 3,20 mg/L K6L0908 13 5 Total Suspended Solids 74.0 mg/L K6L0888 31 5 Lead 0.232 mg/L K6L0769 6 200 Total Suspended Solids 101 mg/L K6L0938 24 5 Zinc 0.462 mg/L K6L0769 6 10 Zinc 0.043 mg/L K61-0898 2 10 Zinc 0.224 mg/L K6L0769 0.4 10 Zinc 0.249 mg/L 0051181 3 200 Microbac Laboratories, Inc. Page 1 of 3 2692 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com *MICROBAC" Fayetteville Division Certificate of Analysis Johnson Controls, Inc. Ms. Tara Carr Project: Stormwater Sample - Outfail #1 3301 N. Main Street Tarboro NC, 27886 Date Reported: 12/29/16 Date Received: 12/20/16 Date Sampled: 12/19/16 Sampled By: Carr State Certifications: Respectfully Submitted NCDNR #II NCDOH #37714 Bonnie K. Sanders, Senior Project Manager Thank you for your business. We invite yourfeedhack on our level of service to you. Please contact the Division Manager, Rob Dermer at 910464-1920 with any questions. You may also contact J. Trevor Nayce, President alpresident@,mimbac.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 I. III Fayette`ri11e� Divisiarl 2592 Hope Mills Road Fayetteville, NC 28306 'I (910) 8641920 f �86 i ' f M I RaBAC`', I*1<10899* i I' i CHAIN OF CUSTODY RECORD i s . ; I�®������ `• iJAlIE S ADDRESS. PO 8 i PROJECT! LOCATION: , � _ 9� ! TYPE .OF ANALYSIS 11 1 _ . !,l l?ltESERVATION (CODE) ' ' I I� co � NO Johnson Controls John 3301 N Main St CWITACrP£RSON: I �, '' �' �I,!_j I'+iie'jl II• } i i Tarp Carr' ilu i ! Hd) + �8'c Tarboro NC 27886 ! i <. i # �!� }., I I ,iP rlr� ! PHONL ' - H2504 (pHSt) + <•C i it t,j i •rIl: i BY. 262) 641 ', O to. r!D NaOH'+a8"C ; -5993 , i li I €IE I�ZN�IIla+ MAMIKETMMOFS"MMT: - 0 �! e, , �I,I,j�l m•r IA #ei f• -Mr4.CQry �I ,i IF.I-H:ai I ;J C�:a oa .n T3 s dtumlThlo i LAS ID # SAMPLE TYPE BATE TITRE ! � c,Ras to '- o c m V ? iII ! Ig' i Cp 1 i REL F: O V N J 'I I.:' 9 i :II:+l t, I Ian, IIiG� `•LRLORINE 5 € Stormwater . f a/ r q j I-0:3op` X �� r= -- � � � d ii III •� ,.s ��I �'�., i, Q.t' is/rq Sop II•''f 11 it E !: I 4 I I Ii i �br. Die Lab Irlt#idl5' ey •��-C'C2:C.e. MIA' ! �� \. ITumameusd time t ` REGULAR Ii a RUSH ; Dim D�8 i s IR I I ii- I r J r Comment or' s6 l:li rds: 3 l.5L51 IaI, I �Thm I: 5 1 t �a ph field. h Field: fi P i I f Ylraterlevel#1 � ( ry I I NATA�FOR!R= OA?LIANGE PURPOSES 7 Field 1: Tmield2: ! OICN NGDENRIWaer Level _ Y r Li I i r I •I 1 • � � �E; � I ! Ida �!�i'!I � fIi I i, I'E`�. Pag a 3'of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted I — 22 — l f CERTIFICATE OF CQVERAGE NO. NCG03 Q FACILITY NAME Q i P, COUNTY l PERSON COLLECTING SAMPLES�� LABORATORY M (420eAL Lab Cert. # I Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR �U SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) "S V &t SS ❑ORW ❑HQW ❑Trout ❑PNA „��"�� ❑Zero -flow ❑Water Supply ❑SA JAN 2 7 2015 [-]Other CENT] ALPlIeWEMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period?z Outfall No. Date Sample Collected" (mo/dd/yr) 24-haur rainfall amount, Inches; Total Suspended solids PH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss 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 , 01 , 0047 .o t ,03 i4 ' 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 outfali, 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 Moc 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." K_E-� Avz: r z L t—,,— Name (Print name) Title {Print title 2 ( ig aturef (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.IL", 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 dischorge this period?z outfail No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, inches" Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B ' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012.10/31/2017 SWU-245, last revised 10/25/2012 Page 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 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: Maii an original and one copyof this D Iincludina all "No Discharge" reports. within 30 Aays o�eceigt of the lab results(or at end of rreriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQCentral Fifes 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MAST SIGN THIS CERTIFICATION FORANY 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 tat the a ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," of Permitteej Permit Date: 11/i/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 OMICROBACS Fayetteville Division Certificate of Analysis Air System Components Date Reported: 12/31/14 Mr. Ken Averill Project: Stormwater Sample - Outfall #1 Date Received: 12/22/14 3301 N. Main Street Date Sampled: 12/22/14 Tarboro NC, 27886 Sampled By: Washington Stormwater, grab K4L0759-01 1_ Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Mi robac Laboratories, Inc. - Fayetteville Copper <0.0100 mg/L 12/31 /14 14:16 JAW EPA 200.7 Rev 4A 1994 Lead 0.00600 mg/L 12/31/14 14:16 JAW EPA 200.7 Rev 4.4 1994 Zinc 0.0680 mg/L 12/31 / 14 14:16 JAW EPA 200.7 Rev 4.4 1994 Oil & Grease (SGT-HEM) 1.03 mg/L 12/23/14 08:53 NCH EPA 1664 B Total Suspended Solids 25.0 mg/L 12/23/14 09:10 JAO SM 2540 D-1997 S 1 QC 88tch Run - (Mierobac Laboratories, Irrc. - Fayetteville) Analyte Result Units Source RPD Limit Lead 0,00200 mg/L K4L0782 200 Total Suspended Solids 36.0 mg/L K4L0771 8 5 Copper 0.0440 mg/L K4L0779 2 200 Copper 0.00800 mg/L K4L0782 0 200 Total Suspended Solids 21.2 mg/L K41-0759 16 5 Lead 0,00200 mg/L K41-0779 200 Zinc 0.0880 mg/L K41-0779 3 15 Zinc 0.0490 mg/L K4L0782 2 15 Notes and Definitions T Sample received improperly preserved 1 incorrect temperature S1 Relative Percent Difference (RPD) outside accepted recovery limits B Detected in the associated Method Blank State Certifications: Respectfully Submitted NCDNR #11 NCDOK #37714 L-a-e�ia� Bonnie K. Sanders, Senior Project Manager Microbac Laboratories, Inc. Page 1 of 3 2692 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 Air System Components Mr. Ken Averill Project: Stormwater Sample - Outfalt #1 3301 N. Main Street Tarboro NC, 27886 Date Reported: 12/31/14 Date Received: 12/22/14 Date Sampled: 12/22/14 Sampled By: Washington Thank you for your business. We invite your feedback on our level ofservice to you. Please contact the Division Manager, Rob D., at 910 SG4-1910 with any questions. You may also contact J. Trevor Bovice, President atpresident@mlcrobac.com Microbac Laboratories, Inc. Page2of3 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com �ICROBA' Fayetteville Division 2592 Hope Mills Road - Fayetteville, NC 28306 (91 p) 864-1920 ! 8W *K4L0759* CHAIN OF CUSTODY RECORD�i�ll���l�l� PAG COUNT NAME & AODMS: Pas JecrlLaaN: CAT1 59C y C— TYPE OF ANALYSIS PRESERVATION CODE Cooe: A = None 33U[ NOIi� CONT CT PEA8aN: r D co 9 = HNO3 (pH<2) + <g°C ��t�C o� �Y C = H2SD4 (pH<2) + cg°C - HaNe O m D = NaDH + <6°C SMPLED By* - a LL 0 E = ZN Acetate + <6*C OD 0 DATE I YETHOO oP SHIPMENT*. F = HCl r G = Sodium Thio LAB ID 0 SAMPLE TYPE GATE TIME COMP GRAB PH FL.ow TEMP GHLpRIXE SULFIDE di r ftwc- it I Iz 2;-P114 [n:l�kj I 1)(K Ix I. 'WA OR F .0 MIN 010 Tfla!I "I pn r�eia: pn Fle1G: Water Level 01 Temp Field is Temp Field 2: Water Level S2 Inlaats,-.► Turnaround time: REGULAR I US Comments or Special Hazards: "+ IS DATA FOR REG. C/GMPLIANC U PO NO YES WHICH: 1C.J1L� 1 V' Page 3 of 3 4 ' 3 r i e � Q f Fayetteville Division Certificate of Analysis Air System Components Date Reported: June 03, 2014 Ms. Shareka Washington Project: Stormwater Sample - dutfall # I Date Received: May 16, 2014 3301 N. Main Street Date Sampled: May 15, 2014 Tarboro NC, 27886 Sampled By: Washington Stormwater, grab 1405424-01 Analyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac - Fayetteville Dlvlsion Oil & Grease HEM SGT <5.00 mg/L 5/27/14 12:30 MSL EPA 1664 Total Suspended Solids 56.7 mg/L 5/20/14 10:01 JTL SM 2540 D-1997 Analyzed by: Microbac Laboratories, Inc. - Ohio Valley Copper, Total 0.0361 mg/L 5/22/14 11:29 JYH E200.8 Lead, Total 0.00307 mg/L 5/22/14 11:29 JYH E200.8 Zinc, Total 0.132 mg/L 5/22/14 11:29 JYH E200.8 QC Duplicate Results Analyte Result Units Source RPD Limit Total Suspended Solids 11.5 mg/L 1405421 27 5 Total Suspended Solids 52.8 mg/L 1405432 38 5 Total Suspended Solids 13.0 mg/L 1405463 17 5 Notes and Definitions U Not detected at or above adjusted sample detection limit State Certifications: NCDNR #11 NCDOH #37714 USDA #3787 Respectfully Submitted - �/�o�r�. l✓L�� Jeanne Overstreet, Project Manage3 Thank you for your business. We invite your feedback an our level ajservice to you. Please contact the Division Manager, Rob Dermer at 910-864-! 920 with any questions. You may also contact J. Trevor Boyce, President at president@microbae.com Microbac Laboratories, Inc. 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f j www.rnicrobac.com Page 1 of 1 RECEIVED IVED Semi-annual Stormwater Discharge Monitoring Report JUL 14 Z014 for North Carolina Division of Water Qu Gty Gene r I Permit No. NC6030000 CENTRAL FILES Date submitted `? DWQIBOG CERTIFICATE OF COVERAGE NO. NCG03L�L k q FACILITY NAME -Ar Sy q,-_m rocyxcy. c'l COUNTY L PERSON COLLE NG SAMPLESX�_� l�l7CtJ�o LABORATORY Lab Cert. # I I Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR a e I SAMPLE PERIOD b9an-tune ❑ 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 ❑ No discharge this period?z Outfall No. Date Sample Collected' Imo/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 SO mg/L L 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L is mg/L 1 mg/L N 5 1. 05" ' 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: 11/1/2012-30/31/2017 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." �,� A LC — Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BOL, <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 Z or rer 3 responses. See General Permit text. Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. F-1 No discharge this period?' Outfall No. Date sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inchee Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =_> - - 15 mg/L 100 mg/L or So 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 PARTS 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 li SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOV IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an arf inal and one cony of this DMR Indudina all "No 01scha e" reports. within 30 days of receipt of the lab re u or at end of monitoring period In the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: " I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there arpsigryficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 11/1/2012-10/31/2017 7 ef-� (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 -