The URL can be used to link to this page

Home My WebLink AboutNCG080261_MONITORING INFO_20190123STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. /v DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS UOC DATE aQoIjoi-a3 YYYYMMDD H Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: ' NICI � D—tan— A1(�ILJ or Certificate of Coverage No.: NICIG1D lkld 1 b 10 16_/ Facility Name: I IQ(- ExO�ess in(- _ County: �._tk-ry-LI�-r�tiC�n� Phone No. G't IO - LI 3 Inspector: Ls STtKen aR Date of Inspection: I By this signature, I certify that this report is accurate and complete to the best of my knowledge: (SignattVe of Perdiiftee or Designee) 1. Outfall Description RECEIVP J,A N 2 3 2 01-9 Outfall No.- QQ 1 Structure (pipe, ditch, etc.) � f rT,� Receiving Stream: , 2oc_i' q � Sh Ck_ c , Describe the industrial activities that occur wiii,in the outfall drainage area: iLLn aA i n lea _r k Da r U.ina lour -I 4u2 1; i S ar) Cl._ 2. Color Describe the color of the discharge using basic colors (red, brown, blue, -etc.) and tint (light, medium, dark) as descriptors: krow r 1 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) vV 4. Clarity Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2 3 4 5 6 7 8 9 10 Page 1 SWU-242-020705 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where I is no solids and 10 is the surface covered with floating solids: i 2 3 4 5 6 7 8 9 10 6.. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 S 9 10 7. Foam Is there any foam in the stormwater discharge? Yes Na S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material (sediment, etc.) at or immediately below the outfall? to. Erosion at Outfall Is there, erosion at or immediately below the outfalI? Yes No. 11. Other Obvious Indicators of Stormwater Pollution List and describe Yes Na Note: 'Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective' action. Page 2 SwU-242-020705 J tffiaoomFVadlvtb SHORMOLD3 ACCSPTW MOMAY- THLMDAY UNTIL 1600 . �Nt1CR08AC' zm+sov,>ffisaa ctWNapa]sraDYoXsoBR �� vz>ti Kc ts�cs mbwk LabRaprAA&mtl kaeoiaA�'d�as+ lvrnsntrmd Ib�r TO l3£�BYAOGROBJo� aiart)bme: curt T-� I G!' stir,.-,r sg D R-Umw is Ic T Nair a drys) ia:a. VPmftafptM 1 Q, •p ___._ . _ Addmui Address: Pn Arn t4[�l � i] O:*hh1 maytam+ evy, sra*., ztp: My, sub, aP: 1 i,rr m ! g me .RS I y �a S? 4aYl, exmAw �� cva an r Yet ft WA consaa cn� [ cone= IiS K, �Ker,ttirf rtaporttype caswara.uafnmaYm Kc IAA r. on. Ke_L1l �l 4 . Twphnn. Ko' Q CY�,�,R��Ji 1 ! y x S __ a�M [ 1 L•vs 1 L ]_ s E ] 1 ] t.�vd t j 7 eDo 'smaRrcart,�ee_�Md 11—n^ wnDoll{u�tpr�aff �vfcxt,crxys�o�"• naxtmyau,da: .ILE!aJl!{d"!. _ __._ Pro.ee _!.o PC NO- � 7yper Sad115otE {3y, mrya, al Wlpa, ut�m w�a � r�owrdWebr f 8as�a Mtdei {6vn• Wasf� w,ms {�1 a� BPS'! • . rrc:':'aa_tYe t�iSi @K f�!?a,i�1?sggK.S ?)!pax �ksaa�!e�saw"�n +araa3 +mar'° PAU 'K9A0053' M.- =BEMIS RAWER. awstim rem rrrrrrrrrmrMrr �v,.� , ..- r■�rrrrr�rrrrrs�rrr�r�r�rrfr �� rr�rrrri ■ ■r � r � � �� r ��r��rrrrr��rrrrrrr■ r��r�rrrrrr�rrr�rrr■ S��r��r�rrrrrrrr�r�rrrr ME MEN MOM MEN SOME IMEMEN UK Oft MEN MIMMMMMMrMMrrrr■ rrr�rrirrrrrrr■�irrrrr�r�r��rr�■ rrr �rrrrrrrr�r�rrr�rr■ rrrrrrrrrr■ MEN MENrWON NOW +irMEN ■�rINS iMEN rNO iiiErrirrrrirrir SOME IME NOW IN MMUMMOMMrrrrrrr�� r�r�■r■�rrrrr�r�r��■r��r�u�rrr�r�r�■�rE�re rrrr�rarrrrrr�rr��■r��r�r��rrrrr�r�-:r�► . �■rr■■■rr■r■r�rrrr�rr�rrrr�rr■�r�r,�r��a - - ■r��rr i. ra A WORM •- _ L•,, 10 .,:� io A +f h -e vw o, _5 per- c�^lC 1►V vv r 44-1 ry-Y oeepce+. T ,3eN+ -fhe l4-k) r,e, cU- 05 c-r rota-sh wa.-�cr os4fad (o.,r *,e j rwrO vva*r- 3U here is 4-he ctyrecfrcl dw r-w crk ' Taylor Express Inc Ms. Lisa Kuykendall Post Office Box 1806 Hope Mills, NC 28348 Analytical Testing Parameters OMICROBACt Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9A0053 Project Name: Stormwater Sample Project 1 PO Number: NIA Received: 01/04/2019 Reported: 01 /16/2019 Client Sample ID: StormWater, Grab Sample Matrix: Stormwater Collected By: Client Lab Sample ID: K9A0053-01 Collection Date: 01/0412019 14:30 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil 8 Grease (HEM) 42.2 5.0 mg1L 01/14119 0900 TAB Method: SM 2540 D-2011 Total Suspended Solids 8.83 Method: SM 4500 H+B-2011 pH at 25 °C 5.5 4.17 mg1L 1.0 pH Units H Definitions H: Analyte was prepared andlor analyzed outside of the analytical method holding time RL: Reporting Limit Report Comments The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature is included. 01/08119 1031 MT 01/09/19 1101 CLB Reviewed and Approved By: Jeanne Overstreet Client Relationship Specialist, Environmental Reported: 01/1612019 15: 56 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 2 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NICI 1!# OI-IQIaI ((p or Certificate of Coverage No.: NIC1G1k1L1C31 D101�1 Facility Name: 12-kay' County: u Tr `E-u—, of Phone No. Ci 10 • Lia 3 .2 11 q -- Inspector: . K-er ldf Date of Inspection: I By this signature, I certify that this report is accurate and complete to the best of niy knowledge: (Sign & of P6dUtee or Designee) 1. Outfall Description 1 �p19 N Outfall No. QQ I Structure (pipe, ditch, etc.) -- Receiving Stream: Describe the industrial activities that occur wi yin the outfail drama a`r`ea:_ RLLn � f�f_n 1, )A . JA c t- f aG` (-1•_ n G J v� •4L-Cl- l i S L) ,-1 r) i 2. Color Describe the color of the dark) as descriptors: using basic colors (red, brown, blue, etc.) and tint (light, medium, 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) 4. Clarity Choose the number which.best describes the clarity of the discharge where 1 is clear and 10 is very cloudy: 1 2' 3 4 5 6 7 8 9 10 SWU-242-020705 Page 1 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: 1 2 3 4 5 6 7 8 9 10 6.. Suspended ,Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where 1 is no solids and 10 is extremely muddy: 1 2 3 4 5 6 7 8 .9 10 7. Foam Is there any foam in the stormwater discharge? Yes No S. Oil Sheen Is there an oil sheen in the stormwater discharge? Yes oNo 9. Deposition at Outfall Is there deposition of material {sedi.rnent, etc.} at or immediately below the outfall? Yes CNDo 10. Erosion at Outfall Is there erosion at or immediately bclow the outfall? Yes ' . No. 11. Other Obvious Indicators of Stormwater ]Pollution List and describe Note: 'Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative bf conditions that warrant ft ither investigation and corrective' action. Page 2 S WU-242-020705 tM I C R 0 B A C Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9A0006 Project Description Waste Water Sample For: Ms. Lisa Kuykendall Taylor Express Inc Post Office Box 1806 Hope Mills, NC 28348 (/ Jeanne Overstreet Client Relationship Specialist, Environmental Thursday, January 10, 2019 Please find enclosed the analytical results for the samples you submitted to Microbac Laboratories. Review and compilation of your report was completed by Microbac Laboratories, Inc. - Fayetteville. if you have any questions, comments, or require further assistance regarding this report, please contact your service representative listed above, certify that all test results meet all of the requirements of the accrediting authority listed within this report. All results for soil samples are reported on a'dry-weight' basis unless specified otherwise. Analytical results for water and wastes are reported on a 'as received' basis unless specified otherwise. A statement of uncertainty for each analysis is available upon request. This laboratory report shall not be reproduced, except in full, without the written approval of Microbac Laboratories. The reported results are related only to the samples analyzed as received. Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.rnicrobac.com Page 1 of 7 *MICROBAC--b Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9A0006 Taylor Express Inc Project Name: Waste Water Sample Ms. Lisa Kuykendall Project 1 PO Number: NIA Post Office Box 1806 Received: 01/02/2019 Hope Mills, NC 28348 Reported: 01/10/2019 Sample Summary Report Sample Name Laborato,L Client Matrix Sample Type Sample Begin Sample Taken Lab Received Wastewater K9A0006-01 Aqueous Grab 01/02/19 10:20 01/02/19 10:40 Page 2 of 7 �MICROBAC`' Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9A0006 Anaiyticai iesting varameters Client Sample ID: Wastewater Sample Matrix: Aqueous Collected By: Client Lab Sample ID: K9A0006-01 Collection Date: 01/02/2019 10:20 Wet Chemistry Result MDL RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil & Grease (HEM) 40.2 5.0 mg1L 01/07119 1001 TAB Method: SM 2540 D-2011 Total Suspended Solids 63.7 8.33 mg/L 01/04/19 1000 MT Method: SM 4500 H+B-2011 pH at 25 °C 4.4 1.0 pH Units H 01/03/19 1504 TAB Method: SM 4500-NH3 G-2011 Ammonia as N 3.77 0.100 mg/L 01/07119 1345 DSK Method: SM 4500-Norg C-2011 Total Kjeldahl Nitrogen 34.2 1.00 mg/L 01104119 0833 TAB Method: SM 5210 B-2011 CBOD > 712.08 mglL G3 01103119 1121 DC Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 3 of 7 VMICROBAC`R Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9A0006 Batch Quality Control Summary: Microbac Laboratories, Inc. - Fayetteville Spike Source %REC Wet Chemistry Result RL Units Level Result %REC Limits Batch KA90018 - Wet Chem Aqueous - SM 5210 B-2011 Blank (KA90018-BLKI) Prepared & Analyzed: 01/03/2019 CBOD ND 2.00 mg1L RPD RPD Limit Notes LCS (KA90018-BSI) _—�---- ��- - _ ---_ - Prepared & Analyzed_01103/2019----___- CBOD 194 2.00 mglL 0-200 Batch KA90019 - Wet Chem Aqueous - SM 4500-Norg C-2011 Blank (KA90019-BLK1) Prepared &Analyzed: 01/04/2019 Total Kjeldahl Nitrogen ND 1.00 mg1L LCS (KA90019-BSI) Prepared &Analyzed: 01/04/2019 Total Kjeldahl Nitrogen 28.6 1.00 mg1L 30.0 95 80-120 Matrix Spike (KA90019-MS1) Source: K9A0027-02 Prepared &Analyzed: 01/04/2019 Total Kjeldahl Nitrogen 11.3 1.00 mg1L 10.0 1.68 97 80-120 Matrix Spike Dup (KA90019-MS01) Source: K9A0027-02 Prepared & Analyzed: 01/04/2019 Total Kjeldahl Nitrogen 11.3 1.00 mg1L 10.0 1.68 97 80-120 0 200 Batch KA90031 - Wet Chem Aqueous - SM 2540 D-2011 Blank (KA90031-BLK1)_ _ Prepared & Analyzed: 01/04/2019 Total Suspended Solids - - - ND 2.50 mglL Blank (KA90031-BLK2) Prepared & Analyzed: 01/04/2019 ..._._....._._.._._.__._...._...._--._.__.___....._.__._._...._-.____-- ._......._-__-- Total Suspended Solids ND 2.50 mg/L Blank (KA90031-BLK3) Prepared &Analyzed. 0110412019 Total Suspended Solids ND 2.50 mg1L Blank (KA90031-BLK4) Prepared & Analyzed: 01104/2019 Total Suspended Solids ND 2.50 mg1L Blank (KA90031-BLKS) - Prepared & Analy_zed:_0110412019 _ — -� �- � � Total Suspended Solids ND- 2.50 mglt LCS (KA90031-BSI) Total Suspended Solids Prepared & Ana 28.3 2.50 mg1L 29.8 Batch KA90044 - Wet Chem Aqueous - SM 4500-NH3 G-2011 01 /04/2019 95 94.5-105.4 _Blank (KA90044-BLKI) - _ Prepared &Analyzed 0110712019__ _ - � -� -� Ammonia as N ND 0.100� mglL Blank (KA90044-BLK2) Prepared & Analyzed: 01/07/2019 Ammonia as N ND 0.100 mg/L Blank_(K_A9_0044-BLK3) _ - - Prepared & Analyzed: 01/07/2019 Ammonia as N ND 0.100- mg/L LCS (KA90044-BS1) _ -0.100 - Prepared -& Analyzed: 0110712019 _ - __ _ - --�- - �----- Ammonia as N2.58 mg1L 2.50 103 90-110 Matrix Spike (KA90044-MS1) Source: K9A0032-04 Prepared & Analyzed: 01/07/2019 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, INC 28306 1910.864.1920 p I www.microbac.com I Page 4 of 7 &)MICROBAC' Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9A0006 Spike Source %REC RPD Wet Chemistry Result RL Units Level Result %REC Limits RPD Limlt Notes Batch KA90044 - Wet Chem Aqueous - SM 4500-NH3 G-2011 Matrix Spike (KA90044-MS1) Source: K9A0032-04 Prepared & Analyzed: 01/0712019 _ _ _ Ammonia as N 4,75 0.100 _ mg/t_ 1.00 3.59 116 90-i10 Matrix Spike Dup (KA90044-MSD1) Source: KSA0032-04 _. ____... ..___......__...____._._._ --- ......._ __ Prepared & Analyzed: 01/0712019 Ammonia.__ as_.N 4.68 0.100 mg1L 1.00 3.59 109 90-110 2 200 Batch KA90046 - Wet Chem Aqueous - EPA 1664 Rev. B Blank (KA90046-BLKI) Prepared & Analyzed: 01/07/2019 Oil & Grease (HEM) ND 5.0 mg1L LCS(KA90046-BSI)_ _ Prepared &Analyzed: 01 /0712019 Oil & Grease (HEM) 34,5 5.0 mg1L 40.8 85 83-101 Matrix Spike (KA90046-MS1) Source: K_9A0014-03 Prepared & Analyzed: 011071201_9 Oil & Grease (HEM) 196 5.0 _ mg1L 84.1 133 75 _ 78-114 Definitions G3: No sample dilution met the requirement of a DO depletion of at least 2.0 mg1L andlor 1.0 mg1L H: Analyte was prepared and/or analyzed outside of the analytical method holding time RL: Reporting Limit RPD: Relative Percent Difference Cooler Receipt Log Cooler ID: Default Cooler Temp: 13.1 °C Cooler Inspection Checklist Ice Present or not required? Yes Shipping containers sealed or not required? Yes Custody seals intact or not required? Yes Chain of Custody (COC) Present? Yes COC includes customer information? No Relinquished and received signature on COC? No Sample collector identified on COC? No Sample type identified on COC? No Correct containers listed on COC? No Correct number of containers listed on COC? No Containers Intact? No COC includes requested analyses? No Enough sample volume for indicated tests received? No Sample labels match COC (Name, Date & Time?) No Samples arrived within hold time? No Correct preservatives on COC or not required? No Chemical preservations checked or not required? No Preservation checks meet method requirements? No VOA vials have zero head space, or not recd.? No Trip Blank(s) Present or not required? No Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 5 of 7 &)MICROBACUO Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K9A0006 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 sample(s) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature is included. Reviewed and Approved By: (�? "Ae— Jeanne Overstreet Client Relationship Specialist, Environmental Reported 011101201917:13 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 6 of 7 KgAO "K9A0006 NacrobzaTVettevM* SHORTHOLDSACCEPM MONDAY-THURSDAYUN77L1013 � KcP• �1 0 MI C RO BAC ` cussoov a> coap � 2M Psysaawy NC xsxa NUUO W .. • . an= h w bast LsbA.I aC tAddmss hvoksAddresa 7urmtcis�d'TTms TDSEGOI�LEFE�BYA4GI06L _ Client Nam. i[eN1Tr EJI�'SS CkenfI•�me; _ "_T r cY��•Y5� [3 e1�wreusrras.darFl Tip. et r�t'�7f�,,'DWMP._-._ _. ... � Admass: 54il El -I -SLO S•.„_ Aims: PO 84Y 14L'_Lc-- - []RUSEPVw t1b]. Ko4AwVMS co aT, Stsa, z kne e sc zz "I City, slats, Trp � M I � ��V G� (na°ded py] 6ampfu [taceh sd on ks7 yes fio NW _ toltacl i�d9sls7ntU7Ys Ho NIA _Conlau; _ Ts mewo-AIr,k4A3•m)114-TslaphcrrNo: �lC}LIA0.�l14 k1� Rrci_ffisonly IIlwgt (]t_.v9211Lwsn I I Level A I ] EDD .A 6snd rLNc Iliad Fa7c( y-d-FexJ. 1r. o La+a c ^" Pp,N'' _ _ q°'nAarw ogoaltam_jL _Li . !_]_^m_I 1_ RMyP _ ..- _B��P�.�lP61t+�_ . _.S?mal�s*Z.+,�r�. �•r�n2�L�;_ - . .. ...�_____ _ _ _... - -• — • Mck'a iypac Boor -Rd (S), sa bVa DY. vu Drl,&4 wsa {pV.ry, am-6 alor PYO scsfacs Waln (sw� was vvwa {v n m4 Lspcm •• pjesrs�Cvs T _� HND3�� H2564.js].FiCt {4] NeOHa S5� Lnc A,ce4,ts, i6] Mclharal�7].8°�t![n.B..ttrf`latri.�6j Sodiumlh4?ss+7ats, �Ha�sm: ![� UiSpresaiYed. _ ...__ ... , . ... . I RBDLPeSM AXALYM - ! Lab>p Ci191A6rmphlD stied QettedConfiLters�TlaC1s� cert�p I P tS'Pre>arYnriv+ AdNofa. j li=vUklvaMcatb I}Kaardow (]Wft4ix A0im (IRadk=tiw 8Y(atmalP* DabgTlma {slgnaaire} DatelTtma bum (] Dispoas &sappmpdz!& L] Rsturn Ll Aachrn BY (s[pexttrs] ' PslslTlme Sylslgnatsrs] - — - Datenims Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 12/18/18 CERTIFICATE OF COVERAGE NO. N0008 0212 FACILITY NAME: Republic Services / Boone COUNTY: Watauga PERSON COLLECTING SAMPLES: Jeff McRee LABORATORY: NA Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR: 2018 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑X Water Supply []SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes x no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall .--Date `ie{Collecteil�.,H p ,Total°Suspended mo tld r �5ohds ,_., 00530 OD4D0 3 0055C� �.�: m L pH;�=�Non`aPolarOilani"Grease/TPH�EPA,Neinr'Mo#orxOilUsage, Standard!units{.Method _.__ ______.. 1664 SGT HEM m L'Annual __ __ ... ___�t avera a al mo .�.._g __. Benchmark`,; .. y.:� 50 0� 100seepermtt! Wrthm'6 D'90 __...._ 7 5 12/14/18 <55 gal/mo Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall� Date 00556:"' 0053000400 No 2 Sample Collected, Non=Polar Qiland;Grease/TPH EPAMethod w �, TotalsSuspertlded!Sotids, pH;� s o%dtl/yr , HEM)._riig/L�.. _r mg/�L Sta ward x po• ifi64..(SGl ;>,.:': ;, units Permit_Limit' 50 ` ;15 pr::lODsee permit,-,, 12/14/18 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date: 12/14/18 (first event sampled) Total Event Precipitation (inches): 1.33 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel 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 pQvalties 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://portal.ncdenr.org/web/wg/ws/su/npdessw##tab-4 SWU-250 last revised April 1 I, 2013 Page 2 of 2 H Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Permit No.: NIC1_&1L1_J1 jQ1A1L11J or Certificate of Coverage No.: NICIG/LL/t/&/01_01D Facility Name: "�Q4Qe- b SSL(lC. County: Cumher•Lhj-Nd Phone No. (QY,' Inspector: I isn KuJ dall Date of Inspection: It q-11 By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permiftee oWesignee) 1, Outfall Description Outfall No. ()() I— Structure (pipe, ditch, etc.) J )i •'i'W Receiving Stream: LL44(-LAn Describe the industrial activities that occur wi�hin the outfall drainage area: 2. Color Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Libb " 3. Odor Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.) KtoKe� 4. Clarity Choose the number which best describes the clarity of the discharge where i is clear and 10 is very cloudy: 1 2 3 4 s 6 7 C $, ) 9 10 Page 1 SA T-242-020705 r. i 5. Floating Solids Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered with floating solids: ' 2 3 4 5 6 7 $ 9 10 6. Suspended Solids Choose the number which best describes the amount of suspended solids in the stormwater discharge where i is no solids and 10 is extremely muddy: 2 3 4 5 6 7 8 9 10 7.�-Foam Is there any foam in the stormwater discharge? Ye No S. Oil Sheen Is there an oil sheen in the'stormwater discharge? Yes No 9. Deposition at Outfall Is there deposition of material {sediment, etc.} at or immediately below the outfall? Yes No 10. Erosion at Outfall Is there erosion at or immediately below the outfall? Yes No. 11. Other Obvious Indicators of Stormwater Pollution List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be indicative of conditions that warrant further investigation and corrective action. Page 2 S WU-242-020705 .�E Phone: 910-738-6190 Shipping: Mailing: Fax: 910-671-8837 2401 W. 51" St. PO Box 589 Email: Pam. hester- TBL Lumberton NC 28358 Lumberton, NC 28359 tbl@hotmail.com TAYLOR EXPRESS PO BOX 1806 HOPE MILLS, NC 28348 ATTN: LISA KUYKENDALL SAMPLE NUMBER - 4039 DATE SAMPLED - 11-9-17 DATE RECEIVED-11-9-17 TIME RECEIVED - 1025 FINAL REPORT OF ANALYSES PROJECT NUMBER:TBL -27991 REPORT DATE:11-20-17 SAMPLE ID - STORM WATER SAMPLER - LISA K. DELIVERED BY - CLIENT SAMPLE MATRIX - WW TIME SAMPLED - 0930 RECEIVED BY - THK PAGE 1 OF 1 QUAL DET. ANALYSIS METHOD DATE RESULT UNITS CODE LIMIT BIOCHEMICAL OXYGEN DEMAND SM5210-B N/R MG/L 2.0 TOTAL SUSPENDED SOLIDS SM2540D 11/9/2017 12.4 MG/L 5.0 AMMONIA NITROGEN SM4500NH3D N/R MG/L 0.1 FECAL COLIFORM SM9222D N/R COL/100ML 1 CONDUCTIVITY SM2510B N/R UMHOS/CM 10 CHEMICAL OXYGEN DEMAND SM5220D N/R MG/L 30.0 PH SM4500 H+B 11/9/2017 6.8 STD UNITS 0.1 VOLATILE SUSPENDED SOLIDS SM2540E N/R MG/L 500 N/R = ANALYSIS NOT REQUESTED LABORATORY DIRECTORv NCDENR DWQ# 37, NCDENR DW # 37781 Company Name/Address: TBL Laboratory P.O. Box 589. Lumberton,NC 28359 Report to: �-- k. Project Description: Phone;' (910) 738-6190 FAX: (910) 671-8837 Collected by: t Collected by (signature): Parked'on Ice N Sample ID Alternate billing informalson: mail m: itylsate obected Client Project #: ESC Key: __\ 6 k ^ 4_1a6 \ SitelFacility ID#: P.O.#: Rush? ( Lab MUST Be Notified) Hate Resul Needed: Same Day ...... .200%a No. Email? _Na Yes Next Day........ 100% Two Day .........50 � /o FAX? No -Yes o[ Cn{ Comp/Grab Matrix* Depth Time rDate Prepared by: ENVIRONMENTAL SCIENCE CORP. = 12065 Lebanon Road - Mt. Juliet, TN 37122 Phone (615) 758-5859 Phone (800) 767-5859 =} FAX (615) 758-5859 Remarks[Contaminant j Sample # (lab only) 116L ILnrr ss Div r} AS LCtiM'RE� �.'P lqc_O_As TO A LJIMA Tay B €€ 0 x..E k-" 'Matrix: S5- SoillSotid. GW - Groundwater VVW - WasteWater DW - Drinking Water OT - Other pH Temp Remarks: Flow other quished (Signature) elfin ed by: igt' t 1e. Date: tl r� Time: C3 ceived by: n Re Signatu Samples returned via: Ij UPS OFedEx }[]Courier 0 Cortddton (la>a usa only) _ '_ s ' Y +� a i Date: Time: Temp ; Bottlas Receivedr 12elii;�uished n4+tpfl1{3 , I ` i �+I� Date: t ^''� Time: � � ��,�;,y� Receroed for tab ioy (Ssgnature)-- f� x � .f '�-..7 4 f >..' � � z. Date T 2'J Time tipH 2 •'�i Checked _ iT e= "rf .}/ t_ ESC ANALYTICAL REPORT November 16, 2017 TBL Laboratory Sample Delivery Group: Samples Received: Project Number: Description: L949977 11/10/2017 TBL-27991 Taylor Express Inc Report To: Pam Hester P.O. Box 589 Lumberton, NC 28359 Entire Report Reviewed By: Darren Reeder Technical Service Representative Results relate only to the Items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except In full, without written approval of the laboratory. Where applicable, sampling conducted by ESC is performed per guidance provided in laboratory standard operating procedures: 060302, 060303. and 060304. m yESCMUM y-�� TABLE OF CONTENTS ONE LAB. NATIONWIDE. cp: cover'- (je Tc: Tabie of Contents 2 Ss: Sample Summary 3 Cn: Case Narrative 4 Sr: Sample Results 5 3Ss STROM WATER L949977-01 5 4Cn Qc: Quality Control Summary 6 Wet Chemistry by Method 1664B 6 r qr Gi: Glossary of Terms 7 Al: Accreditations & Locutions S rQ cl Sc: Sample Chain of Custody 9 E ,AI $c PROJECT: SDG: DATEMME: PAGE: """ .1 '' 2 cf 10 SAMPLE SUMMARY ONE LAB. NAT{ONWIDE. AV Collected by Collected dateltllne Received datOhme STROM WATER L949977-01 WW Lisa K nr09r17 09:30 11/10/17 08;45 C: Method Batch Dilution Preparation Analysis Analyst date/time dateltime =TC Wet Chemistry by Method t664B WG1043404 1 11116117 06:09 1t11611713:51 BMG FCn1 5 Sr 6 QC GI �AIY1 L___I Sc ACCOUNT; PRO IFC:T- Cflr:nnrcm�c�•!-� �.a1n:.x,=� _: r.. �.,:. �_•r-,^=:,::: ��a:�.a..�^�� ,c��r.c._ ��.ur,:f...,r�-s. crrsa��r.��-�r.;�:y,�,��s.�aa::.�a�;��,,,.;�s�sausa,��M_�--.y;.�z -- � �--,,.,. CASE ONE • {. All sample aliquots were received at the correct temperature, in the proper containers, with the appropriate preservatives, and within method specified holding times, unless qualified or notated within the report. All MDL (LOD) and RDL (LOQ) values reported for environmental samples have been ECcorrected for the dilution factor used in the analysis. All radiochemical sample results for solids are reported on a dry weight basis with the exception of tritium, carbon-14 and radon, unless wet weight ❑ was requested by the client. All Method and Batch Quality Control are within established criteria 3Ss except where addressed in this case narrative, a non-conformance form or properly qualified within the sample results. By my digital signature below, I affirm to the best of my knowledge, all pro blemslanomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. El ry FC] Darren Reeder Technical Service Representative JAI f ACCOUNT: PROJECT: S DG: DATEM M E- un r_r- STROM WATER Collected dateltime: 11109117 09:30 Wet Chemistry by Method 1664E Result Ouaiifier Analyte mgll Oil & Grease (Hexane Extr) ND SAMPLE RESULTS - 01 L949977 RDL D'+lution Analysis mgll date 1 time 5.00 1 111161201713.51 Batch WG1043404 ONE LAB. NATIONWIDE, ACCOUNT: PROJECT: SDG DATEMME: --. """" L949977 1111611715:37 PAGE 5 of 11 WG1043404 QUALITY CONTROL SUMMARY orlCl.aL r�aTlorlvdlC:E .$ Wcl Chemistry by Method 1564B L949977-01 Method Bkr;nl<(MB) G"`I (MB) R3266177-1 11A611713.43 ! t MG Result MB Qualifier MR L40L MD RDL Analyze m9fl mgll m911 L11 Qu &Grease (Hexane Extr! D 1�16 6.00 t55 LaLoratoy Control Sample (LCS) • L�.iborc toly Control S 1nTple Dupkale (LCSD) (LCS) R3266177-2 1106117 13:45 • (LCSD) R3266177-3 11h611713,46 SpAeAmount LCSResWt LCSD Result LC5Ret. LODRec. Rec.timits LCSQualirier LCSOQuairer RPD RPD Limits Analyze mg11 mg11 mgll % % % % % Sr Oil S Grease {Hexane Extr) 40,0 38.6 374 96.5 93.5 78.0.114 3.16 20 Al ISE ACCOUNT: PROJECT: SDG: TBL Laboratory TBL-27991 L949977 DATEITIME: 11f16117 15:37 PAGE; 6 of •Lz'•ra._:��i:..y ".1', .�:��.tvasb ',:v:•:.wa..�,a,:.s.n'..w.:�FsssaL::6u.aiLK:i�JFwr:;_�i�-.r�;i�•F'�"�'.vr'�w�E.:.i;.iY:aaE;',7N1N,3,.:`c�J¢�AT!�'L=.ia:C¢Ari:'th'S'�• ,7.-::n... ,..-.- •-„-, t GLOSSARY OF TERMS ONE LAB. NATIONWIOE.E� Guide to Reading and Understanding Your Laboratory Report The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not intended as a comprehensive explanation, and ifyou have additional questions please contact your project representative. Abbreviations and Definitions Cp I `Tc MDL Method Detection Limit. ND Not detected at the Reporting Limit (or MDL where applicable). rSS RDL Reported Detection Limit. Rec. Recovery. a RPD Relative Percent Difference. Cn SDG Sample Delivery Group. u Not detected at the Reporting Limit (or MDL where applicable). s s I' Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported. If the sample matrix contains an interfering material, or if concentrations of analytes in the sample are higher than the G QC Dilution highest limit of concentration that the laboratory can accurately report, the sample may be diluted for analysis. If a value different than t is used in this field, the result reported has already been corrected for this factor. These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal Limits for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or duplicated within these ranges. Qualifier This column provides a letter and/or number designation that corresponds to additional information concerning the result reported. It a Qualifier Is present, a deflnitlon per Qualifier is provided within the Glossdry and Definitions page and ;AI potentially a discussion of possible implications ofthe Qualifier in the Case Narrative if applicable. The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was no measurable result returned for a specific analyte, the result in this column may state -ND" (Not Detected) or"BDL" SC Result (Below Detectable Levels), The information in the results column should always be accompanied by either an MDL (Method Detection Limt) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect of report for this analyte. A brief discussion about the included sample results, including a discussion of any non -conformances to protocol Case Narrative (Cn) observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report. Quality Control This section of the report includes the results of the laboratory quality control analyses required by procedure or Summary (Qc) analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not being performed on your samples typically, but on laboratory generated material, This is the document created in the field when your samples were initially collected. This is used to verify the time and Sample Chain of date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This Custody (Sc) chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the samples from the time of collection until delivery to the laboratory for analysis. This section of your report will provide the results of all testing performed on your samples. These results are provided Sample Results (Sr) by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for each sample will provide the name and method number for the analysis reported. Sample Summary (Ss) This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis. Qualifier Description The remainder of this page intentionally left blank, there are no qualifiers applied to this SDG. ACCOUNT: PROJECT: SDG: DATEITIME: PAGE: ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. V ESC Lab Sciences Is the only environmental laboratoryaccreditecilcertifled to supportyour work nationwide from one location. One phone call, ore polnt oleontact, one laboratory. No other lab Is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network laboratories in our industry. The mast significant benefit 10 our "Cne location" design Is the design of our laboratory campus. The model Is conducive to accelerated productivity, decreasing turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. ' Not all certifications held by the laboratory are applicable to the results reported in the attached report. State Accreditations Alabama 40660 Nevada TN-03-2002-34 Alaska UST-080 New Hampshire 2975 Arizona AZ0612 New Jersey—NELAP TNO02 Arkansas 88-0469 New Mexico TN00003 California 01157CA New York 11742 Colorado TN00003 North Carolina Env375 Conneticul PH-0197 North Carolina OW21704 Florida E87487 North Carolina' 41 Georgia NELAP North Dakota R-140 Georgia' 923 Ohlo—VAP CL0069 #daho TN00003 Oklahoma 9915 Illinois 200008 Oregon TN200002 Indiana C-TN-01 Pennsylvania 68-02979 Iowa 364 Rhode Island 221 Kansas E-10277 South Carolina 84004 Kentucky' 90010 South Dakota n/a Kentucky z 16 Tennessee14 2006 Louisiana A130792 Texas T 104704245-07-TX Maine TN0002 Texas5 LABO152 Maryland 324 Utah 61575B5858 Massachusetts M-TNO03 Vermont VT2006 Michigan 9958 Virginia 109 Minnesota 047-999-395 Washington C1915 Mississippi TN00003 West Virginia 233 Mlssouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A2LA Nebraska NE-OS-15-05 Third Panty & Federal Accreditations A21LA — ISO 17025 1461.01 QLA — ISO 17025' 1461.02 Canada 1461,01 EPA—Crypto TN00003 AIHA-LAP,LLC 100789 DOD 14 61.01 USDA S-67674 r Drinking Water ' Underground Storage Tanks ' Aquatic Toxicity ' ChemlcallMlcrobialogical S Mold N" Accreditation not applicable Our Locations ESC Lab Sciences has sixty-four client support centers that provide sample pickup andlor the delivery of sampling supplies. Ifyou would like assislance from one of our support offices, please contact our main office. ESC Lab sciences performs all testing at our central laboratory. ly - ! 1 •ram r S r L,,r P w • Ito a. Nr.t AR f J _.TX LA Iff ACCOUNT; PROJECT: Sill IDATIFMME; PAGE: a ? . MWMW bon mminwhi: TIIL Laboratory QfTA.11 01 C41 J Pit Box NJ C. lvNcl, 010, :'ll i20r5 lxhalwn kiyld HIM% (�I)j 747•50') FFA W (17 1 -31U 7 J1 FAX 1; 1 15 5S �, —ij Al I j: itl 4-41 Ov- orry. I io. TVA. 0,1� jzLm Mv jq Rcw0,Vcc( Z: L-vER i F-i E T8 0000 MLSCOMA VR E 9 'mair,: SS.L"'-UILIk"ll OT won", 17'f LL w1w V's &WAD, "A"W, w ESCIABISCIENCES f li r,1: ��iti '• SIA"S 1 Cfl' 1 l: nl,r Ettititir+lf'i1F+tnr,f ;,7n: 11�` '117 Itmf'�f:unrr: Apn I4'rrivc,l Iri' : Cl5risfiovr h,wsr ILI .. r 5 Receipt Check List NR Yes No COC Sell Nre.';ent / Inliclr COC Sipned J Accru:rie? [tottl�s :SrfIS�C lfl[Jr.t7 ! Correct bottles Used? 5uflirl�nt volume SCnt? / VOA Zero he�fdspace? S�f45r?N3Li0n COffi'Ci'`.Clll`l'�l.l�� r 2: - -'i'. � ` • • •�� i" a ,r•,