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Home My WebLink AboutNCG030578_COMPLETE FILE - HISTORICAL_20190307STORMWATER DIVISION CODING SHEET NCG PERMITS . PERMIT NO. �V �� 3C) 5 DOC TYPE HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ �D �I D3 YYYYMMDD r Meritech, Inc. Environmental Laboratory C 03 OS- 4 Laboratory Certification No.165 *4 RECEIVED Contact: David Broadus MAR 4 7 2019 Report Date: 11/16/2018 Client.: Ken Garner MFG CENTRAL FILES 8610 Chipboard Rd. CWR SECTION PO#: 6104.40-RHO-991 Rural Hall, NC 27405 Date Sample Rcvd: 10/30/2018 Meritech Work Order # 103018106 Sample: West Outfall #1 Grab 10/27/18 parameters ResWt Analysis Date Reporting Limit Method Total Suspended Solids 5 mg/L 10/31/18 2.5 mg/L SM 2540 D Lead, total <0.010 mg/L 11/2/18 0.010 mg/L EPA 200.7 Oil & Grease (HEM) <5 mg/L 11/5/18 5 mg/L EPA 1664B EPA 608 ' Attached 11/3/18 - 608 EPA 624 Attached 11/1/18 - 624 EPA 625 Attached 11/14/18 - 625 pH 4 S.U. 10/27/18 1.0-14.0 S.U. SM 4500 HB I hereby certify that I have reviewed and approve these data. rTi ot dj=c%,k, Laboratory Representadve 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 Fax.(336)342-1522 i � .. _ 6 ' 1 y .. � �' ' r .. ` ,. '• I r � � i i_ '1 _ o � MERITECH, INC. ENVIRONMENTAL LABORATORIES Laboratory Certification No. 165 Client: Ken Garner MFG Meritech Work Order #: Project: 608 / PCB Analysis: Client Sample: West Outfall # 1 Grab Analyst: Sample Collection: 10/27/2018 EPA 608 - Qreanochlorine Pesticides Parameter Delta - BHC 4,4'-DDE 4,4'-DDT Aldrin Alpha - BHC Alpha Endosulfan I Beta - BHC 4,4'-DDD Chlordane Toxaphene Dieldrin Endosulfan Sulfate Endrin Endrin Aldehyde Gamma - BHC Heptachlor Heptachlor Epoxide Beta - Endosulfan II Methoxychlor PCB -- 1016 PCB —1221 PCB —1232 PCB —1242 PCB —1248 PCB —1254 PCB — 1260 1 hereby certify that I have reviewed and approve these data. Result * 0.001 mg/L < 0.001 mg/L < 0.001 mg/L * 0.001 mg/L < 0.001 mg/L < 0.001 mg/L 0.001 mg/L * 0.001 mg/L < 0.010 mg/L < 0.020 mg/L * 0.001 mg/L < 0.001 mg/L * 0.001 mg/L < 0.001 mg/L < 0.001 mg/L < 0.001 mg/L < 0.001 mg/L * 0.001 mg/L * 0.001 mg/L < 0.005 mg/L < 0.005 mg/L * 0.005 mg/L < 0.005 mg/L * 0.005 mg/L < 0.005 mg/L E 0.005 mg/L 103018106 11/3/2018 R&A .Laboratory Rcpresentative 642 Tamco Road * Reidsvillo, NC 27320 (336) 342-4748 Ph * (336) 342-1622 Fax ', r •'; • . � ,� • .� � .. , �_ �� .. ., y � 1 . ' 1 I i �s:. � .. � y s � -> .� r - � � � . . }• � .. Client: Project: MERITECH, INC. Environmental Laboratories Laboratory Certification #165 Ken Garner Manufacturing Meritech ID#: 103018106 624.1 Client Sample ID: West Outfall # 1 Sample Collection: 10/27/18 Analysis: 11 /01118 Analyst: VWV Dilution Factor: I Report Date: 11/06/18 EPA 624.1 VOLATILE ORGANICS Parameter Result Benzene < 1.00 ug/L Dichiorobromomethane < 1.00 ug/L Bromoform < 1.00 ug/L Methyl Bromide < 5.00 ug/L Carbon Tetrachloride < 1.00 ug/L Chlorobenzene < 1.00 ug/L Chloroethane < 5.00 ug/L 2-Chloroethyl vinyl ether < 5.00 ugIL Chloroform < 1.00 ug/L Methyl Chloride <5.00 ug/L Chlorodibromomethane < 1.00 ug/l, 1,2-Dibromoethane < 1.00 ug/L i,1-Dichloroethanc < 1.00 ug/L 1,2-Dichloroethane < 1.00 ug/L 1,4-Dichlorobenzene < 1.00 ug/L 1,2-Dichlorobenzene < 1.00 ug/L 1,3-Dichlorobenzene < 1.00 ug/L ],I-Dichloroethylene <1.00 ug/L trans-1,2-Dichloroethylene < 1.00 ug/L 1,2-Dichloropropane < 1.00 ug/L cis-1,3-Dichloropropylene < 1.00 ug/L trans- I,3-Dichloropropylene < 1.00 ug/L Ethyl benzene < 1.00 ug/L Methylene chloride < 1.00 ug/L 1,1,2,2-Tetmchloroethane < 1.00 ug/L Tetrachloroethylene < L00 ug/L Toluene < 1.00 ug/L 1,1,1-Trichloroethane < 1.00 ug/L 1,1,2-Trichloroethane < 1.00 ug/L Trichloroethylene < 1.00 ug/L Trichlorofluoromethane < 5.00 ug/L Vinyl chloride < 5.00 ug/L Additional Compounds Acrolein <50.0 ug/L Acrylonitrile <10.0 ug/L. I hereby certify that I have reviewed and approve these data. 642 Tamco Road * Reidsville, NC 27320 (336) 342-47488 * info@rneritechiabs.com L '_ � � .. � � ` , � � < � w . i. � .J _ � . 1. �1 i � !� �. 1 �i + ,'. � f � t .. � ' ' � ♦' .i �� ' + � �.' � i ' 1 _ ,4: MERITECH, INC. Environmental Laboratories Laboratory Certificate #165 Client: Ken Gamer MFG. Meritech ID#: 103018106 Project: 625 Analysis: 11/15/18 Client Sample ID: West Outfall #1 Extraction: 10/31/18 Sample Collection: 10/27/18 Analyst: PM Report Date: 11/15/18 Dilution Factor: 1 EPA 625.1 SEMIVOLATILE ORGANICS Parameter Result Parameter Result Acenaphthene <10 ug/L Fluoranthene <10 ug/L Acenaphthylene <10 ug/L Fluorene <10 ug/L Anthracene <10 ug/L Hexachlorobenzene <10 ug/L Benzidine <50 ug/L Hexachlorobutadiene <10 ug/L Benzo(a)anthracene <10 ug/L Hexachlomcyclopentadiene <50 ug/L Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L Benzo(b)fluoranthene <10 ug/L lndeno(1,2,3-cd)pyrene <I0 ug/L Benzo(k)fluoranthene <10 ug/L, lsophorone <10 ug/L Benzo(g,h,i)perylene <10 ug/L 2-Methylnaphthalene <10 uglL Benzyl butyl phthalate <10 ug/L Naphthalene <10 ug/L Bis(2-chloroethoxy)methane <10 ug/L Nitrobenzene <10 ug/L Bis(2-chloroethyl)ether <10 ug/L N-Nitrosodimethylamine <10 ug/L, Bis(2-chloroisopropyl)ether <10 ug/L N-Nitrosodi-n-propylarnine <10 ug/L Bis(2-ethylhexyi)phthalate <10 ug/L N-Nitrosodiphenylamine <10 ug/L 4-Bromophenyl phenyl ether <10 ug/L Phenanthrene <10 ug/L 2-Chloronaphthatene <10 ug/L Pyrene <10 ug/L 4-Chlorophenyl phenyl ether <10 ugIL 1,2,4-Trichlorobenzene <10 ug/L Chrysene <10 ug/L Dibenzo(a,h)anthracene <10 ug/L 4-Chloro-3-methyiphenol <10 ug/L 1,2-Dichlorobenzene <10 ug/L 2-Chlorophenol <10 ug/L 1,3-Dichlorobenzene <10 ug/L 2,4-Dichlorophenol <10 ug/L 1,4-Dichlorobenzene <10 ug/L 2,4-Dimethyiphenol <10 ug/L 3,Y-Dichlorobenzidine <50 ug/L 2,4-Dinitrophenol <50 ug/L Diethyl phthalate <10 ug/L 4,6-Dinitro-2-methylphenol <50 ug/L Dimethyl phthalate <10 ug/L 2-Nitrophenol <10 ug/L Di-n-butyl phthalate <10 ug/L 4-Nitrophenol <50 ug/L 2,4-Dinitrotoluene <10 ug/L. Pentachlorophenol <50 ug/L 2,6-Dinitrotoluene <10 ug/L Phenol <10 ug/L. Di-n-"I phthalate <10 ug/L 2,4,6-Trlchlorophenol <10 ug/L. 1,2-Diphenylhydrazine <10 ug/L. I hereby certify that I have reviewed and approve these data. /y,i f L Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 3424748 * lnfo@meritechlabs.com c Meritech, Inc. 0 3 os 7 Environmental Laboratory Laboratory Certification No.165 I . - Ai RECEIVED Contact: David Broadus JAN 31 2017 Report Date: 12/27/2016 Client: Ken Garner MFG 8610 Chipboard Rd. CENTRAL FILES PO#: 6102.40-RHO-137 Rural Hall, NC 27405 CWR SECTION Date Sample Rcvd: 12/7/2016 Meritech Work Order # 12071674 Sample: West Outfall #1 Grab 12/6/16 Parameters ResUl Analysis Date Reporting Lim Method Total Suspended Solids 36 mg/L 12/13/16 2.5 mg/L SM 2540 D Lead, total <0.010 mg/L 12/21/16 0.010 mg/L EPA 200.7 Oil & Grease (HEM) c5 mg/L 12/9/16 5 mg/L EPA 1664A EPA 608 Attached 12/20/16 - 608 EPA 624 Attached 12/12/16 - 624 EPA 625 Attached 12/20/16 - 625 PH 4 S.U. 12/6/16 1.0-14.0 S.U. SM 4500 HB I hereby certify that I have reviewed and approve these data. a . 4�" Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 �, � � • r. �> •� ... .. � s MERITECH, INC. ENVIRONMENTAL LABORATORIES Laboratory Certification No. 165 Client: Ken Garner MFG Meritech Work Order #: Project: 608 / PCB Analysis: Client Sample: West Outfall 91 Grab Analyst: Sample Collection: 12/06/2016 EPA 608 - Or anochlori.ne Pesticides Parameter Result Delta - BHC < 0.001 mg/L 4,4'-DDE < 0.001 mg/L 4,4'-DDT < 0.001 mg/L Aldrin < 0.001 mg/L Alpha - BHC < 0.001 mg/L Alpha Endosulfan I < 0.001 mg/L Beta - BHC < 0.001 mg/L 4,4'-DDD < 0.001 mg/L Chlordane < 0.010 mg/L Toxaphene < 0.020 mg/L Dieldrin < 0.001 mg/L Endosulfan Sulfate < 0.001 mg/L Endrin < 0.001 mg/L Endrin Aldehyde < 0.001 mg/L Gamma BHC < 0.001 mg/L Heptachlor < 0.001 mg/L Heptachlor Epoxide < 0.001 mg/L Beta - Endosulfan 11 < 0.001 mg/L Methoxychlor < 0.001 mg/L PCB —1016 < 0.005 mg/L PCB —1221 < 0.005 mg/L PCB -- 1232 < 0.00E mg/L PCB —1242 < 0.005 mg/L PCB —1248 < 0.005 mg/L PCB —1254 < 0.005 mg/L PCB —1260 < 0.005 mg/L 12071675 12/19/2016 R&A I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 3424748 Ph * (336) 342-1522 Fax „r � � Client: Project: MERITECH, INC. Environmental Laboratories Laboratory Certification #F165 Ken Gamer Manufacturing Meritech iIDI$: 12071674 624 Client Sample 1D: West Out -fall # I Sample Collection: 12/06/16 Analysis: Analyst: Dilution Factor: Deport Date: EPA 624 VOLATILE ORGANICS Parameter Result Benzene < 1.00 ug/L Diehlorobromomethane < 1.00 ug/L Bromoform < 1.00 ug/L Methyl Bromide < 5.00 ug/L Carbon Tetrachloride < 1.00 ug/L Chlorobenzene < 1.00 ug1L Chloroethane < 5.00 ug/L 2-Chloroethyl vinyl ether < 5.00 ug/L Chloroform < 1.00 ug/L Methyl Chloride < 5.00 ug/L Chlorodibromomethane < 1.00 ug/L 1,2-Dibromoethane < 1.00 ug/L 1,1-Dichloroedme < 1.00 ug/L 1,2-Dichloroethane < 1.00 uglL 1,4-Dichlorobenzene < 1.00 ug/L 1,2-Dichlorobenzene < 1.00 ug/L 1,3-Dichlorobenzene < 1.00 ug/L 1,1-Dichloroethylene < 1.00 ug/L trans-1,2-Dichloroethylene < 1.00 ug/L 1,2-Dichloropmpane < 1.00 ug/L cis-1,3-Dichloropropylene < 1.00 ug/L trans-1,3-Dichloropropylene < 1.00 ug/L Ethyl benzene < 1.00 ug/L Methylene chloride < 1.00 ug/L 1,1,2,2-Tetrachloroethane < 1.00 uglL Tetrachloroethylene < 1.00 u9/1., Toluene 2.90 ug/L I,1,1-Trichloroethane < 1.00 ug/L 1,1,2-Trichloroethane < 1.00 ug/L Trichloroethylene < 1.00 ug/L Trichlorofluorornethane < 5.00 ug/L Vinyl chloride < 5.00 ug/L _Additional Compounds Acrolein <50.0 ug/L Acrylonitrite <10.0 ug/L I hereby certify that I have reviewed and approve these data. 12/12116 VWV 12/15/16 Laboratory Representative 642 Tameo Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax MERITECH, INC. Environmental Laboratories ' Laboratory Certificate #165 Client: Ken Garner Mfg. Meritech 1D#: 12071674 Project: 625 Analysts: 12120/16 Client Sample 1D: Outfail 1 West Extraction: 12/12/16 Sample Collection: 12/06//16 Analyst: PM Dilution Factor: I EPA 625 SEMIVOLATILE ORGANICS Parameter Result Parameter Result Acenaphthene <10 uglL Fluoranthene <10 ug/L Acanaphthylene <10 ug/L Fluorene <10 ug/L Anthracene <10 ug/L Hexachlorobenzene <10 ug/L Benzidine <50 ug/L Hexachlorebutadiene <10 ug/L Benzo(a)anthracene <10 ug/L Hexachlorocyclopentadiene <50 ug/L Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L Benzo(b)fluoranthene <10 ug/L Indeno(1,2,3-cd)pyrene <10 ug/L Benzo(k)t]uoranthene <l0 ug/L Isophorone <10 ug/L Benzo(g,h,i)perylene <10 ug[L 2-Methylnaphthalene <10 ug/L Benzy] butyl phthalate <10 ug/L Naphthalene <10 uglL Bis(2-chioroethoxy)rnethane <10 ug/L Nitrobenzene <10 ug/L Bis(2-chloroethyl)ether <10 ug/L N-Nitrosodimethylamine <10 ug/L Sis(2-chloroisopropyl)ether <10 ug/L N-Nitrosodi-n-propylamine <10 ug/L Bis(2-ethylhexyl)phthaiate < 10 ug/L N-Nitrosodiphenylamine <10 ug/L 4-Bromophenyl phenyl ether <10 ug/L Phenanthrene <10 ug/L 2-Chlownaphthalene <10 ug/L Pyrene <10 ug/L 4-Chlorophenyl phenyl ether <10 ug/L 1,2,4-Trichlorobenzene <10 ug/L Chrysene <10 ug/L Dibenzo(a,h)anthracene <10 ug/L 4-Chloro-3-methylphenol <10 ug/L 1,2-Dichlorobenzene <10 ug/L 2-Chlorophenol <10 ug/L 1,3-Dichlorobenzene <10 ug/L 2,4-Dichlorophenol <10 ug/L 1,4-Dichlorobenzene <10 ug/L 2,4-Dimethylphenol <10 ug/L 3,3'-Dichlorobenzidine <50 ug/L 2,4-Dinitrophenol <50 ug/L Diethyl phthalate <10 ugIL 4,6-Dinitro-2-methyiphenol <50 ug/L Dimethyl phthalate <10 ug/L. 2-Nitrophenol <10 ug/L Di-n-butyl phthalate <10 ug/L 4-Nitrophenol <50 ug/L 2,4-Dinitrotoluene <10 ug/L Pentachlorophenol <50 ug/L 2,6-Dinitrotoluene <10 ug/L Phenol <10 ug/L Di-n-ectyl phthalate <10 ug/L 2,4,6-Trichlorophenol <10 ug/L 1,2-Diphenylhydrazine <10 ug/L i hereby certify that I have reviewed and approve these data, 1, - &et� Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-9 522 Fax I � � •. .. � 1 � � • ,r ' :_ r -. .� Chain of Custody Record (COC) NPDES#: A1--$ G , 1' �,`me— Phone: 75 [ -N me41(0 Address: (6�0 (t.�: ��,�� ` Fax.. 04 L- ��.NZ.� g� —mo,� Z�+04 Email: d rnAJUS P.�kC,�► M�� Project: P.O.#: {D�EiZ• �77 Attention: Turn Around Time` How would you like your report sent? *RUSH work needs prior approval_ Circle all that apply: Email (preferred), Fax, Mail Std lOda s) 2 M E RITECH INC.ClJent: 1 . ENVIRONMENTAL LABORATORIES i' 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechlabs.com www.meritechlabs.com Sample Location and/or !Q # Sampling Dates &Times o Persn Taking Sample (Sign/Print): � ` Lab use only Start End Comp? Grab? #of Cont. Test(s) Required on Ice?,.yes / No��.- pH OK? p � Cl OK? D(ate Time Date ly/W r �l�I► �'f +�+ A6 7Time 1 L Of r+ 1 4 GM�6g F- A 414 67S q(- Temperature Upan Receipt: Method of Shipment: "*` Dechlorination (<0.5 m) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field priorto preservation. Comments: Compositor # UPS Jug # Fed Ex Are these results for regulatory purposes? Yes 15 No Report results in: mg/t mg/kg ug/L Hand Delivery Relinq h d b : Date: Time: Rec 7 e: Time: = Other Reli wished by: Time: Z= Received b Date: Time: Re nqu" d by: ate: Time: Time• latrt y� y ems_ ... � _• ... � , ., `__ _ � ' � : j ... • � _ -i _ + _ - ___ .. .. .. a �� t � � .' �, 1 .. .. . l ' � ' S � i j� � � , __ ....' ._ _ .__ _ ... ...._ s __ _.._ .. �—.. _ _ __ . __ _ ... .. i { r ' � ; � - _ � , V,eCr • Meritech, Inc. Environmental Laboratory LaboratoryCertilncation 5 } _V N4� 2 � 2015 Contact: David Broadus CENTRAL �tiLEs Report Date: 11/18/2015 Client: Ken Garner MFG pWR SECTION 8610 Chipboard Rd. PO#: 6120.40-RHO-2 Rural Hail, NC 27405 Date Sample Rcvd: 10/28/2015 Meritech Work Order # 102815146 Sample: West Outfall #1 Grab 10/27/15 ParaMgters Resent Analysis Qatg Repo.Mfing Limit Mgthod Total Suspended Solids 7 mg/L 10/30/15 IS mg/L SM 2540 D Lead, total <0.010 mg/L 11/5/1S 0.010 mg/L EPA 200.7 Oil & Grease (HEM) a5 mg/L 11/9/15 5 mg/L EPA 1664A EPA 608 Attached 11/2/15 - 608 EPA 624 Attached 11/2/15 - 624 EPA 625 Attached 11/5/15 - 625 pH 6.3 S.U. 10/27/15 1.0-14.0 S.U. SM 4500 HB I hereby certify that 1 have reviewed and appr ove these data. -ear Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 •14 .. 1 - 3 � _ 5 s „ _ � _ - "' _. i ' ; ".. � Y. � � - p: t ._ f � _ � n i .. . r a .. a ,. 4 w �. ' � ^ _ i \��S .. � � • � �_ r 1 1 '1 ..• I ' • �' .. � •~ 7 � � .. � V i e X � ._ � - ,� � . � .� r�. ' � � . - 5 ` � � � � `.. (' � � _ •. L r, I MERITECH, INC. - ENVIRONMENTAL LABORATORIES Laboratory Certification No. 165 Client: Ken Garner N FG Meritech Work Order #: Project: 6081 PCB Analysis: Client Sample: West Outfall 91 Analyst: Sample Collection: 10/27/15 EPA 608 - Organochlorine Pesticides Parameter Result Delta - BHC < 0.001 mg/L 4,4'-DDE < 0.001 mg/L 4,4'-DDT < 0.001 mg/L Aldrin < 0.001 mg/L Alpha - BHC < 0.001 mg/L Alpha Endosulfan I < 0.001 mg/L Beta - BHC < 0.001 mg/L 4A'-DDD < 0.001 mg/L Chlordane < 0.010 mg/L Toxaphene < 0.020 mg/L Dieldrin < 0.001 mg/L Endosulfan Sulfate < 0.001 mg/L Endrin < 0.001 mg/L Endrin Aldehyde < 0.001 mg/L Gamma - BHC < 0.001 mg/L Heptachlor < 0.001 mg/L Heptachlor Epoxide < 0.001 mg/L Beta - Endosulfan II < 0.001 mg/L Methoxychlor < 0.001 mg/L PCB —1016 < 0.005 mg/L PCB — 1221 < 0.005 mg/L PCB — 1232 < 0,005 mg/L PCB —1242 < 0.005 mg/L PCB —1254 < 0.005 mg/L PCB — 1260 < 0.005 mg/L 102815146 11102/I 5 R&A I hereby certify that I have reviewed and approve these data. r &(� Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 3424748 Ph * (336) 342-1522 Fax .. ;• 1 � � � � ' � . � • �: r - � - i b, .. � _ MERITECH, INC. Environmental Laboratories Laboratory Certification #165 Client: Ken Cramer Manufacturing Meritech ID#: 102815146 Project: 624 Analysis: 11/02/15 Client Sample ID: West Outfall # 1 Analyst: VWV Sample Collection: 10/27/15 Dilation Factor: 1 Report Date: 11/04/15 EPA 624 VOLATILE ORGANICS Parameter Result Benzene < I.00 ug/L Dichlorobromomethane < 1.00 ug/L, Bromoform < 1.00 ug/L Methyl Bromide < 5.00 ug/L Carbon Tetrachloride < 1.00 ug/L Chiorobenzene < 1.00 ug/L Chloroethane < 5.00 ug/L 2-Chloroethyl vinyl ether < 5.00 ug/L Chloroform < 1.00 ug/L Methyl Chloride < 5.00 ug/L. Chlorodibromomethane < 1.00 ug/L 1,2-Dibromoethane < 1.00 ug/L, I,l-Dichloroethane < 1.00 ug/L 1,2-Dichloroethane < 1.00 ug/L 1,4-Dichlorobenzene < 1.00 ug/L 1,2-Dichlorobenzene < 1.00 ug/L 1,3-Dichlorobenzene < 1.00 ug/L I,I-Dichloroethylene < 1.00 ug/L trans- I,2-Dichlorocthylene < 1.00 ug/L 1,2-Dichloropropaune < 1.00 ug/L cis-1,3-Dichloropropylene < 1.00 ug/L trans-1,3-Dichloropropylene < 1.00 ug/L Ethyl benzene < 1.00 ug/L Methylene chloride < 1.00 ug/L 1,1,2,2-Tetrachloroethane < 1.00 ug/L Tetrachloroethylene < 1.00 ug/L Toluene < 1 AO ug/L I,I,1-Trichloroethane < 1.00 ug/L 1.1,2-Trichloroethane < 1.00 ug/L T'richloroethylene < 1.00 ug/L Trichlorofluoromethane < 5.00 ug/L Vinyl chloride < 5.00 ug/L, Additional Compounds Acrolein < 50.0 ug/L Acrylonitrile < 10.0 ug/L I hereby certify that I have reviewed and approve these data_ U . Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax _ _� :S .. � �.c MERITECH, INC. -, Environmental Laboratories W- Laboratory Certificate #165 Client: Ken Garner Mfg. Meritech ID#: 102815146 Project: 625 Analysis: 11/05/15 Client Sample ID: Outfall I West Extraction: I 1/02/15 Sample Collection: 10/27/15 Analyst: PM Dilution Factor: I EPA 625 SEMIVOLATILE ORGANICS Parameter Result Parameter Result Acenaphthene <10 ug/L Fluoranthene < 0 ug/L Acenaphthylene <10 ug/L Fluorene <10 ug/L Anthracene <10 ug/L Hexachlorobenzene <10 ug/L Benzidine <50 ug/L Hexachlorobutadiene <10 ug/L Benzo(a)anthracene <10 ug/L Hexachlorecyclopentadiene <50 ug/L Benzo(a)pyrene <10 ug/L. Hexachlomedwe <I0 ug/L Benzo(b)fluoranthene <10 ugfL indeno(1,2,3-cd)pyrene <10 ug(L Benzo(k)fluoranthene <10 ug/L Isophorone <10 ug/L Benzo(g,h,i)perylene <10 u91L 2-Methylnaphthalene <10 ug/L. Eknzyi butyl phthalate <10 ug(L Naphthalene <10 ug/L. Bis(2-chloroethoxy)methane <10 ug/L, Nitrobenzene <10 ug/L Bis(2-chloroethyl)ether <10 ug/L N-Nitrosodimethylamine <10 ug/L Bis(2-chloroisopropyl)ether <10 ug/L N-Nitrosodi-n-propylamine <10 ugIL Bis(2-ethylhexyl)phthalate < ]0 ug/L N-Nitrosodiphenylamine <10 ug/L 4-Bromophenyl phenyl ether <10 ug/L Phenanthrene <10 ug(L 2-Chloronaphthalene <10 ug/L Pyrene <10 ug/L 4-Chlorophenyl phenyl ether <10 ug/L 1,2,4-Trichlorobenzene <10 ug/L Chrysene <10 ug/L Dibenzo(a h)anthracene <10 ug/L 4-Chloro-3-methylphenol <10 ug/L 1,2-Dichlorobenzene <10 ug/L 2-Chlorophenol <10 ug/L 1,3-Dichlorobenzene <]0 ug/L, 2,4-DichlorophenoI <10 ug/L I,4-Dichlorobenzene <10 ug/L 2,4-Dimethylphenoi <10 ug/L 3,3'-Dichloroben2idine <50 ug(L, 2,4-Dinitrophenol <50 ugfl, Diethyl phthalate <10 ug/L, 4,6-Dinitro-2-methylphenol <50 ug/L Dimethyl phthalate <10 ug/L. 2-Nitrophcnol <10 u!?,/L. Di-n-butyl phthalate <10 ug/L 4-Nitrophenol <50 ug/L 2,4-Dinitrotoluene <10 ug/L Pentachlorophenol <50 ug/L, 2,6-Dinitrotoluene <10 ug/L Phenol <10 ug/L Dk-octyl phthalate <10 ug/L 2,4,6-Trichlorophenol <10 ug(L l,2-Diphenylhydrazine <10 u_z(l. I hereby certify that I have reviewed and approve these data. if . w Laboratory Representative 642 Tamco Road `` Reidsville, NC 27320 (336) 342-4748 Ph - (336) 342-1522 Fax 1-10,2013 Chain of Custody Record'�(COC) NPDESH: Client: ' 'Phone: 3°S(9.01 °l•Dallio _ Address: a� Fax: 33ie.A&%Cj, 04I,_..___-, �. al `HA11 MOL aQ45 Emai1:83frny NgA MW9 Project: P.01: -LO Attention: Turn Around Time* How would you like your report sent? `FLUSH work needs prior approval, Circle all that apply: Email (preferred) , Fax, Mail Std ]Oda s} 3 5 Da s ZQ - QB Hrs M E DKOTECH, INC. ENVIRONMENTAL LABORATOi IES 642 Tamco.Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com www , m e ritec h- I a bs . c 01 I m I Sample Location and/or ID # Sampling Dates & Times Person Taking Sample (Sign/Print): Lab Use Only Start End Comp? Grab? 4 of Cont. Test(s) Required ss On Ice? O / No e pH OK? CI OK? Date roz-4. ► Time 10M Date ttz44 Time z: D LVA _ e- d, -3 Temperature Upon �yece� G C (/ , Method of Shipment: Dechlorination J<05 m of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. ' •• Comments: Compositor 11 JJug i1 ❑ UPS ❑. Fed Ex Are these results for reg tory purposes? Yes El' No ❑ Report results in: mg/L ❑, mg/kg 0` ug/L : EJ Hand Delivery Relinqui b • bate Time: . �p .15 �- Re ve y j 6 tc: Time: pqd.? ,S— �a.Ys- -1 - ether R 3' a by: - rate, e. Tines 1 1,2 d Tr Received by: Date: Time: Retinquished by: Date: Time: R eived by L< C) ` Vt. Ti e: 1 ], "'p, k_, v ��: .' _ . _ ., ,. ,— � ;• r a • � r � � , ' ` _ G- Meretech, Inc. Ne 0 3 02s? Environmental Laboratory Laboratory Certification No. 165 RECEIVED Contact: David Broadus APR 2 1 20j5 Report Date: 4/14/20I5 Client: Ken Garner MFG CENTRAL FILES 8610 Chipboard Rd. DWR SECTION PO#: 6124.40-RHO-1 Rural Hall, NC 27405 Date Sample Rcvd: 3/30/2015 Meritech Work Order # 03301501 Sample: West Outfall #1 Grab 3/27/15 Parameters Result Analysis Date Reggrting Lim! Metbgd Total Suspended Solids 9 mg/L 4/1/15 2.5 mg/L SM 2540 D Lead, total <0.010 mg/L 4/3/15 0.010 mg/L EPA 200.7 Oil & Grease (HEM) <5 mg/L 4/6/15 5 mg/L EPA 1664A EPA 608 Attached 4/7/15 - 608 SPA 624 Attached 3/31/1.5 - 624 EPA 625 Attached 4/2/15 - 625 pH 6.3 S.U. 3/27/15 1.0-14.0 S.U. SM 4500 HB I hereby certify that I have reviewed and approve these data. _ 4 Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERITECH, INC. ENVIRONMENTAL LABORATORIES Laboratory Certification No. 165 Client: Ken Garner Mfg Meritech Work Order #: 03301501 Project: 608 / PCB Analysis: 04/08/2015 Client Sample: West Outfall #1 Analyst: Summit Sample Collection: 03/30/20I5 EPA 608 - OrLyanochlorine Pesticides Parameter Result Delta - BHC < 0.2 ug/L 4,4'-DDE < 0.2 ug/L 4,4'-DDT < 0.2 ug/L Aldrin < 0.2 ug/L Alpha - BHC < 0.2 ug/L Alpha Endosulfan I < 0.2 ug/L Beta - BHC < 0.2 ug/L 4,4'-DDD < 0.2 ug/L Chlordane < 0.1 ug/L Toxaphene < 0.2 ug/L Dieldrin < 0.2 ug/L Endosulfan Sulfate < 0.2 ug/L Endrin < 0.2 ug/L Endrin Aldehyde < 0.2 ug/L Gamma - BHC < 0.2 ug/L Heptachlor < 0.2 ug/L Heptachlor Epoxide < 0.2 ug/L Beta - Endosulfan II < 0.2 ug/L Endrin Ketone < 0.2 ug/L Methoxychlor < 0.2 ug/L Aroclor-1016 < 0.2 ug/L Aroclor— 1221 < 0.2 ug/L Aroclor— 1232 < 0.2 ug/L Aroclor— 1242 < 0.2 ug/L Aroclor — 1248 < 0.2 ug/L Aroclor —1254 < 0.2 ug/L Aroclor — 1260 < 0.2 ug/L 7 I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tamco Road " Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax - t dO MERITECH, INC. Environmental Laboratories _x Laboratory Certification #165 Client: Ken Garner Manufacturing Meritech ID#: 03301501 Project: 624 Analysis: 03/31/15 Client Sample ID: West Outfall 91 Analyst: AMS Sample Collection: 03/27/15 Dilation Factor: I Report Date: 04/01/15 EPA 624 VOLATILE ORGANICS Parameter Result Benzene < I.00 ug/L Dichlorobromomethane < 1.00 ug/L Bromoform < I.00 ug/L Methyl Bromide < 5.00 ug/L Carbon Tetrachloride < 1.00 ug/L Chlorobenzene < 1.00 ug/L Chloroethane < 5.00 ug/L 2-Chloroethyl vinyl ether < 5.00 ug/L Chloroform < 1.00 ug/L Methyl Chloride < 5.00 ug/L Chlorodibromomethane < 1.00 ug/L 1,2-Dibromoethane < 1.00 ug/L 1,l-Dichloroethane < 1.00 ug/L 1,2-Dichloroethane < 1.00 ug/L 1,4-Dichlorobenzene < 1.00 ug/L 1,2-Dichlorobenzene < 1.00 ug/L 1,3-Dichlorobenzene < 1.00 ug/L l,l-Dichloroethylene < 1.00 ug/L trans-1,2-Dichloroethylene < 1.00 ug/L 1,2-Dichloropropane < 1.00 ug/L cis-1,3-Dichloropropylene < 1.00 ug/L trans-1,3-13ichloropropylene < 1.00 ug/L Ethyl benzene < 1.00 ug/L Methylene chloride < 1.00 ug/L 1,1,2,2-Tetrachloroethane < 1.00 ug/L Tetrachloroethylene < 1.00 ug/L Toluene 231 ug/L 1, 1, 1 -Trichloroethane < 1.00 ug/L 1,1,2-Trichloroethane < 1.00 ug/L Trichloroethylene < 1.00 ug/L Trichlorofluoromethane < 5.00 ug/L Vinyl chloride < 5.00 ug/L Additional Compounds Acrolein <50.0 ug/L Acrylonitrile <10.0 ug/L I hereby certify that I have reviewed and approve these data. Laboratory sentative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax . ♦ f } MERITECH, INC. 4. Environmental Laboratories ° Laboratory Certificate #165 Client: Ken Garner Mfg. Meritech ID#: 03301501 Project: 625 Analysis: 04/02/15 Client Sample ID: Outfall I West Extraction: 03/30/15 Sample Collection: 03/27/15 Analyst: PM Dilution Factor: 1 EPA 625 SEMIVOLATILE ORGANICS Parameter Result Parameter Result Acenaphthene <10 ug/L Fluoranthene <10 ug/L, Acenaphthylene <10 ug/L Fluorene <10 ug/L Anthracene <10 ug/L Hexachlorobenzene <10 ug/L Benzidine <50 ugjL Hexachlorobutadiene <10 ug/L Benzo(a)anthracene <10 ug/L Hexachlorocyclopentadiene <50 ug/L Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L Benzo(b)tluoranthene <10 ug/L, lndeno(1,2,3-cd)pyrene <10 ug/L Benzo(k)fluoranthene <10 ug/L, Isophorone <10 ug/L Benzo(g,h,i)perylene <10 ug/L. 2-Methylnaphthalene <10 ug/L Benzyl butyl phthalate <10 41, Naphthalene <10 ug/L. Bis(2-chloroethoxy)methane <10 ug/L Nitrobenzene <10 ug/L Bis(2-chloroethyl)ether <10 ugIL N-Nitrosodimethylamine <10 ug/L Bis(2-chloroisopropyl)ether < 0 ug/L N-Nitrosodi-n-propylamine <10 ug/L Bis(2-ethyihexyl)phthalate < I0 ug/L. N-Nitrosodiphenylamine <10 ug/L, 4-Bromophenyl phenyl ether <10 ug/L Phenanthrene <10 ug/L 2-Chloronaphthalene <10 ug/L Pyrene <10 ugJL 4-Chlorophenyl phenyl ether <10 ugrL 1,2,4-Triehlorobenzene <10 ug/L Chrysene <10 ug/L Dibenzo(a,h)anthracene <10 ug/L 4-Chloro-3-methylphenol <10 ugIL 1,2-Dichlorobenzene <10 ug/L 2-Chlorophenol <10 ug/L I,3-Dichlorobenzene <10 ug/L 2,4-DichlorophenoI <10 uefL. 1,4-Dichlorobenzene <10 ug/L 2,4-Dimethylphenol <10 ug/L. 3,3'-Dichlorobenzidine <50 ug/L 2,4-Dinitrophenol <50 ug/U Diethyl phthalate <10 ug/L 4,6-Dinitro-2-methylphenol <50 ug/L Dimethyl phthalate <10 uglL 2-Nitrophenol <10 ug/L Di-n-butyl phthalate <10 uglL 4-Nitrophenol <50 ug/L 2,4-Dinitrotoluene <10 ug/L Pentachlorophenol <50 ug/L 2,6-Dinitrotoluene <10 ug/L Phenol <10 ug/L Di-n-octyl phthalate <10 ug/L 2,4,6-Trichlorophenol <10 ug/L 1.2-Diphenylhydrazine <10 ug/L 1 hereby certify that I have reviewed and approve these data Laboratory Representative -' 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax . r` , ' k � .. � - 1' �� . ... � .. - ' � r � ! � I_ .. _� . r � � � .. 1. - 1�' . i . ._ � fly 1 r - � � _ 'r�',. �t .. �. .. �. i 1 - � 1 � i i r. .. Chain of Custody Record (COC) NPDESP: Client: fl s GsL^ e.r /� � c r�eg Phone:_ Address: '%(olo C� 1 arc c). Fax: _ rev li I Ha it/ C. - Z "704_ Email: ci 6 rvac��S ®kgc r� �rrt Project: P.0.11: 7 0.q6 Attention: Turn Around Time` How would you like your report sent? `RUSH work needs prior approval. Circle all that a ! Email (preferred} Fax, Mail Std 10da s) 3[�-5 Da js 24.1rtrs apply: � ll Il Ile R llTILE U !1 �,o • ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritech-labs.com WWW,meriteeh-labs,com Sample Location and/or ID # Sampling Dates & Times Person Taking Sample(Sign/Prink): Lab Use Only Start End , °" Grab? Cont.ont Test(s) Required on Ice? �/No pH OK? ClW Date Time Date Time -�- d� ( -�7-►s lr:ra�,4M 2`1-rS r;lS, 55jl CJ •- -b � rc0.-S �- 47 O Gz�fGa'� Cvz.6 < r H�G.3 l Temperature Upon R eiQl:C Method of Shipment: Dechlorination (<0.5 ppm) of Arnmonia, Cyanide, Phenol and TKN samples must be done in the fieldprior to preservation. "' Comments: Compositor #1 ❑ UPS Jug tt 0' Fed Ex Are these results for regulatory purposes? Yes No Report results in: m L ❑; mg/kg 0 ug/L 0 0• Wand Delivery Relinquished b :, Date: Tlrrre: - 7 ,7-!S Received b Dat �7 me: -- / Rece �dl i`# .f ; F r +t f s'1 ale: Time: i;ti e'd to t,tlt} 7 ;�,�� 9'tf=�i� DRe' Other s _d D {rl -5 < /--' Relinquish by: Date: Time, • R eived b Sb:at r Time�t� �1 J c h Ivierivem, Inc. Environmental Laboratory Laboratory Certification No. 165 Contact: David Broadus Report Date: 11/6/2014 Client: Ken Gartner MFG 8610 Chipboard Rd. PO#: 6125.40.DBZ Rural Hall, NC 27405 Date Sample Rcvd: 10/15/2014 Meritech Work Order # 10151439 Sample: West Outfall #1 Grab 10/15/14 Parameters Re ult Analysis -Date Reporting Limit Method Total Suspended Solids 13 mg/L 10/16/14 2.5 mg/L SM 2540 D Lead, total < 0.010 mg/L 10/22/14 0.010 mg/L EPA 200.7 Oil & Grease (HEM) < 5 mg/L 10/20/14 5 mg/L EPA 1664A EPA 608 Attached 10/31/14 - 608 EPA 624 Attached 10/22/14 - 624 EPA 625 BNA Attached 10/24/14 - 625 pH 6 S.U. 10/1S/14 1.0-14.0 S.U. SM 4500 HB I hereby certify that I have reviewed and approve these data. 6/ . Aag Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 MERITECH, INC. IG ENVIRONMENTAL LABORATORIES ! Laboratory Certification No. 165 Client: Ken Garner Mfg Meritech Work Order #: 10151439 Project: 608 / PCB Analysis: 10/31 /2014 Client Sample: West Outfall #1 Analyst: Summit Sample Collection: 10/15/2014 EPA 608 - Omanoehlorine Pesticides Parameter Result Delta - BHC < 0.2 ug/L 4.4%DDE < 0.2 ug/L 4.4`-DDT < 0.2 ug/L Aldrin < 0.2 ug/L Alpha - BHC < 0.2 ug/L Alpha Endosulfan I < 0.2 ug/L Beta - BHC < 0.2 ug/L 4A%DDD < 0.2 ug/L Chlordane < 0.1 ug/L Toxaphene < 0.2 ug/L Dieldrin < 0.2 ug/L Endosulfan Sulfate < 0.2 ug/L Endrin < 0.2 ug/L Endrin Aldehyde < 0.2 ug/L Gamma - BHC < 0.2 ug/L Heptachlor < 0.2 ug/L Heptachlor Epoxide < 0.2 ug/L Beta - Endosulfan 11 < 0.2 ug/L Endrin Ketone < 0.2 ug/L Methoxychlor < 0.2 ug/L Aroclor— 1016 < 0.2 ug/L Aroclor — 1221 < 0.2 ug/L Aroclor — 1232 < 0.2 ug/L Aroclor — 1242 < 0.2 ug/L Aroclor-- 1248 < 0.2 ug/L Aroclor— 1254 < 0.2 ug/L Aroclor — 1260 < 0.2 ug/L i hereby certify that I have reviewed and approve these data. 0, - "�' Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax A MERITECH, INC. Environmental Laboratories Laboratory Certification #165 Client: Ken Garner Manufacturing Meritech ID#: 10151439 Project: 624 Analysis: I OP2/14 Client Sample ID: West outfall # 1 Analyst: VWV Sample Collection: 10/15/14 Dilution Factor: 1 Report Date: 100-9/14 EPA 624 VOLATILE ORGANICS Parameter Result Benzene < 1.00 ug/L Dichlorobromomethane < 1.00 ug/L Bromoform < 1.00 ug/L Methyl Bromide < 5.00 ug/L Carbon Tetrachloride < 1.00 ug/L Chlorobenzene < 1.00 ug/L Chloroethane < 5.00 ug/L 2-Chloroethyl vinyl ether < 5.00 ug/L Chloroform < 1.00 ug/L Methyl Chloride < 5.00 ug/L, Chlorodibromomethane < 1.00 ug/L 1,2-Dibromoethane < 1.00 ug/L I,1-Dichloroethane < 1.00 ug/L 1,2-Dichloroethane < 1.00 ug/L 1,4-Dichlorobenzene < 1.00 ug/L 1,2-Dichlorobenzene < 1.00 ug/L 1,3-Dichlorobenzene < 1.00 ug/L ],I-Dichloroethylene < 1.00 ug/L trans-I,3-Dichloroethylene < 1.00 ug/L 1,2-Dichloropropane < 1.00 ug/L cis-1,3-Dichloropropylene < 1.00 ug/L trans-1,3-Dichloropropylene < 1.00 ug/L Ethyl benzene < 1.00 ug/L Methylene chloride < 1.00 ug/L 1,1,2,2-Tetrachloroethane < 1.00 ug/L Tetrachloroethylene < 1.00 ug/L Toluene < 1.00 ug/L 1, 1, 1 -Trichloroethane < 1.00 ug/L 1,1,2-Trichloroethane < 1.00 ug/L Trichloroethylene < 1.00 ug/L. Trichlorofluoromethane < 5.00 ug/L Vinyl chloride < 5,00 ug/L Additional Compounds Acroiein <50.0 ug/L Acrylonitrile <10.0 ug/L I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Taranto Road * Reidsville, NG 27320 (336) 342-4748 Ph * (336) 342-1622 Fax MERITECH, INC. Environmental Laboratories J ' Laboratory Certificate #165 Client: Ken Garner Mfg. Meritech ID#: 10151439 Project: 625 Analysis: 10/24/14 Client Sample ID: Outfall I West Extraction: 10/20/14 Sample Collection: 10/15/14 Analyst: PM Dilation Factor: 1 EPA 625 SEMIVOLATILE ORGANICS Parameter Result Parameter Result Acenaphthene <10 ug/L Fluoranthene <10 ug/L Acenaphthylene <10 ug/L. Fluorene <10 ug/L Anthrawne <10 ug/L, Hexachlorobenzene <I0 ug/L Benzidine <50 ug/L Hexachlorobutadiene <10 ug/L Benzo(a)anthracene <10 ugll, Hexachlorocyclopentadiene <50 ug/L Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L Benzo(b)fluoranthene <10 ug/L Indeno(1,2,3-cd)pyrene <10 ug/L Benzo(k)fluoranthene <10 ug/L Isophorone <10 ug/L Benzo(g,hJ)perylene <10 ug/L 2-Methylnaphthalene <10 ug/L, Benzyl butyl phthalate <10 ug/L Naphthalene <10 ug/L Bis(2-ehloroethoxy)methane <10 ug/L Nitrobenzene <10 ug/L B is(2-chl oroethy [)ether <I0 ug/L N-Nitrosodimethylamine <10 ug/L. Bis(2-chloroisopropyl)ether <10 ug/L. N-Nitrosodi-n-propylamine <10 ug/L., Bis(2-ethylhexyl)phthalale < 10 ug/L N-Nitrosodiphenylamine <10 ug/L 4-Bromophenyl phenyl ether <10 ug/L, Phenanthrene <10 ug/L 2-Chloronaphthalene <10 ug/L Pyrene <10 ug/L 4-Chlorophenyl phenyl ether <10 ug/L 1,2,4-Trichlorobenzene <10 ug/L.. Chrysene <10 ug/L Dibenzo(a-h)anthracene <10 ug/L 4-Chloro-3-methylphenol <10 ug/L. 1,2-Dichlorobenzene <10 ug/L. 2-Chlorophenol <10 ug/L 1,3-Dichlorobenxene <10 uglL 2,4-Dichlorophenol <10 ug/L I,4-Dichlorobenzene <10 ug/L 14-Dimethylphenol <10 ug/L IT-Dichlorobenzidine <50 ug/L 2,4-Dinitrophenol <50 ug/L Diethyl phthalate <10 ug/L 4,6-Dinitro-2-methylphenol <50 ug/L Dimethyl phthalate <10 ug/L. 2-Nitrophenol <10 ug/L. Di-n-butyl phthalate <10 ug/L 4-Nitrophenol <50 ug/L 2,4-Dinitrotoluene <10 ug/L Pentwhlorophenol <50 ug/L 2,6-Dinitrotoluene <10 ug/L. Phenol <10 uglL, Di-n-octyl phthalate <10 ug/L 2,4,6-Trichlorophenol <10 ug/L 1.2-Diphenylhydrazine <10 ug/L. &4�1 1 hereby certify that I have reviewed and approve these data. _ _ _(/I --- Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336) 342-4748 Ph * (336) 342-1522 Fax Summft Environmental rechmalogies. Inc. WO#: 1410224.5 4.1 3310 Win St. Date Reported: I 1 0 14 CinwhogD Falhx Ohio 44223 rEL (330) 233-8211 FAk(330) 253-4489 Company: Meritech Environmental Laboratories Websile., hilp://www,.Tettckcnm Address: 642 Tamco Rd. Reidsville NC 27320 Received: 10/ 1 7P20 14 Projectt Client IDA Lab lD# Collected Analyte Result Units Matrix Method DF RL Run Analyst 10151439 001 1011512014 Total PCBs NO mg/L Nor- EPA 608 1 0.00020 10/31/2014 AKE Potable Water 10151439 001 10Y1512014 delta-SHC NO mg/L Non- EPA 608 1 0.00020 1 EV3112014 AKE Potable Water 10151439 001 1011512014 4.4'-DDE NO mg/L Non- EPA 608 1 0-00020 10131/2014 AKE Potable Water 10151439 001 10/1512014 4,4'-DDT NO mg/L Non- EPA 608 1 0.00020 10/3112014 AKE Potable Water 10151439 001 10/1512014 Aldrin NO mg/L Non- EPA 608 1 0,00020 10/31/2014 AKE Potable Water 10151439 001 10/15/2014 alpha-BHC NO mgJL Non- EPA 608 1 0,00020 1013112014 AKE Potable Water 10151439 001 10/15=14 Endosulfan I NO mg/L Non- EPA 608 1 0.00020 10t3112014 AKE Potable Water 10151439 001 1011WO14 beta-BHC NO mg/L Non- EPA 608 1 0.00020 1013112014 AKE Potable Water 10151439 001 10/15M14 4,4'-DDD NO mg/L Non- EPA 608 1 0.00020 10W31/2014 AKE Potable Water 10151439 001 10/15)2014 Chlordane, total ND mg/L Non- EPA 608 1 0.00010 10/3112014 AKE Potable Water 10151439 001 10/1512014 Toxaphene NO mg/L Non- EPA 608 1 0.00020 10131/2014 AKE Potable Water 10151439 001 10J1512014 Dieldrin ND mg/L Non- EPA 608 1 0.00020 10131/2014 AKE Potable Water 10151439 001 10VI512014 Endosullansubte NO mg/L Non- EPA 608 1 0-00020 1013112014 AKE Potable Water 10151439 001 1011512014 Endrin NO mg/L Non- EPA 608 1 0.00020 10/31t2014 AKE Potable Water 10151439 001 10)1512014 Endrin aldehyde NO mgIL Non- EPA 608 1 0.00020 1013112014 AKE Potable Water 10151439 001 10115/2014 gamma.BHC NO mg/L Non- EPA 608 1 0-00020 10131/2014 AKE Potable Water 10151439 001 10)15/2014 Heptachlor ND mg/L Non- EPA 608 1 0-00020 10/3112014 AKE Potable Water 70151439 001 IOIIW014 Heptachlarepw6de NO mg/L Non- EPA 608 1 0=020 10/31/2014 AKE Potable Water PapAtfrol a Sunural Environmental Technologies, Inc. WO#: 14102245 i h 1 i� __ is l� kC�:� 33I0Win - Bate Reported: 1 1/6/2014 - -4 O vahago Falls. Ohio 22, :. TEL: (330) 2534211 F Lk'.- (330) 53-4J59 Company: Meritech Environmental Laboratories Websire: hnn.•1iivlvw.rerrekeam Address: 642 i'amco Rd. Reidsville NC 27320 Received: 10/17/2014 Project#: Client 1D# Lab 1D4 Collected Analyte Result Units Matrix Method DF RL Run Analyst 10151439 001 10/1512014 Endosulfan II ND mglL Non- EPA 608 1 0,00020 10/31/2014 AKE Pota ble Water 10151439 001 10/15/2014 Methoxychlor ND mglL Non- EPA 608 1 0.00020 10/3112014 AKE Potable Water 10151439 001 10/15/2014 Endrin ketone NO mg/L Non- EPA 608 1 0.00020 10/31/2014 AKE Potable Water Pagpi,Li b6f1 Chain of Custody Record'`(CCOOC) NPDESf1: Client: 9�,k. �,9.r„ v -_ a.,��,�.�,r�� te Phone: - 9 �-O'�1fQ Address: _ Fax: 33690 *8 $(a U r.gXj 51�, `dG +10 Email: z.-- Surd 1 Nd,01 L Project: Z70'{,j Z 7r9 S P.O.ti: G JZS. "yy • D13 Z. Turn Around Time' Attention: How would you Pike your report sent? 'RUSH work needs prior approval, Circle all that apply: mail (pre[erredj Fax, Mai Std (10 days) 3 - 5 Da s 24 - 48 Mrs pp Y � !_J Il �9' ll � fl0 U�l� 1�.. W � U �1 �r o LJ * ' ENVIRONMENTAL LABORATORIES 642 Tamco.Rd. Phone: 336-342.4749 Reidsville NC 27320 Fax: 336.342-1522 Email: info@meritech-labs.com www.meritech-labs.com Sample Location and/or ID 4 Sampling Dates & Times Person Taking Sample (5ign/Print): Lab Use Only Start End Comp, . Drab? #of Cont. Test s) Required o0► ce? YesJ No "°0 CIOIC? Date Time Date Time We S4 rl I I to !S iq q.oOjlm to )S zaAm G t "PA 6 z Gv� 6zs P�1-� Temperature upon r� Method of Shipment: Dechlorination (10.5 pm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field priorto preservation.'s" Comments: Compositor It Jug 4 ❑ UPS Fed Ex Are these results for regulatory purposes? Yes 0 No C7 Repor3 results in: mg/L ❑ mg/kg U ug/L ❑. �• hand Delivery Relinquished by: D fogy Date: Time: ` / J Time: r �— I Received I "� Date Tire {]1 C! 0 Other Relinquished by; /� ��7 Datq;. Time: Received by: Date: Time: Relinquished by; Date: Time: eve y Ea ' F7 _� ' 1YT- r4 1•• C®ENR North Carolina Department of Environment and Natural Resources Division of Energy, Mineral, and Land Resources Land Quality Section Tracy E. Davis, PE, CPM Pat McCrory, Governor Director John E. Skvarla, III, Secretary 19 March 2014 Ken Garner Manufacturing — RHO, Inc. Attn: John K. Garner, President 1201-B 28t� Street Chattanooga, TN 37404 Subject: Compliance Evaluation Inspection NPDES General Stormwater Permit NCG030000 Certificate of Coverage NCG030578 Ken Garner Manufacturing, Rural Hall, NC Plant Forsyth County Dear Mr. Garner: Aana Taylor -Smith of the Winston-Salem Regional Office of the NC Division of Energy, Mineral, and Land Resources (DEMLR) conducted a compliance evaluation inspection at the subject facility on 19 March 2014. The assistance and cooperation of Mr. Robert Dickerson, Plant Manager, during the inspection was greatly appreciated. An inspection checklist is attached for your records and the inspection findings are summarized below. This facility is located at 8630 Broad Street in Rural Hall, Forsyth County, North Carolina. Stormwater related to industrial activity is discharged from the site to an unnamed tributary to Beaver Dam Creek, which is currently classified as Class C waters, in the Yadkin -Pee Dee River Basin. Documentation & Monitoring Review The facility's Stormwater Pollution Prevention Plan (SPPP) is thorough, up to date, and fully implemented. Analytical and qualitative monitoring has been completed as required. However, please note that the renewed NPDES General Stormwater Permit NCG030000 has updated requirements for metals sampling. Please refer to the attached copy of the NCG030000 permit and make changes to the sampling program as required. Site Review The facility is orderly and well -maintained. Secondary containment is implemented as required. All violations noted in the previous inspection conducted 10 April 2012 have been corrected. The facility currently monitors two Stormwater Discharge Outfalls (SDOs). The outfalls were inspected and found to be in good order. No evidence of erosion or instability at the SDOs was observed. The receiving stream was free of pollution indicators. Winston-Salem Regional Office 585 Waughtown Street, Winston-Salem, NC 27101 •Phone: 336-771-5000 / FAX: 336-771-4631 Ken Garner Manufacturing —RHO, Inc. 03/19/14 Page 2 of 2 During the inspection, it was noted that while Representative Outfall Status does not apply to this site, Outfall 002 can be released from analytical and qualitative monitoring requirements because it does not discharge stormwater related to industrial activity. Ken Garner Manufacturing is no longer required to perform either type of monitoring at Outfall 002. Please append this letter to your SPPP to document that your facility has been relieved of all monitoring requirements at Outfall 002. Please notify DEMLR immediately if conditions at this site should change such that Outfall 002 will discharge stormwater related to industrial activity. Thank you for your efforts to comply with the stormwater permit., No additional response to this letter is required. Should you have any questions regarding the NCG030000 permit or this inspection, please do not hesitate to contact Ms. Taylor -Smith or me at (336) 771-5000. Sincerely, Matthew E. Gantt, PE Regional Engineer Land Quality Section Enclosures: BIMS Inspection Checklist NPDES General Stormwater Permit NCG030000 cc: Central Files WSRO/LQ Ken Garner Manufacturing -- RHO, Inc. Attn: Robert Dickerson P.O. Box 1069 Rural Hall, NC 27045 Compliance Inspection Report Permit: NCG030578 Effective: 11/01/12 Expiration: 10/31/17 Owner: Ken Garner Manufacturing Rho Inc SOC: Effective: Expiration: Facility: Ken Garner Manufacturing RHO, Inc. County: Forsyth 8630 Broad St Region: Winston-Salem Rural Hall NC 27045 Contact Person: Robert Dickerson Title: Phone: 336-969-0416 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): On -site representative David Broadus Phone: Related Permits: Inspection Date: 03/19/2014 Entry Time: 09:00 AM Exit Time: 10:00 AM Primary Inspector: Aana Taylor -Smith Phone: 336-771-5000 Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Metal Fabrication Stormwaler Discharge COC Facility Status: ® Compliant 0 Not Compliant Question Areas: ® Storm Water '(See attachment summary) Page: 1 Permit: NCG030578 Owner -Facility: Ken Garner Manufacturing Rho Inc Inspection Date: 03/19/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Please refer to attached inspection letter. Page: 2 Permit: NCG030578 Owner - Facility: Ken Garner Manufacturing Rho Inc Inspection Date: 03/1912014 Inspection Type: Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ■ n n n # Does the Plan include a General Location (USGS) map? ■ ❑ n n # Does the Plan include a "Narrative Description of Practices"? ®n n n # Does the Plan include a detailed site map including outfall locations and drainage areas? ■ n Cl n # Does the Plan include a list of significant spills occurring during the past 3 years? n ❑ ■ ❑ # Has the facility evaluated feasible alternatives to current practices? ® Q n n # Does the facility provide all necessary secondary containment? ® n n n # Does the Plan include a BMP summary? ■ 0 n n # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ■ n ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ® n n n # Does the facility provide and document Employee Training? ® n n n # Does the Plan include a list of Responsible Party(s)? ® n n n # Is the Plan reviewed and updated annually? ® ❑ n n # Does the Plan include a Stormwater Facility Inspection Program? ® n n n Has the Stormwater Pollution Prevention Plan been implemented? n n n Comment: Please be sure to keep site map, USGS map, and employee trianing records with the SWPPP Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ® n n n Comment: Analytical Monitoring Yes - No NA NE Has the facility conducted its Analytical monitoring? ® n n n # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ® D Comment: Please refer to new NCG03 permit for updated sampling parameters. Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ® n n n # Were all outfalls observed during the inspection? ■ Q 0 ❑ # If the facility has representative outfall status, is it properly documented by the Division? n n m n # Has the facility evaluated all illicit (non stormwater) discharges? ■ n n n Page: 3 Permit: NCG030578 Owner - Facility: Ken Garner Manufacturing Rho Inc Inspection Date: G3/1912014 Inspection Type: Compliance Evaluation Reason for Visit: Routine Comment: Outfall 002 can be released from analytical and qualitative monitoring requirements because it does not discharge stormwater related to industrial activity. Page: 4 A� j7i NCDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor John Garner Ken Garner Manufacturing Rho Inc 1201- B E 28th St Chattanooga, TN 37404 Dear Permittee: Division of Water Quality Charles Wakild, P. E. Director December 4, 2012 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Ken Garner Manufacturing RHO, Inc. COC Number NCG030578 Forsyth County In response to your renewal application for continued coverage under stormwater General Permit NCG030000 the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently amended). The following information is included with your permit package: • A new Certificate of Coverage (COC) • A copy of General Permit NCG030000 • A copy of the Technical Bulletin for the General Permit • Two copies of the Discharge Monitoring Report (DMR) Form • Two copies of the Qualitative Monitoring Report Form The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the permit to update your current SPPP to reflect all new permit requirements. The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable storm event" beginning during the periods -beginning January 1 and July 1 of every year (or, if applicable, report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this permit and do not count prior exceedances. The more significant changes in the General Permit since your last COC was issued are noted either in the Draft Permit Fact Sheet that accompanied the public notice (http://Portal.ncdenr.org/web/wq/ws/su/current- notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit http://portal.ncdenr,orp/web/wq/ws/su/npdessw (click on 'General Permits' tab) to review that information for your specific General Permit carefully. 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807- ,3001 FAX: 919-807-6492 Internet: www.nc%vate uaIi .a An Equal Opportun y t Mfirmalive Action Employci NorthCarol ini ;%1�aturally John Garner December 4, 2012 Page 2 of 2 Some of the changes include: • Part II: • Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated to the most current language of our permits. Additional conditions for specific industry sectors have been added to the SPPP requirements in some cases. • Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring that the permittee begin a monthly sampling scheme. • Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these more sensitive waters. • Sections B, C: The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other analytical monitoring requirements. • Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined in the "Definitions" section of the permit. • Sections B, C. The term "Representative Storm Event" has been replaced by "Measurable Storm Event." A measurable storm event is defined in the permit. • Section D: If the permittee fails to respond effectively to problems identified by qualitative monitoring, DWQ may require the permittee to perform corrective action. Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit, including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and Maintenance obligations, and Definitions. Please note that all samples analyzed in accordance with the terms of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than 30 days from the date the facility receives the sampling results from the laboratory. Also note that existing permittees do not need to submit a renewal request prior to expiration unless directed by the Division. Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package, please contact the Division's Stormwater Permitting Unit at (919) 807-6300. Sincerely, for Charles Wakild, P.E. cc: DWQ Central Files Stormwater Permitting Unit Files Winston-Salem Regional Office STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030578 STORM WATER NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Ken Garner Manufacturing Rho Inc is hereby authorized to discharge stormwater From a facility located at: Ken Garner Manufacturing RHO, Inc. 8630 Broad St Rural Hall Forsyth County to receiving waters designated as Beaver Dam Creek, a class C waterbody in the Yadkin River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 111, and IV of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective December 4, 2012. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 4th day of December, 2012. for Charles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission ERS April 27, 2012 Mr. W. Corey Basinger Water Quality Regional Supervisor Winston —Salem Region DWQ 585 Waughtown St. Winston —Salem, NC 27107 Dear Mr. Basinger, Environmental - Risk Management & Safety, Inc. RE: NOV-2012-PC-0133 Ken Garner Manufacturing, Rural Ha E DENR012emfice My name is Gale Sheehan and I am the Director of Technical Services of ERS-USA an Environmental consulting firm. ERS, Inc has been in operation for 19 years with 500 clients and we specialize in assisting clients with EPA and OSHA regulatory compliance on a national level. We have been contracted by Ken Garner Manufacturing to assist them in responding to the recent compliance evaluation inspection (CEI) and subsequently NOV for their facility located at the Rural Hall site. My plans are to visit the facility on May 241h/ May25th 2012 to see first hand the mentioned violations cited. My initial plans will be as follows: l) To have the SWPPP as required by the general permit completed by July 1, 2012. 2) To insure all Analytical Monitoring as required in the General Permit for all pertinent SDO's are initiated by July V , 2012. 3) To eliminate the illegal discharge of the specified concrete waste/wastewater stream by July31, 2012 through state of the art solids capture techniques and water recycle activities. (We will request pre -approval for the design parameters selected from (NC DWQ) prior to implementation. Minimization will be implemented ASAP prior to complete elimination. 4) When we have sufficiently corrected these deficiencies then the Ken Garner site will apply for Representative Outfall Status (ROS) July 30, 2012. P.O. Box 407 * Deville, LA 71328 4� Phone (800) 259--0075 0 Fax (318) 253-7418 Thank you for your assistance in maintaining Water Quality Standards at this North Carolina facility. If these time schedules meet your guideline for corrective actions to be completed will begin implementation on those that don't require approval and research into those that do. Thank You for your assistance in storm water regulatory, compliance efforts in North Carolina. Sincerely, Gale Sheehan B.S. Chemistry, M.S. Environmental Engineering Director of Technical Services ERS-USA V MCDENR North Carolina Department of Environment and Natural Resources Division of Water'Quality Beverly Eaves Perdue Chuck Wakild, P.E. Dee Freeman Governor Director Secretary April 11, 2012 Ken Garner Manufacturing — RHO, Inc. Z Attn: John K. Garner, President 1201-B 281h Street Chattanooga, TN 37404 -a CZ o )4.zU' Subject: Compliance Evaluation Inspection & Notice of Violation NOV-2012-PC-0133 NPDES General Stormwater Permit NCG030000 Certificate of Coverage NCG030578 Ken Garner Manufacturing, Rural Hall, NC Plant Forsyth County Dear Mr. Garner: Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI) at the subject facility on April 10, 2012. The assistance and cooperation of Mr. Robert Dickerson, Plant Manager, was greatly appreciated. An inspection checklist is attached for your records and the inspection findings are summarized below. The facility is located at 8630 Broad Street, in Rural Hall, Forsyth County, North Carolina, at approximate coordinates 36.247484°,-80.3066050. The facility currently discharges stormwater related to industrial activity via two stormwater discharge outfalis (SDO), to an unnamed tributary to Beaver Dam Creek, which is currently classified as a Class C water located in the Yadkin Pee Dee River Basin. The approximate coordinates of the two SDOs are: 36.247640" by-80.307662" and 36.247147' by-80.3064750. The first SDO. is located just inside the forested area on the west side of the main building, about 175 feet north of the south end of the building. The second SDO is. located on the southeast corner of the building, on the inside of the split in the facility's entrance road that directs traffic to the back and front of the main building. Documentation & Monitoring Review The facility does not currently have a Stormwater Pollution Prevention Plan (SP3) as required in Part 11, Section A, of the general permit. Mr. Dickerson did have a site map during the inspection but it lacked many of the requirements specified in Part 11, Section A, Paragraph 1(c), of the general permit. Analytical monitoring (AM), as required in Part II, Section B, of the general permit, has been conducted at the outfall on the west side of the main building, but not at the SDO located on the North Carolina D'msion of Water Quality, Winston-Salem Regional Offioe Location: 585 Waughtown St. Winston-Salem. North Carolina 27107 One Phone: 336-771-50001 FAX: 336-7714630 1 Customer Service:1-877-623.6748 NorthCarolina Internet. www,nLvaterquality.org Vatuynal/y An Equal Opportunity 1 Affirmative Action Employer L ` Ken Garner Manufacturing — RHO, Inc. Attn: John K. Garner, President Compliance Evaluation Inspection, NCG030578 Notice of Violation: NOV-2012-PC-0133 Ken Garner Manufacturing, Rural Hall, NG Plant 411112012, Page 2 of 3 southeast corner of the building. 2009, May and October, 2010, and the AM were annotated: Specifically; AM was conducted on the western SDO in October, May and September, 2011. However, the following problems with 1. pH testing of the discharge is -NOT being conducted within 15 minutes of sample collection; 2. The company experienced an exceedence of the Total Suspended Solids (TSS) benchmark in May, 2010, but did not perform the required tier one actions in response to the exceedence, as required in Part II, Section B, of the general permit; and, 3. As stated above, the company is not performing AM at the SDO located on the southeastern corner of the property. Concerning qualitative monitoring (QM), Mr. Dickerson stated that he does conduct QM at the SDO located on the west side of the building, as required by Part II, Section C, of the general permit, but the QM has not been documented as required. Site Review The site was very clean and well maintained. Mr. Boone noted only one concern. The company manufactures counter weights for excavating machines. As part of that process, the company mixes its own concrete which it uses to fill the steel counter weights. The mixing drums of the concrete truck(s) are typically washed out and the waste is then dumped on the ground in a small area located on the northeast corner of the plant site. The water that drains from this waste concrete and the rainwater that incidentally fails on the piles of the waste concrete is then considered a wastewater. Currently, it appears that all drainage from this small area is captured by a stormwater drop inlet located just adjacent to the dump pile. The water is then conveyed through underground piping to the SDO located on the west side of the main building where it is then discharged. Unfortunately, this is considered to be an illicit discharge of wastewater. The company must take steps to eliminate the discharge. The company has many options'to achieve this, including but not limited to: 1. Finding another legal place to dump and/or dispose of the waste, 2. Constructing a series of holding basins that settle out solids as the water passes through each phase and that does not discharge (this can likely be achieved by constructing such. a system according to how much waste is generated daily), or 3. Purchasing premixed concrete from an outside source. Regardless of how the company ultimately decides to eliminate the illicit discharge of this wastewater, the selected process must be approved by this office. We will work with you to determine the best course of action. In the interim, you must minimize this illicit discharge by all means possible. Please correct all violations noted above as soon as practical. Please reply in writing to this letter within 30 days 'of receiving it. Your reply should provide proposed corrective actions with implementation schedules for each of the violations outlined -above. Please note that violations of the NCG030000 general permit are subject to civil penalty assessments not to exceed $25,000 per day, per violation. Your written response will be considered in deciding whether any further action should be taken. It Ken Garner Manufacturing — RHO, Inc_ Atth: John K. Garner, President Compliance Evaluation Inspection, NCG030578 Notice of Violation: NOV-2012-PC-0133 Ken Garner Manufacturing, Rural Hall, NC Plant 4/1112012, Page 3 of 3 It should also be noted that once these deficiencies are sufficiently corrected, the site may want to consider applying for Representative Outfall Status (ROS), which may reduce the number of SDOs at which you're required to perform AM. Should you have any questions regarding the permit, the inspection, or this letter, please do not hesitate to contact Mr. Boone or me at (336) 771-5000. Sincerely, W. Corey Basinger Water Quality Regional Supervisor Winston-Salem Region Division of Water Quality Attachments: 1. BIMS Inspection Checklist cc: ,SWP — WSRO Central Files Stormwater Permitting Unit Ken Garner Manufacturing — RHO, Inc. Attn: Robert Dickerson P.O. Box 1069 Rural Hall, NC 27045 Compliance Inspection Report Permit: NCG030578 Effective: 01/23/09 Expiration: 10/31/12 Owner: Ken Garner Manufacturing Rho Inc SOC: Effective: Expiration: Facility: Ken Garner Manufacturing RHO, Inc. County: Forsyth 8630 Broad St Region: Winston-Salem Contact Person: John Garner Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 0411012012 Primary Inspector: Ron Boone Secondary Inspector(s): Title: Rural Hall NC 27045 Phone: 423-698-6200 Certification: Phone: Entry Ti 09:15 AM Exit Time: 12:00 PM Phone: 336-771-4967 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Metal Fabrication Stormwater Discharge COG Facility Status: 0 Compliant ■ Not Compliant Question Areas: ® Storm Water (See attachment summary) Page: 1 Permit: NCG030578 Owner - Facility: Ken Garner Manufacturing Rho Inc t Inspection Date: 04110/2012 inspection Type: Compliance Evaluation . Reason for Visit: Routine Inspection Summary: Please refer to the attached inspection summary letter. Page: 2 i' Permit: NCG030578 Owner - Facility: Ken Garner Manufacturing Rho Inc Inspection Date: 04/10/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? Q e n n # Does the Plan include a General location (USGS) map? ❑ ® Q # Does the Plan include a "Narrative Description of Practices"? 0 ® 0 Cl # Does the Plan include a detailed site map including outfall locations and drainage areas? 0 ® 11 Q # Does the Plan include a list of significant spills occurring during the past 3 years? Q ® n n # Has the facility evaluated feasible alternatives to current practices? ❑ ® 0 0 # Does the facility provide all necessary secondary containment? ❑ n # Does the Plan include a BMP summary? 0 S 0 fl # Does the Plan include a Spill Prevention and Response Plan (SPRP)? rl a 0 # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ❑ M El n # Does the facility provide and document Employee Training? Cl In Q 11 # Does the Plan include a list of Responsible Party(s)? D Es 11 D # Is the Plan reviewed and updated annually? ❑ ® ❑ # Does the Plan include a Stormwater Facility Inspection Program? n ® n n Has the Stormwater Pollution Prevention Plan been implemented? fl ® fl Comment: Please refer to the attached inspection summary letter. Qualitative Monitoring Has the facility conducted its Qualitative Monitoring semi-annually? Comment: Please refer to the attached inspection summary letter. Analytical Monitoring Has the facility conducted its Analytical monitoring? # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? Comment: Please refer to the attached inspection summary letter. Permit and Outfalls # Is a copy of the Permit and the Certificate of Coverage available at the site? # Were all outfalls observed during the inspection? # If the facility has representative outfall status, is it properly documented by the Division? # Has the facility evaluated all illicit (non stormwater) discharges? Comment: Please refer to the attached inspection summary letter. Yes No NA NE ❑ El ❑ Yes No NA NE E 0 D 0 nn®n Yes No NA NE ■n0[1 N 0 0 0 ❑ ❑ 0 00 D Page: 3 Meritech, Inc. Environmental Laboratory i.. Laboratory Certification No..165` y. Contact- Robert Dickerson Clicnt: Ken Garner Manufacturing 4010 Broad Stieet Report I?ate: ,10/ 29/ 09 Rural Hall, NC 27405 Date Saniple Rcvd: 10/14/09 Meritech Work Order tf 101409178 Sample: West Side of Building 10/12/09 Parameters Result Analvsis.Date Reporting limit Method Total Suspended_ Solids 14 rng/L '10/15/09 1 mg/L -SM 2540 D Lead, total < 0.010, mg/ L- 10/ 19% 09 0.010 mg/ L EPA 200.7 Oil & Grease (HEM) <.5 mg/L 10/21/09 5 mg/ I.. EPA 1664A EPA 624 Attached 10/17/09: - - I'rip Blank Attached 10/17/09: - - EPA 625 BNA Attached 10/13/09. - - EPA 608 Attached 1.0/�25/09 - - pH 6:0 S.U. 10/14/09 1.0-14.0 S.U.. SM 4500 HB> I hereby certify that i have reviewed.and:appr(�%,e these data. Laboratory Representative_ 642 Tamco Road, Reidsville, North Carolina 27320 . tel.(336)3424748, fax:(336)342-1522 MERITECH, INC � ENVIRONMENTAL LABORATORIES Abivisi6 of water'rechnolcm& ;gy-ind Con,-lnc. . L -0 Client: Ken Gamer Nlfl,. Noject- 608 Extracticin: 10/16/09 Contact- Robert Dickerson Merj , tech -ID: 101409178 AhMysis: 10/25/09 Client Simpl&113: W6t SideofB1 . dg. Analyst: Prism Sathple Cb1lecti o-n:-'10/14/09 EPA -608 - QigaCiiochlorixte Pestiddes Parameter Result Aldrii- t < 0.049 ug/ L ' a-BHC. .<0049 ug/ L b�BHC < 0.049 ug/ L d-BHC < 0.049 ug/ L g-,13.H.0 <:0.'()49 ug/L, 4,4'-DDD < 0.049 ug/L - 4,4'DDE <-0,049 ug/L 4,4'=DDT < 0.049 tig/ L Dieldrin < 0,049 ug/L ff Enctosuan� - I .<,0.049 iig/L Endosul famll < 6,049 ug/L Endosulfaii S'Uff6tc < 0,049 ug,/L Endrin < 0.049 ug/L Endrin aldehyde < 0.049 tig/L Heptachloi 0.040 ug/L Fi,ppiachlor epoxide . <,0.049 ug/ L Methoxychlof < D.049 ug/ L Toxap�ene .< 0.49 ug 1 41, Aroclor -1016. < 0.49 u'g/ L Aroclor - 1221 5.0.97 ug/L Aroclor - 12,32 < 0.49 ug/ L Aroclor - 1242 < 0140 ug/L .Aruclor -.1248 < 0.49 t'ig/,L ArocIcir - 1254 < 0.49 ug/L Aroclor -'1260 <..0.49 ug/L Chlordane- < 0.49 ug/ L T hereby,certi.fy that Uhave reviewed and a.ppr( we.these data. 4 'Laboratory Representative.. 642'Tamco Road Reidsville, W'27-320..: .(336) W-4748 Ph *'(336) 342-1522 Fax ';chain -of CU'S-tody:Record,'(COq f 2— — NPDES.#'i ;�-O iqone: �4.-w 1?client:410 MERI_TECHINC. t EnvnextlLaoraoik-s. Fax: PIm-40 A Divisiotf�Zf'�ater T,Cchnology �nd Control, Inc. 4�&es�s: %!�/d 1;?fVee sy-4- 'Email: R., T ;I Ate— Project: 6'#: 64 ? a7wo ipl4e� 1�'336-34247,48' z 1 P, ,rF a x: -3 iI 6 iVif C — 4- f R id 22 27-320 Email- srmfte�h(@be�ilsg6f�.,nk � 0 1 ---do .112-d AttentioiI: CIA I _TurnAeound'jjine- . 'S fd- 1 Orday . s_ . 5'.,Daq:' 24'-'48 Hi�� Ir 'Web Site: —w .meritegh-labslco'm -3 Sample` Ve' S;� Datesl&times W-n-, 9 TIRP t Lab.Use,Only i Person king Sample (Signature): L'o'cationflD t ND " -6 - - ti Required-' Tests pil OK? -Datelk% ZTime-,Ice? Date Time Grab? Cok3. s I -is aw /,z I nee r—Z:Q 4-rM 6,AVJXZ- Z&O roll or A� 6 U NO, 0 V -o64fC Ci6chi'drinatid (<T.500f bfAffiTh -.yAj1idL-,.P.ffC�kQ1 6FTKU.'samples must -figid -bedone ffie� -prid-rfq,1 P drffm- onit s-: JUPY -Method o Are ieitop�regu=ry, ptimows —R6 IR w- us o must have approval: El up$ ,,: No 001;6 Fed Ex 13V me: Re ei /cd1! b bate, .> Rec V11d.by, D/�w a 0/ Hard DeflVely 0 Relin �d by. Vne: tiulsho f I Date: Received by; 'time-, f Tim6. bb- Date'Time. 4f.' � MERITS H. INC' Env-Ironmenial Laboratories A Division of Water Technology and Controls; Inc. Client; Ken Garner Project; 624 Client Sample ID: Trip Blank Sampic Collection: i O/ 12/09 Meritec6.IM: 101409178tb Analysis:. 10/ 17/09 Analyst:, VWV' Dilation Factor:. I LPA:624 VOLATILE ORGANICS -Parameter. Result Beniene < 1..00 ug/L -1.:00 Uichlorobro►nomethane- < ug/L Sromoform < COO uol Methyl Bromide < 5.00 ug/L Carbon Tetrachloride <__A.00 ug/L Chlorobenzerie < I.00 ug1L Chloroethane <.5.00 ug/L '2-Chloroethyl•vinyl ether <+5.00 ug%L, Chloroform <.I AO ug/L Mctliy[ Ci loriiie° <'5:00 ug11. ,Chlorodibromcimethane < i .00 ug/L 142-Dibrornoethane <1.00 ug/L 1,1-Dichlorocthane < 1.00 ug/L 1 2-Dichloroethane 1.00 ug/L 1;4-Dichlorobenzene, < 1':00 ug/L 1,2-Dichiorobenzene- < f:00 ug/L 1,3-Dichlorobenzene <.1,00 ug/L 1. 1 -Dichloroethylene: < 1.00 ug/L trans-1 q—bichloroeths lene. < 1.00 ug/L I.2-Dichlonipropane < 1.00 Ug/1- cis=1;,3-Dichloropropyiene < 1.00 ug/L 'trans-1;3-Dichloropropylene < 1.00 ub/L Ethyl tienaene < 1.00 ug/L fiethylene c.hioric!e < 1.v0 ug.'L 1,1,2,2=Tctrachloroethanc. 1:00 ug/.L Tetrachloroethylene < I.6b ug/L Toluene < 1.00 *L 1',1 1-I`rich1or6eIhia e < 1.00 ug/L I;1;2-Trichloroethane < 1.00 4L Trichloro&hylene < 1.00 ug/L Trich .lorofluoromethane <500 ug/-L Vinyl chloride <5.00 uglL ,Additional'Com nounds Acrolein <50.0 ug/L Rcryloriiteile <10.0 ug/L I hereby'certifythat I have'r6imed and approve -these data. Laboratory Representative 642 Tamco Road * Reidsville, NC 27324- (336) 342-4748 Ph! (336) 342-1522; Fail 7- Client: fr6je.ct: Cliefit Sample ID: Sample Collettion: MERITECH, INC., ErMr6n'rfi6nta1 Laboratories A Division of Wat6r T6chnology and Controls, Inc Ken Garder Merite6 ID#: 101409179 62.4- -'knalysis: 10/ 17./0.9 West Side of Building Analyst- VwV I Oil 2109 Dilution Fadiir- f EPA 624 VOLATILE. ORGANICS Parameter Result B c'n-z e n. C 1,.0' 0. DichloroNromornethane < j.qP ug/L Brornoform < 1 .00 ug/L, Methyl Bf6ffiide -5 5.00 .ug/L' Carbon Tetrachloride' 00 ug/L Chloroben4e ' ne < 1.00 ug/L Chlorq6thane, < 5.00 ug/L 2-Chlorocthyl,vinyl:etheo' < 5.00 ug/L Chloroform, < 1'.00 ug/L :Methyl Chloride' <5.00 ug/L Chloiodibibniornithanel' < 1.06 ug/L . < 1. 00 ug/L 1, I ' -Dichloroeihane:; <.. 1.06 ug/L 1,-Z'�DJA'Ioroethane.- �:I.00 ug/L 1.00 tik/L 1. 2-Dic-blorobenzene <1 .00 ug/L 1'3-biehlorobenk6e u I WL 1: 1 ;Dichjoroethylene < 1.00 ug/L trans; 1;2-Dichloreth Iehe < 1.00. ug/L 1;2-Dichloiopropane <. 1.00 ug/L cis -A .06, ug/L trans-1:3-Di6hl ro ropylene 1.00 ug/L Ethyl benzene, 1.00' ug/L ' ' . thy!4-,n6ch1oHd-" < il.00' ' 4� 1, 1,2,2-Tetrath lorde . thm6 Tctrachl&6&hylenc < 1.00.,ugIL Wu6ie < 1.00; ug/L 1, 1, 1 -Trich1droeffiane, <.1.()0'.ug/L. I 1,2-Tricfiloro6thane. < I.6b 'nil" Trichibroethyjene < I.OD'ug/L. 'roichlbrofluoromethane. .<;5.00 ug/1; Vinyl chloride -<.5,00 ug/L Additional Compounds Acrolein �50.0 ug/L Aerylo6itiik' <10.0 ug/L I herebycerti!y that I have rtaviewed,and approve ihese:data- te•f - Laboratory Representative 642 Tamco Road * Reidsville, NC 27320 (336)342-4748 Ph *.(336) 3421522 Faii M-ERITECH., l NC. Environmental Laboratories r - A Division'of Water Technology. and Controls,,ine. Client: Ken Gamer'Mfb. Me"rite VID#: 101.409178 Project: 625 Analysis: 16123/69 Client Sample ID: West Side of Building Extraction: 10/ 19/09 Sample Collections I12/09 Analyst: MC Dilution Factor: l EPA.625 SEMIVOLATILEE-ORGANICS Parameter Result Parameter Result Acenaphthene <16-41L Tluorantherie� <10 ug/L Acenaphthylene, <10 ug/L Fluorene <10 ug/L. Anthraccne <10 ug7L, I-lexachloro6enzene <10 ug/L ,Benzidine: <56 ug/L, Hexachlorobutadiene <10 ug/L, Bc-nza(a}anthr�arenc• <10 ug/L HexachIorocvc[open tadiene <50 ug/L Benzo(a)pyrene <10 ug/L Hexachloroethane <10 ug/L 1,4-Senzofluoroanthene <10 UiIL ind6o(1,2,3-cftirche <10 ug/L Ben zo(k)fluoranthene. <10 ug/L. `lsophorone <10 uglL Benzo(g,h,A crylene <10 ug/L 2-Methylnaphthalene <10 ug/L Butyl benzyl phthalate <.10 ug/L •Naphthalene <10 6gf11 Bis(2-chloroethoxy)methane <10 ug/L 'Nitrobenzene <10 ug/L Bis(2-chloroethyl)ether <10 ug/L N=NitrosodirY ethvlaminc <10 ug/i. Bis(2-chloroisopropyl)ether <10 uglL N-Nitrosodi-wpropylamine <10 ug/L Bis(2-e1hylhexyl)p6thalate <10,ugfL T=-Nitrosodiphcnylamine <10 ug/L 4-Bromopliehyl phenyl ether' <10 ug/L Pherian6rene': <10 ug/L ..2-Chloronaphthalene <10 uO/ Pyrene <10 ugIL 4-Chlorophenyl phenyl ether <10 ug/L 1,2;4-THchlorobenzene <10 ug/L Chryscne <10 ug/l Dibeh7o(a,'h)anthhwir a <10 ug/L; p-chlonrm-cresol <10 ug/t. 1,2-Dichlorobenzene -<10 ug/L 2-Chlorophenol <10 ug/L 1,3-Dichlorobenzene <10,uj/L 2;4-Dichloiophenol, <10 ug/L 1,4-Dichlorobenzcnc <10 ugIL 2,4-Di methyl phenol !Cz10 ug/L 3,3'-Dichlorobenzidine <50, ug/L 24-Dinitrophenol <50. ugJL Diethyl phthalate <10;ugL 4,6=Dini'Lro-b cresol <50 ug/L Dimethyl phthalate <10.UgIL. 2-NWophcnol 510' ug/L Di-n=butyl phthalate <10 ug/L '4-Nitrophenol '<50 ug/L 2,4-Dinitrotoluenc <IO,ug/L Pentachlorophenol -<50 ug/L, 216-Dinitrotoluenc <10 4L Phenol <10 deL Di-n-mtyl phthalate <10.-ug/L 2.4,6-Trichlorophenal <10_4L 1,2-Diphenylhydiazine' <10 agll: I hereby certify tHatl have teviewed afid':approve th6se data;. `Laboratory. Representative 642 Talmco Road "'Relds'ifle., NC'27320 ;(3318)-342-4748 Ph,-* (336) 342.1522 Fax W A rF9Q o -c John K. Garner RECEIVED Pt ENR JAN 2 7. 20M ..�ion$atem Regional bfRea January 23, 2009 .Ken Garner Manufacturing —RHO, Inc I..t ,,,1201-B 28th Street .Chattanooga, TN 37404 - Dear -Mr. Garner: Beverly Eaves Perdue, Governor Dee Freeman, Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Division of Water Quality Subject: General Permit No. NCG030000 Ken Gamcr Manufacturing— RHO, Inc COC NCG030578 Forsyth County In accordance with your application for a discharge permit received on December 30 2008, we are forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143- 215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated- October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the '.Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. I This pen -nit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or pen -nits required by the Division of Land Resources, Coastal Area Management Act or any other federal or local govemmental.permit that may be required. If you have any questions concerning this permit, please contact Cory Larsen at telephone number -` (919) 807-6365. . Sincerely, ORIGIN si NED BY for Coleen H. Sullins cc: Winston-Salem Regional Office, Rose Pruitt Central Files Stormwater Permitting Unit Files si + One NCarolina North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 807-6300 Customer Service Internet: www.ncwatemuality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax (919) 807-6494 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer— 100% Recycled130% Post Consumer Paper i STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030578 STORMWATER DISCHARGES r : NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the,North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Ken Garner Manufacturing — RHO, Inc. is hereby authorized to discharge stormwater (and wastewater?) from a facility located at Ken Garner Manufacturing — RHO, Inc 8630 Broad Street Rural Hall Forsyth County to receiving waters designated as Beaver Darn Creek, a class C water in the Yadkin-PeeDee River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective January 23, 2009. This Certificate of Coverage shall�remain in effect for the duration of the General Permit. Signed this 23'd day of January 2009. ORIGINAL SIGNED BY KEN PICKLE for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission NCG030578 I `' Ken Garner Manufacturing - RHO, Inc { Map Scale 1:20,000 Latitude: 360 14' 52" N Longitude: 801 18' 26" W County: Forsyth Receiving Stream: Beaver Dam Creek Stream Class: C Sub -basin: 03-07-04 (Yadkin -Pee Dee River Basin) , Iq I'SE-11 Facility Location W A.TF,gP .. �O r Beverly Eaves Perdue, Governor Dee Freeman, Secretary North Carolina Department of Environment and Natural Resources January 23, 2009 John K. Garner Ken Garner Manufacturing — RHO, Inc :,.1201-13 28`h Street ,.Chattanooga, TN 37404 Coleen H. Sullins, Director Division of Water Quality Subject: General Permit No. NCG030000 Ken Gamer Manufacturing — RHO, Inc COC NCG030578 Forsyth County -•v.. rDear-Mr. Gamer: In accordance with your application for a discharge permit received on December 30 2008, we are forwarding herewith the subject certificate of coverage to discharge under the subject state -- NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143- 215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the ';-''.Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other federal or local governmental permit that may be required. If you have any questions concerning this permit, please contact Cory Larsen at telephone number a ' (919) 807-6365, Sincerely, ORIGINAL SIGNED BY KEN PICKLE for Coleen H. Sullins ' cc: Winston-Salem Regional Office, Rose Pruitt Central Files Stormwater Permitting Unit Files +i ` ' • ' t Carolina IfIYl�i'If North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 807-6300 Customer Service lntemet: www.ncwaterquality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax (919) 807-6494 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer —100% Recycledl30% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO, NCG030000 CERTIFICATE OF COVERAGE No. NCG030578 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, 1 Ken Garner Manufacturing — RHO, Inc. is hereby authorized to discharge stormwater (and wastewater?) from a facility located at Ken Garner Manufacturing — RHO, Inc 8630 Broad Street Rural Hall Forsyth County to receiving waters designated as Beaver Dam Creek, a class C water in the Yadkin-PeeDee River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1, II1, IV, V, and VI of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective January 23, 2009. This Certificate of Coverage shall'remain in effect for the duration of the General Permit. Signed this 23'd day of January 2009. ORIGM L SIGNED BY KEN PICKLE for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission NCG030578 I [ Ken Garner Manufacturing - RHO, Inc I Map Scale 1:20,000 Latitude: 360 14' 52" N Longitude: 801 18' 26" W County: Forsyth Receiving Stream: Beaver Dam Creek Stream Class: C Sub -basin: 03-07-04 (Yadkin -Pee Dee River Basin) Facility Location Re: NCG030578 Ken Garner Mfg. Subject: Re: NCG030578 Ken Garner Mfg. From: Rose Pruitt <Rose.Pruitt@ncmail.net> Date: Wed, 21 Jan 2009 13:40:26 -0500 To: Cory Larsen <Cory.Larsen@ncmail.net> ok to issue : ' -Rose Pruitt NCDENR-DWQ Winston-Salem Regi=o al Office Division of Water Quality, Surface Water Protection 585 Waughtown Street Winston-Salem, NC 27107 voice: (336) 771-5000 FAX: (336) 771-4630 •' ri Y _ . On 1/21/2009 1:17 PM, Cory Larsen wrote: Rose, Per your memo on 12/30/08, KGM-RHO facility has applied for a stormwater permit. I've attached their NOI and map for the permit. Should I go ahead and issue? Cory Larsen Environmental Engineer NCDENR I DWQ I Stormwater Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 512 N. Salisbury St, Raleigh, NC 27604 Phone: (919) 607--6365 Fax: (919) 807-6494 i l of 1": 1/21/2009 3:27 PM MEMO Division of Water Quality Winston-Salem Regional Office December 30, 2008 Memorandum to: Bradley Bennett, Stormwater Permitting Unit (Sarah Young) Through: Steve W. Tedder WSRO Water Q iSupervisor From: Rose Pruitt Environmental Specialist Subject: Ken Garner Mfg: NCGNE0521 No Exposure Certification Forsyth County Not OK to issue No Exposure Certification. Site inspection 11/19/2008. Robert Dickenson will contact Regional office when decision is made by management about necessary changes to qualify for NE or apply for SW permit in 30 days. *Update 12/30/2008; Company is submitting N01 for NCG030000 and will reapply for NE Certification at a later date when they can bring their facility into compliance. i D ---� D JA N z 3 200g DFNR _ winds 8 1RvaEe Af ---�r►ch MEMO ivision of Water Quality W' ston-Salem Regional Office December 30, 2008 Memorandum to: Bradlev Bennett, Stormwater Permitting Unit (Sarah Young) Through: Steve W. Tedder WSRO Water Q y Supervisor From: Rose Pruitt Environmental Specialist Subject: Ken Garner Mfg: NCGNE0521 No Exposure Certification Forsyth County Not OK to issue No Exposure Certification. Site inspection 11/19/2008. Robert Dickenson will contact Regional office when decision is made by management about necessary changes to qualify for NE or apply for SW permit in 30 days. *Update 12/30/2008; Company is submitting NOT for NCG030000 and will reapply for NE Certification at a later date when they can bring their facility into compliance. LF-KWAYru �{� s' A' A. NCDENRNational ,,.n..� Dt�75inn 0i Water QUtll1I1' f Surface Water Protection Section PollutanL Discharge Elimination System. NCG030000 FUR AGE%CY USE ONLY �` NaxA m. o z d car=az=a c .�R t A—lil - r;,c.„ NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG0300= STORMWATER DISCHARGES associated with activities classified as: SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of No 16� SIC 339E Metal Heat Treating 0 SIC 34 Fabricated Metal Products � r—� -i SIC 35 Industrial and Commeroial Machinery DEC 3 0 7008 SIC 36 Electronic and Other Electrical Equipment SIC 37 Transportation Equipment SIC 39 Measuring,Anal in and Controlling Instruments IEI+IL - 1VAiEq W irz 9• 9 wNcra, a stormwAr &.r,d, For questions, please contact the DWO Regional Office for your area. See page 4. (Please print or type) 1) Mailing address of ownerloperator (address to which all Permit correspondence will be mailed): Name xAli7AriN$� MA�lu1=.w'nlfL1N/� _ y�i{C iNe�. Street Address -0 L - 2Y7aa <T City C 014 State -y�ry ZIP Code 3-140 Li Telephone No. 4L3 r;12 6Zoa Fax: 423 694 L�4,3_____- 2) Location of facility producing discharge: Facility Name KeH Gwa _tJV r -/- - tz Facility Contact Street Address City State _CJ_r ZiP Code S County Fogs yYI-1 Telephone No. 3-_ ,_9_{z�o4 t b Fax: _36 D t Email �so/V P vC6r141 M?4FC-. Corp 3) Physical Location Information: �9y .J6AR&eM cs K &A RA, 1L AtP ►, cost Please provide a narrative description of how to get to tha facility (use street names, state road numbers, and distance and direction from a roadway intersection). 3RoAJ sr (9t6 t ) Ale0.7N _ M2 tj r (A copy of a wunty map er USGS quad sneer with the facility cloarly gca:ed must tw subm,ned with Ibis applicamnj 4) Latitude,6 �14 5� Longitude $oILE 2- 6 r�W (deg, min, sec) So - 501z Page 1 of 4 SW U-219-07140 Las: revised 711 alp$ NCO030000 N.O.I. 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin �4 Existing 6) Standard Industrial Classification: Provide the 4-digit Standard 4ndusirial Classification Code (SIC Code) that describes the primary industrial activity at this facility. ^� SIC Codei _3_� yt_ 7) Provide a brief narrative description of the types of Industrlal activities and products manufactured at this facility: Ae4 it u i�11lE"N7a J 4 Al 14 AbM P& I w'n (r . iMil t;.y � Ii� U L� Ae- e GOV i A �l F»A l�-"L�1B�'�^J�.1L F�c.RVRTbrte i A�aBrLE r_A&M ,S B) Discharge points! Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? What is the name of the body or bodies of water (creek, stream, river, lake, eta) that the facility stormwater discharges end up in? trNjgAn. a. TALL SM&eAm y '94j3 __f gaO! Receiving water classification: ./ FLERvl�li 7J,aM L Is this a 303(d) listed stream"?. rLo .,.Be T DL been approved for this watershed? If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). fvI A 9) Does this facility have any other NPDES permits? 19 No Cl Yes If yes. list the permit numbers for all current NPDES permits [or this facility: 10) Does this facility have any Non -Discharge permits (ex: recycle permit)? & No Cl Yes If yes, list the permit numbers for all current Nor -Discharge permits for this facility: w _ 11) Does this facility employ any best management practices for stormwater control? ❑ No 119 Yes {Show any structural BMPs on the site dlagram.) It yes, please briefly describe: _ ' 1 3 raJi1fZ t rJ Co v �ti - Q vTf_#_1Z4' Evil ptva}: - - 12) Does this facility have a Stormwater Pollution Prevention Plan? $( No ❑ Yes II yes, when was it implemented? N De -A c2ofMF+✓f Ftlti Apg 13) Are vehicle maintenance activities occurring at this facility? 10'No ❑ Yes 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ND ❑ Yes Page 2 of a SW U-21 "71408 Last revised 7114r08 NCGO30000 N.O.E. b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of hazardous waste? No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? 9, No ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? J. No ❑ Yes if yes, include information to demonstrate protection from flooding. e) If you answered yes to questions b. or C. please provide the following information: Type(s) of waste: How is material stored: Where is material stared: How many disposal shipments per year: Name of transport 1 disposal vendor: Vendor address: 15) Certification: North Carolina General Statute 143-215.6E (1) provides that: Any person who knowingly makes any false statement, representation, or certification in any application• rewrd, report, plan. or other document filed or required to be maintained under INS Article w a rule implementing this Article: or who knowingly makes a false statement of a material tact in a rulenaking proceeding or Corcested case under this Article; or wtw falsifies, tampers with, or knowingly renders inaccurate any recording at momtor l device or method required to be operated or maintained under this Article or rulas or the Canal slop implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine nol to exceed ten theueand dollars ($ I0,000). I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will consulate the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained }n this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: .1 b W JIJ k .%1RNtLX_ Title: Pr;tEs,iPe—T-__-- Kb•M-r�-r-�n�4[i - - y1-19-oE {Sign of Appficant) (Date Signed) This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to: NCDENA Page 3 of 4 SW U-21"71408 Last revised 7114108 NCG030000 N.O.I. Final Checklist This application will be returned as incomplete unless all of the following items have been included: Check for $100 made payable to NCOENR. {l This completed appEcation and all supportirg documents. j� A site diagram showing, at a minimum. (existing or proposed): (a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where malerials are stored, (f) impervious areas, (g) site property lines. I Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map Mail the entire package to: Stormwater Permitting Un't Divisicn cf Wafer Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee coverage under the General Permit. For questions, please contact the DWO Regional Office for your area. DWO Re final Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (Si 0) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Otliee ,,.... .. (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-63300 Page 4 of 4 SWU-218-07140e last revisad 7114M :dew pent SgSrI r !r � I f; y\ r i s\ 1� ' r � i w ' 3 EDL. 2 f e f i &lw. YEN6AFNERMFG.00. KEN GRRNER MFG. CO. ftVAL HALL. 1MTH CAROUNA G.r. nrat• ROI9IY LSL•F5�0..NlTE1Y ri R Px W L .00N nON f. ktn _ ------ •—-- '""" nL a s 0312t6 0312 6-1 0 NCG03O578 N WP f F, S Map Scale.1:20,000 Ken Garner Manufacturing - RHO, Inc Latitude: 361 14' S2" N Longitude: 80° 18' 2b" W County: Forsyth Receiving Stream: Beaver Dam Creek Stream Class: C Sub -basin: 03-07-04 (Yadkin -Pee Dee River Basin) Re: INCG030578 Ken Garner Mfg. Subject: Re: NCG030578 Ken Garner Mfg. From: Rose Pruitt <Rose.Pruitt@ncmail.net> Date: Wed, 21 Jan 2009 13:40:26 -0500 To: Cory Larsen <Cory.Larsen@ncmai1.net> A to issue Rose Pruitt NCDENR-DWQ Winston-Salem Regional Office Division of Water Quality, Surface water Protection 585 Waughtown Street Winston-Salem, NC 27107 Voice: (336) 771-5000 FAX: (336) 771-4630 On 1/21/2009 1:17 PM, Cory Larsen wrote: Rose, Per your memo on 12/30/08, KGM-RHO facility has applied for a stormwater permit. I've attached their NOI and map for the permit. Should I go ahead and issue? Cory Larsen Environmental Engineer NCDENR ) DWQ I Stormwater Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 512 N. Salisbury St, Raleigh, NC 27604 Phone: (919) 807-6365 Fax: (919) 807-6494 1 of 1 1/21/2009 1:42 PM I Permit: NCG030578 SOC: County: Forsyth Region: Winston-Salem Compliance Inspection Report Effective: 01/23/09 Expiration: 10/31/12 Owner: Ken Garner Manufacturing Rho Inc Effective: Expiration: Facility: Ken Garner Manufacturing RHO, Inc. 8630 Broad St Contact Person: Danny MCCullough Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 12122/2008 Primary Inspector: Rose Pruitt Secondary Inspector(s): Title: Entry Time: 02:30 PM Rural Hall NC 27045 Phone: 336-969-0416 Certification: Exit Time: 02:35 PM Phone: Phone: 336-771-5000 Reason for Inspection: Routine Inspection Type: -Compliance Evaluation Permit Inspection Type: Metal Fabrication Stormwater Discharge COC Facility Status: ❑ Compliant ❑ Not Compliant Question Areas: E.Other (See attachment summary) Page: 1 V Permit: NCGO30578 Owner - Facility: Ken Garner Manufacturing Rho Inc Inspection Date: 12/22/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Original application for NCGNE0521 04/25/2008. After visiting facility 11/19/2008 it was determined facility did not qualify for no exposure because they store raw materials, steel shells, shelves outside without protection. Housekeeping issues; scrap metal in gravel, concrete/slag waste dumped along back drive, erosion issues, open trash and scrap metal bins. Management will deal with these issues and possibly reapply for no exposure at a later date. Other Comment: Yes Nn NA NE Page: 2 ® Division of Water Quality n Division of Soil and Water Conservation ❑ Other Agency Facility Number : Facility Status: Proposed Permit: NCGNE0521 ❑ Denied Access Inspection Type: Compliance Evaluation Inactive or Closed Date: Reason for Visit: Routine County: Forsyth Region: Winston-,5alern Date of Visit: 11/1912008 Entry Time: 02:3Q_AM Exit Time: 10:30 AM Incident #: Farm Name: Ken Garner Manufacturing RHO, Inc. Owner Email: Owner: Ken Garner Manufacturing Rho Inc Phone: 423-698-6200 Mailing Address: 1201 - B E 2$th St Chattanooga TN 37404 Physical Address: 8630Broad St _ Rural Hall NC 27045 Facility Status: n Compliant Not Compliant Integrator: Location of Farm: Latitude: Longitude: Question Areas: Certified Operator: Secondary OIC(s): Operator Certification Number: On -Site Representative(s): Name Title Phone 24 hour contact name Dickerson Robert Phone: Primary Inspector: Rose Pruitt Phone: Inspector Signature: Date: Secondary Inspector(s): Inspection Summary: Met Robert Dickerson at site. Not qualified for No Exposure at this time because raw materials (steel shells,shelves etc) stored outside, housekeeping issues ( scrap metal in gravel areas, concretelslag waste dumped along back drive, erosion issues along back drive), open trash and scrap metal bins. Mr Dickerson will discuss potential changes with management and make decision to clean up site Poor NE cert or apply for SW permit within 30 days. Page: 1 Map of 8630 Broad 5t Rural Hall, NC by MapQuest http://www,mapquest,comhnaps?cit}rRural+Hal l&state=NC&addres... M A Q n printing directlyfromthe browser your directions I P U —PMti o,Sorhrl or trap rrey not print corny. ctty. For best results, try clicking the ; EST IA` t Prirder-Friendty button. 8630 Broad Rural Hafl, NC 27 27045-9458 Sponsored Links Sponsored Links Kurtz & Blum PLLC Marti Hampton -CPS, a -Pro Marti Hampton -ORS, a -Pro Workers Comp -Attorney Trial Lawyers. To buy or sell your dream To buy or sell your dream Scott Caliger, Mike We Can Help! home in home in Schlosser —)(.r=ndelum.com Cary you need to Talk to Cary you need to Talk to Free Consultation! (336) Marti! Martil 292-4076 wxx rmrtiharrpton.mm +wev-r Uharrpton-cam yeenshoroheryer net AY rights reserved. LJse subject tc Lace"wJCopydgM Map Legend Directions and maps are lydome u-tal only. We make no warrantes on the accuracy of their con'darit road conditions or route usabiiy or e)peditiousness, You assume all risk of use. MlapQtiest and its suppliers shall not be liable to you for any loss or delay resubng from your use of MapQuest Your use of MapQuest means you agree to our Terms of Use �v3 �-3rd—'a3-Drr�l l of �/ V 30 kA7 sw � N("�/ 10/8/2008 10:08 A-14A Af_ WS Pa JS j' �o NCDENR Now U.wo _ ocrwrr. _ or Ei+.nAouy —D N� RE5M-C s Division of Water Quality / Surface Water Protection National Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion NCGNE0000 FOR AGENCY USE ONLy Date Received Year Month Day U Certificate of Coverage i NO EXPOSURE CERTIFICATION o National Pollutant Discharge Elimination System application for exclusion from aSt rmw t ermi based on NO EXPOSURE: �0 9 Submission of this No Exposure Certification constitutes notice that your facility does not r d , pem�it authorization for its storm water discharges associated with industrial activity in the State of !� Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an ind1 facility means all industrial materials and activities are protected by a storm resistant shelter (wit. e exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. - Cl% Industrial materials or activities include, but are not limited to: material handling equipment or activws, industrial machinery, raw materials, intermediate products, by-products, final products, or waste ` products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained vehicles used in material handling; and final products, other than products that would be mobilized in stormwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). You are required to reapply for the No Exposure Exclusion once eve[y five (5) ears. For questions, please contact the DWO Regional Office for your area. (See page 5) (Please print or type) 1) Mailing address of owner/operator Name G-I%,rrLQ,,rM�nvi�', ��jld ;� r,�i� Vc�►` etc Street Address P, C._ 2-1& ; k-1_ !G 7__ City Ghit A!Z!6yti-C, State T'N ZIP Code '3i44:=wl 14 Telephone No. !&I_ %cf g, - EZo tit Fax: - Z 3 CGS - 0 2 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. l=y E20 tA2, jl State NC ZIP Code z2c> MS: Fax: Page 1 of 5 SWU-NE-110607 Last revised 11/06/07 NCGNE0000 No Exposure Certification g. Materials -contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) j. Application or disposal of process wastewater (unless otherwise permitted) k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow I. Empty containers that previously contained materials that are not properly stored (i.e., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers stored outside, has the facility had any releases in the past three (3) years? ❑Yes r No ❑ Yes 9 No ❑ Yes No ❑ Yes K No ❑ Yes No ❑ Yes] No El Yes '1�No 13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or AYes ❑ No deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any Yes ❑ No cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Is secondary containment provided for single above ground storage containers Yes ❑ No (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored Yes ❑ No in close proximity to each other with a combined capacity of more than 1,320- gallons? c. Is secondary containment provided for any amount of Title III Section 313 tkYes ❑ No Superfund Amendments and Reauthorization Act (SARA) water priority chemicals? d. Is secondary containment provided for amount of hazardous substances? iA Yes ❑ No e. Are release valves on all secondary containment structures locked? Yes ❑ No Page 3 of 5 SWU-NE-110607 Last revised 11/06/07 NGGNE0000 No Exposure Certification 3) Physical location information: Please provide a narrative description of how to get to the facility'(use "street names, state road numbers, and distance and direction from a roadway intersection). o 6 G rr, zc0 St + k. n . In 7, i l',-tz RLe, (A copy of a map with the facility clearly located on its ould be included w6 the certification application.) 4) is the facility located on Native American Lands? ❑ Yes L�' No 5) Is this a Federal facility? ❑ Yes �iQ No 6) Latitude SC - 2-4 c n-7 Longitude ia.. 3 S (deg, min, sec) 7) This NPDES Permit Application applies to which of the following: Q New or Proposed Facility Date operation is to begin 5 Z1`iD ❑ Existing Date operation began 8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes XNo If yes, what is the NPDES Permit Number?_� 9) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 3 5- 3 10) Provide a brief description of the types of industrial activities and products produced at this facility: 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? A No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Exposure Checklists (12. - 14.) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where residuals from using, storing or cleaning industrial machinery or equipment remain and are exposed to stormwater b. Materials or residuals on the ground or in stormwater inlets from spills/leaks c. Materials or products from past industrial activity d. Material handling equipment (except adequately maintained vehicles) e. Materials or products during loading/unloading or transporting activities f. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where exposure to stormwater does not result in the discharge of pollutants) ❑ Yes )�O No ❑ Yes X No ❑ Yes $( No ❑ Yes No ❑ Yes iNo ❑ Yes PNo Page 2 of 5 SWU-NE-110607 Last revised 11/06/07 NCGNE0000 No Exposure Certification 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes P�,No b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes $0 No generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste ❑ Yes JKNo generated per month) of hazardous waste? It you answered yes to questions b. or c., please provide the following information: Type(s) of waste: How is material stored:_ Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor: Vendor address: 16) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina Division of Water Quality and, if requested, to the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Water Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. In the event that the site no longer qualifies for a No Exposure Exclusion, i understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, 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 gathered and evaluated 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 fine and imprisonment for knowing violations. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: JCif N G7Ag'z_ J Title:R,�,.r� Applicant) (Date Signed) Page 4 of 5 SWU-NE-110607 Last revised 11/06/07 lis '02 Lill i.lhl' I'LA - 4 mb' il )rmwater Pollution Prevention Plan Yes No NA NE ),� the site have a Storn-mater Pollution Prevention Plan? Does the Plan include a General Location (USGS) map? -* IC.pQ�) 6LU �Swet:�p � Does the Plan include a �Narrativa Description of Practices ? Does the Plan include a detailed site map including outfall locations and drainage areas? D the Plan include a list of significant spills occurring during the part 3 years? Has the facility evaluated feasible aftematives to current practices? Does the facility provide all necessary secondary containment? Does the Plan include a BMP sunvnary? Does the Plan include a Spill Prevention and response Plan (SPRP)? Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? Does- the facility provide and docun'r-ant Employee Training'?� UV WkOA OWpPP Doe; the Plan include a list of Respor► ble Pary(s)? Is the Plan reviewed and updated annually? Does the Plan include a Stornrirater Facility Inspection Program? as the Stomwrater Pollution Prevention Plan been implerrented? omment �b\,wd s L@ IC�axn-&r rnt-� . C-om ,alitative Monitoring, as the facility conducted its Quafitative Monitoring ;�en*-amuaily? omment; alytical Monitoring the facility conducted its Analytical monitoring? Has the facility conducted its Analytical monitoring from Vehicle Maintenance are, ? omment= rmit and Outfalls Is a copy of the Permit and tha Certificate of Coverage available at the site? Were all ou#falls observed during the inspection? If the facility has representatne outfall status, iv it properly documented by the Division? Has the facility evaluated all illicit (non stommater) discharges? - ■ ■ ■ Yes No NA NE d ❑ ❑ ❑ Yes No HA N E K ❑ ❑ ❑ ❑ ❑ 0 ❑ Yes No NA NE HO,*r ruii. 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