NCG030227_MONITORING INFO_20191231

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& Oo aa-1
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ / a
YYYYMMDD

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 122012019
CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7
FACILITY NAME Coming Optical Communications, LLC
COUNTY rorsytn
PERSON COLLECTING SAMPLES
LABORATORY TestAmerica Laboratories, Inc. Lab Cert. fJ 434
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or dlonthly' November I'm nth)
PT� DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
R
CECEl,/}-lJ ❑Zero -flow ❑Water Supply ❑SA
DEC 31 2019 ❑other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑■ No discharge this periodj2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018

FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the
case of "No Discharge" reports/ to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awargth9t there are significant pValties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permittee
Permit Date: 11/1/2018-05/31/2021
ZL !9"Z2
Date
SWU-245, last revised 11/1/2018
Page 3 of 3

h
Communications
CORNING
3180 Centtrrelical Park Boulevard
f336.771.8050
Winston-Salem, NC 27107 USA
w .coming.com
RECEIVED
DEC 2 0 2019
Dec 13, 2019 CENTRAL FILES
DWR SECTIOPI
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Stormwater Discharge Monitoring Report
I Certificate of Coverage No. NCG030227
j Dear Sir/Madam:
I'
The Corning Optical Communications, LLC facility located at 3180 Centre Park Blvd.,
Winston Salem, NC currently operates under General Permit No. NCG030000, as
evidenced by Certificate of Coverage No. NCG030227. Additional stormwater samples
were taken and analyzed from the facility and these 'results are included in addition to
Outfall I and 2. Results from the facility's October 2019 stormwater sampling event have
been included in the attached DMR reports.
If you have any questions, do not hesitate to contact me at [phone].
Sincerely,
Brian Witz
WCP Plant Manager
Corning Optical Communications, LLC
Corning Restricted

Stormwater-Discharge-Monitoring-Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit
CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7
FACILITY NAME Coming Optical Communications, LLC
COUNTY Forsyth
PERSON COLLECTING SAMPLES
LABORATORY TestAmerica Laboratories, Inc.
Date submitted 12/13/2019
Lab Cert. # 434
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
No. NCG030000
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Ekonthly' November (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this periodj2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
pH,
Standard units
Total Copper
Total lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
1
10/30/2019
1.58
1 4.2
6.5
0.0026
<0.001
0.030
<3.8
N/A
1 (lab filtered)
10/30/2019
1.58
6.5
<0.002
<0.001
0.030
N/A
2
10/30/2019
1.58
6.1
7.0
0.0022
<0.001
0.058
<3.8
N/A
2 (lab filtered)
10/30/2019
1.58
7.0
<0.002
<0.001
0.022
N/A
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
\ Mail an original coov of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
/Z-/Z-/tp
Date
SWU-245, last revised 11/1/2018
Page 3 of 3

Client Sample Results
Client: Corning Optical Communications LLC Job ID: 180-98114-1
Project/Site: Corning OpticalStormwater, Winston Salem
Client Sample ID: OF-1 Lab Sample ID: 180-98114-1
Date Collected: 10/30/19 16:05 Matrix: Water
Date Received: 11/01/19 09:00
Method: EPA 200.8 Rev 5 - Metals (ICP/MS) - Total Recoverable
)
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
oil Fac
Copper
2.6
2.0
0.99
ug/L
11/0611909:39
1110811919:56
1 '
Lead
0.34 J
1.0
0.16
ug/L
11/0611909:39
11/08/1919:56
1
zinc
30
5.0
2.2
ug/L
1110611909:39
11/08/1919:56
1
IrGeneral Chemistry
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
oil Fac
HEM
ND
3.8
1.3
mg/L
11/14/1909:56
11/14/1909:56
1
SGT-HEM
ND
3.8
1.3
mg/L
11/14/1909:56 11/14/1909:56
1
Total Suspended Solids
11
4.2
0.50
0.50
mg/L
11/02/19 08:36
1
Analyte
Result Qualifier
RL
RL
Unit
D Prepared Analyzed
oil Fac
DH
6.5 HF
0.1
0.1
SU
11114/1917:37
1
Client Sample ID: OF-2
Lab Sample ID: 180-98114-2
Date Collected: 10/30/19 16:10
Matrix:
Water
Date Received: 11/01/19 09:00
Method: EPA 200.8 Rev 5 - Metals
(ICP/MS) - Total Recoverable
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
Dil Fac
Copper
2.2
2.0
0.99
ug/L
11/0611909:39
11/0811920:09
1
Lead
0.67 J
1.0
0.16
ug/L
11/06/19 09:39
11/08/19 20:09
1
Zinc
58
5.0
2.2
ug/L
11/06/19 09:39
11 /08/19 20:09
1
General Chemistry
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
oil Fac
HEM
ND
3.8
1.3
m9/L
11/14/1909:56
11/14/1909:56
1
SGT-HEM
ND
3.8
1.3
mg/L
11/14/1909:56
11/14/1909:56
1
Total Suspended Solids
6.1
0.50
0.50
mg/L
11/02/19 08:36
1
Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dil Fac
DH 7.0 HF 0.1 0.1 SU 11/14/1917:39 t
Eurofins TestAmerica, Pittsburgh
Page 9 of 19 11/18/2019

Client Sample Results
Client: Corning Optical Communications LLC
Job ID: 180-98109-1
Project/Site: Corning OpticalStormwater, Winston Salem
Client Sample ID: OF-1L
Lab Sample ID: 180-98109-1
Date Collected: 10/30/19 16:05
Matrix: Water
Date Received:11/01/19 09:00
Method: EPA 200.8 Rev 5 - Metals (ICP/MS) - Dissolved
i
Analyte Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed oil Fac
,
Copper 1.1 J
2.0
0.99
ug/L
11/06/19 19:14
11/14/19 02:50 1
Lead NO
1.0
0.16
u9/1-
11106/1919,14
11/14/1902:50 1
Zinc 30
5.0
2.2
ug/L
11106/1919:14
11/14/1902:50 1
Client Sample ID: OF-21-
Lab Sample ID: 180-98109-2
Date Collected: 10/30/19 16:10
Matrix: Water
Date Received: 11/01/19 09:00
Method: EPA 200.8 Rev 5 - Metals (ICP/MS) - Dissolved
Analyte Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed oil Fac
Copper NO
2.0
0.99
u/L
g
11/O6/19 19:14
11/14/19 02:55 1
Lead NO
1.0
0.16
ug/L
11/06/1919:14
11/14/19 02:55 1
Zinc 22
5.0
2.2
ug/L
11/06/1919:14
11/14/1902:55 1
Collected: 10/30/19 16:17
Received: 11/01/19 09:00
Lab sample ID: 1t3D-9s1u9-3
Matrix: Water
Method: EPA 200.8 Rev 5 - Metals (ICP/MS) - Dissolved
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
Oil Fac
Copper
NO
2.0
0.99
ug/L
11/06/1919:14
11114/1903:10
1
Lead
NO
1.0
0.16
ug/L
11/06/1919:14
1111411903:10
1
Zinc
37
5.0
2.2
ug/L
11/06119 19:14
11/14/19 03:10
1
Client Sample ID: SD-21-
Lab Sample ID: 180-98109-4
Date Collected: 10/30/19 16:27
Matrix:
Water
Date Received: 11/01/19 09:00
Method: EPA 200.8 Rev 5 - Metals
(ICP/MS) - Dissolved
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
oil Fac
Copper
1.2 J
2.0
0.99
ug/L
11/06/19 19:14
11/14/19 03:15
1
Lead
NO
1.0
0.16
ug/L
11/06/19 1914
11/14/19 03:15
1
Zinc
34
5.0
2.2
ug/L
11106/19 19:14
11/14/19 03:15
1
i
Client Sample ID: DS-1L
Lab Sample ID: 180-98109-5
Date Collected: 10/30/19 16:11
Matrix:
Water
Date Received: 11/01119 09:00
Method:
EPA 200.8 Rev 5 - Metals (ICP/MS) - Dissolved
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
oil Fac
Copper
1.2 J
2.0
0.99
ug/L
11/06/1919:14
11/14/1903:20
1
Lead
NO
1.0
0.16
ug/L
11106/1919:14
11/1411903:20
1
11
Zinc
130
5.0
2.2
ug/L
11/06/19 19:14
11/14/19 03:20
1
Date Collected: 10/30/19 16:22 Matrix: Water
Date Received: 11/01/19 09:00
Method: EPA 200.8 Rev 5 - Metals (ICP/MS) - Dissolved
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac
Copper NO 2.0 0.99 ug/L 11/06/1919:14 11/14/19 33:25 1
Laad NO 1.0 0.16 ug/L 11/0611919:14 11114/1903:25 1
Eurofins TestAmerica, Pittsburgh
Page 11 of 19 11/15/2019

—1
Eurofins TestAmerica, Pittsburgh etlroflns
301 Alpha Drive RIDC Park ._ __ Chain of -Custody. Record-
Pittsburgh.- - -- ------ -- _. �LrGarL-- -
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Client Information
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Colussy. JIII L
.., 3�lFz�iy�U
180-53609-1
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mad
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Pa e 1 of 1
Jamie Jame
Jamie Jeines
J3(O
[e-mail]
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Corning Optical Communications LLC
Analysis Requested
Acores
Due Data Raquealed:
Prenervadon Codes:
3180 Centre Park Blvd
A � HCL n. Hewes.
9- NaOH N - None
City,
TAT Requested hays).
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Special Instructions/Note:
Preservation Cede:;
illIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
180-98109
Chain
of Custody
,,y�U,�
-
Possible Hazard Identification
Sample Disposel (A fee maybe assessed If samples are retained longer than 1 month)
ID Non -Hazard =Flammable Skin Irritant Poison Unknown Radiological
=Return To Client = Disposal 8 Lab Archive For Months
Deliverable Requested: 1, II, 111, IV. Other (specify)
Special Instructions/OC Requirements:
Empty Kit Relinquished by: Date: Time: marroe or G t,m ru
Relrwu�sne
DateRvne:
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Custody Seals Intact:
Custody Seal No.'
Coate, Tempmah uses)°c am otner Remvgs
n yes n No

Eurofins TestAmerica, Pittsburgh
301 Alpha Drive RIDC Park Chain of Custody Record
Pinsburgh, PA 15238
%uepy-L89
eurofins
'e•.tin.;
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Phone: 41l-963-7058 Yax: 411-9b3-[ebb
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Client Information
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Jamie Joines
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Page 7 of 1
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3180 Centre Park Blvd
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Sturmwater, Winston Salem, NC
18019569ovn
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