NCS000347_MONITORING INFO_20180713

-- -- STORMWATER-DIVISION-CODINGTSHEET-_ �
PERMIT NO.
NC5000V1
DOC TYPE
❑ FINAL PERMIT
X`1MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ r�i�a�]�� ___
YYYYMMDD

CPI USA North Carolina LEC
PO Box 1153
331 AIlie Oay Road
Roxboro, NC 27573
T 336-330-4502
July 9, 2018
Capital Power
Corporation
RECEIVED
Division of Water Quality JUL 13 2018
Surface Water Protection Section CENTRAL FILES -
Attention: Central Files DWR SECTION
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 .
Re: Semi-annual Summary DMR- 2018 - Permit No. NCS000347
Enclosed please find the first semi-annual Stormwater Discharge Outfall (SDO) Monitoring
Report as required by permit No. NCS000347 for calendar year 2018. (January 1- June 30th)
Permit No. NCS000347 contains analytical monitoring requirements that apply to stormwater
outfall 001 at the CPI Roxboro site. Please find copies of analytical results from Meritech, Inc.
for samples collected during this reporting period.
The plant continues to take a proactive approach to stormwater pollution prevention by
implementing good housekeeping procedures and enforcing BMP's outlined in the site
Stormwater Pollution Prevention Plan (SWPPP).
Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision 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 the 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 there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Date -7- 9- 19-
Terry Nealy
Plant Manger
CPI USA North Carolina, LLC
Roxboro Facility
Attachment: Semi-annual Stormwater Summary DMR Form (Form 247) and Sample Results from
Meritech, Inc. from samples collected January -June 2018.

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000347 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 -
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: CPI USA North Carolina LLC -Roxboro Plant
PERSON COLLECTING SAMPLE(S) Wright Whitlow
CERTIFIED LABORATORY(S) Meritech, Inc. Lab #: 165
CPI USA North Carolina LLC—Roxboro Plant Lab # 5458
Part A: Specific Monitoring Requirements
COUNTY: Person
PHONE NO. (336)3304452
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
COD
Total
Suspended
Solids (TSS)
Total
Aluminum
Total
Antimony
Total
Arsenic
Total
Beryllium
molddl r
MG
inches
m
m /L
u IL
u
u L
u
#001
3-20-18
NIA
.75
<15
33
2360
0.74
<2
<0.5
#002
3-20-18
NIA
.75
<15
36
2010
0:61
<2
<0.5
Outfall
No.
Date
Sample
Collected
Total
Boron
Total
Cadmium
Total
Chromium
Total
Copper
Total
Lead
Total
Mercury
Total
Nickel
Total
Selemium
molddl r
u
u L
n /L
u IL
u /L
m
u L
u L
#001
3-20-18
<50
0.16
4.93
10.6
3.93
<0.0002
3.00
<2
#002
3-20-18
<50
<0.15
5.18
9.16
3.34
<0.0002
2.25
<2
Outfall
No.
Date
Sample
Collected
Total
Silver
Total
Thallium
Total
Zinc
Sulfate
Oil & Grease
HEM
pH
Field
EPA 1631 Low
Level Mercur
molddl r
u
u /L
u
m
m /L
n L
#001
1 3-20-18
<0.5
<0.5
373
<5
1 <5
1 7.14
21.7
#002
1 3-20-18
<0.5
<0.5
151
<5
1 <5
1 6.86
19.5
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
Form SWU-247, last revised 21212012
Page] of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements
Dat
_Sml
W, llected
. 3
5005�:
�Total.'.F10W;
(&ap li able)
€
= `
To`tal'^'
Rainfall
R
00556'Ootal
r
if a L
{ PP .)
�1:.. '
Nonpolar
&GLTPH n
*.� a
{Metliodi1664
t i
SGT='HEM)i�f iR
00530
'O�[&GToal
Suspended
p5olids
00H400<;:
dpease �Nw
WA
Motor V_ q
OihUsage= y
� aX
; „
dd/ r
mole
,MC'..
pinches ;,
m Il�:-
�:;
m'h
nit'
al
a Imo . ;
STORM EVENT CHARACTERISTICS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): NIA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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
C-Z1-1(�/
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000347
FACILITY NAME; CPI USA North_ Carolina LLC-Roxboro Plant
PERSON COLLECTING SAMPLE(S) Wright Whitlow
CERTIFIED LABORATORY(S) Meritech, Inc. Lab #. 165
CPI USA North Carolina LLC--Roxboro Plant Lab # 5458
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Person
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
COD
Total
Suspended
Solids (TSS)
Total
Aluminum
Total
Antimony
Total
Arsenic
Total
Beryllium
molddl r
MG
inches
m IL
m /L
u /L
a /L
u L
u /L
#001
4-24-18
NIA
.6
<15
58
1180
1.15
<2
<0.5
#002
4-24-18
NIA
.6
<15
66
1410
<0.5
<2
<0.5
#004
4-24-18
NIA
.6
<15
20.5
538
<0.5
<2
<0.5
Outfall
No.
Date
Sample
Collected
Total
Boron
Total
Cadmium
Total
Chromium
Total
Copper
Total
Lead
Total
Mercury
Total
Nickel
Total
Selemium
molddl r
u
u
u
u /L
u
m IL
u L
u L
#001
4-24-18
<50
.23
4.45
12.8
5.21
<0.0002
2.41
<2
#002
4-2448
<50
<0.15
4.85
10.1
3.76
<0.0002
2.11
<2
#004
4-24-18
<50
<0.15
3.06
6.82
0.88
<0.0002
1.43
<2
Outfall
No.
Date
Sample
Collected
Total
Silver
Total
Thallium
Total
Zinc
Sulfate
Oil & Grease
HEM
pH
Field
EPA 1631 Low
Level Mercury
molddl r
u /L
u /L
u
m IL
ma
n /L
#001
4-24-18
<05
<0.5
95
1 10
<5
7.23
1 6.75
#002
4-24-18
<0.5
<0.5
144
<5
<5
7.25
11.2
#004
4-24-18
<0.5
<0.5
143
<5
<5
7.3
4.31
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall '.
Date;; z'<w
:50050" r
'00556
-
.00530
°00400`�,
- -
YNo:
Samples_ a
�Tutak Flow :"
Total
T
OilBi�Grease `Non
-polar .:,-.
A
Totii lam-.`
pH
New:Motor: • =.
"
Collected
" if a kicable
(Pp )
Rainfall "
if a ` 1.
C pp )
`
'O&G/TPH Nx
Suspended
Oil. -:Usage
t
r
;
(Method 1664 i
Solids
44
.:
SGT-HEM),.if
'j
to 1.
b
`
,,. n..
;dtoldd/ r=.
MGM ,.
M:,..
inches
..s,
;m /I:m
unit
'al%mo,,
STORM EVENT CHARACTERISTICS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): NIA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
'1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000347
FACILITY NAME: CPI USA North Carolina LLC--Roxboro Plant
PERSON COLLECTING SAMPLE(S) Wright Whitlow
CERTIFIED LABORATORY(S) Meritech, Inc. Lab #: 165
CPI USA North Carolina LLC--Roxboro Plant Lab # 5458
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Person
PHONE NO. (336)3304452
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
CO_ D
Total
Suspended
Solids (TSS)
Total
Aluminum
Total
Antimony
Total
Arsenic
Total
Beryllium
mo/dd/ r
MG
inches
m IL
m
u IL
u /L
u IL,
a IL
#001
5-17-18
NIA
1.0
<15
142
2260
1.17
<2
<0.5
#002
5-17-18
NIA
1.0
183
181
4590
0.65
<2
<0.5
#004
5-17-18
NIA
1.0
149
18.4
486
<0.5
<2
<0.5
Outfall
No.
Date
Sample
Collected
Total
Boron
Total
Cadmium
Total
Chromium
Total
Copper
Total
Lead
Total
Mercury
Total
Nickel
Total
Selemium
molddl r
u
u
u
u IL
u L
n IL
u L
u L
#001
5-17-18
<50
0.23
6.85
19.6
8.61
<0.0002
3.61
<2
#002
5-17-18
<50
<0.15
15.2
23.3
5.83
<0.0002
6.97
<2
#004
5-17-18
1 <50
<0.15
3.27
9.34
0.59
<0.0002
2.27
<2
Outfall
No.
Date
Sample
Collected
Total
Silver
Total
Thallium
Total
Zinc
Sulfate
Oil & Grease
HEM
pH
ffieldl
EPA 1631 Low
Level Mercur
molddl r
u L
u /L
u
m L
m /L
n 1L.
#001
5-17-18
<0.5
<0.5
800
19
<5
7.2
18.0
#002
5-17-18
<0.5
<0.5
412
18
<5
7.1
16.9
#004
5-17-18
<0.5
<0.5
127
<5
<5
7.1
5.80
Form SWU-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, corplete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
'Outfall:
Date : t.
50850
V556
g00530= '
00400
Sample =Total
Flow
,.
Total.
Oil'&:Grease
Non -polar
Total ;:
pH
Newmotor
Collected
(if:appl cable)
`
Rainfall
(if appl);
°O&G/TPH
Suspended`
Oil Us age
f
(Metfioil?1664
Solids,
SGT=HEM); if
41
appl.
''! -
Imo/ddl r
kM
inches.
m li
mg/1 ° '' `°
unit
alliiio
STORM EVENT CHARACTERISTICS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): N/A (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable -- sec permit.)
Marl Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
o) . ].-
(Signature of Pe ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000347
FACILITY NAME: CPI USA North Carolina LLC--Roxboro Plant
PERSON COLLECTING SAMPLE(S) Wright Whitlow
CERTIFIED LABORATORY(S) Meritech, Inc. Lab #: 165
CPI USA North Carolina LLC-Roxboro Plant Lab # 5458
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall he received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Person
PHONE NO. (3361330-4452
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
COD
Total
Suspended
Solids TSS
Total
Aluminum
Total
Antimony.
Total
Arsenic
Total
Beryllium
moldd/ r
MG
inches
m /L
m IL
u
u /L
u IL
u /L
#001
6-22-18
NIA
.9
<15
65
1800
0.80
<2
<0.5
#002
6-22-18
NIA
.9
25
24.8
906
<0.5
<2
<0.5
#004
6-22-18
NIA
.9
58
4.7
145
<0.5
<2
<0.5
Outfall
No.
Date
Sample
Collected
Total
Boron
Total
Cadmium
Total
Chromium
Total
Copper
Total
Lead
Total
Mercury
Total
Nickel
Total
Selemium
mo/dd/ r
u IL
u L
u L
u
u IL
m IL
u L
u L
#001
6-22-18
<50
0.16
4.87
12.7
2.37
<0.0002
3.88
2.65
#002
6-22-18
<50
<0.15
3.67
8.23
1.72
<0.0002
1.70
3.68
#004
6-22-18
<50
<0.15
2.75
9.79
<0.5
<0.0002
2.34
<2
Outfall
No.
Date
Sample
Collected
Total
Silver
Total
Thallium
Total
Zinc
Sulfate
Oil & Grease
HEM
pH
Field
EPA 1631 Low
Level Mercury
molddl r
u L
u /L
u /L
m L
m IL
n /L
#001
6-22-18
<0.5
<0.5
428
24
<5
7.2
12.9
#002
6-22-18
<0.5
<0.5
80.2
19
<5
7.1
11.3
#004
6-22-18
<0.5
<0.5
109
<5
<5
7.0
5.22
Form SW U-247, last revised 21212012
Page 1 of 2

Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete -Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfal[
Date
_
,50050
"
'U0556 _
-06530
.00400;
6TotalYlow ' ,
Total
Oil&,;Grease
fNbn-polar
Total
pH
New Motor
No:
Sample >
Collected
J( fappiicable)
Rainfall
(ifapli)�` ., .
O&iG/TPH
Suspended' '7OilUge�'
«Solids .
' " A
,:(Method&6:64
GT�HEM), if
.
s.;,
-
_
4 :
3molddl r -
AMC. k Y ' <
$inches
im il�
gym1
unit
allmo
STORM EVENT CHARACTERISTICS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): NIA (only if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

NC Dept of Environmental Quality
Capital Power
CPf USA North Carolina LE_C Corporation
PO Box 1153 FEB 2 2 2018
331 Allie Clay Road
Roxboro, NC 27573
T 335-330-4502 Raleigh Regional Office
February 15, 2018
Division of Water Quality
Surface Water Protection Section
3800 Barrett Drive
Raleigh, North Carolina 27609
Re: Annual 2017 Stormwater Summary Report - Permit No. NCS000347
Enclosed please find the annual Stormwater Discharge Outfall (SDO) Monitoring Report as
required by permit No. NCS000347 for calendar year 2017. The attached Form (SWU 264)
provides analytical monitoring results from stormwater outfall 001 samples collected in 2017.
Samples collected in 2017 indicate that there were some "benchmark" value exceedances that
led to increased sampling frequency, and improved housekeeping measures and runoff control
which were identified in semi-annual report submitted in December 2017. The site Stormwater
Pollution Prevention Plan (SWPPP) was also reviewed and updated in December.
Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision 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 the 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 there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Date all 5118
Frank Hayward -
Plant Manager
CPI USA North Carolina, LLC
Roxboro Facility
Attachment: Annual Stormwater Summary DMR Form (SWU 264) with Sample Results from
2017

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2017
Individual NPDES Permit No. NCS000347 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
n
This monitoring report summary of the calendar year should be kept on File on -site with the facility SPPP.
10
CD
Facility Name: CPI USA North Carolina LLC-Roxboro Plant
a
County: Person
�.
Phone Number: [phone] Total no. of SDOs monitored 1
Outfall No. 001
O p
Is this outfall currently in Tier 2 (monitored monthly)? Yes ® No ❑
�,
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
,.inches
Parameter, units
w
Parameter
N/A
TSS
COD
Total
Aluminum
Total
AntimonyArsenic
Total
Total
Beryllium
Total Baran
Total
Cadmium
Benchmark
100
120
750
90
360
70
N/A
1
Date.Sample
mmlddlyy
inches
mglLMmg
MUglL
ugfL
u9
MMCollected,
4-24-17
.9
17
64
1770
.66
<2
<0.5
<50
<0.15
9-6-17
.7
316
123
5340
.68
<2
<0.5
<50
.31
11-9-17
.7
39
29
1330
.62
<2
<0.5
<50
<0.15
SW U-264-Generic-13 Dec2012

Parameter, units
Parameter
Total
Chromium
Total Copper
Total Lead
Total
Mercury
Total Nickel
Total
Selenium
Total Silver
Total Thallium
Benchmark
1000
7
30
N/A
260
56
1
N/A
Date Sample
,Gollected,. ':
mm/dd/yy
MMMM
uglL
uglL
uglL
ugTL
uglL
4-24-17
5.36
9.7
3.54
<.2
2.86
<2
<0.5
<0.5
9-6-17
11.4
21.2
9.09
5.61
<2
<0.5
<0.5
11-9-17
1
3.6
1 8.83
2.57
<.2
2.04
<2
<0.5
1 <0.5
Parameter, units
_.
e
t
e
Parameter Total Zinc Sulfate HEM Oil & Grease PH (Field) Low Level
Mercury
Benchmark 67 500 30 6-9
`Date Sample uglL mglL mglL nglL
Collected,
m mlddlyy
4-24-17 467 11 <5 6.9 16.1
I 9-6-17 1 1 712 1 15.5 1 <5 1 7.2 1 66.9 1 1 1 1
1 11-9-17 1 1 465 1 31 1 <5 1 7.2 1 21.9 1 1 1 1
SW U-264-Generic-13 Dec2012

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
Date 0
DWQ Regional Office Contact Information:
(Frank Hayward)
For questions, contact your local Regional Office:
SW U-264-Generic-1 Mec2012

ASHE:Vi1LLE REGiONAU OFFICE
FAYETTEVILLt REGIONA0,O.FFI@E
M_ OOItESV�II LEREGIONA_LOEFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
910 433-3300
RAL EIGH.RECIQNAL OFFICE
;WASHINGTON REGIONAL OFFICE
�1'ILMINGTON REG10i1TAh`OFFIGE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTONSALEM REGIONAL OFFICE
CENTRAF'QFFICE`
1617 Mail Service Center
'Toprese" prated
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance
336 771-5000
919 807-6300
NorM Cantina's water_:"
SW U-264-Generic-13Dec2012

Merxtech, Inc.
Environmental Laboratory
Laboratory Certification No.163
Contact: Wright Whitlow
Client: Capital Power
RO. Sox 1153
Roxboro, NC 27573
NC Dept of Environmental Quality
FEB 2 2 2018
Raleigh Regional Office
Report Date: 5/4/2017
Date Sample Rcvd: 4/25/2017
Meritech Work Order # 042517139 Sample: Stormwater Discharge Outfall (SDO) #001-Grab 4/24/17
Paramge�rs Results Analysis Date Reporfing Limit Method
COD
64 mg/L
4/27/17
15 mg/L
EPA 410.4
Total Suspended Solids
17 mg/L
4/27/17
2.5 mg/L
SM 2540 D
Aluminum, total
1,770 ug/L
5/1/17
2 ug/L
EPA 200.8
Antimony, total
0.66 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Arsenic, total
<2 ug/L
5/1/17
2 ug/L
EPA 200.8
Beryllium, total
<0.5 ug/L
5/1/17
5 ug/L
EPA 200.8
Boron, total
<50 ug/L
5/3/17
50 ug/L
EPA 200.8
Cadmium, total
<0.15 ug/L
5/1/17
0.15 ug/L
EPA 200.8
Chromium, total
5.36 ug/L
5/1/17
2 ug/L
EPA 200.8
Copper, total
9.70 ug/L
5/1/17-
2 ug/L
EPA 200.8
Lead, total
3.54 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Mercury, total
<0.0002 mg/L
5/2/17
0.0002 mg/L
EPA 245.1
Nickel, total
2.86 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Selenium, total
<2 ug/L
5/1/17
2 ug/L
EPA 200.8
Silver, total
<0.5 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Sulfate, total
11 mg/L
4/27/17
5 mg/L
SW 846 9038
Thallium, total
<0.5 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Zinc, total
467 ug/L
5/1/17
2 ug/L
EPA 200.8
Oil & Grease (HEM)
<5 mg/L
5/2/17
5 mg/L
EPA 1664A
I hereby certify that I have reviewed and approve these data.
.4 Az�'
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax,[phone]

Chain of Custody Record (COC)
NPDES#: NCS000347
Client: Capital Power Phone: [phone]
M E RITECH INC.
1
Address: PO Box 1153 Fax:
ENVIRONMENTAL LABORATORIES
Roxboro, NC 27573-1153 Email: [e-mail]
642 Tamco Rd. Phone: [phone]
Project:
Reidsville NC 27320 Fax: [phone]
9 P.O.#,
Email: [e-mail]
Attention: Wright Whitlow Turn Around Time*
How would you like your report sent? *RU.- work needs prior approval.
www.meritech-labs.com
Circle a[ I that apply: ai pre rr Fax, ail Std 1od 3= x
,
Sampling Dates & Times
PersonTa Sam le(51 r'
/G,riy" rr vrr%
Lab Use
Sample Location and/or 1D #
Gu�i
Start
End
Comp?
#of
Test(s) Required
on ice?
pH OK?
Date
Time
Date
Time
Grab?
tort.
Yes / No
CI OK?
Stormwater Discharge Outfall
13 Priority Pollutant Metals-A4, As, Be, Cd, Cr,
z'
(SOO) #001
G
1
Cu, Hg, Ni, Pli, Sb, Se, TI, in, (w/HNO3)
G
y
AI
G
1
s
B
G
y
COD
G
Y
TSS
G
Sulfate
G
Oil & drease (w/HCI)
---�
Temperature upon
Method Of
"' Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples
must be done in the field priorto preservation. ""•
Comments: 570R.1 4 �Q � � _
Compositor#
Jug #
Shipment:
[D UPS
Fed Ex
Are then esults fore , atory purposes? Yes No 1
Report results in: LmB/k8 L ..
H Delivery
Relinquished by. Date: m
.; —/ C�
R by:
'Y+.z� y� r -"a
17 Other
ReII is Date: time: y
Received by: Time:
I
ritech Pickup
]inquished by Date: Time:
Receive b: Tl

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Wright Whitlow
Client: Capital Power
P.Q. Box 1153
Roxboro, NC 27573
Meritech Work Order # 090717154
Para ems, tern Results
Report Date: 9/15/2017
Date Sample Rcvd; 9/7/2017
Sample; Stormwater Discharge Outfall (SDO) #001 Grab 9/6/17
AnalySis e Reporting Limit Method
COD
123 mg/L
9/8/17
15 mg/L
EPA 410.4
Total Suspended Solids
316 mg/L
9/11/17
2.5 mg/L
SM Z540 D
Aluminum, total
5,340 ug/L
9/14/17
2 ug/L
EPA 200.8
Antimony, total
0,68 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Arsenic, total
<2 ug/L
9/14/17
2 ug/L
EPA 200.8
Beryllium, total
<0.5 ug/L
9/14/17
5 ug/L
EPA 200.8
Boron, total
<50 ug/L
9/15/17
50 ug/L
EPA 200.8
Cadmium, total
0.31 ug/L
9/14/17
0.15 ug/L
EPA 200.8
Chromium, total
11.4 ug/L
9/14/17
2 ug/L
EPA 200.8
Capper, total
21.2 ug/L
9/14/17
2 ug/L
EPA 200.8
Lead, total
9.09 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Nickel, total
5.61 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Selenium, total
<2.0 ug/L
9/14/17
2 ug/L
EPA 200.8
Silver, total
<0.5 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Sulfate, total
15.5 mg/L
9/11/17
5 mg/L
SW 846 9038
Thallium, total
<0.5 ug/L
9/14/17
0.5 ug/L
EPA 200A
Zinc, total
712 ug/L
9/14/17
2 ug/L
EPA 200.8
Oil & Grease (HEM)
<5 mg/L
9/12/17
5 mg/L
EPA 1664B
r hereby certify that I have reviewed and approve these data. .4, &4r
Laboratory Representative
642 Tanico Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
NPDES#: NCS000347
Client: Oita! Power Phone: [phone]
Address: PO Box 1153 Fax: -
Roxboro, NC 27573-1153 Email: [e-mail]
Project:
P.O.#:
Attention: Wright Whitlow Turn Around Time•
How would you like your report sent? *RUSH work needs prior approval.
Circle all that apply: Email (preferred), Fax, Mail 5td ) 3-5 Dwe 24-49Wrs
M ERITECH INC,
ENVIRONMENTAL LABORATORIES
` 642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.meritech-labs.com
Sample Location and/or ID #
Sampling Dates & Times
Person TakingSarn gnlPrntl:
Lab Use
Start
End
Comp?
Grab?
#of
Cons
Tests) Required
°nlce?
Yes / No
pH OK?
CI 00
Date
Time
Date
Time
Stormwater Discharge Outfall
(SDO) #001
�+
G
1
13 Priority Pollutant Metals-Ag, As, Be, Cd, Cr,
Cu, Ni, Pb, Sb, Se, TI, Zn, (w/HNO3)
G
N
G
1
B
G
CAD
G
TSS
G
Sulfate
G
Oil & Grease (w/HCI)
-•—
Temperature Upon
Receipt:.:.,,
Method of
Shipment.
"" Dechlorination <0.5 ml of Ammonia Cyanide, Phenol and TKN samples
must be done in the field rior to reservation. ***
Comments:
57�
Compositor #
Jug #
Q UPS
Fed Ex
Are these rqsults for regulato urposes? Yes No
Report results in: rng/I. :Wfk,,
0 Hand Delivery
Relinquished by: Time:
!/7
Rece' j_ Z
Other
eritech Pickup
Re,In qu d Time:
Received Date: Time:
Relinquished -by: bate: Time:
Received by lab: Tim

Client:
Attention
NPDES #
MERITECH, INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No, 165
Capital Power
P.O. Box 1153
331 Allie Clay Rd,
Roxboro, NC 27573
Wright Whitlow
NCS000347
Date Sampled
09/06/17
Digested
09/08/17
Analysis
09/15/17
Analyst:
CWL
EPA 1631 Low Level Mercury Analvsis
Meritech ID #
Sample 1D
Result
Renortine Limit
MBLK0728LL
Method Blank
< 0.5 ng/L
0.5 ng/L
M09081724
Field Blank
< 1.0 ng/L
1.0 ng/L
M09081725
Outfall 0001
66.9 ng/L
1.0 ugA[,
I hereby certify that I have reviewed and approve these data.
Labonatory Representativ
642 Tamco Rd - PO Box 27 - Reidsville, NC 27320
[phone] Ph - [phone] Fax
E-Mail: kris,[e-mail]

06
samzs Clain of Custody Record COC
I !
Client: Ga , T [ r
NPDES#: J $ 60Q ,3 �z
Phone: Sip 330 - sue
M E R I T E C H INC.
Address: K3
Fax:
ENVIRONMENTAL LABORATORIES
53/ Zlv
Email: -Owl
R� � 7�
642 Tamco Rd. Phone: [phone]
Project:
Reidsville NC 27320 Fax: [phone]
ROM:
Email: [e-mail]
Flow would you like your Report sent?
www.meritechiabs.com
Circle all that a I :Email referred Fax Mail
EPA 1631
Person Taking Sample (Sign/Print):
Battles
TLll7liit�i
Samp er
T` �- F
In Houses
rCooler
Sampfe Location 1 lD##
Date
Time
Sampling Site Description'{
}j
" i'` s,
x2451 Result yEppt}
{;
r, y
Field Blank
y�xr
�i3
� �
�
//7 �//}
✓Y
/♦♦JJ.1 _
�� W �
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ei.: ,....nji. .i.,
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2x.-� r
�'�-- � 'f
.r3_ =:rF mow...—. .........,
#�
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{
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115f'S!
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raj : E
7f
cvg
nW�r.j',2a7'_5
is`c#{ }tk:3Ft�p}kij$
IN-`iSY
Method of
Comments:
Shipment:
I&ev Aev-e�rz
❑ UPS
❑ Fed Ex
Are these results fpr regulatory gurpq es? Yes No ❑
❑
Relinquished by. Time: �'f
Receiv �� e: ¢ Zr�7e: '
Hand DeliverL
fJ
Reli she by: ' ❑ Time:
Received by Date: Time:
Other
kf
Relinquis d by Date: Time:
Received by Lab: Date: Time:
r/W TJJ
q18117- o4q
RelaaW to Lab Secure Area
Received from Lab Secure Area 0-/-.;?41

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
f
Contact: Wright Whitlow
Client; Capital Power
P.O, Box 1153
Roxboro, NC 27573
Report Hate:
Date Sample Rcvd:
11/17/2017
11/9/2017
Meritech Work Order # 110917124 Sample: Stormwater Discharge Outfali (SDO) #001 Grab
11/9/17
Parameters
Results
Analysis Date
Reporting Limit
Method
COD
29 mg/L
11/10/17
15 mg/L
EPA 410.4
Total Suspended Solids
39 mg/L
11/13/17
2.5 mg/L
SM 2540 D
Aluminum, total
1,330 ug/L
11/15/17
2 ug/L
CPA 200M
Antimony, total
0.62 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Arsenic, total
<2 ug/L
11/15/17
2 ug/L
EPA 200.8
Beryllium, total
<0.5 ug/L
11/15/17
5 ug/L
EPA 200.8
Boron, total
<50 ug/L
11/15/17
50 ug/L
EPA 200.8
Cadmium, total
<0.15 ug/L
11/15/17
0.15 ug/L
EPA 200.8
Chromium, total
3.60 ug/L
11/15/17
2 ug/L
EPA 200.8
Copper, total
R83 ug/L
11/15/17
2 ug/L
EPA 200.8
Lead, total
2.57 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Mercury, total
<0.0002 mg/L
11/14/17
0.0002 mg/L
EPA 245.1
Nickel, total
2.04 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Selenium, total
<2 ug/L
11/15/17
2 ug/L
EPA 200.8
Silver, total
<0.5_ ug/L
11/15/17
0.5 ug/L
EPA 200.8
Sulfate, total
31 mg/L
11/16/17
5 mg/L
SW 346 9038
Thallium, total
<0,5 ug/L
11/15/17"
0.5 ug/L
EPA 200.8
Zinc, total
465 ug/L
11/15/17
2 ug/L
EPA 200.8
Oil & Grease (HEM)
<5 mg/L
11/13/17
5 mg/L
EPA 1664B
I hereby certify that I have reviewed and approve these data. k-
Laboratory Represenr ative
642 Tarnco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

C.
Chain of Custody Record (COC)
NPDES#i': NCS000347
Client: Capital Power Phone: [phone]
Address: PO Box 1153 Fax:
Roxboro, NC 27573-1153 Email: [e-mail]
Project:
P.O.#:
Attention: Wright Whitlow Turn Around Time*
How would you like your report sent? *RUSH work needs prior approval.
Std ID da s) 3 s 24 48 Hrc
Circle all that apply: Email (preferred), Fax, Mail
MERITECH INC.
1
ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
r
WWW.merltech-labs.eom
Sample Location and/or ID #
Sampling Dates &Times
Person Taking Sample
���
'tab Use
+
Start
End
Comp?
Grab.
#of
Cont.
Test(s)kequired
s Onlce? "
Yesu �a
,•�,;,..
pH OK?
'� ClCI OK.
Date
Time
Date
Time
Stormwater Discharge Outfall
(SDO) #001
- /�%
3
G
1
13 Priority Pollutant Metals-Ag, As, life, Cd, Cr,
Cu, Hg, lli, Pb, Sb, Se, TI, Zn, (w/HNO3)
G
Al
G
1
B
G
COD
G
TSS
G
Sulfate
G
Oil & Grease (w/HCI)`'``'
-.Te.Trature Upon
•pe'ReiPtyc .
Method of
Shipment:
**' Dechlorination l<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples
must be done in thefield prior to preservation.
Comments:
AV
Compositor
Jug #
[ U PS
Fed Ex
Are these esults for geg4tory purposes? Yes No
ort res mg/ g/icg ugAL ev
Hand Delivery
Relinquished by: - ' 4 ye: �, Time: P�Ci2�
V�� Jti
Recei� p1 pit=/ e2 i
[ !
Eerit,��Pizcl�up
Relinqu€ Da✓te: Jr l Time: C
[ L J
eceive y: Date: Time:
Relinquished by: Date: Time:
Received b b: e I T€me:�

Client:
Attention
NPDES #
MERITECH, INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No. 165
Capital Power
P.O. Box 1153
331 AIlie Clay Rd.
Roxboro, NC 27573
Wright Whitlow
NCS000347
Date Sampled
1 I109/17
Digested
11/10/17
Analysis
11/14/17
Analyst:
CWL
EPA 1631 Low Level Mercury Analvsis
Meritech ID #
Sample ID
Result
Repgrting Limit
MBLKI 108C
Method Blank
< 0.5 ng/L
0.5 ng/1.
M11101707
Field Blank
t 1.0 ng/L
1.0 ng/L
M11101708
Storm Water
21.9 ug/L
1.0 ng/L
Outfall 001
I hereby certify that I have reviewed and approve these data.
Laboratory Represenia ve
642 Tamco Rd - PO Box 27 - Reidsville, NC 27320
[phone] Ph - [phone] Fax
E-Mail: [e-mail]

&U40+e Chain of Custody`Record COC
�'�
Client: CatI e
NPDES#: (1 S0,J
Id1 � r\i 1 � � INC.
L' ENVIRONMENTAL LABORATORIESLGI
_ 642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.merifechlabs.com EPA 1631
Phone: -
Address:
Fax:
� �' f
//�Z4 Y
� C
Ema11:A1004 Ol�/�1eerr/
t0 %
Project:
P.D.#:
Attention:
How would you like your Report sent?
Circle all that a l : mail referr Fax all
Person Taking Sample(SignrPrint):
-Sample Location I ID#
Date
rme
Sampling Site Description
Bottle
Lot #
Tubing
Lot #
amp
Sler
lCHIDN }
2451 'Result jppt)
In House
Preservatbn
Cooler
`#
Field Blank
D�
13
13
man
3
t
Method ofComments:
Shipment:
❑ UPS
❑ Fed Ex
Are these results f t regulatory p ? Yes N. ❑
❑ Hand Delivery
Relinquished by-. L Daf ` �/ Time: d G 7Z
di
pa
�ci_l�i d
❑ Other
Relinquished by ata: `0-1 (1 (i
( 6
Received by: Date: Time:
k4 UU
Relinquished by Data: Time:
ReveAr by Lab: D te: Time:
_Ifftsed to Lab Secure A Received from Lab Secure Area
rea
0-7ay

CPI USA North Carolina LLC
PO Box 1153
331 Ailie Clay Road
Roxboro, NC 27573
T 336-330-4502
Capital Power
Corporation
C1
June 2, 2017 JUN 0 6 Z017
TRAL FILES
Division of Water Quality DWR SECTION
Surface Water Protection Section
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Semi-annual Summary DMR- 2017 - Permit No. NCS000347
Enclosed please find the first semi-annual Stormwater Discharge Outfall (SDO) Monitoring
Report as required by permit No. NCS000347 for calendar year 2017.
Stormwater Sampling Results (2017)
Permit No. NCS000347 contains analytical monitoring requirements that apply to stormwater
outfall 001 at the CPI Roxboro site. Samples were collected on April 24, 2017 during a
representative storm event. Attached to the DMR please find copies of analytical results from
Meritech, Inc.
According to our permit, these results are to be compared to "benchmark" values in Table 3 of
the permit. The benchmark values are to be used as guidelines for monitoring the effectiveness
of the BMP's that are identified in the SWPPP.
Results were received on May 4, 2017, which indicated 3 of the metals were over the benchmark
value.
Best Management Plan (BMP)
Management team discussion and plan:
1. Have our storm drains cleaned out by "Envirovac".
2. Take grab samples from several different "run-off' spots that feed into "Outfall #001 ",and
have them analyzed: to identify the source of the benchmark exceedance.
• May 9 & 10, 2017: Envirovac was on site and cleaned out our storm drains.
• May 25, 2017: Samples collected from 7 different areas that drain into Stormwater outfall
#001 and sent to Meritech, Inc. for analysis.

Capital Power
Corporation
Cerfification
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision 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 the 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 there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Datey Q o a t ao t�
Frank Hayward
Plant Manger
CPI USA North Carolina, LLC
Roxboro Facility
Attachment: Semi-annual Stormwater Summary DMR Form and Sample Results from April 24, 2017.
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000347
FACILITY NAME: CPI USA North Carolina LLC--Roxboro Plant
PERSON COLLECTING SAMPLE(S) Wright Whitlow
CERTIFIED LABORATORY(S) Meritech Inc. Lab #: 027
CPI USA North Carolina LLC—Roxboro Plant Lab # 5458
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Person
PHONE NO. (336)3304452
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
COD
Total
Suspended
Solids (TSS)
Total
Aluminum
Total
Antimony
Total
Arsenic
Total
Beryllium
moldd/ r
MG
inches
m L
m IL
u /L
u /L
u
u L
#001
04-24-17
NIA
9
64
17
1770
.66
<2
<0.5
Outfall
No.
Date
Sample
Collected
Total
Boron
Total
Cadmium
Total
Chromium
Total
Copper
Total
Lead
Total
Mercury
Total
Nickel
Total
Selemium
mo/ddl r
u
u
u /L
ugZL
u /L
u
u IL
u /L
#001
04-24-17
<50
<0.15
5.36
9.7
3.54
<0.0002
2.86
<2
Outfall
No.
Date
Sample
Collected
Total
Silver
Total
Thallium
Total
Zinc
Sulfate
Oil & Grease
HEM(Field)
p13
moldd/ r
u
u
u L
m L
m
#001
04-24-17
<0.5
<0.5
467
11
<5
6.9
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Form SWU-247, last revised 21212012
Page 1 of 2

Part B: Vehicle Maintenance Activitv Monitorinp_ Requirements
©utfallb
1Di te-*Al
F50050 y
00556
, .
�00530-..
tNo 6C 'Sample
' `
Total Flow
Total ;
=0ilA,Greased
°Non=polar-
Total
pH
New Motor
Collected
(if applicable)
Rainfall
(�faappl )'" ;-
08iGLTPH
Suspendede E
„`; a� ,,
Oil Usage
y
(Method 1664
Solds'u
ry
SGT. HE if
. :., .
a 1.
MG
inches,.
m A..
<�� ;:.
m
.unit
al/,m'6. .; .m.
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
7
(Signature
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Wright Whitlow
Client: Capital Power
P.O. Box 1153
Roxboro, NC 27573
Report Date: 5/4/2017
Date Sample Rcvd: 4/25/2017
Meritech Work Order # 042517139 Sample: Stormwater Discharge Outfall (SDO) #001-Grab 4/24/17
ParametgrN Results AUMY5is Date Repgrling hiWl Method
COD
64 mg/L
4/27/17
15 mg/L
EPA 410.4
Total Suspended Solids
17 mg/L
4/27/17
2.5 mg/L
SM 2540 D
Aluminum, total
1,770 ug/L
5/1/17
2 ug/L
EPA 200.8
Antimony, total
0.66 ug/L
-5/1/17
0.5 ug/L
EPA 200.8
Arsenic, total
<2 ug/L
5/1/17
2 ug/L
EPA 200.8
Beryllium, total
<0.5 ug/L
5/1/17
5 ug/L
EPA 200.8
Boron, total
<50 ug/L
5/3/17
50 ug/L
EPA 200.8
Cadmium, total
<0.15 ug/L
5/1/17
0.15 ug/L
EPA 200.9
Chromium, total
5.36 ug/L
5/1/17
2 ug/L
EPA 200.8
Copper, total
9.70 ug/L
5/1/17
2 ug/L
EPA 200.8
Lead, total
3.54 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Mercury, total
<0,0002 mg/L
5/2/17
0.0002 mg/L
EPA 245.1
Nickel, total
2.86 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Selenium, total
<2 ug/L
5/1./17
2 ug/L
EPA 200.8
Silver, total
<0.5 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Sulfate, total
11 mg/L
4/27/17
5 mg/L
SW 846 9038
Thallium, total
<0.5 ug/L
5/1/17
0.5 ug/L
EPA 200.8
Zinc, total
467 ug/L
5/1/17
2 ug/L
EPA 200.8
Oil & Grease (HEM)
<5 mg/L
5/2/17
5 mg/L
EPA 1664A
I hereby certify that1 have reviewed and approve these data. 'r, hzj�'
Laboratory Representative
642 Tameo Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

v Chain of Custody Record (COC)
NPDES#: NCS000347
Client: Capital Power Phone: [phone]
M ERITECH INC.
1
Address: PO Box 1153 Fax: -..
u. ENVIRONMENTAL LABORATORIES
Roxboro, NC 27573-1153 Email: [e-mail]
r .s 642 Tamco Rd. Phone: [phone]
Project:
Reidsville NC 27320 Fax: [phone]
P.O.#:
Email: [e-mail]
Attention: Vllri&ht V#lhitlow Turn Around Time*
How would you like your report sent? `RUSH work needs prior approval.
www. m e ri e c `.t s. c o m
Circle all that apply: a i pre r Fax, ail s� SB d 3 S 0 z
E Ta�
T
Sampling Dates & imes
PersonTa Sam le(sI r ,, /_v y, �
b Use
Sample Location and/or ID #
Start
End
Comp?
Test(s)
Required
on Ice?
pH OK?
Date
Time
Date
Time
Grab?
Cont.
Yes / No
Cl OK?
Stormwater Discharge Outfall
13 Priority Pollutant Metals-Ag, As, life, did, [r, !
�'
(SDO} #001
G
1
Cu, Hg, Ni, Pb, Sb, Se, TI, Zn, (w/HNO3)
G
AI
G
1
IS
G
COD
G
TSS
G
Sulfate
G
Oil & crease (w/HCI)
---�
Temperature Upon
R
Method Of
*** Dechlorination <0.5 m) of Ammonia, granide, Phenol and TKN samples
must be done In the field prior to preservation. *•*
Comments: s z G� Lt�-001 _
JJUg#
Compositor#
Shipment:
D UPS
Fed Ex
Are thes esults foVe&Watory purposes? Yes W No
Report results in: L i�rmsft L
[5H7a_Rd Delivery
Relinquished by: Date: rn
-Ste/ s 4
R iv by: Dat
51 4 �
Other
Rell is r Date: Time: F
Received by: Time:
lrft�e�ch
'r
linquished by Bale: Time:
Receive b: Ti
Pickup
, � It

0

Ik PotashCorr
Helping Nature Provide
June 2, 2017
Division of Water Quality
Surface Water Protection Section
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Storm Water Discharge Monitoring Report
Bulk Handling Facility Morehead City, N. C.
Permit No. NCO00520
PCS Phosphate Company, Inc. -- Aurora Division
PotashCorp -Aurora
Attached is the Storm Water Discharge Outfall (SDO) Monitoring Report for the Bulk
Handling Facility located in Morehead City, North Carolina for May.
Please do not hesitate to contact me a [phone], if any additional information is
required.
D. Daniel Winstead III
Senior Environmental Engineer
PCS Phosphate
H:1Reports120171MonthlyVf June\NF5�ghblAl A NC USA 27806 T [phone]
PotashCorp. I www.potash[orp.Com

PC: 12-01-013-03-01 (w/attachments)
Jason Broadwell
Mail Original and one copy to:
Division of Water Quality
Surface Water Protection Section
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
H:\Rcports12017\Monthly\flJune1NC Port Stormwater 2017.docx

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/S/0/0/0/5/2/0/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: PCS Phosphate Bulk Handling Facility -Morehead City erminal
County: Carteret Phone No. [phone]
Inspector: Jason Broadwell
Date of Inspection:
5/10/2017
Time of Inspection: 6:00:00 AM
Total Event Precipitation (inches): 0.14
Was this a Representative Storm Event? (See information below) �X Yes No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event
(requirements vary).
--- -----------------------------------------------------------------------------------------------------------------------------------------------------------
A "Representative Storm Event is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at
least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may
contain u� to 10 consecutive hours of no precipitation.
By s sign tore, I certify that this repo is accurate and complete to the best of my knowledge:
. ��n !tn ► o mil' �i� / w �n �ij L/T�
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 100 Structure (pipe, ditch, etc.) Pipe (Sampled at Storm Drain Inlet #103)
Receiving Stream: Newport River
Describe the industrial activities that occur within the outfall drainage area: Bulk handling of phosphate related products
2. Color: Describe the color of the discharge using basic color (red, brown, blue, etc.) and tint (light,
medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine
odor, etc.): None
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is
very cloudy:
I I= 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater
discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the
stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
g, Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant
exposure. These conditions warrant further investigation.
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000520 or
Certificate of Coverage Number: NCG
FACILITY NAME —PCS Phosphate Bulk Handling Facility -Morehead City
PERSON COLLECTING SAMPLE(S) Jason Broadwell
CERTIFIED LABORATORY(S) Environment 1 Lab # 10
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Carteret
"R11111 I is
FAWWWWO.M217-WO
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
--------- - ---------------------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of NEW motor oil per month? yes X no
(If yes, complete Part B)
Part 13- Vehicle Maintenance Activity Monitoring Requirements
..
=
. . . . . . . . . .
......
N ::::::::::::
..... ...
Sam le:::::::::
Tots ..........
..Tote ............
..:ota1..........
- .otal:=:€�=-:<�::ifidtal��=
� tiernica ......
i=toortda::::=:::::=:°
Tem nr:::::::::>::
l9=::
�d ...:=
IT
F
Ts
TKN
D
nc _s::

Permit Number NCS 000582
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Ennis -Flint (High Point facility) COUNTI' Guilford
PERSON COLLECTING SAMPLE(S) Nicholas Murphrey PHONE NO. ( 336 ) 475-6600
CERTIFIED LABORATORY(S) Environmental Science Corp. Lab # 375
Lab #� 1 V
C SIGNATURE OF PERMITTEE OR DESIGNEE
,1(%fIJ 9 6 2017 REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements T
Outfall
No.
Date
Sample
Collected
.50050
00530
00340
00610
00400
Total
Flow if a
Total
Rainfall
Total Susp.
Solid_ s SS
Biochern xy.
Demand SOD
Chemical Oxv.
Demand COD
Ammonia as
Nitr en
PH
mo/dd/yr
MG
inches
m
m
m L
mg/L
SU
benchmark
—
—
—
100
30
120
8.4
6.0 - 8.0
001
05/23/17
—
1.0
22.7
<10
223
1.54
8.1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Xno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400-
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddtvr
MG
inches
m
mun
unit
gallmo
Form SWU-247. Iasi revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 5/23/17
Total Event Precipitation (inches) 1.0
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the poAibility of fings)and,*prisonment for knowing violations."
0
�IIz12O��
(Signature o
ermittee)
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

*ESC ANALYTICAL REPORT mvESC
L•A•B 8•C•I•G•N.C.C•5 May 31, 2017 My
Piedmont Geologic
Sample Delivery Group: L911432
Samples Received: 05/24/2017
Project Number: 1616
I Description: Ennis Flint- High Point
Site: HIGH POINT, NC
Report To: Mr, Pete Dressel j
6003 Chapel Hill Road Suite 145
Raleigh, NC 27607
Entire Report Reviewed By:
Brian Ford
Technical Service Representative
Results Fetale only to the items tested or cabbrated and ate reported its rounded values. Tills test report shall not be
reproduced, except in full, without wrltlen approval of the laboratory. Where applicable, sampling conducted by ESC is
.. performed per guidance provided In laboratory standard operating procedures; 060302, 060303, and 060304.
st
y
A.

TABLE OF CONTENTS ONE LAB. NATIONWIDE,
Cp: Cover Page
Tc: Table of Contents
Ss: Sample Summary
Cn: Case Narrative
Sr: Sample Results
OUTFALL - 001 L911432-01
Qc: Quality Control Summary
Gravimetric Analysis by Method 2540 D-2011
Wet Chemistry by Method 350.1
Wet Chemistry by Method 410.4
Wet Chemistry by Method 5210 B-2011
Gl: Glossary of Terms
AL Accreditations & Locations
Sc: Chain of Custody
1
2
3
2
5
5
6
6
7
8
9
11
12
13
ACCOUNT: PROJECT: SDG: DATE/TIME;
Piedmont Geologic 1616 L911432 05011710:51
PAGE:
2of14

SAMPLE SUMMARY ONE LAB, NATIONWIDE.
Collected by
Collected datc 1time
Receiver) dateltlme
OUTFALL - 001 L911432-01 WW
NlchoiasMurphrcy
05123/1710:00
0512411708:45
Method
Balch
Dilution Preparation
Analysis
Analyst
cNellime
datellime
Gnivimet0c Analysis by Method 2540 D-2011
WG983293
1 05/2611713:29
0512611714:24
EG
Wet Chemishy by Method 350.1
WG983391
1 0513011717:34
0513D11717:34
JER
Wet Chemistry by Method 410A
WG992759
1 05/2411714:00
05/24/1716:36
MZ
Wet Chemistry by Method 5210 B-2011
W0982733
1 OS124/1716:09
0512911710:49
CM
ACCOUNT: PROJECT: SDG; DATE/TIME: PAGE:
Piedmont Geologic 1616 L911432 05131/1710:51 3c,114

CASE NARRATIVE ONE LAB. NATIONWIDE.
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times. All MDL (LOD) and RDL (LOQ)
values reported for environmental samples have been corrected for the dilution factor used in the
analysis. All Method and Batch Quality Control are within established criteria except where addressed
in this case narrative, a non-conformance form or properly qualified within the sample results. By my
digital signature below, I affirm to the best of my knowledge, all problems/anomalies observed by the
laboratory as having the potential to affect the quality of the data have been identified by the
laboratory, and no information or data have been knowingly withheld that would affect the quality of the
data.
A— - " I;; 7r W)
Brian Ford
Technical Service Representative
ACCOUNT; PROJECT: SDG: DATEMME: PAGE:
Piedmont Geologic 1616 L911432 0513111710:51 4 o114

OUTFALL - 001 SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE.
Collected dateltlme, 05/23117 10:0D L911432
Additional Information
Result Units
Cp
Analyte
p1l(On Sile) 8.1 su
FC
GravimetriC Analysis by Method 2540 D-2011
rq
Result Qualifier
RDL
Dilution
Analysis
Batch
Analyte ugll
ug11
dateI.time
�WG983293
FCn]
Suspended Solids 22700
2500
1
05/26/201714:24
_
Wet Chemistry by Method 350.1
Result Qualifier
RDL
Dilution
Analysis
Batch
Analyte ugli
ugll
date! lime
CSC
Ammonia Nitrogen 1540
100
1
05130/201717734
WG983291
7G1
Wet Chemistry by Method 410.4
Result Qualifier
RDL
Dilution
Analysis
Batch
aAl
Analyte ug11
ugll
dale I time
COD 223000
10000
1
05124/201716:36
WG982759
BSc
Wet Chemistry by Method 5210 B-2011
Result Qualifier
RDL
Dilution
Analysis
Batch
Analyte ugll
-
dyll
-1
date 1 time
�WG982733- -_
BOD N0
10000
051291201710:49
—
ACCOUNT: PROJECT: 5DG: DATEITIME: PAGE;
PuAmont Geologic 1616 1.911432 06/3111710:51 5 of 14

WG983293 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Gravimetric Analysis by Method 2540 D-2011 1,911432-01
Method Blank (MB)
Cp
(MB) R3221664-1 05/2611714:24
MB Result MB Qualifier MB MDL MB RDL
ETC
Anatyte ug11 ugh ugll
Y T J
Suspended Solids U 350 2500
3Ss
L911430-02 Original Sample (OS) • Duplicate (DUP)
(OS) L911430-02 05/2611714:24 • (DUP) R3221664-4 05/26/17 14:24
FCn]
Original Result DUP Result Dilution OUP RPD
Anayte ugll ugll %
DUP Qualifier
DUP RPD Limits
%
E
Suspended Solids 2890D0 297000 1 2.52
- w
5
L911440-01 Original Sample (OS) • Duplicate (DUP)
(OS) L911440-Dl 05/26/17 14:24 • (DUP) R3221664-5 05/26/17 14:24
FGI
Original Result DUP Result Dilution DUP RPD
DUP Qualifier
DUP RPD Limits
Analyte ugll ugll %
%
V AI
Suspended Solids 16800 21200 1 23.2 _
J3
—_
5
rc
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3221664-2 05/26/17 14:24 • (LCSD) R3221664-3 05/26/17 14:24
Spike Amount LCS Result LCSD ResuR LCS Rec.
LCSD Rec.
Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Anayte ugh ug11 ugll %
%
% % %
Suspended Solids T13000 804000 808000 104
105
— 65.0-115 0.496 5
ACCOUNT: PROJECT: SDG: DATErnME: PAGE:
Piedmont Geologic 1616 L911432 C513V1710:51 6 of 14

WG983391 QUALITY CONTROL SUMMARY ONE LAB, NATIONWIDE. �
Wet Chemistry by Method 350.1 L911432-01
Method Blank (MB)
C
(MB) R3221972-1 05130/1717:10
p
MB Result NEB Qualifier MB MDL MB RDL
-TC
Analyte ug11 ugll ug1l
Ammonia Nitrogen U 313 100
SS
F
L911167-01 Original Sample (OS) • Duplicate (DUP)
(OS) L911167-01 05130117 17:15 . (DUP) R3221972-4 05/30/17 17:17
LEI
Original Result DUP Result Dilution DUP RPD
Analyte ugll ugh %
DUP Qualifier
DUP RPD Limits
%
Sr
Ammonia Nitrogen- 1400 _ 1380 1 1
20
L911643-02 Original Sample (OS) • Duplicate (DUP)
(OS) L911643-02 05/3011717:55 . (DUP) P3221972-6 05/30/1717:56
FG1
Original Resuft DUP Result Dilution DUP RPD
DUP Qualifier
DUP RPD Limits
Analyte ugll ugll %
%
VAI
Ammonia Nitrogen ND 0.000 1 — 0
20
9SC
Laboratory Control Sample (LCS) . Laboratory Control Sample Duplicate (LCSD)
(LCS) R3221972-2 05/30/1717:12 . (LCSD) R3221977-3 05/30/17 17:14
Spike Amount LCS Result LCSD Result LCS Rec,
LCSD Rec.
Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
AnWe ugll ugll ugll %
%
% % %
Ammonia Nitrogen 750D 6920 6950 92
93
90-110 1 20
L911311-02 Original Sample (OS) • Matrix Spike (MS)
(OS) L911311-02 05/30/17 17:18 • (MS) R3221972-5 05l30)1717:20
Spike Amount Original Result MS Result MS Rec- Dilution Rec. Limits MS Qualifier
Analyte ugll ugll ugll % %
Ammonia Nitrogen 500D 125 5680 111 1 90.110
15
L911712-02 Original Sample (OS) . Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(05) L911712-02 05/30/17 18:04 • (MS) R3221972-7 05/30/1718706 . (MSD) R3221972-8 05I3011718:07
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte ugll ugll ugll ugll % % % %
w-- .._--_ _g---------- - _ --_ M .- __ __ -- _._ .. --- - , - -- - — - -- -- --- �. -
Ammonia Nitrogen 5DDD ND 5360 538D 107 107 1 9D-1i0 D 20
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Piedmont Geologic 1616 1-911432 05l31117 10:51 7 of 14

WG982759 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Wet Chemistry by Method 410-4 L911432-01
Method Blank (MB)
(MB) R3220685.1 05/24/17 16:33
MB Result MB Qualifier MB MDL MB RDL
Analyte Ugll ugll ugll
COD U 3000 10000
L911337-01 Original Sample (OS) . Duplicate (DUP)
(OS) L911337-01 0512411716733 • (DUP) R3220685-4 05/24/17 16:34
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits
Analyte ugll ugtl % %
COD �— ND 0.000 1 0 20
L911463-07 Original Sample (OS) - Duplicate (DUP)
(OS) L911463-07 05/2411716:37 • (DUP) R3220685-7 05/24/17 1637
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits
Analyte ugll ugll % %
COD 20300 20500 1 1 20
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3220685-r2 05/24/17 1633 • (LCSD) R3220685-3 05124r1716:33
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec, Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte ugll ug11 ug11 % % % % %
COD 242000 233000 237000 96 98 90-110 2 20
L911431-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L911431-01 05/24/17 16:35 • (MS) R3220685-5 05124/17 16:35 • (MSD) R3220685-6 05/24/1716:36
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec.
Analyte ugll ugrl ugA ugll
COD 400000 N0 429000 422000 107 105
Dilution Rec. Limits
i 80-120 _
MS Qualifier MSD Qualifier RPD
RPD Limits
20
ACCOUNT: PROJECT:
Piedmont Geologic 1616
SDG:
L911432
DATEITIME:
0513111710:51
PAGE:
8of14

WG982733
QUALITY CONTROL SUMMARY
ONE LAB. NATIONWIDE.
Wet Chemistry by Method 5210 B-2011
L911432-01
Method Blank (MB)
C}
(MB) R3221651-1 05/29/17 11:56
NIB Result MB Qualifier MB MDL MB RDL
Analyte ugll ugA ugll
- - - - -- -- --- - -
-- -- — - — - - - -
TC
U� 1000 1000
BOO_
- -- -
E
L911337-02 Original Sample (OS) • Duplicate (DUP)
(OS) L911337-02 05l29117 09:17 • (DUP) R3221651-5 05l29117 09:18
Fn]
Original Result DUP Result Dilution DUP RPD
Analyte UgIl ugfl %
-
DUP Qualifier DUP RPD Limits
%
E
BOD ND 0.000 1 0
30
L911365-02 Original Sample (OS) • Duplicate (DUP)
(OS) L911365-02 05/29/17 09:44 - (DUP) R3221651-6 05/29/17 09:45
r q,
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD Limits
Analyte ugll ugh %
%
`Al
BOD ND 0.000 1 0
30
9Sc
L911437-02 Original Sample (OS) • Duplicate (DUP)
(05) L911437-02 05/29/17 11:19 • (DUP) R3221651-7 05/29/17 11:22
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD Limits
Analyte ugll ug1l %
%
BOD 3500 0.000 1 200
P1 30
L911441-01 Original Sample (OS) • Duplicate (DUP)
(OS) L911441-01 05/29/1711:28 • (DUP) R3221651-8 05/29/17 11:30
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits
Analyte ugll ugll % %
B00 -� 9400 �- 11200 1 17 34--
Laboratory Control Sample (LCS)
(LCS) R3221651-2 05/29/17 09:05
Spike Amount LCS Result LCS Rec, Rec. Limits LCS Qualifier
Analyte ugfl ugll
BOD 198000 225000 114 84.6-115
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Piedmont Geologic 1516 L911432 05/3V1710:51 9 of 14

WG982733
QUALITY CONTROL SUMMARY
ONE LAB, NATIONWIDE.
Wet Chemistry by Method 5210 B-2011
L911432-01
Laboratory Control Sample (LCS)
Rp
(LCS) P3221651-3 05/29/17 10:25
Spike Amount LCS Result
LCS Rec.
Rec. Limits LCS Oualifier
Analyte ugli ugh
%
%
BOb 198000 215000
108
84.6-115
r qS
Laboratory Control Sample (LCS)
Fn
(LCS) R3221651-4 05/29/1711:48
Spike Amount LCS Result
LCS Rec.
Rec. Limits LCS Oualifier
ugll ug11
%
%
FAnalyte
BOD 198000 213000
109
84.6-115
ACCOUNT: PROJECT: SDG:
Piedmont Geologic 1616 L911432
DATEITIME: PAGE:
0513111710:51 10 of 14

GLOSSARY OF TERMS ONE LAB, NATIONWIDE. 4V
Abbreviations and Definitions
SDG
Sample Delivery Group.
Cp
❑
MDL
RDL
Method Detection limit.
Reported Detection Limit.
�Tc
ND
Not detected at the Reporting Limit )or MDL where applicable).
U
Not detected at the Reporting Umit )or MDL where applicable).
3SS
RPD
Relative Percent Difference,
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent DVerence (RPD)
from a quality control sample. The Original Sample may not be included within the reported SDG.
Cn
F]
Rec.
Recovery,
Fri
Qualifier
Description
J3
The associated batch OC was outside the established quality control range for precision.
QC
J5
The sample matrix interfered with the ability to make any accurate determination; spike value is
high.
P1
RPD value not applicable for sample concentrations Less than 5 times the reporting limit.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Piitdmonl GoologiC 1616 L911432 0513V1710:51 11 of 14

ACCREDITATIONS & LOCATIONS
ONE LAB. NATIONWIDE.
ESC Lab Sciences is the only efthonmenlal laboratory accreditedlcerldied to support your wort
nationwide Irom one location. One phone call, one
point of contact. one laboratory. No Omer
lab is as accessible or prepared to handle your
needs throughout the country. Our capacity and
Capability from our single location laboratory I$ comparable
to the collective totals of the
I
nelwork laboratories in our industry. The most significant benchl to our -one location" design is the design of our laboratory campus- The rrodel is r:orICIII10
accelerated productivity,
Cp
decreasing turn -around time, and preventing cross
contamination, thus protecting sample integrity, Our locus on premium quality and prompt service
allows us to be YOUR LAB OF CHOICE.
"Not all certflications held by the laboratory are applicable to the results reported in the attached
repoil.
2
State Accreditations
Tc
Alabama
40660
Nevada
TN-03-2002-34
3SS
Alaska
UST-080
New Hampshire
2975
Arizona
AZ0612
New Jersey—NELAP
TNO02
Arkansas
88-0469
New Mexico
TNO0003
4
C�
California
01157CA
New York
11742
Colorado
TNO0003
North Carolina
Env375
ConllelILLlt
PH-0197
North Carolina'
DW21704
Florida
E87487
North Carolina a
41
Georgia
NELAP
North Dakota
R-140
e
Georgia
923
Ohio—VAP
C1,0069
QC
Idaho
TNO0003
Oklahoma
9915
Illinois
200008
Oregon
TN200002
Indiana
C TN-01
Pennsylvania
68.02979
FG1
Iowa
364
Rhode Island
221
Kansas
E-10277
South Carolina
84004
Kentucky'
90010
South Dakota
nla
Kentucky'
16
Tennessee"
2006
Louisiana
A130792
Texas
T 104704245-07-TX
Maine
TNO002
Texas'
LAD0152
SC
Maryland
324
Utah
6157585858
Massachusetts
M-TNO03
Vermont
VT2006
Michigan
9958
Virginia
109
Minnesota
047-999-395
Washington
C1915
Mississippi
TNO0003
West Virginia
233
Missouri
340
Wisconsin
9980939910
Montana
CERT0086
Wyoming
A21LA
Nebraska
NE-OS-15-05
Third Party & FedeI ACcreditations
A2LA — ISO 17025 1461.01
AIHA-LAP,LLC 100789
A2LA — ISO 17025s 1461,02
DOD 1461.01
Canada 1461.01
USDA 5-67674
EPA—Crypt0 TNO0003
'Drinking water z. Underground Slorage larks ' Aquatic Ioxibly ' Chemical/Mlcrobiologicai
s. Mold i11 A[creditallon rof applicable
Our Locations
ESC Lab Sclences has sixty -tour client support centers thus provide sample pickup and/or the delivery of sampling supplies, If you would hku iisslstance from one of out support offices, pleas¢!
contact nor main of fire. ESC lab Sciences performs all testing at our central laboratory.
WA 1
l\ MIT Np NI E
qR IN
T ID SO 4P WI NY
WY M1 T
. II -wT PA
NV
NE
T OH
VT co♦ t `IL 1r1Y WV VA?
w,CA KS h70 T KY
T
�•�'t N
TAZ Nrn OK AR T GA SC
T
t.13 AC
t TX
� T
AK
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Piedmont Geologic 1616 L911432 05/31/1710:51 12 of 14

L __

Ulinglnfvrmation:
Ana€pslsICon•:.alrEarJPreservaihle
G'sinoscastodY Rase—d—
Piedmont Geologic
Accounts Payable
-SC
6003 Chapel Hill Rd Ste 145
*E
6003 Chapel Hill Road Suite 145
Raleigh, NC 27607 j
Raleigh, NC 27607
L- a• a s r w• c• s
tmas reta in # ni
import to:
Email To: pldremel fpkedmontgealagie.rwttmamt
Mr. Pete Gressel
]
ts-73€sua=
n 1
FWAn l iit7tl•Ib7 Mj 1,%6100
�t 6:i-TA- -f
prOIGLt
CAY/State
Description: Ennis flint - High Point
Wlected:
V
t '
Ptwne.-919-854-9700
aent Project a
tab Project g
Fax: 919-a54-9532
isib
PlEG0-16;6;
o
;
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ai
o
:Fes•-
ut
ct
Collected by [print):
Slte/"cillty ID o
P.A. a
j,
r
JE«ttlini PEEGEQ
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HIGH POINT! NC
2
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collected by (signatures:
Rush? {tab MUST so Notified)
Date Results Needed
,
In P5614G7
�7ro
Email? No X_Yes
E
Immediately'
Day
759i
FAX?
No.
ppE
Packed or► ke N Y
�'
Three Dey w:.
_Na _Yes
Sample ID
Comp/Grab
Matrk •
Depth
Date
Time
.i
rlerni%OR17a'1�1AL
51f�(
Ww
. 1
100 t
4
y
y
�A
A
i
.3
1.
I
Ma". SS -'.Sall GW - Groundwater W1N • WasteWater OW - Drinking Water OT • Other i
{ Temp
efnarlts'130d has a 48 hour hold time* ; pH
Fio-u/ Other
4
Relitequished by : ISignaturel
Time:
Received bY: (Si to
Samplel returned via: ❑ uPS
CPlidlif -,: (lab tisetl )
-
Hate:
'
D.Courier ❑
Reiingaishe Si
Date. f qq�[r
f
T P... RC- aotrReor
C©E Seai (rtt cis NA
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nqu[shed by 5{gts 7 S
Gate:
Tlrne:
R2ceeved EitbY�tl iJg cure
Dawi< TOnet
pli f�teclted:
NCF

ESC r SCIENCES
Cooler Receipt Form
Client: �5 0
�t'j Ef J,-
C6olrr Kecciv6d/Opened C71 5 /17
Temperature,
ZJ
Received by :.hickey Mosley
Signature:
Receipt Check List
NP
Yes
No
CQC Sea! Present / Intact?
►/
COC Signed / Accurate?'
Bottles arrive intact?
Correct bottles used?
»�
Sufficient volume sent?
VOA Zero heads ace?
Pretervation.C,Oerect•/ Checked?

•
•
_J1
CPI USA North Carolina LLC
PO Box 1153
331 Allie Clay Road
Roxboro, NC 27573
T 336-330-4502
idly
Capital Power
Corporation
February 26, 2016 Z
v
Division of Water Quality
Surface Water Protection Section
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Annual Summary DMR- 2015 - Permit No. NCS000347
Enclosed please find the Annual Stormwater Summary DMR as required by permit 10.
NCS000347 for calendar year 2015.
Stormwater Sampling Results (2015)
Permit No. NCS000347 contains analytical monitoring requirements that apply to stormwater
outfall 001 at the CPI Roxboro site. Samples were collected on December 2, 2015 during a
representative storm event. Attached to the DMR please find copies of analytical results from
James R. Reed & Associates.
According to our permit, these results are to be compared to "benchmark" values in Table 3 of
the permit. While these benchmark values are not permit limits, they are to be used as
guidelines for monitoring the effectiveness of the BMP's that are identified in the SWPPP.
Best Management Plan (BMP) Summary & Evaluation
Coal, wood, TDF, and ash for the boiler plant are stored outside in the coal pile drainage area and
runoff is routed via a concrete "V ditch" to the waste treatment pond, where it is treated prior to
discharge. An observation was made in 2015 noting that run-off was draining from the ash
storage area (in the coal pile drainage area) across the plant roadway around the main
building to the storm water drain system. The storage area had become elevated from the
process of moving & handling of materials. A dozer was brought in, and the area was graded to
prevent the "runoff' from crossing the road, thus keeping the runoff contained to the V ditch.
Chemical storage and usage is limited to the wastewater basin, the demineralizer building area, the
R.O. building area, and the cooling tower chemical storage area. Spill cleanup materials are located
inside the warehouse and the R.O. building. There is a dedicated unloading bay at the demineralizer
building. All chemicals used are stored within secondary containment, or on a chemical skid on the
floor in the building. The floor is sloping towards a drain that discharges into the chemical sump from
the demineralizer building. Chemicals stored in the cooling tower chemical storage area are stored in
a secondary containment, which can be drained to the wastewater basin for treatment.

0
•

0 •
i'.
Capital Power
Corporation
The risk of fly ash or fly ash residue from the ash silo area entering the storm system is low due to
the use of a Dustmaster. When a truck is loaded with ash, a slurry system is used to minimize
fugitive ash and spillage. The risk of the petroleum products entering the storm system is low due to
the use of secondary containment. Rain water in this area is collected in a sump and pumped to the
waste basin.
Outfall Evaluation
All outfalls were evaluated for non-stormwater discharges, and no non-stormwater discharges
were observed. Appendix B1 of the revised SWPPP includes a "Non -Storm Water Discharge
Assessment & Certification" form that is used to document this evaluation. The SWPPP
includes a procedure for conducting a Non -Storm Water Assessment for all outfalls.
Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision 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 the persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate
and complete. 1 am aware there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
f Date c�
Frank yward
Plant Manger
CPI USA North Carolina, LLC
Roxboro Facility
Attachment. Annual Stormwater Summary DMR Form and Sample Results from December 2, 2015
Page 2 of 2

1
o •
A
4
h,*
AAA

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
Individual NPDES Permit No. NCS 000347 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.r
� v
Facility Name: CPI USA North Carolina LLC-Roxboro Plant
County: Person 3r.
Phone Number: [phone] _ Total no. of SDOs monitored 1 a
Outfall No. 001 » �
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ® Co
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑ ,
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
-Total
Rainfall;:`
inches
.. = Parameter; (units)_..
TSS "=
=
COD
Total.;
Aluminum"
_ .
-` Total =
Antimony -
_
= Total ' .
Arsenic
Total
Beryllium
=
Tofal.Boron
Tote!'
= Cadmium
Benchmark
N/A
100 mg/l
120 mg/I
0.75 mgA
0.09 mg/I
0.36 mg/I
0.07 mg/1
NIA
0.001 mg/1
Date Sample
Collected, -
mm/dd/yy
12-2-15
.5
17
28
2.2
<0.005
<0.005
<0.0005
<0.05
<0.0005
0
SW U-264-Generic-13Dec2012

W. DF-Mt� K"? !�e E�'�

Additional Outfall Attachment
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,,.
inches ��.
Parameter, (units) =- -
Tofal r
Chromium. .
_ Total Copper
:
Total Lead
Tofal
Mercury .. ;
,Total Nickel
:.
Total
-Selenium
Total Silver
Total Thallium.
:.
Benchmark
N/A
1 mg/1
0.007 mg/I
0.03 mgll
N/A ug/1
0.26 mg/I
0.056 mg/I
0.001 mgll
N/A mg/1
Date Sample
Collected,
mm/dd/yy
12-2-15
.5
0.003
0.011
<0.005
<0.0002
<0.005
<0.005
<0.001
<0.005
SW U-264-Generic-13Dec2012

��-` © ! • � �
9
\
� .
\V
� \ «
3
\\.

Additional Outfall Attachment
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
SW U-264-Generic-13Dec2012

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�lL
Date t, 1 of 4 i coo ib
DWQ Regional Office Contact Information:
rank Hayward)
For questions, contact your local Regional Office:
ASHE;VILLE REGIONAL 0FFICE
FA'YETTEVILLE?REGIONAL WFICE
t. _ ..
MOORIiJSV�ILLErREGIONALOIi~FICE
-
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGM-REGIONAL OFFIC_ E
WASHINGTON`REGIONAL,'OFFICE
WILMINGTONiREGIONAL�01♦FIGK,
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON=SALEM REGIONAL;OFFICE
CENTRAL_OFFICE
585 Waughtown Street
1617 Mail Service Center
70 preserve,, protect:. _
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance
[phone]
[phone]
i Nbah Carolina's ivaler-"`
•
•
SW U-264-Generic-13 Dec2012

CLIENT; CPI USA North Carolina LLC
SAMPLE COLLECTED BY: CLIENT
ATTN: Mary Whitcomb
GRAB COLLECTION:
ADDRESS: P.O. Box 1153
Date: 12/2/2015 Time: 1238
DD�Roxboro,
NC 27573
COMPOSITE COLLECTION:
�ER
oc!"
PHONE: [phone]
Start Date: Time:
FAX: [e-mail]
End Date: Time.
Special Notes:
PICKUP BY: FEDEX
Permit # NC5000347
SAMPLE RECEIPT:
Semiannual StormwaterMonitoring
Date: 12/3/2015 Time: 10i0
North Carolina Certification B 289
NUMBER OF CONTAINERS: 5
SAMPLE CONDITION:O Good ❑ Other (See C-O-C)
REPORT NO: 15-I8792 12:22
SAMPLE ID: 001
SAMPLE NO: 15-18792
Method
JRA
Parameter
plumber
QL
Result
Unit
Analyst
Date
Time
TSS
*2540D
2.5
1.7
mg/L
SRT
12/03/15
1345-
COD
HAC8000
10
28
mg/L
AME
12/21/15
1515
Total Aluminum
200.7
0.050
2.20
mg/L
PEJ
12/22/15
I715
Total Antimony
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Arsenic
200.7
0.005
< 0,005
mg/L
PEJ
12/22/15
1232
Total Beryllium
200.7
0.0005
< 0.0005
mg/L
PEJ
12/22/15
1715
Total Boron
2003
0.05
< 0.05
mg/L
PEJ
12/23/15
1102
Total Cadmium
200.7
0.0005
< 0.0005
mg/L
PEJ
12/22/15
1232
Total Chromium
200.7
0.001
0.003
mg/L
PEJ
I2/22/15
1232
Total Copper
200.7
0.002
0,011
mg/L
PEJ
12/22/15
1232
Total Lead
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Mercury
245.1
0.0002
< 0.0002
mg/L
TLG
12/10/15
1255
Total Nickel
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Selenium
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Silver
200.7
0.001
<0.001
mg/L
PEJ
12/22/15
1232
Total Thallium
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Zinc
200.7
0.005
0,314
mg/L
PEJ
12/22/15
1232
Sulfate
*4500SO4E
10
48
mg/L
AME
12/07/15
1117
Oil & Grease HEM
1664A
5.0
< 5.0
mg/L
PRM
12/08/15
1600
pH (Field)
**4500H+B
7.01
s.u.
WW
12/02/15
1238
James R. Reed & Associates
770 Pilot House Drive, Newport News, VA 23606
[phone] 0 Fax: [phone]
VELAP# 460013
EPA# VA00015
E
Page 1 of 2

SAMPLE ID: 001
SAMPLE NO: 15-I8792
Method JRA
Parameter Number QL Result Unit Analyst Date Time
MOTES:
JRA Quantification level is the concentration of the lowest calibration standard above zero with a reliable signal.
Reproduction of this report is not permitted, except in full, without written approval from James R Reed & Associates.
The results on this report relate only to the sample(s) provided for analysis.
Results conform to NELAC standards, where applicable, unless otherwise indicated.
*SM 1997(TSS), *SM 2011 (Sulfate), COD - HACH
**pH performed in the field by client.
James R. Reed & Associates
770 Pilot House Drive, Newport News, VA 23606
[phone] 0 Fax: [phone]
Authorized By:
Elaine Claiborne, Laboratory Director
Date: 23-Dec-I5
VELAP# 460013
EPA# VA00015
Page 2 of 2

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CHAIN OF CUSTODY
ANALYSES REQUESTED
Company Name: CPI USA North Carolina LLC (Roxboro Plant) Bottle I.D
Company Contact: Mary WiftromD Telephone [phone] Preserv.
Results To -.Mary Whitcomb Fax:
lilt 5-600 3 `f ?
Address: P,O Box 1153
Roxboro, NC 27573
-Seer Ahat.4o k Project ID: Stormwater Semiannual
Sample State of Origln: VA- NC,2�
JRA
ID # /
Sample
T
Sample Location
Start
Date
Start
Time
End
Date
End
I Time
Date
Time
Total #
lof cant.
W- `
K W
Cho t
1
/2-2--/.S
/238
1 S
I�C
IWW= Wastewater, GW = Groundwater, DW - Drinking Water, HW -Hazardous Waste, OTHER
Preservatives:
Sampled By:
DatefTlme:
(z- Z-(1'
/L38
1 = <VC B = Na,szC3+ HCI
10=AaCorbicAcid + HCI
Relinquished By
Mac,".
Datef rime:
- 2 ar
C)
2 = HNO3 7 = NaOH + ZnOAc
11=HCI
' received By:
P CA 1
DatelTime:
7--
c]
3 - H2SO4 8 - HZSO4 + FAS
12=Zinc Acetate + NaOH
' Relinquished By:
Af d t
Datef±ime:
4 = NaOH 9 = NH4CI
13=Na2S03+ HCI
Received By:
202.
kllzf"(41—
Datefiime:
;r' Cam'
141d
5 = Na2S203
14=N2,SO,+ H,SO4
y�For Compliance
CN interference Check: Positive Negative
VOA Chlorine Check: POS_NEG_
1DechlodnaW:_Yes
6y:
_Not for Compliance
Sulfide:
Oxidizing Agent:
Phenolic Interference Check: Positive Negative ±�
Oxidizing Agent; Arrival Temp: °C
JAMES R. REED & ASSOCIATES [phone] a FAX [phone]
770 Pilot House Drive, Newport News, VA 23606

CPI USA North Carolina LLC
PO Box 1153
331 Allie Clay Road
Roxboro, NC 27573
T 336.330-4502
February 26, 2016
Division of Water Quality
Surface Water Protection Section
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Capital Power
Corporatior
RECEIVED
MAR 0 8 2016
C NTRAt_ FILES
RWR SECTION
Re: Annual Summary DMR- 2015 - Permit No. NCS000347
Wo
Enclosed please find the Annual Stormwater Summary DMR as required by permit No�
NCS000347 for calendar year 2015.
Stormwater Sampling Results (2015)
Permit No. NCS000347 contains analytical monitoring requirements that apply to stormwater
outfall 001 at the CPI Roxboro site. Samples were collected on December 2, 2015 during a
representative storm event. Attached to the DMR please find copies of analytical results from
James R. Reed & Associates.
According to our permit, these results are to be compared to "benchmark" values in Table 3 of
the permit. While these benchmark values are not permit limits, they are to be used as
guidelines for monitoring the effectiveness of the BMP's that are identified in the SWPPP.
Best Management Plan (BMP) Summary & Evaluation
Coal, wood, TDF, and ash for the boiler plant are stored outside in the coal pile drainage area and
runoff is routed via a concrete "V ditch" to the waste treatment pond, where it is treated prior to
discharge. An observation was made in 2015 noting that run-off was draining from the ash
storage area (in the coal pile drainage area) across the plant roadway around the main
building to the storm water drain system. The storage area had become elevated from the
process of moving & handling of materials. A dozer was brought in, and the area was graded to
prevent the "runoff' from crossing the road, thus keeping the runoff contained to the V ditch.
Chemical storage and usage is limited to the wastewater basin, the demineralizer building area, the
R.O. building area, and the cooling tower chemical storage area. Spill cleanup materials are located
inside the warehouse and the R.O. building. There is a dedicated unloading bay at the demineralizer
building. All chemicals used are stored within secondary containment, or on a chemical skid on the
floor in the building. The floor is sloping towards a drain that discharges into the chemical sump from
the demineralizer building. Chemicals stored in the cooling tower chemical storage area are stored in
a secondary containment, which can be drained to the wastewater basin for treatment.

Capital Power
Corporation
The risk of fly ash or fly ash residue from the ash silo area entering the storm system is low due to
the use of a Dustmaster. When a truck is loaded with ash, a slurry system is used to minimize
fugitive ash and spillage. The risk of the petroleum products entering the storm system is low due to
the use of secondary containment. Rain water in this area is collected in a sump and pumped to the
waste basin.
Outfall Evaluation
Ali outfalls were evaluated for non-stormwater discharges, and no non-stormwater discharges
were observed. Appendix B1 of the revised SWPPP includes a "Non -Storm Water Discharge
Assessment & Certification' form that is used to document this evaluation. The SWPPP
includes a procedure for conducting a Non -Storm Water Assessment for all outfalls.
Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision 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 the 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 there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Z I-" C e- Date aaIL,
Frank F4arcl
Plant Manger
CPI USA North Carolina, LLC
Roxboro Facility
Attachment: Annual Stormwater Summary DMR Form and Sample Results from December 2, 2015
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
Individual NPDES Permit No. NCS 000347 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: CPI USA North Carolina LLC-Roxboro Plant
County: Person
Phone Number: [phone]
Total no. of SDOs monitored 1
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No
Yes ❑ No
Yes ❑ No
Total
Rainfall, :
inches
Parameter, (units)
_
TSS
COD
Total
Aluminum
Total
Antimony
Total
Arsenic,
Total
Beryllium
Total Boron
Total
Cadmium
Benchmark
NIA
100 mg/ l
120 mg/l
0.75 mg/i
0.09 mg/l
0.36 mg/l
0.07 mg/l
NIA
0.001 mgll
Date Sample
Collected,.
mm/ddlyy
E========
12-2-15
.5
17
28
2.2
<0.005
<0.005
<0.0005
<0.05
<0.0005
SW U-264-Generic-1 Mec2012

Additional Outfall Attachment
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total-
Rainfall,.
inches
Parameter, (units)
Total
Chromium
..
Total: Copper
Total Lead
_
Tvfal ;.
Mercury
Total Nickel
Tatar
Selenium
Tot a! Silver.
Total Thallium
Benchmark
N/A
1 mg/l
0.007 mgfl
0.03 mg/l
WA l►9n
0.26 mg/l
0.056 mgfl
0.001 mg/I
N/A mg/l
Date Sample
Collected,
mm/dd/yy
12-2-15
.5
0.003
0.011
<0.005
<0.0002
<0.005
<0.005
<0.001
<0.005
SW U-264-Generic-13Dec2012

Additional Ouifall Attachment
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total.
Rainfall;
inches
- Parameter...(units) - -
Total. Zinc
-
-
Sulfate
Oil & Grease .
HEM
PH (Field)
-
-
Benchmark
1V/A1
0.067
500
30
6-9
Date Sample.`
Collected,
mm/dd/yy
12-2-15
.5
0.314
48
<5.0
7.01
SW U-264-Generic-13Dec2012

I
f

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 �3
Date e�t Q(3
DWO Regional Office Contact Information:
(Frank Hayward)
For questions, contact your local Regional Office:
ASHEVILLE REGIONAL�OFFICE
FAVETTEVILLE REGIONAL,OFFICE
MOORESVILLE REGIONAL'OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RAEEIGHxREGIONAL OFFICE
WASHINGTON�REGIONAL OFFICE
WILMINGTON,:REGION_AL OFFICE
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WMSTON=SALEM;REGIONAL ;OFFICE
CENTRAL -OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
"To preserve, protect
and enhance
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
[phone]
North Carofina's water._."
SW U-264-Generic-13Dec2012

c

(A —RENT ' CPI USA North Carolina LLC
SAMPLE COLLECTED BY: CLIENT
ATTN: Mary Whitcomb
GRAB COLLECTION:
ADDRESS: P. 0. Box 1153
�REED
Date: 12/212015 Time: 1238 h
Roxboro, NC 27573
COMPOSITE COLLECTION: Octp
PHONE: [phone]
Start Date: Time:
FAX: [e-mail]
End Date: Time:
Special Notes:
PICKUP BY: FEDEX
Permit # NC5000347
SAMPLE RECEIPT:
Semiannual Stormwater Monitoring
Date: 12/3/2015 Time: 1010
North Carol inaCertifiication H 289
NUMBER OF CONTAINERS: 5
SAMPLE CONDITION:❑ Good ❑ Other (See C-O-C)
REPORT NO: 15-18792 12:22
SAMPLE ID: 001
SAMPLE NO: 15-18792
Method
JRA
Parameter
Number
QL
Result
Unit
Analyst
Date
Time
TSS
*2540D
2.5
17
mglL
SRT
12/03/15
1345
COD
HAC8000
10
28
mg/L
AME
12/21/15
1515
Total Aluminum
200.7
0.050
2.20
mg/L
PEJ
12/22/15
1715
Total Antimony
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Arsenic
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Beryllium
200.7
0.0005
< 0.0005
mg/L
PEJ
12/22/15
1715
Total Boron
200.7
0.05
< 0.05
mg/L
PEJ
12/23/15
1102
Total Cadmium
200.7
0A005
< 0.0005
mg/L
PEJ
12/22/15
I232
Total Chromium
200.7
0.001
0.003
mg/L
PEJ
12/22/15
1232.
Total Copper
200.7
0.002
0.011
mg/L
PEJ
12/22/15
1232
Total Lead
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Mercury
245.1
0.0002
< 0.0002
mg/L
TLG
12/10/15
1255
Total Nickel
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Selenium
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Silver
200.7
0.001
< 0.001
mg/L
PEJ
12/22/15
1232
Total Thallium
200.7
0.005
< 0.005
mg/L
PEJ
12/22/15
1232
Total Zinc
200.7
0.005
0.314
mg/L
PEJ
12/22/15
1232
Sulfate
*4500SO4E
10
48
mg/L
AME
12/07/15
1117
Oil & Grease HEM
1664A
5.0
< 5.0
mg/L
PRM
12/08/15
1600
pH (Field)
**4500H+B
7.01
5.11.
WW
12/02/15
1238
James R, Reed & Associates
770 Pilot House Drive, Newport News, VA 23606
[phone] 0 Fax: [phone]
VELAP# 460013
EPA# VAOOOI S
`��•Jcr iv
Pagel of 2

't,
4�
t

tAMPLE ID: 001
SAMPLE NO: 15-18792
Method JRA
Parameter Number QL Result unit Analyst Date Time
NOTES:
JRA Quantification Level is the concentration of the lowest calibration standard above zero with a reliable signal.
Reproduction of this report is not permitted, except in full, without written approval from James R Reed & Associates.
The results on this report relate only to the sample(s) provided for analysis.
Results conform to NELAC standards, where applicable, unless otherwise indicated.
'SM 1997(TSS),'SM 2011 (Sulfate), COD - HACH
"'pH performed in the field by client.
Authorized By: U�
Elaine Claiborne, Laboratory Director
Date: 23-Dec-15
James R. Reed & Associates
VELAP# 460013
770 Pilot House Drive, Newport News, VA 23606
EPA# VAOODIS
[phone] 0 Fax: [phone]
Page 2 of 2

CHAIN OF CUSTODY
Company Name: CPI USA North Carolina LLC (Roxboro Plant)
Company Contact: Mary Whitcomb Telephone [phone]
Perml#- Results To: Marywhitcomb Fax:
YC a 660 3 %f 7 dress: P.O Box 1153
Roxboro, NC 27573 Il
Sf?•+r6 &atxa k Project ID: Stormwater Semiannual
Stag rn [-W er "' ".1-kr.
sample State of Origin: VA____ NCA
Sample
ID #
Bottle I.D
Present.
GRAB
Date I Time I Date I Time I Date I Time lof cont.
2-ISI /73B
REED y
ANALYSES REQUESTED
'WW= Wastewater. GW = Groundwater, OW - Drinking Water, HW - Hazardous Waste, OTHER
Preservatives•
Sampled By: WC-1cikt k..3 W t1a%.J DateMme: I Z- 2L-f r 1431a 1 = <eC 6= Na2%03+ HCI 1C=Ascorbic Add +HC1
Relinquished By: a r -W { X kA cdw, Datelrime: 12 _ 2 S 6 2 = HNO2 7 = NaOH + ZnOAc 11=HCI
Received By: r eA L, Date/Time:
' Relinquished By. Dale/Time;
Received By: Dateffime: P2 -3 -/ @ /
-�-
'for Compliance VOA Chlorine Check: POS_NEG____� By:
_Not for Compliance IDechlorinated: Yes
Phenolic Interference Check: Positive Negative
Oxidizing Agent:
3 = 1-6SO4 8 = KA04+ FAS 12=Zi nc Acetate + NaOH
4 = NaOH 8 = NH4CI 13=Na2S03+ HCI
5 = Na25,03 14=N22.S03 + H2SO4
CN Interference Check: Positive Negative
Sulfide:
Oxidizing Agent:
Arrival Temp: + °C
JAMES R. REED & ASSOCIATES [phone] * FAX [phone]
770 Pilot House Drive, Newport News, VA 23606

a
, tA

Capital Power
CPI USA North Carolina LLC Corporation
PO Sox 1153
331 Allie Clay Road
Roxboro, NC 27573
T 336-330.4502
December 13, 2017 n ,
4�, ll
Division of Water QualitySurface py�
Water CentProtection Section ��ORMA
Attention:rjp�p����ss
1617 Mail Service Center. 'N�vN�
Raleigh, North Carolina 27699-1617
Re: Semi-annual Summary DMR- 2017 - Permit No. NCS000347
Enclosed please find the second semi-annual Stormwater Discharge Outfall (SDO) Monitoring
Report as required by permit No. NCS000347 for calendar year 2017.
Stormwater Sampling Results (2017)
Permit No. NCS000347 contains analytical monitoring requirements for stormwater outfall 001 at
the CPI Roxboro site. Samples were collected on September 6, and November 9, 2017 during
representative storm events. Please find copies of analytical results from Meritech, Inc. attached
to this report.
According to our permit, these results are to be compared to "benchmark" values in Table 3 of'
the permit. The benchmark values are to be used as guidelines for monitoring the effectiveness
of the BMP's that are identified in the SWPPP.
Results received on September 15, 2017, indicated that 5 of the metals analyzed were over the
benchmark value. Results received on November 9, 2017 revealed significant improvements.
While there were still benchmark exceedances for 3 parameters, they were significantly lower
than the previous results.
Best Management Plan (BMP)
Samples were collected from 7 different areas that drain into Stormwater outfall #001 and
sent to Meritech, Inc. for analysis in May 2017. Based on these sample results,, the
source of the Benchmark exceedances appears to be the main roadway coming into the
plant/main gate and the roadway between the warehouse and the main plant building
(which drains into the SD near the hydrogen tanks). Both drains eventually discharge to
Storm Drain Outfall 001. An evaluation made by site management team concluded that
improved housekeeping measures and runoff control would help reduce impacts to
stormwater quality.

r�
4
Capital Power
Corporation
• A plan was developed to have plant personnel run the tenant sweeper to clean up the
roadways more often.
■ Operations manager sent out an email to plant personnel with instructions
on cleaning.
• Check -off sheet developed to record date & time of the cleaning.
• The Lab Tech will file the cleaning records with the Storm Water Plan.
• The main entrance roadway ditch was lined with rip rap in late September to better
control the runoff at the main entrance.
• A work order was generated to have "Drainage Area 1" storm drains cleaned. All the
existing soil & gravel was removed and replaced with new gravel.
Certification
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision 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 the 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 there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Date
Frank Ka' and
Plant Manger
CPI USA North Carolina, LLC
Roxboro Facility
Attachment: Semi-annual Stormwater Summary DMR Form and Sample Results from September --
November 2017.
Page 2 of 2

1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000347
FACILITY NAME: CPI USA North Carolina LLC--Roxboro Plant
PERSON COLLECTING SAMPLE(S) Wright Whitlow
CERTIFIED LABORATORY(S) Meritech, Inc. Lab #: 165
CPI USA North Carolina LLC—Roxboro Plant Lab # 5458
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Person
PHONE NO. (336)3304452
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
COD
Total
Suspended
Solids (TSS)
Total
Aluminum
Total
Antimony
Total
Arsenic
Total
Beryllium
mo/ddl r
MG
inches
m /L
m
u IL
a /L
u /I.
u L
#001
09-06-17
N/A
.7
123
316
5340
0.68
<2
<0.5
Outfall
No.
Date
Sample
Collected
Total
Boron
Total
Cadmium
Total
Chromium
Total
Copper
Total
Lead
Total
Mercury
Total
Nickel
Total
Selemium
molddl r
u L
u
u
u /L
u /L
n /L
u /L
u
#001
09-06-17
<50
0.31
11.4
21.2
9.09
66.9
5.61
<2.0
Outfall
No.
Date
Sample
Collected
Total
Silver
Total
Thallium
Total
Zinc
Sulfate
Oil & Grease
HEM
pH
Field
mo/dd/ r
u
u
u /L
m
m IL
#001
09-06-17
<0.5
<0.5
712
15.5
<5
7.2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
Form SWU-247, last revised 21212012
Page 1 of 2

Part B: Vehicle Maintenance Activitv Monitoring Requirements
'Outfall,.
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)`,
Total
Rainfall :"
Oil & Grease
(if appL) -
'Non -polar
.O&GITPH.5uspended
(Method 1664 ;
SGT-HEM), if,
a 1.
Total
"Solids
pH
New Motor
Oil Usage -
mo/ddl ° r
MG
inches
mg/1
m
unit
allmo
STORM EVENT CHARACTERISTICS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): NIA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
of
(Date)
Form S W U-247, last revised 21212012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.1.65
Contact: Wright Whitlow
Client: Capital Power
P.O. Box 1153
Roxboro, NC 27573
Report Date: 9/15/2017
Date Sample Rcvd: 9/7/2017
Meritech Work Order # 090717154 Sample: Stormwater Discharge Outfall (SDO) #001 Grab 9/6/17
Parameters Results Analysis Date Reporting Limit Method
COD
123 mg/L
9/8/17
15 mg/L
EPA 410.4
Total Suspended Solids
316 mg/L
9/11/17
2.5 mg/L
SM 2540 D
Aluminum, total
5,340 ug/L
9/14/17
2 ug/L
EPA 200.8
Antimony, total
0.68 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Arsenic, total
<2 itg/L
9/14/17
2 ug/L
EPA 200.8
Beryllium, total
<0.5 ug/L
9/14/17
5 ug/L
EPA 200.8
Boron, total
<50 ug/L
9/15/17
50 ug/L
EPA 200.8
Cadmium, total
0.31 ug/L
9/14/17
0.15 ug/L
EPA 200.8
Chromium, total
11.4 ug/L
9/14/17
2 ug/L
EPA 200.8
Copper, total
21.2 ug/L
9/14/17
2 ug/L
EPA 200.8
Lead, total
9.09 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Nickel, total
5.61 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Selenium, total
<2.0 ug/L
9/14/17
2 ug/L
EPA 200.8
Silver, total
<0.5 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Sulfate, total
15.5 mg/L
9/11/17
5 mg/L
SW 846 9038
Thallium, total
<0.5 ug/L
9/14/17
0.5 ug/L
EPA 200.8
Zinc, total
712 ug/L
9/14/17
2 ug/L
EPA 200.8
Oil & Grease (HEM)
<5 mg/L
9/12/17
5 mg/L
EPA 1664E
I hereby certify that I have reviewed and approve these data. 4, 441_)�
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

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3-2o-2013 Chain of Custody Record (COC) -
NPDES#: NCS000347
Client: Capital Power Phone: [phone]
Address: PO Box 1153 Fax:
Roxboro, NC 27573-1153 Email: [e-mail]
Project:
P.O.#:
Attention: Wright Whitlow Turn Around Time*
* Haw would you like your report sent? RUSH work needs prior approval.
Circle all that apply: Email (preferred), Fax, Mail 5tcl so days) 3 - 5 Da s 24 -4s Hrs
M E R ITE C H INC.
1
=J' ° ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
r Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www . m eri t e c h-labs . c oy-� a~ I
Sample Location and/or ID #
Sampling Dates & Times
Person Taking5ample gn/Pr'nt):
✓ r�/G.� G{/fhr�
Lab Use
Start
End
Comp?
Grab?
# of
Cont.
Tests) Required
on Ice?
Yes / No
pH OK?
CI OK?
Date
Time
Date
Time
Stormwater Discharge Outfall
(SDO) #001
G
1
13 Priority Pollutant Metals-Ag, As, Be, Cd, Cr,
Cu, Ni, Pb, Sb, Se, TI, Zn, (w/HNO3) 'fir
G
AI
`
G
1
I B
G
COD
G
TSS
G
-
Sulfate
G
Oil & Grease (w/HCI)
Temperature Upon
Receipt: t
Method of
Shipment:
""* Dechiorination <0.5 pm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. ***
Comments: 5���� /
� ����
Compositor#
Jug#
Q UPS
Fed Ex
Are these r sults for regulato urposes? Yes No
Report results in: mg/L mg/kg
Nand Delivery
Relinquished by: [� Time: '7
z
Recei
Z<— 7- Z
I Other
eritech Pickup
Relinqu d to . Time: ]
/
Received Date: Time:
Relinquishe by; bate: Time:
Received by lab: j i.
a Tim ;
�J�

d
.
\
,� « r
\
� �.
�'
�
� <:
} d:
\
7\\
: .c
°
� .
�\
� /
/
��^
�
.\
\
-
� .
y>
�
:� i
- �j

Client:
Attention
NPDES #
MERITECH, INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No. 165
Capital Power
P.Q. Box 1153
331 Allie Clay Rd.
Roxboro, NC 27573
Wright Whitlow
NCS000347
Date Sampled
09/06/17
Digested
09/08/17
Analysis
09/15/17
Analyst:
CWL
EPA 1631 Low Level Mercury Anal
Meritech ID # Sample ID Result Reporting Limit
MBLK0728LL Method Blank <0.5 ng/L 0.5 ng/L
.M09081724 Field Blank < 1.0 ng/L 1.0 ng/L
M09081725 Outfall #001 66.9 ng/L 1.0 ng/L
I hereby certify that I have reviewed and approve these data.
Laboratory Representativ
642 Tamco Rd - PO Box 27 - Reidsville, NC 27320
[phone] Ph - [phone] Fax
E-Mail: [e-mail]

310-2016 Chain of Custody Record (COC)
r
Client: G� I T�
NPDES#: ' S d®QJ 3
M E RATE C y N C `
Y ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
WWW. merifieehlabs.eom EPA 1631
Phone: �� �3�
Address: �s3
Fax:
Iz
Email: Ilia,1494joe .�
Project:
. G. c5:2 75r7 3
P.O.#-
Attention: I G�i
How would you like your Report sent?
Circle all that apply: Email (preferred) Fax Mail
Person Taking Sample (SignlPrint):
Sample Location / ID#
P
Date
Time
Sampling Site Description
Bottle.
Lot#
Tubing
Lot#
Samp er
CH/DH
245.1 Result (ppt)
In House
Preservation
Cooler
#
Field Blank
��m W r Q
Df
$
�g
�7-
N
Method of
Shipment:
Comments:
❑ UPS
❑ Fed Ex
Are these results fpr regulatory r es? Yes Wr-- No ❑
❑Relinquished
Hand Delivery
by: t Time: 7
[
Receiv t� e: y� �iie:
o
Other
Relin shed by; Da Time:
- �
Received by: Date: Time:
/f
Relinquis ed by: Date: Time:
Received by Lab: pate: -rime:
IS) 7- a 91-!
Released to Lab Secure Area
Received from Lab Secure Area 0-7.2y

T

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000347
FACILITY NAME: CPI USA North Carolina LLC--Roxboro Plant
PERSON COLLECTING SAMPLE(S) Wright Whitlow
CERTIFIED LABORATORY(S) Meritech, Inc. Lab #: 165
CPI USA North Carolina LLC—Roxboro Plant Lab # 5458
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Person
PHONE NO. (336)3304452
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
COD
Total
Suspended
Solids TSS
Total
Aluminum
Total
Antimony
Total
Arsenic
Total
Beryllium
molddl r
MG
inches
m L
m /L
u /L
u IL
u
u L
#001
11-09-17
NIA
.7
29
39
1330
0.62
1 <2
<0.5
Outfall
No.
Date
Sample
Collected
Total
Boron
Total
Cadmium
Total
Chromium
Total
Copper
Total
Lead
Total
Mercury
Total
Nickel
Total
Selemium
molddl r
u IL
u L
u L
u L
u IL
n /L
u L
u L
#001
11-09-17
<50
<0.15
3.60
8.83
2.57
<0.2
2.04
<2.0
Outfall
No.
Date
Sample
Collected
Total
Silver
Total
Thallium
Total
Zinc
Sulfate
Oil & Grease
HEM
pH
Field
molddl r
u /L
u /L
u /L
m /L
m L
#001
11-09-17
<0.5
<0.5
465
31
<5
7.2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
Form S WU-247, last revised 21212012
Page 1 of 2

Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall=Date"
No, -a 4,
Sample:,
Collected
50050
00556
00400
Total Flow.
..(if applicable}
Total ..
Rainfall
„
Oil &Grease
{if,appI)
Non -polar
:08zG/TPH
(LVlethod:I664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil`Usage
molddl r
MG
inches
m ll
m 1
unit
al/mo
STORM EVENT CHARACTERISTICS:
Date:
Total Event Precipitation (inches):
Event Duration (hours): NIA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Sign aturejA5ermittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Meritech., Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Wright Whitlow
Client: Capital Power
P.O. Box 1153
Roxboro, NC 27573
Report Date: 11/17/2017
Date Sample Rcvd: 11/9/2017
Meritech Work Order # 110917124 Sample: Stormwater Discharge Outfall [SDO) #001 Grab 11/9/17
Parameters Results Analysis Date Reporting Limit Method
COD
29 mg/L
11/10/17
15 mg/L
EPA 410.4
Total Suspended Solids
39 mg/L
11/13/17
2.5 mg/L
SM 2540 D
Aluminum, total
1,330 ug/L
11/15/17
2 ug/L
EPA 200.8
Antimony, total
0.62 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Arsenic, total
<2 ug/L
11/15/17
2 ug/L
EPA 200.8
Beryllium, total
<0.5 ug/L
11/15/17
5 ug/L
EPA 200.8
Boron, total
<50 ug/L
11/15/17
50 ug/L
EPA 200.8
Cadmium, total
<0.15 ug/L
11/15/17
0.15 ug/L
EPA 200.8
Chromium, total
3.60 ug/L
11/15/17
2 ug/L
EPA 200.8
Copper, total
8.83 ug/L
11/15/17
2 ug/L
EPA 200.8
Lead, total
2.57 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Mercury, total
<0.0002 mg/L
11/14/17
0.0002 mg/L
EPA 245.1
Nickel, total
2.04 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Selenium, total
<2 ug/L
11/15/17
2 ug/L
EPA 200.8
Silver, total
<0.5 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Sulfate, total
31 mg/L
11/16/17
5 mg/L
SW 846 9038
Thallium, total
<0.5 ug/L
11/15/17
0.5 ug/L
EPA 200.8
Zinc, total
465 ug/L
11/15/17
2 ug/L
EPA 200.8
oil A rre�se [14EM1
<.5 mg,/L
1.?. /1.3/1.7
5 m6/1,
EPA,1664B
I hereby certify that I have reviewed and approve these data. 4
� KIJ�7
Laboratory Represen ative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

3-20-20U .Chain of Custody Record (COC)
NPDE5#: NC5000347
Client: Capital Power Phone: [phone]
Address: PO Box 1153 Fax:
Roxboro NC 27573-1153 Email: [e-mail]
Project:
P.O.#:
Attention: Wright Whitlow Turn Around Time*
How would you like your report sent? `RUSH work needs prior approval.
Std lOda s 3-5 Da s 24-48Mrs
Circle all that apply: Email{preferred), Fax, Mail ) 5 Q
M ERITECH INC.
1
ENVIRONMENTAL LABORATORIES
. " 642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
m
www.meritech-[abs.coE 1 I
Sample Location and/or ID #
Sampling Dates & Times
PersanZXIXrkia�er(Sign/JPrint):
Lab Use
Start
End
Comp?
Grab?
#of
Cont.
Test(s)kequired
bmi�l ?
Yes / No'
-PH:.OK?
Cl 00
Date
Time
Date
Time
5tormwater Discharge Outfall
113
Priority Pollutant Metals-Ag, As, Ife, Cd, Cr,
Cu, Hg, Ni, Pb, Ski, Se, TI, Zn, w HNO3 l Dk
G
AI
G
1
B
G
COD
G
TSS
G
j
Sulfate [
G
Oil & Grease (w/HCI)
.1
Temperature upon
Re ipt �
Method Of
Shipment:
*** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples
must be done in the field prior to preservation. ***
Comments:
Compositor:#
[J UPS
Jug`#
Fed Ex
Are these esults foi' peW tory purposes? Yes No
ort r e s mg/ g/kg ljug/L
Hand Delivery
Relinquished by: D Time: �[i�J
/ %t-e �-
Receiv f� D te•/ i
[ $' Z
Other
erite 'c up
Relinqui Date: jl I Time:
eceive y: Date: Time:
Relinquished by: Date: Time:
Received b b: l to Time: ``
� � �.— �J

/
4

Client:
Attention
NPDES #
MERITECH, INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No. 165
Capital Power
P.O. Box 1153
331 Allie Clay Rd.
Roxboro, NC 27573
Wright Whitlow
NCS000347
Date Sampled
11/09/17
Digested
11/10/17
Analysis
11/14/17
Analyst:
CWL
EPA 1631 Low Level Analysis
Meritech ID #
Sample ID
Result
Reporting Limit
MBLKI 108C
Method Blank
< 0.5 ng/L
0.5 ng/L
M11101707
Field Blank
< 1.0 ng/L
1.0 ng/L
MI I IO1708
Storm Water
21.9 ng/L
1.0 ng/L
Outfall 001
I hereby certify that I have reviewed and approve these data.
Laboratory Representa the
642 Tamco Rd - PO Box 27 - Reidsville, NC 27320
[phone] Ph - [phone] Fax
E-Mail: [e-mail]

3-i9-2016 Chain of Custody Record COC
Client: C�
t�� D
2
NPdEs#:
MERITECH, WC.
Phone:
Address:
Fax:
i
GL/tom (_L�F (r"' /
Ernail:�clW f d d
ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]$
v � .
a �.� �
Project:
Reidsville NC 27320 Fax: [phone]
IP.Off
Attention
1,11Xf S&iHow
Email: [e-mail]
would you like your Report sent?
www.meritechiabs.com
Circle all that a mail preferr Fax ail
EPA 1631
Person Taking Sample (Sign/Print):
Sample Location 1 Ip#
p
Date
Time
Sampling
Site Description
4Bottle'
Tuh�ng
4
Sampler,
a 245 9 Result (ppt)
In House
Choler
i{Adt,#.
'1&#.'
1CHIDH�%
r .
Preservatwn
'`#
Field Blank
w
`
z N.
�,f
�J
r
_S
r
�11".i.
Rif-
4
::;:
3-
F3
T
h'
Method of
Comments:
Shi ment:
�57?rrl1¢T
Q� l
❑ UPS
❑ Fed Ex
Are these results f t regulatory pur p ?
Yes
No ❑
❑ Hand Deliver
Relinquished by: c Dat'
.� Time:
lieZ
(`
Relinquished by: ate: i e:
r(�
11 (�S
Received by: Time:
Date: me:
Other
§'
Relinquished by: pate:
I
Time:
te: Time:
Rece by Lab: Dow-4
= �,
. 0 ( , )- (q / /
i feasedto Lab Secure arm Received from Lab Secure Area
o-7ay

�. STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 1. 0 2 '-1
Individual NPDES Permit No.
or
M
Certificate of Coverage (COC) No. NCGLJLJLJL"U C 2
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March a of the following Y59
Facility Name: Cam. t I RQ Lee zci— C&2LA rn Rage/1 & �C
County: 8ti-; •zr; L _ VED
Phone Number: (2 j 4) -5 3 - `15U ' Total no. of SDOs monitored i AR 0 3 2015
Outfall No. Oo i Grid
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 20'
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 2r
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 2'
Total
Rainfall,
inches
Parameter, (units)
! S 5
MqL
coo
�'[G .L
AJ;"P4P1w K'
MG%G
r mf i �� Y
»3e;�� c",
���-; �
My'l
jgo Z- Cn
M&l4-
Y4CV L-
Benchmark
N/A
i 0 D
l Z O
D,, 7!�
O, © C•
o v 3 C.
Q. 4 i
IQ
p. 001
Date Sample-
mmlddl
-
a �,
3
_
y
S W U-264-Generic-25May2010

y.
�
•3
4.
� X
r
l
i
Jp
.
a wrj�•.
iyF y
.��
9.1
� R
TV
Fr?
-
., JL,

Additional Outfall Attachment
Outfall No. (30 i
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑ -
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No [�
SW U-264-Gene ric-25 M ay2010

i

Additional Outfall Attachment
Outfall No. QO i
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [�
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [�
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No LT
SWU-264-Generic-25 May2010

1
Ric
o `r� r3od
sroRR4,4No ?p�
ATERP jj q
LNG
iys..
1
K
wP.
6 T�,
4
f

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 1 1 • ^ i Attn: Central Files
Total Event Precipitation (inches): O- Co 1617 Mail Service Center
Event Duration (hours): " (only if applicable — see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable -- see permit.)
"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
021alIao
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL {SDO}
ANNUAL SUMMARY DATA MONITORING REPORT {DMR} U
Calendar Year 2.6 11 qQ
Individual NPDES Permit No. NCS❑D O❑Fa]©OQ or
Certificate of Coverage COC No. NCG❑❑❑❑❑❑
9 ( ) C. DwR
Rloih � ,�i'7Z: fijf;�p
This monitoring report summary of the calendar year is due to the DWG Regional Office no later than March 1'" of the following year.
Facility Name: Celt i� 1 �;h..cr-cam
County:
Phone Number: (336 s 7 �V 148 Total no. of SDOs monitored
utfall No. 001
Is this outfall currently in Tier 2 [monitored monthly]? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 0--
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
lP
Rainfall,
inches
Parameter, units
I�wtin..w
A►•�s.re a,.y
ArSe..: e—
�cwr iietm
l,1 Cr 4--
gvw.,.�
M L
C4-�r 4,,o
PICA
M 1 k
Benchmark
N/A
(s,b.. q. o
G 7
p 5
p.
FJ/A
06op
Date Sample
Collected,
mmlddlyy
< 6.0Gi
)I- - I
z
© atd
0. 0'o
Lo,00a;
0, o
. oQe3
c9. 0 03
SW U-264-Generic-25 May2010

4
4
Additional Outfall Attachment
Outfall No. 00 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Eg-
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
Inches
Parameter, (units)
fro
e j.
L �
04G%L►
[tit�u��,c,-:y
/
�[:c14�-1
5.4— art
S,Iv-��,
` TA" 14"w,
Zc�C.
L
Benchmark
N/A
0�03
N
O- Z G
010-
aOb !
O• 06 7
Date Sample
Collected,
mmlddlyy
. /S-o
z 0.0a5
40 , 2,
4 0-205
40,go. S
go,Ue
6edoS'
0. o:
[r.I0-t I
7
v a[
L 0,
<.o.
[ o, od;"
-005-
4O.W1
1-0.045
o. Z77
SW U-264-Generic-25May2010

r
Additional Outfall Attachment
Outfall No. O r> I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [�_<__/
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes El No LzJ-
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter, (units)
C o V
T.0
(.,
Benchmerk
N/A
Date Sample
Collected,
mmlddlyy
S^ 7<
G!
'7
SW U-264-Generic-25May2010

r

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 ---
Date Z- Z. f5-t ZL
Mail Annual DMR Summary Reports to;
DWQ Re-gional Office Contact Information:
•
0
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
910 433-3300
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
(919) 7914200
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE_
CENTRAL OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
1617 Mail.Service Center
Raleigh, NC 27699-1617
To preset prNect
and enhance
336 771-5000
919 807-6300
Noah Carolina's water...'
SW U-264-Generic-25 May2 010

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year Z e)J t
Individual NPDES Permit No. NCSI
Certificate of Coverage (COC) No. NCG
or
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year.
Facility Name: —CPI USA NORTH CAROLINA-ROXBORO PLANT
County: PERSON
Phone Number: (_336__597-4798 Total no. of SDOs monitored _20
7if
utfall No. 001
this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
as this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ElNo this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency' ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter, units
TSS MGIL
COD MGIL
ALUMINUM
MGIL
ANTIMONY
MGIL
ARSENIC
MGIL
BERYLLIUM
MGIL
BORON MG1L
CADMIUM
MGIL- '
enchmark.
N/A
100
120
0.7&
0.09
0.36
0.07
NIA
0.001
ate Simple
Collected,
dl
m d I y
R7'
,
�t.
k •°`
��
i
y
i( •
L? .
1113/10
0.6
41
28
2.03
<0.005
<0.005
<0.0005
.026
<0.0005
SW U-264-Generic-2 5 M a y2010

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A
1
A'
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4
f�
-

Additional Outfall Attachment
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ED
Total
Rainfall,
inches
Parameter, (units)
CHROMIUM
MGIL
COPPER MGIL
LEAD MGIL
MERCURY
MGIL
NICKEL
MGIL
SELENIUM
MGIL
SILVER MGIL
THALLIUM
MGIL
Benchmar*
N/A.
1
.0.007
0.03
N/A
0.26
0.056
0.001
N/A
Date Sample.
Collected;
mmlddlYy
a
�� �., . a � �
SIh€
.�•. y � do
1113I10
0.6
0.003
0.008
<0.005
<0.0002
<0.005
<0.005
<0.001
<0.005
SWU-264-Ge ne ric-2 5 May2 010

Additional Outfall Attachment
Outfall No. 00 t
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
SW 11-264-Gene ric-2 5 Ma y2010

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 _ gdzz �& IZ4 -
Date 3— z Y-//
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
0
9
AS IVEHAS IVEH LLE REGIONAL OFFICE
FAYETTEVILLE REGiONAG°-OFFICE�T
MOORESVILLE REGIONAL' OFFICE;
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
i Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
(910� 433-3300
RALEIGH_REGIONAL:OFFICE
Drive
_
WASHINGTON REGIONAL'OFFICE WILMINGTON REGIONAL OFFICE
Mall Cardinal Drive
0 38-0Barrett
943 Washington Square 127 Extension
Raleigh, NC 27609
Washington, NC 27889 Wilmington, NC 28405-2845
[phone]^�
[phone] A [phone]
WYINSTON_SAL-EM_REGIONAL OFFICE
CENTRAL_: OFFICE
585 Waughiown Street
1617 Mail Service Center .ro pieserve:
Winston-Salem, NC 27107
Raleigh, NC 27699-1617 andenhance
336 771-5000
L . _ (_—}
919 807-6300 North Carolina's water..."
SW U-264-Generic-25May2010

0
Capital Power C-11
Capital Power Corporation Corporation
331 Allie Clay Road
P,0, Box 1153
Roxboro, North Carolina 27573-1153
T 336-597-4798 F 336-597-8522
www.capitaipower.com
January 11, 2012
Ms. Autumn Romanski
Senior Environmental Specialist
NCDENR-DWQ
1646 Mail Service Center
Raleigh, N.C. 27699
Subject: Annual 126 Priority Pollutants
January 1, 2011-December 31, 2011
Permit No. NCO065081
Capital Power Corporation Roxboro Facility
Dear Ms. Romanski:
DECEaVE
J AN 66 2012
NC PENR
Raleigh Regional Office
Please find attached a copy of the 126 Priority Pollutants letter as required in Permit #
NCO065801 section A.(1) in reference to outfall 003,outlining the results of the water treatment chemicals
used at the Capital Power Corporation Roxboro Generation Facility. The letter supplied by GE
Infrastructure Water and Process Technologies states that all water treatment chemicals used at the
Capital Power Roxboro Facility meet the requirements of 40 CFR Part 423, Appendix A for "NON
Detectable Amount" of the 126 Priority Pollutants.
If you have any questions or comments please feel free to contact me any time to discuss. I can be
reached at 910-457-0215.
Sincerely,
Frank Hayward
Site Manager
Capital Power Corporation -North Carolina
Roxboro Facility
Cc; Rick Houser-EHS Coordinator CPC North Carolina

•
� / 1
6-Jan-12
Ed Kell
Capital Power
331 Allie Clay Rd.
Roxboro, NC 27573
Mr. Kell
GE Infrastructure
Water & Process Technologies
The priority pollutants are a subset of "toxic pollutants" as defined in the Clean Water Act (US EPA) and listed
under 40 CFR 423 Appendix A. Because many GE Betz products are directly discharged to surface waters, we
recognize the need to obtain information on the priority pollutant content of our products.
The following table contains a listing of all products reviewed by GE Betz. The analysis performed consisted of
either laboratory testing or formulation review.
Where indicated, analysis was conducted for all listed metals and organics except dioxin. Dioxin precursors are
not present in the products listed. While most GE Betz products are not formulated with the listed priority
pollutants, results of the limited pure product testing did indicate trace levels were present in some products.
Under normal applications, the concentrations of these pollutants in pure product are expected to fall below
detectable levels resulting in no measurable amounts in the discharge.
Formulation reviews were conducted by examination of the product chemical composition and available
regulatory information. If possible, a comparison was also made with similar products having priority pollutant
analysis data.
Product Analvsis Tvoe Result
Continuum AEC3108
Tested 4/22/04
None Detected
Foamtrol AF1440
Formulation Review
None known to be present
Inhibitor AZ8104
Tested 1/29103, 3103 and
Testing at normal use levels resulted in no
6103
detectable Phenols
Spectrus BD1500
Tested 4115/04
No measurable pollutants when applied at < 10000
ppm product.
Cortrol OS5700
Formulation Review
None known to be present
Optisperse HP54414
Formulation Review
None known to be present r
Steamate NA0560
Formulation Review
None known to be present
Metclear MR2416
Formulation Review
None known to be present
Should you have any questions or require any additional information on our products, please contact your GE
Water and Process Technologies sales representative.
Sincerely, q
GE W&PT
Regulatory Specialist
4636 Somerton Road
Trevose, PA 19053

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