NCS000328_MONITORING INFO_20071025

STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
❑FINAL PERMIT
MONITORING REPORTS
APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ !i��I I Z
YYYYMMDD
11 I�jlti

Arch Treatment Technologies, Inc.
FOR ANY EMERGENCY, 24 HOURS 17 DAYS, CALL: 1-800-654-6911
FOR ALL TRANSPORTATION ACCIDENTS, CALL CHEMTRECO: 1-800-424-9300
FOR ALL MSDS QUESTIONS & REQUESTS, CALL: 1-800-511-MSDS
PRODUCT NAME: (NCq
EPA Registration NL�mber: 75506-11
1. PRODUCT AND COMPANY IDENTIFICATION
REVISION DATE:
10/25/2007
Arch Treatment Technologies, Inc.
SUPERCEDES:
09/11/2007
1955 Lake Park Drive, Suite 100
Smyrna, GA 30080
MSDS Number:
000000004402
SYNONYMS.
None
CHEMICAL FAMILY:
Mixture
DESCRIPTION 1 USE:
General -use pesticide for wood
preservative.
FORMULA:
None established
2. HAZARDS IDENTIFICATION
OSHA Hazard Mild skin irritant, Moderate to Severe Eye Irritant, Mucous membrane irritant,
Classification: causes Methemoglobin formation
Routes of Entry: Inhalation, skin, eyes, ingestion
Chemical Interactions: No known or reported interactions.
Medical Conditions Aggravated: Pre-existing skin disorders.
Human Threshold Response Data
Odor Threshold Not established for product.
Irritation Threshold Not established for product.
Hazardous Materials Identification System I National Fire Protection Association Classifications
Hazard Ratings : Health Flammability Physical 1 Instability PPI / Special
hazard.
HMIS 2 1 0
NFPA 2 1 0
Immediate (Acute) Health Effects
Inhalation Toxicity: Inhalation of mist or vapor may cause irritation to the mucous
membranes of the respiratory tract. Any irritation would be transient with
no permanent damage expected. Inhalation of high concentrations may
result in methemoglobin formation.
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REVISION DATE: 10/25/2007 Page 1 of 10

ARCNH
Dispersant
Arch Treatment Technologies, Inc.
4. FIRST AID MEASURES
PROPRIETARY
General Advice.
Call a poison control center or doctor for treatment advice. For 24-hour
emergency medical assistance, call Arch Chemical Emergency Action Network at
1-800-654-6911. Have the product container or label with you when calling a
poison control center or doctor, or going for treatment.
Inhalation:
IF INHALED: Move person to fresh air. If person is not breathing, call 911 or an
ambulance, then give artificial respiration, preferably mouth-to-mouth if possible.
Call a poison control center or doctor for further treatment advice.
Skin Contact:
IF ON SKIN OR CLOTHING: Take off contaminated clothing. Rinse skin
immediately with plenty of water for 15-20 minutes. Call a poison control center or
doctor for treatment advice.
Eye Contact:
IF IN EYES: Hold eye open and rinse slowly and gently with water for 15-20
minutes. Remove contact lenses, if present, after the first 5 minutes, then
continue rinsing eye. Call a poison control center or doctor for treatment advice.
Ingestion:
IF SWALLOWED: Call a poison control center or doctor immediately for treatment
advice. Have person sip a glass of water if able to swallow. Do not induce
vomiting unless told to do so by a poison control center or doctor. Do not give
anything by mouth to an unconscious person.
Notes to Physician:
Test for and if necessary treat methemoglobinemia.
5. FIRE FIGHTING MEASURES
Flammability Summary (OSHA): Combustible above 93 deg. C 1 200 deg. F.
Flammable Properties
Flash Point:
Autoignition Temperature:
Fire I Explosion Hazards:
Extinguishing Media:
Fire Fighting Instructions
Hazardous Combustion Products
Upper Flammable / Explosive Limit,
Lower Flammable / Explosive Limit,
> 100 DEG°C 1 212 DEG°F
No data.
Material may be ignited if preheated to temperatures above the flash
point in the presence of a source of ignition.
Use dry chemical, water fog, carbon dioxide (CO2), or foam.
In case of fire, use normal fire -fighting equipment and the personal
protective equipment recommended in Section a to include a NIOSH
approved self-contained breathing apparatus.
During a fire, irritating and highly toxic gases may be generated by
thermal decomposition or combustion., Hazardous
combustion/decomposition products may include but are not limited
to:, Copper metal and copper oxides. Carbon monoxide, Carbon
dioxide, Silicon dioxide, Formaldehyde
% in air: No data.
% in air: No data.
PCu
REVISION DATE: 10/2512007 Page 3 of 10

ARCH.
Arch Treatment Technologies, Inc.
8. EXPOSURE CONTROLS / PERSONAL PROTECTION
Ventilation:
Local exhaust ventilation or other engineering controls are necessary when
handling or using this product.
Protective Equipment for Routine Use of Product
Respiratory Protection : Wear a NIOSH approved respirator.
Respirator Type : Wear a NIOSH approved N100 particulate respirator.
Skin Protection : Wear impervious gloves to avoid skin contact. A safety shower should be
provided in the immediate work area.
Eye Protection: Use chemical goggles. Emergency eyewash should be provided in the
immediate work area.
Protective Clothing Type: Impervious
Exoosure Limit Data
CHEMICAL NAME CAS # Name of Limit Exposure
BASfC COPPER CARBONATE 12069-69-1 NIOSH-IDLH-IDLH 100 mg/m3
ACGIH 0.2 mg/m3 TWA Fume.(Value for
copper fume.)
OSHA Z1 0.1 mg/m3 PEL Fume.(Value for
copper fume.)
9. PHYSICAL AND CHEMICAL PROPERTIES
Physical State:
liquid
Form
Mixture
Color:
light, green
Odor:
mild
Molecular Weight:
None established
Specific Gravity :
1.80 - 1.86
pH :
8.0 - 8.5
Boiling Point:
100 DEG'C 212 DEG'F
Freezing Point:
4 DEG"C / 39 DEG°F
Melting Point:
No data
Density:
15.00 - 15.50lb/gal
Vapor Pressure:
No data.
Vapor Density:
No data
Viscosity:
500.000 - 700.000 CPS
Fat Solubility:
No data
Solubility in Water:
dispersible
Partition coefficient n-
No data.
octanol/water:
Evaporation Rate:
No data
Oxidizing:
The substance has no oxidizing properties
Volatiles, % by vol.:
No data
VOC Content
No data
HAP Content
No data
10. STABILITY AND REACTIVITY
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RE\i SIGN DATE : 10/25/2007 Page 5 of 10

Sodium Nitrite This material has been shown to be non-mutagenic in
the majority of a battery of assays. Not expected to be a
mutagenic hazard.
Carcinogenicity: This product is not known or reported to be carcinogenic by any reference
source including IARC, OSHA, NTP or EPA.
Sodium Nitrite This material did not cause cancer in long-term animal
studies.
12. ECOLOGICAL INFORMATION
Overview: Toxic to fish and other aquatic organisms., Toxic to wildlife and domestic
animals., Do not discharge effluent containing this product into lakes, ponds,
streams, estuaries, oceans or other waters unless in accordance with the
requirements of a National Pollutant Discharge Elimination System (NPDES)
permit and the permitting authority has been notified in writing prior to discharge.
Do not discharge effluent containing this product to sewer systems without
previously notifying the local sewage treatment plant authority. For guidance
contact your State Water Board or Regional Office of the EPA.
13. DISPOSAL CONSIDERATIONS
CARE MUST BE TAKEN TO PREVENT ENVIRONMENTAL CONTAMINATION FROM THE USE OF
THE MATERIAL. THE USER OF THE MATERIAL HAS THE RESPONSIBILITY TO DISPOSE OF
UNUSED MATERIAL, RESIDUES AND CONTAINERS IN COMPLIANCE WITH ALL RELEVANT
LOCAL, STATE AND FEDERAL LAWS AND REGULATIONS REGARDING TREATMENT, STORAGE
AND DISPOSAL FOR HAZARDOUS AND NONHAZARDOUS WASTES.
Waste Disposal Summary: If this product becomes a waste, it will be a nonhazardous waste.
Potential US EPA Waste Codes : Not applicable
14. TRANSPORT INFORMATION
Land (US DOT): NOT REGULATED AS A DOT HAZARDOUS MATERIAL
Water (IMDG): NOT REGULATED AS A HAZARDOUS MATERIAL,
Flash Point: 100.00 DEG°C >
Air (IATA): NOT REGULATED AS A HAZARDOUS MATERIAL,
Emergency Response Guide Number: Not applicable
15. REGULATORY INFORMATION
UNITED STATES:
Toxic Substances Control Act (TSCA):
EPA Pesticide Registration Number:
FIFRA Listing of Pesticide Chemicals
This is an EPA registered pesticide.
75506-11
This product is regulated under the Federal Insecticide,
REVISION DATE: 10f25i2007 Page 7 of 10

New Jerse
CAS # _ COMPONENT_ NAME _
112069-69-1 BASIC COPPER CARBONATE
1 7632-00-0 1 Sodium Nitrite
NJ RTK
US. New Jersey Community Right -To -Know Survey, Table A: NJ Environmental Hazardous Substances
[EHS] List (N.J. Admin. Code Title 7 Section 1 G-2,1)
NJ RTK
2001
Substance no. 2215
COPPER COMPOUNDS [EXCEPT: C.I. PIGMENT BLUE 15, C.I. PIGMENT
GREEN 7, AND C.I. PIGMENT GREEN 36)
US. New Jersey Community Right -To -Know Survey, Table A: NJ Environmental Hazardous Substances
[EHS) List (N.J. Admin. Code Title 7 Section 1G-2.1)
NJ RTK
102006
Substance no. 2258
SODIUM NITRITE
Massachusetts:
CAS # COMPONENT NAME
7632-00-0 Sodium Nitrite
MASS RTK
US, Massachusetts Commonwealth's Right -to -Know Law (Appendix A to 105 Code of Massachusetts
Regulations Section 670 000)
MASS RTK
04 1993
SODIUM NITRITE
California Proposition. 65:
CAS # I COMPONENT NAME
US CA CRT None established
US CA65CRT None established
WHMIS Hazard Classification:
WHMIS
Canada. Canadian Environmental Protection Act (CEPA). WHMIS Ingredient Disclosure List (Can. Gaz.,
Part II, Vol. 122, No. 2)
WHMIS
01 1988
Threshold limits: 1 %
English List no. 428
COPPER(II) CARBONATE HYDROXIDE
Carada. Canadian Environmental Protection Act (CEPA). WHMIS Ingredient Disclosure List (Can. Gaz.,
uL,u
REVfSION DATE: 10/25,12007 Page 9 of 10

FROM F'yo ezY wcay SoutFi Inc• '.-(TUE75�V 27 2011 0:24/6T. u:24/H..76o000048O P 1
it yx
Extra Note: MCLs are set at very stringent levels. To understand the possible health effects described for many regulated
constituents, a person would have to drink.2 liters of water every day at the MCL level for a lifetime to have a one -in -a -
million chance of having the described health effect.
�� �� �� ENERGY UNITE[} WATER CORPORATION
;• .TEST RESULTS
Lead and Copper Contaminants
Contaminant (units)
Samplc
Your
fi of sites
Date
Water
found above
MCLG
MCL
Likely Source of Contamination
the AL
er(ppm)
)u
Corrosion ofhouschold plumbing
perccntikc)
T(90L"
2009
0.099
0
1.3
AL=1.3
systems; erosion of natural deposits;
leaching From wood pre5ervatives
--------------
Lead (ppb)
June
<3.0
0
0
AL=15
Corrosion of household plumbing
(9&percentilc)
2009
syslems, erosion or natural deposits
Disinfectants and Disinfection Byproducts Contaminants
Contaminant (units)
MV IA11"L
Your
Range
[-CViolation
Water
Low
MCLG
MCL
LiWy Source of Contamination
Y!
AVG
High
TTHM (ppb)
N
34.69
13 55.__:
!y
so
By-product of drinking water
[Total Trihalomethanes]
i
.NIA
chlorination
HAAS (ppb)
N
27.75
r1b' 43.
' ^ 'NIA "
60
By-product or drinking water
[Total Haloacetic Acids]
disinfection
Chlorine (ppm)
N
1.23
0.3 l.7
MRDLG
MRDL a4
used to control
rnicrobedditivc
WATER PURCHASED FROM CITY OF NEWTON
TEST RESULTS
Substance I
Newton
Highest
Ideal Goal
Major Source
Result
Level
Allowed:-
sMCE:C
MCL
Barium
(ppm)
<0.4 mg/l
2 mgJl
2 mg/l
Erosion of natural deposits
1/08/2009
Fluoride
(ppm)
1.09 mg/1
4 mg/l.
4 mg/i
Water additive which promotes strong
1/08/2009
teeth; Erosion of natural deposits
Leaching from septic tanks, sewage;'
Nitrate
<l .0 mg/I
10 mg/1
10 mg/l
Erosion of natural deposits, Run-off from
(ppm)
1/08/2009
fertilizer use.
Turbidity
All below
Max allowed'
. a:<3.,NTUr
Soil runoff
NTU
<.3 NTU
<.3 NTU : i'?,
"(kival "%/yr
max/yr. =
was 100%
(turbidity
.15 NTU
compliance/
units)
(11106/2009)
yr.)
* A treatment technique is a required process intended to reduce the level of a contaminant in drinking water.
Table 2. Substances Regulated in the Distribution System
Substance
Result -
;Range'',:,
Highest
Level
Ideal Goal
Major Sources
TTHM (ppb)
34.00 ppb
20,0 to
k53.0 ppb 3rd
<80 ppb yearly
Chlorination of
2009 Quarterly
yearly average
53.0
quarter 2009
water
testing
ppb
average

tROM Ftoutway S—TI, Inc. (TVE)SEP 27 2011 8.24/ST. $; 24 ♦Mq. 760000C1460 P 2
Maximum Residua! Disinfection Level Goal (MRDLG).Tj e level of a drinking water disinfectant below which there is
no known or expected risk to health. MRDL''.Gs'do nett reflect the benefits of the use of disinfectants to control microbial
contaminants.
Maximum Residua! Disinfection Level (MRDL) — The highest level of a disinfectant allowed in drinking water. There' is
convincing evidence that addition of a disinfectant is necessary for control of microbial contaminants.
Maximum Contaminant Level (MCL) - The highest level of a contaminant that is allowed in drinking water. MCLs are set
as close to the MCLGs as feasible using the best available treatment technology,
Maximum Contaminant Level Goal (MCLG) -The level of a contaminant in drinking water below which there is no
known or expected risk to health. MCLGs allow for a margin of safety.
Extra Note: MCLs are set at very stringent levels. To understand the possible health effects described for many regulated
constituents, a person would have to drink,2 liters'o water every day at the MCL level for a lifetime to have a one -in -a -
million chance of having the described healthieffecti'
ENERGY UNITED WATER CORPORATION
TEST RESULTS
Lead and opperContaminants
Contaminant (units)
Sample
Your
# ofsitcs
found above
MCLG
MCI.
Likely Source of Cunlamination
Dale
Water
the AL
Copper (ppm)
June
Corrosion of household plumbing
(90'" percentile)
2010
p U$I
0
l,3
AL=L3
systems; erasion of natural deposits;
leaching from wood Rreservatives
Lead (ppb)
June
<3.0
0
0
AL=15
Corrosion of household plumbing
(90`s percentile)
20[0
systems, erosion of natural deposits
Disinfectants and Disinfection Byproddgts•Cnniamirar is
Contaminant {units) MCLIMRDL
Your
; 41kange `
Violation
Water a.
Low
MCLG
MCL Likely Source urConlamination
i YIN
(AVG)
Hieh
I
TTHM (ppb) I N
7178
yy 10 41
WA
80 By-product of drinking water
[Total Trihalomethanes]
.
chlorination
HAA5 (ppb)
I N
I 25.44
a 47 l
N1A
Hy -product or drinking water
60
[Total Haloacetic Acids]
I
I
disinfection
Chlorine (ppm) I N
t
1.19 0.21 1.7.
MRDLG
.
water additive used to convol
MRD[-=4
=4
microbes
WATE&P,URCHASED FROM CITY OF NEWTON
TEST_ RESULTS
Substance
Newton
Highest
Ideal Goal
Major Source
Result
Level
Allowed
MCLG
MCL
Barium
<0.4 mg/1
2 mg/l
2 mg/1
Erosion of natural deposits
(ppm)
1/12/2010
Fluoride
1.04 mg/1
4 mg/1
4 mg/1
Water additive which promotes strong
(ppm)
111212010
L
` . :; ;; i;;.
teeth; F;rosion of natural deposits
Leaching from septic tanks, sewage;
Nitrate
<1.28 mg/1
10 mgil
10 mg/l
Erosion of natural deposits. Run-off from
(ppm)
1/12/2010
fertilizer use.
Turbidity
All below
<3 NTU
NTU
<.3 NTU
(actual %/yr
max/yr, =
Max allowed
was 100%
Soil runoff
(turbidity
0,04 NTU
<3 NTU-
comp)iance/
units)
(08/01/2010)

a
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STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCS 000328 SAMPLES COLLECTED DURING CALENDAR YEAR: 2009
CERTIFICATE OF COVERAGE NO. NCG: (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME_Bestway South, Inc. _ COUNTY Iredell
PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, Inc.) PHONE NO. •( 704 ) 585 - 6373
CERTIFIED LABORATORY INENCO, Inc. Lab# 5540
Blue Ride Labs Inc. Lab Of 275 PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
0
°
Outfall;Date
_
,.
Tots] Arsenic
Total Chromium
Total Co er PP .
SampleCollected,
.
'
13enchiitaric>:::
:...
:0 36° :.:.:
1', •....,:;
_ 0 007;..:,:'. .
N
SDO-001
08/11/2009
0.014
0.039
0.088
h
N
.�.:
w Total Suspended Solids Total Nitrogen
A.
+1..5t W�thinii
SD0-001 08/11Y20.09 76 8. 15 s;.' �sJ .. 6.
-
z, v
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _
(if yes, complete, Part B)
u
Part T3_ Vehicle Maintennnce Activity Mnnitnrinv Renniremiii
yes X no
BODi
:.mWL .,
46.7
COD `
220
Uutfall
bate
Sample'Collected,
r , .....: ,_
'; 1. OOS 56
Ut)530
00400
Ot! andfGrease,'
i
Total Saspentied Solids,
" ` pH; '
New Motor Oil Usage,
:Anutial!ave.ra a ..aEJmo:
;.,
a .
,i,'..4 ,9.O.i;
„
S4
12609
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STORMWATER DISCh,,,tGE OUTFALL (SDO)
MONITORING REPORT
PERMIT Number: NCS000328 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2010
CERTIFICATE OF COVERAGE NO. NCG: (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 Bea tway South, Inc. _ COUNTY Iredell
PERSON COLLECTING SAMPLES_Ryan R. Osborne (INENCO, Inc.) PHONE NO. C 704 ) 585 - 6373
CERTIFIED LABORATORY INENCO, Inc. Lab #5540
Pace Analytical Services, Inc. Lab #12 & 37706 - Charlotte PLEASE SIGN ON THE REVERSE 4
40 & 37712 - Asheville
Part A: SDecific Monitorine Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
Total
Rainfall,
inches
Total Arsenic
m
Total Chromium
mg1L
Total Capper
m
BODS
mgzj
Benchmark
-
-
0.36
1
0.007
30
SDO-001
02/22/2010
0.26
0.0206
0.0081
0.013
40.0
Outfali '
No
Date
Sample Collected,
mold r
�':TOtal
Rainfall,
' `inches
00530
i`-r',:_
00400
±Y.Fati:
Total Suspended Solid_ s
m
Total Nitrogen
m
Lai- pH,
° =.:Standard units
a a COD
Benchmark'.
100k'
30
Within 6.0-9.0
`=Oj,' 120
SDO-001
02/22/2010
0.26'
l3:0r'
0.73.
= 6.44
- G 25.0
Did 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 R: Vehirlo Maintenance Artivitv Mrtnitorina Reniiiremont-
Outfall
No.
Date
Sample Collected,
mo/d r
Total
Rainfall,
inches
00556
00530
00400
Oil and Grease,
m
Total Suspended Solids,
m /L
pH,
Standard units
New Motor Oil Usage,
Annual averse gallmo
Benchmark
-
-
30
100
6.0 - 9.0
-
S W U-246-112608
Pabc 1 ol'

m
r
a
0
0
0
0
0
a
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STORMWATER DISCFEAAGE OUTFALL (SDO)
MONITORING REPORT
PERMIT Number: NCS000328 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2010
CERTIFICATE OF COVERAGE NO. NCG: (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 Sestwav South, Inc. COUNTY Ir dell
PERSON COLLECTING SAMPLES Ryan R. Osborne_(INENCO, Inc.) PHONE NO. ( 704 ) 585 - 6373
CERTIFIED LABORATORY INENCO, Inc. _ Lab #5540
Pace Analytical Services, Inc. Lab #12 6 37706 - Charlotte PLEASE SIGN ON THE REVERSE 4
40 6 37712 - Asheville
Part A: SDecifie Monitoring Requirements
Outfall
No.
Date
Sample Collected;
v r::::.:... :
Total
Rainfall,
...:.i©ches ..:>
TotafArsenic_".
..... _: , m .-
�Totid Cliroiin im
Total Copper
BOD} ,
Benchmark;::=
=. :` :� ..._.
:`... :-
035 �. 1
I:.-
: 0007
'30
SDO-001
05/03/2010
0.49
0.0299
0,0257
0.0824
12.6
=µ utfall
No
ate'.
Sample CoDected,
Total
Rainfail,`
- .'00530.
00400
=�
Tata! Suspetided Solids
mar
A ,Tot>;hNitrogen
pH;
Stand d=units
- : m
'd00 ,
a 30..Withli>,6D
90:
t, 120;. t
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes % no (if yes, complete Part B)
rart 15: v entcle maintenance ACtIVItY Monit nnR Ke uirements
Outfall.. ::Date, Total 00556 00530 00400
-
No. Simple -Collected; Rainfall, Oil and Grease; ` , -.Total Stiipendeii Solids,` pH; New Motor Oil Usage,
mo/dd/ r..: Standard units. Anatlal:average allma
Bt nciitnark: : - 30' :100 : 6.0 - 9.0 . .
SWU-246-112608
Page 1 of 2

I
0
STORM W ATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Gv_,-EP_& L PERMIT NO. NCS 000328 SAMPLES COLLECTED DURING CALENDAR YEAR. 2010
CERTIFICATE OF COVERAGE NO. NCG: (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Bestway South, Inc. _ _ COUNTY Iredell
PERSON COLLECTING SAMPLE(S) Richard Petrovich (GM) PHONE NO. ( 704 ) 585 - 6373
CERTT TED LABORATORY Statesville Anal tical Lab # 37755
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
No.
IF ✓
Sampleol�lete,t�°�
hl` i� h Ij
,.-Rr' t
tiSA}h�_ h Itllt •4 ll f: .lr-�
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��,. l' +p
t
l
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MRic.ry.:ANI:}„.L
}l'r,��_-,'
ilgk�-.: t':...t. 1
Benchmark
'03t<`' `�
., kr: ` : sx
1 r,rty0°09'i
30
517a-001
.47/12/2014
0.42
8.3
r
d.r.{tIa
2
j
r�yypp' y:'J
� Yi .
=74-
Did this facility perfonn Vehicle Maintenance Activities using more than 55 gallons of new motor oil -per month? _ veS x no
(if yes, complete Part B)
Part R- Vehicle Maintenance Artivitv Manitarina RPmdrementa
Uutfall
No.
Sam le Collected
p
"Y(�}��'' pvp,�' x
`
3 fi
` `{",,�y:
2g � � .. 6' �R ;
--ilte►v.�Mator, On Wage,
uilln"w! a a a41�o
Benchmark
-
..:',30 a
.i Y.� ' tk' i '
r:, 1 IrU:.Q`I `=
-
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STORMWATER,.- _LARGE OUTFALL(SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCS 000328 SAMPLES COLLECTED DURING CALENDAR YEAR: 2010
CERTIFICATE OF COVERAGE NO. NCG- (This monitoring report 1s due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Bestway South Inc. COUNTY Iredell
PERSON COLLECTING SAMPLES) Richard Petrovich (GM) PHONE NO. ( 704 ) 585 - 6373
CERTIFIED LABORATORY Statesville Analytical Lab # 37755
Lab # PLEASE SIGN ON THE REVERSE 3
Part A: Specific Monitoring Requirements
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MONITORING REPORT
GENERAL • PERMIT NO. NCS 000328 SAMPLES COLLECTED DURING CALENDAR YEAR: 2010
CERTIFICATE OF COVERAGE NO. NCG: (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Beetway South, Inc. COUNTY Iredell
PERSON COLLECTING SAMPLE(S) Richard Petrovich (13m) PHONE NO. ( 704 ) 585 - 6373
CERTIFIED LABORATORY Statesville Analytical Lab # 37755
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
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CERTIFICATE OF COVERAGE NO. NCG: (This monitoring report is due at the Division no later than 30 days from
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FACILITY NAME_Beatw�!y South, Inc. COUNTY Iredell
PERSON COLLECTING SAMPLE(S) Richard (Petrovich (Gl'I) PHONE NO. ( 704 ) 505 - 6373
CERTIFIED LABORATORY Statesville Analytical Lab # 37755
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FACILITY NAME Beetwa South, Inc. COUNTY Iredell
PERSON COLLECTING SAMPLE(S) Richard Petrovich (GM) PHONE NO. ( 704 ) 585 - 6373
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Bestway South, Inc.
165 Halyburton Road
Stony Point, NC 28678
September 12, 2011
Wetlands and Stormwater branch
Attn: Mr.Brian Lowther
1617 Mail Service Center
Raleigh, NC 27699 - 1617
Re: Stormwater Permit
Bestway South, Inc. (Iredeil County)
NPDES SW Permit NCS000328
Dear Brian,
S � P 1 5 2011
DENR-WATERQU0� y{
WETLANDS AND sTO WIS BW�
After several sampling results that were above benchmark values for copper content, for which we
were doing a tier 2 response, I sent a letter asking for a change in our monitoring benchmarks. I was
recently informed that I sent them to the wrong department and should have sent them to you.
Our benchmark for copper in stormwater is .007 mg/L. Our county water that we use for processing
has a copper level of .089 mg/L per our report from Energy United. We have been below that level for
testing occasionally, but we will never be able to meet the .007 benchmark.
On Wenesday, 9/8/11, Mr. Michael Parker from the Mooresville office met with me and we went over
my stormwater permit and results. He suggested I contact you and ask for a relief for such a low
benchmark value for copper, but of course still monitor it as my permit requires semi-annually. He also
made a comment of not understanding why we monitor nitrogen. He also stated that he would be
contacting you as well. All of our other monitoring results are well below our benchmark values on a
consistant basis. I appreciate your time to please look at our request and see if we can make a change.
Thank you.
Sin }
Richard Petrovich
General Manager
Bestway South, Inc.
766C f sSs- C 97 �
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S ORNIWATER` POLLx�UTIONTREVENT'IQN PLAN
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DEVE J METJON
N.C. Divisiun of Water Quality, Stormwater and General Permits Unit
Facility Name: CAROLINA WOODWORKS
Permit Number: NCS000328 L%
Location Address: 165 HALYBURTON RD
STATESVILLE, NC 28677 OCT 0 2 2006
County: 1REDELL pig 'T
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all attachments
were developed and implemented under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information required by the SPPP. Based on my inquiry of
the person or persons who manage the system, or those persons directly responsible for gathering the information,
the information gathered is, to the best of my knowledge and belief, true, accurate, and complete"
"I certify that the SPPP has been developed, signed and retained at the facility location and the SPPP has been fully
implemented at the named facility location in accordance with the terms and conditions of the stormwater general
permit."
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations"
Sign (according to permit signatory requirements) and return this Certification. DO NOT SEND THE
STORMWATER POLLUTION PREVENTION PLAN WITH THE CERTIFICATION.
Signature Date
Print or type name of person signing above Title
SHT Certification 2/99

PERMIT COVERAGE
RENEWAL APPLICATION FORM
National Pollutant Discharge Elimination System
Stormwater Discharge Permit
Permit Number
NCS000328
THIS APPLICATION MUST BE SIGNED AND RETURNED ALONG WITH THE REQUESTED SUPPLEMENTAL
INFORMATION TO THIS DIV. OF WATER QUALITY IN, ORDER FOR YOUR FACILITY TO QUALIFY FOR
RENEWAL OF YOUR STORMWATER PERMIT NCS000328
The following is the information currently in our database for your facility. Please review this information carefully
and make all corrections as necessary in the space provided to the right of the current inforniation.
OWNER INFORMATION
Owner/Org. Name: CAROLINA WOODWORKS
Owner Contact:
Mailing Address:
Phone Number:
Fax Number
E-mail address:
FACILITY INFORMATION
Facility Name: CAROLINA WOODWORKS
Facility Contact:
Facility Address: 165 HALYBURTON RD
STA'I'ESVILLE•, NC 28677
Phone Number: 54-,Nj Pe;,,t, kL aws
Fax Number
E-mail address:
PERMIT INFORMATION
Permit Contact: 130B IIL'M}'Y
Mailing Address: 126 OR13IT RD
s ATESVILLE, NC 28677
Phone Number; 7048810506
Fax Number;
E-mail address:
DISCHARGE INFORMATION
Discharge Receiving Water: UT THIRD CRI?I,K
Stream Class: C
Basin:
Sub -Basin #: 030706
Number of outfalls:
CERTIFICATION
-s�r�ac.L�
3k
3 O N5
1007_-753_ .2� l
07 -..753 -rlqy$
r6 &,-!l �N Cl •_
I)A22Erl &_5Z
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I certify that I am familiar with the information contained in the application and that to the best of my knowledge and
belief such information is e, complete and accurat .
Signature Date
,e6x121? 6i.) 1 ,
Print or type name of person signing above Title
Please return this completed renewal application form to:
Individual Permit Renewal
Attn:
Stormwater and General Pennits Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL NPDES
STORMWATER PERMIT
Two copies of each of the following sliall accompany this submittal in order for the application to be
considered complete:
(Do not submit the site Stormwatcr Pollution Prevention Plan)
Initials
1.
A current Site Map from the Stormwater Pollution Prevention Plan. The location of'
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall, building
locations and impervious surfaces should be clearly noted.
2.
A summary of Analytical Monitoring results during the term of the existing permit (if your
permit required analytical sampling). Do not submit individual lab reports. The summary
can consist of a table including such items as outfall number, parameters sampled, lab
results, date sampled, and storm event data. *
3.
A summary of the Visual Monitoring results. Do not submit individual monitoring reports.
The summary can consist of a table including such items as outfall number, parameters
surveyed, observations, and date monitoring conducted.
vQ� 4.
A summary of the Best Management Practices utilized at the permitted facility. Summary
should consist of a short narrative description of each BMP's in place at the facility. If the
implementation of any BMP's is planned, please include information on these BMP's.
`!may
5.
A short narrative describing any significant changes in industrial activities at'the permitted
facility. Significant changes could include the addition or deletion of work processes,
changes in material handling practices, changes in material storage practices, and/or
changes in the raw materials used by the facility.
J446.
Certification of the development and implementation of a Stormwater Pollution Prevention
Plan for the permitted facility (Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be
submitted within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal
submittal waiting on lab results)
Representative storm sampling may now be conducted anytime during the year (the April to
November window has been eliminated) and the representative rainfall event is now
defined as a storm event that measures greater than 0.1 inches and is preceded by at least 72
hours in which no storm event measuring greater than 0.1 inches has occurred.
- AIUA1j4rco-1 moA)I402I1, j � � (� +L 2— C)
PoN� u 6r � C-PtL j X.s

Wolmanac Concentrate 60%
• Date 04/ 14/99
MATERIAL SAFETY DATA SHEET
I. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION
Product Identifier: Wolmanac Concentrate 60%
Use: Restricted -use pesticide for wood preservation
Manufacturer's Name and Address: Telephone Number(s):
HICKSON CORPORATION Medical Emergency: 1-404-616-9000
3941 Bonsal Road *Chemtrec Assistance: 1-800-424-9300
Conley, Georgia 30288 *Canutec: 1-613-996-6666
1-404-362-3970 Technical Center
1-404-363-6300 Plant *Use only in the event of transportation emergencies
2. COMPOSITION/INFORMATION ON INGREDIENTS
EXPOSURE LIMIT (mg/m3)
INGREDIENTS CAS NUMBER PERCENT OSHA-PEL ACGIH-TLV
ACGIH-STEL
Chromic Acid 7738-94-5 <30 (As Cr) 0.1 (Ceiling) 0.05
Arsenic Acid 7778-39-4 <60 (as As) 0.01 0.01
Copper Oxide 1317-38-0 <12 (As Cu) 1.0 (dusts/mists) 1.0
(dusts/mists)
3. HAZARDS IDENTIFICATION
Inhalation: Corrosive to the upper airways when inhaled in concentrations exceeding
recommended exposure limits. Short-term overexposure may cause muscle
spasms, dizziness and collapse. Prolonged overexposure may cause perforation of
nasal septum, hoarseness of the voice, liver injury and red patches on the skin.
Chronic arsenic exposure may cause nervous system damage.
Eye Contact: Corrosive to the eyes.
Skin Contact: Severe irritation to the skin.
Ingestion: Corrosive. Can cause internal hemorrhage and death if consumed as a liquid.
4. FIRST AID MEASURES
Inhalation: Remove from exposure. If severe breathing difficulty should arise
immediately seek medical aid. If breathing has stopped, administer artificial
respiration or oxygen.
Eye Contact: Immediately flush with large amounts of water for at least 15 minutes.
DO NOT rub the eyes. Immediately seek medical aid.
Skin Contact: Flush exposed skin with large amounts of water. Then use soap and
water to clean area. Remove contaminated clothing. Seek medical aid if severe
irritation develops.
4. FIRST AID MEASURES (continued)
Wolmanized® Wood Manual of Recommended Practices (Eastern Region) 8rJ
Originally published anuary 1992. Rev, March 2000

Wolmanac Concentrate 60%
Date 04/14/99
Respiratory Protection: None normally required. However, if airborne concentrations
exceed established PEL, use MSHAINIOSH approved air -purifying respirator
equipped with combination high efficiency particulate filters (HEPA).
Eye Protection: Splash -proof chemical goggles should be worn wherever splash hazards
exist.
Skin/Foot Protection: PVC, polyethylene or neoprene gloves are recommended. Where
long sleeves, pants and leather or rubber shoes. Coveralls or aprons if needed.
Ventilation: General ventilation is required.
9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance...............Dark Brown Liquid
Odor..........................Metallic
Solubility in Water —Soluble
Physical State ............ Liquid
pH..............................<2
10. STABILITY AND REACTIVITY
Specific Gravity (Water =1) ............1.80
Boiling Point.....................................107C
Vapor Density (Air=1) .....................NA
VaporPressure.................................NA
Freezing Point....................................30C
Conditions contributing to instability: None.
Incompatibilities: Alkaline products, Zinc, galvanized metal, aluminum, organic
combustible materials (such as oily rags or sawdust)
Hazardous Reactions/Decomposition/Combustion Products: Chromium, copper and
arsenic fumes
Hazardous Polymerization: Does not occur
11. TOXICOLOGICAL INFORMATION
Oral Toxicity: LD50= 188-192 mg/kg (rat — CCA Concentrate 65%)
Dermal Toxicity: LD50= 40 mg/kg (rat — CCA Concentrate 65%) LD50= 519.9 mg/kg
(rabbit — CCA Concentrate 65%)
Chronic Toxicity: Arsenic and Chromium compounds are considered a class I human
carcinogen by the International Agency for the Research of Carcinogens (IARC).
WARNING: This product contains chemicals known to the state of California to cause
cancer, birth defects or other reproductive harm. (This statement issued in
accordance with California Proposition 65).
Cancers in humans have followed from long term consumption of Fowler's Solution, a
medicinal trivalent arsenical; inhalation and skin contact with inorganic trivalent
arsenical sheep -dust; the combined inhalation of arsenic trioxide (trivalent
arsenical), sulfur dioxide, and other particulates from ore smelting in arsenic
trioxide production; and occupational exposure to nonwater- soluble hexavalent
chromium.
12. ECOLOGICAL INFORMATION
Acute 96-hour LC50= 90.3 ppm (Bluegill Sunfish — CCA Concentrate 40%)
Acute 96-hour LC50= 0.84 ppm (Rainbow Trout — CCA Concentrate 40%)
8-day dietary LD50= >4640 ppm (Mallard Ducks — CCA Concentrate 40%)
Wolmanized® Wood Manual of Recommended Practices (Eastern Region) $7
Oriaina#Iv Dublished January 1992, Rev. March 2000