NCG030440_MONITORING INFO_20200113

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v yy I
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ Q lD b b
YYYYM M D D

DOC TYPE I ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE 1 ❑
YYYYM M DD

n n �
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 O V V D SAMPLE COLLECTION YEAR ;� d9
FACILITY NAMESAMPLE PERIOD ❑ Jan -June ['July -Dec
COUNTY n—
or ❑ Monthly' (month)
PERSON COLLE INGSAMPLES 3LrD o�Ylwr� __ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Jx < Jura -I- La Cert.# ++\\ ❑Zero -flow ❑WaterSupply ❑SA
Comments on sample collection or analysis:
GEI\��D [Other C
JAN 13 2O20 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 4
CENIKAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
n No discharge this Oeriod?Z
Date
Z4-hour rainfall
Total Suspended
pH,
Standard
Co er
PPCollected'
Lead
TN-PolarO&G/
Zinal
Petroleum
Total
Toxic
Outfall No.
Sample
amount,
Inches;
Solids
units
drocarbons
Organics
Benchmarks
(mm/dd/ r)
-
-
100 mg/L or 50 mg/L4
6.0-9.0
0.OIDmg/L
Oa7Smg/L
0./Xmg/L
15 mg/L
Img/L
bu+F4)i ool
/7
vil
o.o
uosi
b, o
D,o
PIA
0 All 0)
�2-9
-949
y"
0,0
aS
D.D
ossl
v.o
1Monthly sampling (instead ofsemi-annual) must oeginwan tneseconaLun5eLuuveUcIIL11111a���L« a
same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring reportwith a
checkmark here.
I The total precipitation must be recorded usingdatafrom an on -site rain gauge. Unattended sites may be eligiblefora waiverof the rain
gauge requirement.

4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark
applies.
5 Total Toxic Organics sampling is applicable only forthose facilities which perform metal finishing operations, manufacture semiconductors,
manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permitthe definition of Total Toxic Organics is that
definition contained in the EPA Effluent Guidelines forthefacility subject tothe requirement to sample (for metal finishing use the definition
as found in40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture
use the definition asfound in40 CFR469.22; and for cathode ray tube manufacture use the definition found in 40 CFR469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement
for total toxicorganics (TTO) monitoring maybe waived. The solvent management plan shall include a list of the total toxicorganic
compounds used and the other elements listed in the General Permit. Forthosefacilities electing toemploy the TTOmonitoring waiver, the
dischargershall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible forma n a gingcompli a ncewiththe permit monitoring requirement for 70, 1
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwa ter or areas which are exposed to
rainfall or stormwa ter runoff has occurred since filing the last discha rge moni to ring report. I further certify that this facility is implementing the
all the provisions of the solvent management plan included in the Stormwater Pollution Prevention. Plan."
Name (Pri nt na me)
FAti1,f�, .SJ0purF
Title (Printtitle) .
(Signature (Date)
Note: Results must be reported in numerical format. DonotreportBelow Detection Limit, BDL,<PQL,Non-detect, ND,orothersimilar
non-numericalformat. When results are below the applicable limits, they must be reported in the format "<XXmg/L",where XXisthe
numerical value of the detection limit, reporting limit, etc. in mg/L.

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit
text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this veriod?z
Outfall No.
Date Sample
Collected'
(mm/dd/ r)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664(SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
*See General Permit text, Table S, identifying the especi a l lysensitivereceivingwa ter classifications where the more protective benchmark applies.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit
text.
FOR PART AAND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: ---__—__—___—___---------
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files

1617 Mai I Service Center
Raleigh,North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY• INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordancewith a
system designed to assurethatqualified personnel properlygather and evaluate the information submitted. Rasedon my inquiryofthe personor
persons who manage the system, or those persons directly responsiblefor gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there aresignificant penalties for submitting false information, includingthe
possibility of fines and imprisonmentfor knowing violations."
(Signature of Permittee) (Date)