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HomeMy WebLinkAboutNCG030619_MONITORING INFO_20181205STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V GCS DOC TYPE ❑HISTORICAL FILE t�,IVf�NITORING REPORTS DOC DATE ❑ D'-b G X YYYYMMDD i-an Mon _ � r for North Carolina Division of Water Qual'ty General Permit No. NCG030000 Date submitted Z /8 CERTIFICATE OF COVERAGE NO. NCG03 0 6 FACILITY NAME 9EM R r4 7EctLn/Oi oc if S _ COUNTY _& retlt w f3t,1� PERSON COLLECTING SAMPLES _,eLrjtl MILZI-1_ LABORATORY .Jg4nzd- TrzcO Lab Cert. # SD Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR ` 4)f9 SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water supply [_]SA 1 [Other elasr G EzECE v gASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 plc 01 2W CEwRA� FILES ❑ No discharge this period?' Outfall No. Date Sample Cotleded' (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids D pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organlcss Benchmarks =__> _ G 100 mg/L or 50 mg/0 6.0 -- 9.0 0.007 mg/L 0.03 mg/L 0,067 mg/L IS mg/L 1 mg/L Gn tack. i� 23 is y n, ' C 7-7$ o 55- . 00 8 . 9-21 6 li r3 lb Id&&_ 9 L 6. .034 , oil _za ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies, 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469,31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilitiesf )hcorporate a solvent management plan into the Stormwater Pi" )on Prevention Plan may so certify, and the requirement for TTO atoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. 1 further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) ( ture) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the 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 Z, 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. ❑ No discharge this period?Z Outfal! No. Date Sample Collected" (mo/dd/yr) 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 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if port a sample value in excess of the benchmark, you must iml I e nt Tier 1, Tier 2, or Tier 3 responses. See General Permit text ' FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: ed,e4k±* Mall an original and one copy of this DMR, Including all "No Dischamee" reports, within 30 days of receipt of the lab results (or at end of monitoring period In the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations." (Date) Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 WRIER TECH LRBS.Inc. POST OFFICE 130X 1058 • #5 PINEWOOD PLAZA DR, GRANITE FALLS, NORTH CAROLINA 28630 (828) 396 4444 �— SAMPLE: Reman#001 COLLECTION DATE., 11/13/2018 PERMIT* COLLECTION TIME: 11:15 ADDRESS: Rernan Technologies -Volvo RECEIVED DATE, 11/14/2018 11421 Reamer Road RECEIVED TIME: 10:00 Charlotte, NC 28269 REPORTED: 11 /29/2018 ANALYSIS :. ANALYSIS RESULTS UNITS DATE ANALYST TSS 147 mg1L 11/15/18 jrg pH ' >holding time 7.7 Ws 11/14/18 fag Oil & Grease <5.8 mg1L 11/16/18 jdg Lead 0.008 mg1L 11/21/18 Zinc 0.221 mg/L 11/21/18 Copper 0.055 mg1L 11/21/18 LOG (D: 1811-181 REPORTED BY: NC CERTIFIED LAD # 50 S Tony Gragg, Lab Supervisor RESEAftCh NA[yi'1*CA1 LAORATORiES, INCa Report of Analysis 11 /27/2018 +iur�rrrx+ 1. MIN For: Water 7'et:h Labs, Inc. .#.,.,►„IC+i P.G. Box 1056 �»`pct► "'� 1. ahRmw •'.,, `,.► Granite Falls, NC 28630 to NC 034 Z* G Attn: ,toe Gregg ,, Nctl nos T............V 4ti Client Sample ID: Reman *1 Lab $ample ID: 59276-01 Site: Water Tech Labs Colleetjon DaEe: 11/13J2018 11:15 ra ate Method Bjgult Unl#s R"_Lit a� iy_st Analysis C�atelTime doppar, Total EPA 200.7 0.055 •mg/L 0,05 8K 11F21t58 Lead, otal 8PA 200.7 0,008 mg/L 01005 SK 11/21/2018 Zinc, Total EPA200.7 0.221 mg/L 0.01 SK 11/211-2018 NA = n6f analyi#d Page 1 P.O. Box473 1UB Short Street Kerneravllle, North Carolina 27234 Tel: 336-996-2e41 Fax: 338-99ti-0326 www,randalahs.0m r�l roe hasic_r1�! POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR. GRANITE FALLS, NORTH CAROLINA 28630 (828) 3964444 SAMPLE: Reman #002 COLLECTION DATE: 11/13/2018 PERMIT* COLLECTION TIME: 11:15 ADDRESS: Reman Technologies -VolVo RECEIVED DATE: 11/14/2018 11421 Reames Road RECEIVED TIME: 10:00 Charlotte, NC 28269 REPORTED: 11 /29/2018 :. ANALYSIS. ANALYSIS RESULTS UNITS DATE ANALYST TSS 90.0 mg/L 11115/18 jrg PH ">holding time 6.6 Ws 11/14/18 lag Oil & Grease s5.6 mg/L 11/16/18 jdg Lead 0,011 mg/L 11/21/18 Zinc 0,141 mg1L 11/21/16 Copper 0,034 mg/L 11/21/18 LOG ID: 1811-182 REPORTED BY: NC CERTIFIED LAB # 50 felll� Tony Gragg, Lab Supervisor RESEARCh & ANA1YTiCA1 Report of Analysis LA ORATO Ri ES, I NC1 11/2712018 s �,I I0I jjrrljI, ts ,pi���j�*�I i For: Water Tech Labs, Inc. � �'''.••�''•� P.O. Box 1058 „r Granite Falls, NC 28630 «:0 NC Atfn: Joe Gragg z, NC tt37�o� y Client Sample ILA: Remen #2 Lab Sample ID: 59276.02 Site, Water Tech Labs Collectlon pato: 11/1312018 11:15 Par&M-ejqr Mj}od esult lJn i5 Rep Llml A a s Lnsls Da e! i e Copper, Total EPA 00-7 0.034 mg/L 0.006 SK 11/21/2018 Lead, Total EPA 200.7 0.011 mg/L 0.006 SK 1112112018 Zinc, Total EPA 2OV 0.141 mg/L 0.01 5K 11/2'1/2019 NA c not ondlAeid i� P.O. Sox 473 106 Shod Street Kernersvllle, North Caroling 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.ra'ndalsba.com Page 1 raUcoa _basic_v i d _DER TE LABS' 1- 5 Pinewood Plaza Drive -- P.O. Box 1056 �-- Granite Falls, NC 28630 Phone (828) 396-4444 Fax (828) 396-5761 CLIENT: Reman Technologies PHONE NUMBER: 704-921-2293 Z (a Volvo Parts North America TYPE SAMPLE: Storm H2O 11421 Reames Road No. LOCATIONS, Charlotte, NC 28269 SAMPLER NAME: Sample Collection Information TYPE CONTAINERS ANALYSIS REQUIRED Sample Location N DATE TIME TEMP. °C Grab/ Composite No. Plastic/ Glass Discharge 1 {Front) Grab Plastic & Glass 0&G, TSS, Pb, Zn, �i" or, cu, P 14 •ems••• �'.a' .G�r+ar Df S C �J De (V A6 f - - Relinquished By: Date: Time: Recieved By; Date: Time: Relinquished By: Date: Time: Received By: Date: Time: PRESERVATION: j] Cool 4°C j] H2SO4 j] NaOH j] HNO3 t. j] Dechlornating Agent j] Other SAMPLE TEMP. @ LAB (°C) Chlorine Residual mgll ya,` �,, ►v rf E TE T 1 R. , WA BS, Inc L 5 Pinewood Plaza Drive - P. O. Box 1056 Granite Falls, NO 28630 Phone (626) 396-4444 - Fax (820) 396-5761 CLIENT: Roman Technologies Volvo Parts North America 11421 Reames Road Ch arlot te, NC 28289 ) PHONE NUMBER: 704-921-2293 2_& TYPE SAMPLE: Storm H2O No. LOCATIONS/,/r, Cz SAMPLER NAME: . Sam le Collection Information TYPE CONTAINERS - ANALYSIS REQUIRED Sample Location li Main DATE TIME TEMP. °C Grab/ Com osite No. Plastic/ Glass Discharge 1 (Front) Grab Plastic & Glass ' O&G, TSS, Pb, Zn, NOW, W, Cu, P 14, 01 It � Ili Di cz� 5`! DIE. �J s Relinquished By: Date: ITIme, Recleved By; Date: Time: Relinquished By: Date: Time: Rece Date: Time: PRESERVATION: [J Coot 4°C [1 H2$04 [] 1VaOH- [I HNO3 [I Dechlomating Agent �- f 1 Other SAMPLE TEMP. @ LAB "(°C) Chlorine Residual rng/l Y-1), I/ �r4'1 tL) " - Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted q / 3 / T CERTIFICATE OF COVERAGE NO. N0003 0 6 1 g FACILITYNAME J?jFiNlFr%-rEC11r40t0 r,TE5 COUNTY M ECkli pf 3v A G PERSON COLLECTING SAMPLES KfITr1 /Nst-EM LABORATORY WArfe ?E CH Lab Cert. # SO Comments on sample collection or analysis: o-ic, .P_ /2;,7c) — below l.Mrl -.SURF en CE M0122 z Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 201 P SAMPLE PERIOD ❑ Jan -June ❑ 1 y-Dec RECor [ Monthlyl 1a 3 ! month E'DISHARGING TO CLASS ❑ORW DAQW ❑Trout ❑PNA SEP 18 2018 ❑Zero -flow ❑Water Supply ❑SA [ ther Cl—ASS e- ZdRI R S C i iOi PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 3, Inches Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Totat Toxic Organicss Benchmarks 100 mg/L or 50 mg/L' 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 00 2.rE S 3 tl8 Z / 0.7 7.3 Oo 3 oad ON 21 O .0057 L. oo S .034 c ,S b 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 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 for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities thq, incorporate a solvent management plan into the Stormwater Poh,.,ion Prevention Plan may so certify, and the requirement for TTO n.—i toring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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." 5 DA1 12N tl A Z 0 Name (Print name) P ' Me) {Si ure) ate) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the 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. No discharge this period?z Outfall No. Date sample Collected' (mo/dd/yr) 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 so mg/L* 6.0 -- 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note:, if yo:. , eport a sample value in excess of the benchmark, you must imp,....,ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HA OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: CXAD - e*AP it 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 o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware_tbatThPre-@,re significant peer submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature Permit Date: 11/1/2012-10/31/2017 91,13118 (Date SWU-245, last revised 10/25/2012 Page 3 of 3 ?T� 5 Pinewood Plaza Dn've - P.O. Box 1056 Granite Falls, NC 28630 Phone (828) 396-4444 - Fax (828) 396-5761 CLIENT: Reman Technologies Volvo Parts North America 11421 Reames Road Charlotte, NC 28269 /VOZ -, t e-1- rm PHONE NUMBER: 704-921-2293 2- TYPE SAMPLE: Storm H2O No. LOCATIONS SAMPLER NAME: Sample Collection Information TYPE CONTAINERS ANALYSIS REQUIRED Sample Location Name--, DATE TIME TEMP. OC Grab/ Composite No. PIas;tIcI Glass t-Eacilitv- [)(sc Discha e I (Fr Grab Plastic & Glass O&G, TSS, Pb, Zn. W, Cu Qwebs& /ID 7 7-(X- DISC Relinquished By: Date: Time: Recieved By; Date: Time: Relinquished By: / X a d Date: Time: -1105;Fm L -go- Date: I V Time: I/ .5'y PRESERVATION: X Cool 40C H2SO4 NaOH NO3 Dechlornating Agent Ott )or SAMPLE TEMP, @ LAB (OC) Chlorine ResidLA21 / mgll r t L/ N,a-- �- ��. it �2 A)A/ WRTEROECH LIVES.lnc. POST OFFICE BOX 1056 - #5 PINEWOOD PLAZA DR. GRANITE FALLS, NORTH CAROLINA 28630 (828) 396-4444 SAMPLE. Reman #003 COLLECTION DATE: 8/3/2018 PERMIT #: COLLECTION TIME., 14:00 ADDRESS: Reman Technologies -Volvo RECEIVED DATE, 8/7/2018 11421 Rearnes Road RECEIVED TIME: 15:45 Charlotte, NC 28269 REPORTED: 8/24/2018 ANAL YSI S ANALYSIS RESULTS UNITS DATE ANALYST TSS 260 mg/L 8/10118 irg Oil & Grease c5.6 mg/L 8/9/18 jdg Lead <0.005 mg/L 8114/18 Copper 0.005 mg/L 8114118 Zinc 0.034 mg/L 8114118 LOG ID: 1808-108 REPORTED BY: NC CERTIFIED LAB # 50 S � Tony Gragg, .Lail Supervisor swrERifECH LAHS./nc. POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR. GRANITE FALLS, NORTH CAROLINA 28630 (828) 396-4444 SAMPLE., Reman #002 PERMIT #: ADDRESS: Reman« Technologies -Volvo 11421 Reames Road Charlotte, NC 28269 COLLECTION DATE: 8/3/2018 COLLECTION TIME., 14:00 RECEIVED DATE: 8/7/2018 RECEIVED TIME. 15:45 REPORTED: 8/16/2018 fp� (10" Tony Gragg, Lab Supervisor Semi-annual Stormwater Alhiarge Monitoring Report for North Carolina Division of Water Quali y eneral Permit No. NCG030000 Date submitted S l� 7 CERTIFICATE OF COVERAGE NO. NCG03 0 b ► FACILITY NAME __9f_g ld 1EE 0 Alt Lccrte-S COUNTY W PERSON COLLECTING SAMPLES &;4, LABORATORY C✓, 47/z-i2 rFry _ Lab Cert. #; Comments on sample collection or analysis: � Pr 2- Syr.,,*ly Sa .,4% zn.�,=—` E Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION EAR 018 SAMPLE PERIOD [an -June ❑ July -Dec or [2"MonthlyF�(month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA it E IV D ❑Zero -flow ❑Water Supply ❑SA C MAY 1Q2018 Midt'her elors CEN! lei., F11LES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 MIR SECTION ❑ No discharge this period?' Out€all No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks ===> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L oo,Z Dot'k �ZY�S / 17 Zf '004. c,00S ,0S'r 003 Ra G 0 3 S". F, �-- IL 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. ' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. ;The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities Wincorporate a solvent management plan into the Stormwater P.,on Prevention Plan may so certify, and the requirement for TTO Otoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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 (Print name) Title (Print title)17p ,,-�Z_ l0 ure) kate) Mote: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX mg/L" where XX is the 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. ❑ No discharge this period?' Outfaq No. Date Sample collected' (mo/dd/yr) 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 8 * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If Wport a sample value in excess of the benchmark, you must imeent 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 EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES RrNO ❑ REGIONAL OFFICE CONTACT NAME: (+ f /. D &VADb✓AY- Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of recei t o the lab results or at end of monitoring period in the case o "No Discharge" reports)to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee) S o IS (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwat_er Di.,;harge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted � 4a z Z5e/g CERTIFICATE OF COVERAGE NO. NC603 0 (o / y FACILITY NAME irn e- a ri 0/0 "- COUNTY CG 14I e--il 'e-zr PERSON COLLECTING SAMPLES E�7 AYI/ IP�Y�. LABORATORY l�lter Te-a Lab Cert. # 5-0 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2, 1 9 SAMPLE PERIOD ❑ Jan -June ❑ July-DecJ / or [] Monthly' j�14-_,lit (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEII/ SD QOther C APR 0 2 kFASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 _(AC j` r Si<CTf�,�c ❑ No discharge this period ' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks - 100 mg/L or 50 mg/L 6.00 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L co rod � / t 9 � T � dzo 4,005 e, Z ft 4 r- 00 act -311 / 6 33 1,3 , o/ 1 o6 3 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). - Permit Date- 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 . - Facilities th. ncorporate a solvent management plan into the Stormwater Poi. _,on Prevention Plan may so certify, and the requirement for TTO n Jtoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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." —Rd'),�'o// i !� S Name (Print name) loby^4�2 Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the 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. ❑ No discharge this period? Outfall No. Date Sample Collected (mo/dd/yr) 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 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies - Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 ' Note: ! 1 f yt,_ _ port a sample value in excess of the benchmark, you must imps. .2nt Tier 1, Tier 2, or firer 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It 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 DW R GIONAL Of FICE? YES 21 0 ❑ REGIONAL OFFICE CONTACT NAME: Oa[YLJ Mail an on final and one copy of this DMR includin all "No Dischar e" reports, within 30 days of receipt of the lab results for at end of monitoring eriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQCentraI Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." R!22 (Signature of Permittee) Permit Date:11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Di...zharge Monitoring; Report for North Carolina Division of Water Quality General Permit No, NCG030000 Date submitted Jo_�, 21 W/ CERTIFICATE OF COVERAGE NO. NCG03 (9 (0 1 CI FACILITY NAME eirA t ee:4 via/ COUNTY PERSON COLLECTING 1 SAMPLES � m LABORATORY_ ALeJe r f &C4 Lab Cert. # 5-0 _ C.4mments on sar9ple collection or analysis: J le'-..S 7r7� Part A. Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR '.C)! 7 SAMPLE PERIOD ffJan-June RJuly-Dec RECEi� or ❑ monthly' (month► ARGING TO CLASS ❑ORW ❑HQW ❑Trout QPNA FEB 2 7 201$ r0ther -flow ❑Watersupply ❑SA CiwN-f'l C FILES DWR SECTIC)N PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -� No discharge this period?2 Outfail No. Sample Collected' [ollected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks =__> _ - 100 mg/L or 50 mg/L° 6.0 -- 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mig/L 41 �` r/ �� r O1 d op� j �`� t, IV/ ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities tl, ncorporate a solvent management plan into the Stormwater Poi. _,on Prevention Plan may so certify, and the requirement for TTO n itoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring 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." -P-dn1 Oot_ iA)S Name (Print name) PLA/J — AA /i—nJ 4-G MO Title (Print title) _ -4 (Signature) _ (Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/V where XX is the 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 Trer 1, Tier 2, or Tier 3 responses See General Permit text. Part Bc Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period ?� Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 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 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note. If yo. _port a sample value in excess of the benchmark, you must imps, ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 9 NO ❑ IF YES, HAVE YOU CONTACTED T DW E NAL OF�ICE? YES O ❑ REGIONAL OFFICE CONTACT NAME: OC-C( r•�i1�,7 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 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 (Da e) SWU-245, last revised 10/25/2012 -Page 3 of 3 • Semi-annual Stormwater Dl:,.:harge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted � W/ I CERTIFICATE OF COVERAGE NO. NCG03 0 6 1 9 FACILITY NAME _ ema i -re a COUNTY M e G/c. / e*-� h A-r 4 _ PERSON COLLECTING SAMPL S _k��. W fC to LABORATORY In a&f T CA Lab Cert. # .5'0 Comments on sample collection or analysis: '50-rn0fe illm I20IG K0_,4a4 /;Lh 6'12�1 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 40 i SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly) month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA �a ❑Zero -flow ❑Water supply ❑SA [tither (2-:� �wR � F'��S PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 �CTip� No discharge this period?Z Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids PH Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> _ - 100 mg/L or 50 mg/0 6.0 -- 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L i mg/L Al 11 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 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 for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture .electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). OF UPPER �eife-,r se,,d 4 /4 0 41,1ry +7 av£s; Ac rn£fkc.'WI. i64 c00y Ir j V r R04,n E,,J 7-4c. S?£ c t,4 cf -Cr — L t4,4J NvV f.nBr P Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities th.. ,ncorporate a solvent management plan into the Stormwater Pot. ..on Prevention Plan may so certify, and the requirement for TTO n. Jtoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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." -�-,70i1/ 6p[_z_1n]S Name (Print name) PL.rrJT1X41VA-Gr_,e Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they, must be reported in the format. "<XX mg/L", where XX is the 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 rer 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. ❑ No discharge this period?2 Outfall No. Date Sample Collected (mo/dd/yr) 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 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note. If yo, port a sample value in excess of the benchmark, you must imp). .ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE ON B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES FNO ❑ IF YES, HAVE YOU CONTACTED THE DWQ RE 0NAL OFFICE? YES V NO ❑ REGIONAL OFFICE CONTACT NAME: 0,44G(r i. a_dLv� Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:11/1/2012-10/31/2017 - ,/x17,01y (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 r .} Semi-annual Stormwater Dii"harge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG03 0� LE Date submitted copy CERTIFICATE OF CO ERAGE NO. NCG0/3 0 io I _ FACILITY NAME eWAk) ! e Ghr��D 51 e S COUNTY Gk•I e v, 6 kr' PERSON COLLECTIN SAMPLE kr!i'f WV*fe PV% LABORATORY er- 7e-C7 Lab Cert. # 60 Con)Ments on sample cpllectn or nalysis. Kewy-,- re c-'a( 671 V j2ol 1 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 20/ I0 SAMPLE PERIOD Jan -June ❑ July -Dec or � Monthly' (month) DISCHARGIN/Vva TO CLASS ❑ORW ❑HQW ❑Trout QPMA ❑Z ro-flow ❑Water supply [-]SA her Mot TSEREMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 JUN 2 7 2016 Dwo_ CENTRAL 1r1LCs ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 3 Inches Total Suspended Solids pH,Non-Polar Standard units Copper Lead Zinc O&G/Tota! Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks =_=> _ - 100 mg/L or 50 mg/0 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L v 1 0a5 0113V G N 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ' 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 for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to�sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). NG D,4 �wAvIA Owta W'(9i"f "xDr cc "' ot- CD R l t4sr p v►nf�Uc�f Bkl�C, CtV�T,- C,PD ,31wooivhy f 4,QV,kc�IX14T& SPiC,hasf �D1 70(/ - A$41 r ft4PA� Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 �+ Facilities th, incorporate a solvent management plan into the Stormwater Poi... _,on Prevention Plan may so certify, and the requirement for iTO n. ..itoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (T O), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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." -F,w coultls Name (Print name) Title (Print title) (Signature) A(E)e) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX mg1C, where XX is the 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. ❑ No discharge this period?' Outfall No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===a _ - 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 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-24S, last revised 10/25/2012 Page 2 of 3 Wbte: If yo, l port a sample value in excess of the benchmark, you must imps. _ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE N B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCESMR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED DWQ EG NAL OFFICE? YES VNO ❑ REGIONAL OFFICE CONTACT NAME: O 0a Mail an oriainal and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoringperiod in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 1 (Signature of Perm€ttee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 1 Semi-annual Stormwater Dla4har a Monitoring Report 4 ® � for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted � 24i to CERTIFICATE OF CO ERAGE NO. N0003 Q b L FACILITY NAME n0 COUNTY e- %- PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # .50 ComrrBnts on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Zo/ Sr SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly' _ (month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ❑Other JAN 08 MfiASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES DWR SECTION No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inchesj Total Suspended Solids pW, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =_=> - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 m�lg/L 0.03 m/g/L 0.067m�g/L 15 1 7_ / 3.21 / JO 2i'l� I fj !OV rr.s Z - OZ. L- i ��[7 :O�p 1 rmg/L �a r 1mg/L /V 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture }use �the definition found in 40 CFR 469.31). `l r icy /VC r e.��G-�. r� 4tG C r� d" cr 41/ 4W Zz. 1�1 �Im" �Lci�¢.h� �' _ �� /�oa�� ih✓r/'c'�,J�Fi S c...-�-e� d�Dt/ ZD�S�_ Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities M, ncorporate a solvent management plan into the Stormwater Pot.._ An Prevention Plan may so certify, and the requirement for TTO n,itoring may be waiv-qd. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since fling the last discharge monitoring 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." o ` . Name (Print name) PI, Aov7 M . Title (Print title) (Signature) (Dat ) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format"<XX me/L", where XX is the 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. ❑ No discharge this period?2 Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH genchmnrks =__> _ - 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 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if yo. )port a sample value in excess of the benchmark, you must imps, .ent Tier 1, Tier Z, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECJION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED E DWQ RE ONAL OFFICE? YES ❑ No ❑ REGIONAL OFFICE CONTACT NAME: -a. Mail an original and one copy of this DMR, including all "No Discharge" regPorts, within 30 days of rec&t of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:11/1/2012-10/31/2017 Xv (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Di�,chargeMon itoring_Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF CO RAGE NO. NC_G/03 / R FACILITY NAME Kewnpn / G�NfaG/y�IGJ —YC7/s b _ COUNTY fifeZ PERSON COLLECTING SAMP S , Gm LABORATORY h%A& rG,�Z Lab Cert. # S� Commend on sample collection or analysis Part A: Stormwater Benchmarks and Monitoring Results I — SAMPLE COLLECTj!;a'�nlune R ?fJ / 5 SAMPLE PERIOD 0 July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero-flow❑Water Supply ❑SA RECEIVED ❑Other G` MAY 2 2 2015 CENTRAL FILESPLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i � DWR SECTION ❑ No discharge this period? Doc Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/fatal Total Petroleum Hydrocarbons Toxic Organicss Benchmarks =__> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L "+ 29.3 ; / 4- e"06, 086 <S. 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469,31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 f Facilities th, ncorporate a solvent management plan into the Stormwater Poi,_ _,on Prevention Plan may so certify, and the requirement for TTO n, .,itoring .r may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. for those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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 (Print name) Title (Print title) .� i ZQIS (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the 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. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 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 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWL1-245, last revised 10/25/2012 Page 2 of 3 Note: If yo, sport a sample value in excess of the benchmark, you must imps. ,ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS_ SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC ! FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REG ONAL OFFICE? YES M NO ❑ REGIONAL OFFICE CONTACT NAME: GJ — L"), ak [ - w o-v" , G am(s .� �,,� Ado ✓ /19 20*. Mail on original and one copy of this DW including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality �G.� �� �G � A44"' U Attn: DWQ Central Files ,�1 1617 Mail Service Center pSsi~ ` L"4 �ev � Raleigh, North Carolina 27699-1617 (� ' `�"� h � _ g � ✓ l ? YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." man C'aCcC� (Signature of Permittee) Permit Date: 11/1/2012.10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3of3 I Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality Ge eral Permit No. NCG030000 Date submitted CERTIFICATE OF CO ERAGE NO. NCG03 fD I FACILITY NAME COUNTY A � PERSON COLLECTING SAMPLES LABORATORY LABORATORY ���� _ I �� Lab Cert. # __ _ S-0 Comments on sample collection o analysis. Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2-0/ 7 _ SAMPLE PERIOD ❑ Jan -June July -Dec or [i - l�lonNKw month RECLz1 Qe1jING TO CLASS ❑HCIW :Trout ❑PNA yy �� ❑Zero flaw ❑Water Supply ❑SA NOV 12 2014 ❑other I Li" CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 � DIAIR SECTION ❑ No discharge this period?2 Outfall No. Date Sample p Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks ===> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mgf L 1 mg/L 2 7. o0,5 , Oro/ <S,n� ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 S Facilities thy.. ,ncorporate a solvent management plan into the Stormwater Poi.- -,on Prevention Plan may so certify, and the requirement for TTO n...,itoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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." 20 PJ CO u./ A/s Name (Print name) PI_,1r,rJ7- /f6X Title (Print title) (Signature) (Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: !f 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. No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 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 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date:11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If yo. &port a sample value in excess of the benchmark, you must imp),...ent Tier 3, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an okinal and one copy of this Mg, including all Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 �f C W ATER TECH- LAB..S,'.;,, Inch 5 Pinewood Plaza Drive P.O. Box 1056 Granite Falls, NC 28630 Phone (828) 396-4444 - Fax (828) 396-5761 CLIENT: Reman Technologies PHONE NUMBER: 704-921-2293 Volvo Parts North America 1142.1 Reames Road Charlotte, NC 28269 TYPE SAMPLE: Storm H2O No. LOCATIONS: SAMPLER NAME: Sample Collection Information TYPE CONTAINERS ANALYSIS REQUIRED Sample Location Eacillt Nam DATE TIME TEMP. °C Grab/ Composite No. Plastic/ Glass Discharge 1 (Front) Grab Plastic & Glass O&G, TSS, Pb, Zn, r, �, Cup Dishchar 2 (Rear) Grab Plastic & Glass O&G, TSS, Pb, Zn,% Cu 10 Relinquished By: 4(T 1 1 ��,� Date: 5 ►� , Time: `tea R,iev Date: 1 Time: � Relinquished By: Date: Time: Rec 4ved By• Date: Time: f4-GE !A 7iON: l ° SO4 j] Na j NO3 j] Dechlornating Agent [] Other SAMPLE TEMP. @ LAB (°C) Chlorine Residual mgll RESEARCh & ANA[yTICA1 LAh4RATQRIES, INC. Analytical/Process Consultations Water Tech Labs. Inc. P.O. Box 1056 Granite Falls, NC 28630 Attn: Joe Gragg Date Sample Collected Date Sample Received Date Sample Analyzed Date of Report Analyses Performed by Lab Sample Number -------------------- 795115 Parameter Storet # Results Copper,Tot (01042) 0.016 mg/1 Lead,Tot (01051) <0.005 mg/1 Zinc,Tot (01092) 0.061 mg/l -------------------- Clients Sample Source REMAN #1 Number Time Collected (Hrs) 0900 III ItBoo, #I ri ` f�"' 1Ydif�r�• � w r �I to NO #34 Z.- C 1 .� Cr�• `CS 09/17/14 09/18/14 09/18/14 10/10/14 AA P.O. Box 473 • 106 Short Street • KernersAle, North Carolina 27284 • 336.996-2841 • Fax 336-996-0326 www.randalabs.com WfiTER6TECH U11F.S.Inc. POST OFFICE BOX 1056 • n5 PINEWOOD PLAZA DR. GRANITE FALLS, NORTH CAROLINA 28630 (828) 396-4444 SAMPLE. Reman #001 COLLECTION DATE., 9/17/2014 PERMIT #: COLLECTION TIME. 09:00 ADDRESS: Reman Technologies -Volvo RECEIVED DATE: 9/18/2014 11421 Reames Road RECEIVED TIME: 09:30 Charlotte, NC 28269 REPORTED: 10/16/2014 �' r :ANALYSIS -,ANALYSIS' r.--_- .. RESULTS. __.__.__ .._.--- .'UNITS. __ .._...._ DA'.TE . . ._ ANALYST . TSS 102 mg1L 9/19114 jrg pH " >holding time 7.1 su's 9/18/14 jdg metals see attached Oil & Grease <5.6 mglL 9122I14 jdg LOG ID: 1409-336 REPORTED BY. NC CERTIFIED LAB # 50 Tony Gragg, Lab Supervisor Nov 12 2014 Nov 10, 2014 CENTRAL FILES To Whom it may concern, DWR SECTION I shared the water sampling results with Chad Broadway, Environmental Specialist from Charlotte -Mecklenburg Storm Water Services during his recent visit and asked him about the copper levels in our storm water monitoring samples being over the limit. He suggested I include a short narrative to give more detail in this issue. We do not do any copper processing here so the copper levels are not controllable. Is it possible to get an exemption from this value since it seems to be not in our control, but naturally occurring? Ron Collins Plant Manager Volvo Group Powertrain Production Reman Technologies 11421 Reames Road Charlotte, NC 28269, USA Telephone: +1 704 9212293 x20 Mobile: +1828 280 7191 ron.collins@volvo.com www.volvogroup.com 1 Semi-annual Stormwater Dl�,charge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted ?1 22l 20, !{ CERTIFICATE OF COVE GE NO. NCG03 0) q FACILITY NAME AtAmd g�C Al r S V COUNTY A4 E &t _ PERSON COLLECTING SAMPLES KErrlf ;4 ! LE vh LABORATORY l,/Q L69 iLCri Lab Cert. #-- Comments on sample c9llection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR '-zo/ K SAMPLE PERIOD ❑ Jan -June ❑ JulJuly-Dec or H"Monthlyi month DISCHARGING TO CLASS ❑OR HQW [—]Trout ❑PNA RECEIVED ECEIVED ❑Zero -flow, Supply ❑SA [:]Other'� AUG 2 5 2014 CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWQ/BOG ❑ No discharge this period: Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inche53 Total Suspended Solids pH, Standard units Copper Lead Zinc Mon -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic 5 Organics Benchmarks =__> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L IS mg/L 1 mg/L Y'e Sa rLS (plat y h0 e� reS le ry tu,r a S 7� , el , 005 , iz-4 9 LS,6 K a 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities th__ Incorporate a solvent management plan into the Stormwater Poi— -ton Prevention Plan may so certify, and the requirement for1TO n._.,itoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (Tf0), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring 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 (Print name) PLmq; M6/�7 Title (Print title) 1/& 92, ;2_0, (Signature) ( ate) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the 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 1, 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. ❑ No discharge this period?2 Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 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 8 * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 &te: If yo, eport a sample value in excess of the benchmark, you must imp),...ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. POR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE 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 DMIt including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permi'ttee) Permit Date: 11/1/2012-10/31/2017 01'2,- ZO (Date) SWU-245, last revised 10/25/2012 Page 3 of 3