NCG100073_MONITORING INFO_20151021

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C&
DOC TYPE
❑HISTORICAL FILE
L� MONITORING REPORTS
DOC DATE
❑Q rU 16 1 D a
YYYYMMDD

Permit No.: N/C/`
Facility I'
County:.
Inspector
Date of I
Bysthis signature, I
�NNA
RECEIVED
0.
OCT 21 2015
CENTRAL FILES
DWR -SECTION
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
% I OIG�QI��I or Certificate of.Coverage No.: N/gQ/j /-Oljl.02l-3
certify that this report is accurate -add complete to the best of my knowledge:
(SignWture of Permittee or Designee)
1. Outfall Description
Outfall No. Structure (pipe, ditc , etc.) le (i�GL� �J� TCrl
Receiving Stream:
-Describe the industrial activities that occur within the outfall drainage area: f
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors:
3. Odor
Describe any, distinct odors that the discharge may have (Le., srnells strongly of oil, weak chlorine odor,
etc.)
a. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 � .4
5 6 7 8 9 .10
Page I
S WU-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface covered with floating solids:
1 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2! 3 4 5 6 7 8 9 .10'
7. Foam
Is there any foam in the stormwater discharge? Yes o l
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
f
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfalI? Yes No
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
S WU-242-020705

g s �siuurirr
LAboFzAToFziEsA INC. 5ccwC #N �z' "
Analytical/process Consultations
s
'hemlcal Analysis for Selected Parameters and Water StunlVe Identified as Stormivater
4 Prnlect far Wheely Arno Mall, collected 30 December 2014)
I. EPA Method
Quantitation
8015
Limit
arameter
m /L
m /L
Ethylene Glycol
10.0
BQL
11. Miscellaneous
Quantitation
Limit
Parameters
ntg/L
m /L
Lead, Total
0,005
BQL
Oil & Grease, Total
5,0
BQL
TSS
5.0
6.2
III. Miscellaneous
Quantitation
Unit
Parameters
PH
N/A
6.47
Sample Number
Sample Date
Sample Time (Itrs)
802362
12/30/14
1510
mg/L = mlllgrams per liter a parts per million BQL = Below Quantitation Limit

RESEARCh& ANAIY cAl
LABORATORIES, INC.
Analytical 1 Process consultations
Phone [phone]
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RECEIVED BY
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STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG100000
CERTIFICATE OF COVERAGE NO. NCG10_-& ?>
FACILITY NAME �,' m
PERSON COLLECTING SA ES
CERTIFIED LABORATORY eS Lab # -q
Lab #
Specific Monitoring Requirements:
SAMPLES COLLECTED DURING CALENDAR YEAR: aV 1 -1
(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.)
COUNTY A4Q r1-1r..f 'P__
PHONE NO: ( ) 3-he 400(o
PLEASE SIGN ON THE REVERSE 4
O'utfall _
s Date " r� jj
00530s '
: 0400 ' � ,
�! F':0105te-,O
r y` ;00556
'>> P814ff
.fi '' ' ':7+7023
Pao c `
N
Satji�' W'C'Wected
t
Total Sus ended
,,.. P'
H
A *� P �� s °�
'Lesii �Total`=t
t b��1
3011iand=Grease
r. , 5v r �5
d,� `�.,y�h' '
"?
oldd/Solidst-Standar'd.units':yltecoverable�•m=�.�Or'a
y tit
a �-4
:
s r
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y w
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't
P!z V7r
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c _ y�`�A'+q_- �1. , :#
"2 k iY-, •, 7k ."'
!.
�-.. {:.� ,
rrc
i,. .,l. i.
:S' z.'EW
'Benchmark
'�
I00`�
i. $ f tf:'- S 411:—
Q:-9 0
i 'ii 7 :tw.;;av�'Fr
y'
+ ;fie.'• j _ s
�+,.a.•�k' •: :nx «
.i',s i. f„�
.
uWithin�6
='0:0330
Note: If you report a sampled value in excess of the benchmark value, or. outside the benchmark range for pH, you trust implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn: DWQ Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
SWU-251-102107
. Page 1 of 2

•4
1 For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table' II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Facilities that incorporate a solvent management plan into. the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a 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 all the provisions of the solvent management plan
included in the Stormwater Pollution Preven ' n Plan."
Note (Prkit name)
T LY /VIA/\,A
title)
�t
(Date)
"I certify, under penalty of law, that this document and all attachments were prepared under my direction .or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons'Who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
of Permittee)
(Date)
SWU-251-102107
Page 2 of 2

-4.
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 O`I
FACILITY NAME SAJ&]�) Yet i
PERSON COLLECTING SAMPLE(S)' OA\e-,n Q"jn,,cJ „
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: n
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY &QyVY�.+n CC -
PHONE NO. CpOC�-
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
1 - - - -
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/502
1S
8,000
(Tiers 2 and 3)
0.03
1.0
CC
j
LJ
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must i�t Tier I or Tier 2 responses in the General
Permit. W-R `SECS.+ON
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, lost revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan 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 (TTQ), 1
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 all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
I? ,,--e-S i 4
Title (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
<,131L-�
D to
"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 or Designee)
7/
Z111q
(D te)
Form SWU-251, last revised October 25, 2012
Pa-,e2of2

PEWA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http:/4pQreal.ncdenr.org/webJwd/ws/su/nodessw#tab-4
Permit No.: N/ 6/A-/ZYcJ/Q/QjC--Y or Certificate of Coverage No.:
Facility Name:
County: Phone No.
Inspector:IP,n
Date of Inspection: lz)s i.7 1 t-
Time of Inspection:
- "r-
Total Event Precipitation (inches): 1- V
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
''Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

r
1. Outfall Description: _ 1 r
Outfall No. Str cture (pipe, ditch, etc.) a
Receiving Stream: � yter-
Describe the industrial activities that occur within the o tfall drainage area: t5iv
--:7 C C k P -cs.. 7DP r '� i l o /a-,, -'� t' LC� C-- (,. e-, n a 1 n1 1 r
2. Color: Describe the color of
(light, medium, dark) as descriptors:
discharge usin basic colors (red, brown blue, etc.) and tint
yo'-j L
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): NQ _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and, 5 is very cloudy:
1 2 (D3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 Q�) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 CD 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
i,
Page 2 of 2
SWU-242, Last modified 10/25/2012

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring. Report.
ForgW&nm on filling out this form please visit
Permit No- �/�f[�f j,/c�j[;�l or Certificate of Coverage No.: j[/,C/jj//
Facility Name: V Y 1
county: c�,�vrv,c� _ Phone No.
Inspector: Actin s6r`-imcyc__.,,,..,_.
Date of Inspection: t --- _ -- -
Time of Inspection:
Total Event Precipitation (inches): -
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
[See information below.)
'Yes ❑ . No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event' or 'measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event' or during a "measureable storm event:" However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "`representative storm event is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred..A single storm event may contain up to 10 consecutive houirs of no
precipitation.
A "measurable storm event is a storm event that results in an actnat discharge from the
permitted site outfalL The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that.a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
$WU-24Z,1= modified 10/25/2012 -

L OutfiA Description:
Outfall No. 5
Receiving Stream:
Describe the industrial activi
(pipe, ditch, etc.) .0 q-j6C [/tt
that occur within the optfall drainage area:
P1
2. Color. Describe the color of I discharge using basic colors (bro blue, etc.) and tint
[light; medium, dark) as descriptors: c�
3. Odor: Describe any distinct odors that the discharge may have (i.e., swells strongly of oil,
weak chlorine odor, etc): No n��
4. (3ar . Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 .2 (ZD- 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (� 3 4 5
6. Suspended Solids Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy-
1CD3' 4 5
7. is there any foam in the stormwater discharge? Yes No
& Is there an oil sheen in the stormwater discharge? Yes CNa
9. Is there evidence oferosion oeftos-41hin at the dutfall?- Yes
10.' Other Obvious Indicators of Stormwater Pollution:
List and describe -
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
May be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2 -
SWU-24Z fag modified TOPS/2032.

i
I ESEARCII & ANA .yTICA .
�] [] LAboFtATORI ESQ I NC. =° luc 04 'ZF
Analytical/Process Consultations % f
Chemical Analysis for Selected Parameters and Water Sample Identified as Stormwater
(A Project for Wheely Auto Mall, collected 12 August 2014)
I. EPA Method
Quantitation
8015
Limit
Parameter
(m2/L)
(ma/L)
Ethylene Glycol
10.0
BQL
II. Miscellaneous
Quantitation
Limit
Parameters
(mg/L)
(mti/L)
Lead, Total
0.005
BQL
Oil & Grease, Total
5.0
BQL
TSS
5.0
14.5
III. Miscellaneous Quantitation
Limit
Parameters
pH NIA 6.51
Sample Number
792188
Sample Date
08/12/14
Sample Time (hrs)
1000
mg/L = millgrams per liter = parts per million BQL = Below Quantitation Limit