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HomeMy WebLinkAboutNCG190063_MONITORING INFO_20190506STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v DOC TYPE ❑ HISTORICAL FILE 9- MONITORING REPORTS DOC DATE ❑ J b) I Z rD �j YYYYM M DD STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE (COC) NO.: NCG1900©Q FACILITY NAME: G0eldTdit] t ru o K /cs SAMPLE COLLECTION NAME: 6o6by L4-4 4z CERTIFIED LABORATORY: _ ct/yi2NOrh/iu7 / Lab #/0 Lab # Part A: S ecitic Monitoring Re uirements SAMPLE COLLECTION CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY COUNTY: Cod W I9^/ PHONE NO.: ( LZ) 48.2 - 7 ��j tsKi a.3 / Outfall No. Sample Collection Date, mo/dd/ r Total Rainfall, inches 00530 TPHtiymethod 1664 (SGT-HEM) 01119 01104 01094 01114 Total Suspended Solids, m /L Non -Polar Oil & Grease, mg/L Copper"-3, mg/L Aluminum'-, mg/L Zinc2'3, mg/L Lead2'3, mg/L Freshwater (Saltwater) Benchmarks 100 15 0.010 (0.005) 0.75 0.126 (0.095) 0.075 (0.220) sno - l z b,o/ 8 I O <, 00 5— SDo ,03-5 �,or7b .. " .- III , u. cxccss Ui iue ocucnrnarK, you must implement the i ier i or i ier 2 responses in the General Permit Kt,/ EIVEC� 2 Total recoverable metal. 3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. " " - MAY U 6 2019 Solvent Management Plan Certification: Mail original and one copy to: `Based upon my inquiry of the person or persons directly responsible f6cEWa-gppg pgLTUance with the permit requirement for Division of Water Resources managing solvents, I certify that to the best of my knowledge and belie fPWRa$Etijlyor dumping of concentrated solvents Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge 1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the provisics of the Solvent Management Plan in Raleigh, North Carolina 27699-1617 included the Stormwater Pollution Prevention Plan." YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: (Signature "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 or knowing violations." (Signature of Permittee) (Date) Permit Date: 6/02/2015-5/31/2020 SWU-253-060515 Page I of I ��doQo��w��t� Flo ���oQpor�a�c�d Dxinkina Water. I �37715 L a P: ,, s." %'Waetowetex AID 10 " 114 OAKMONT DRIVE PHONE (252) 756-6208 GREENVILLE, N.C. 27858. FAX (252) 756-0633 EDENTON BOATWORKS LLC ATTN: BOBBY LANE 140 MIDWAY DRIVE EDENTON ,NC 27932 PARAMETERS Total Suspended Residue, ntg/1 Oil & Grease (HEM), mg/l Aluminum, ug/I Copper, ug/1 Lead, ug/l Zinc, ug/l ID#: 315 DATE COLLECTED: 04/02/19 DATE REPORTED : 04/24/19 REVIEWED BY: Stormwater Stormwater Analysis Method (#1, Grab) (#2, Grab) Date Analyst Code 23 21 04/04/19 JTH 2540D-11 <6 <5 04/08/19 SEJ 1664B 557 661 04/08/19 LFJ EPA200.7 10 5 04/08/19 LFJ EPA200.7 <5.0 <5.0 04/05/19 NITM 311311-10 10 35 04/08/19 LFJ EPA200.7 iyent I woon;085. BO'— NC 11� env' iron i{t me C2 ,Iv 3N0 T rNc NOV EN'f ;2) 45' SAMP� Inc. 1 14 Oakmont Dr. 27858 CHAIN OF CUSTODY RECORD Paoe I of 1 0 �nrlinc.com DISINFECTION 5'J) 756-6208 • Fax (252) 756-0633 CHLORINE NEUTRALIZED AT COLLECTION CHLORINE '3L315 Week:18 UV PHCHECK (LAB) BOATWORKSLLC NONE p G p p CONTAINER TYPE,P/G OBY LAiN'E AY DRIVE CHEMICAL PRESERVATION NC 27932 A C A A E o A -NONE D-NAOH n LLr w U n w 1423 ¢ o z m B-HNO, E-HCL 00 � aw z m > W C-H,SO, F-ZINC ACETATE/NAOH COLLECTION 0 a w o Ov y j G-NATHIOSULFATE E LOCATION DATE TIME ¢o `" ~a G F O a a V, 3 ' : '? CLASSIFICATION: /��I�u P" ��• 3 :. WASTEWATER (NPDES) DRINKING WATER DWR/GW SOLID WASTE SECTION CHAIN OF CUSTODY (SEAL) MAINTAINED DURING MENT/DELIVERY UY N SAMPLES COLLECTED BY: (Please Print) 8o6h LA IV SAMPLES RECEIVED IN LAB AT I, 7 °C A�IG.)(SAMPLER) DATHTIME RECENP ATE/nME COMMENTS: DATF/rlME RECEIVED BY (S .) DATE/11ME gHED BY (SIG.) DATEITIME RECENED BY (SIG) DATERIME PLEASE READ Instructions for completing this form on the reverse side. .vu $5 Sampler must place a "C" for composite sample or a "G" for Grab sample in the blocks above for each parameter requested. N U 363474 PLEASE READ Instructions for completing this form on the reverse side. .vu $5 Sampler must place a "C" for composite sample or a "G" for Grab sample in the blocks above for each parameter requested. N U 363474 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE (COC) NO.: NCG190®®© SAMPLE COLLECTION CALENDAR YEAR: NAME: d (This monitoring report is due at the Division no later than 30 days from FACILITY NAME: 6_ (>oA�TGyo�s the date the facility receives the sampling results from the laboratory.) SAMPLE COLLECTION NAME: O G .. � /� FACILITY COUNTY: C%f�WfAl CERTIFIED LABORATORY: ,eAJ f,&O/J101 Lab 9 A) '' // Lab g PHONE NO.: (�S� `Y'8i' 7V Z 3 Part A: Specific Monitoring Reuuirements Outfall No. Sample Collection Date, mo/dd/ r Total Rainfall, inches 00530 TPH by method 1664 (SGT-HEM) 01119 01104 01094 01114 Total Suspended Solids, mg/L Non -Polar Oil & Grease, mg/L Copper" , mg/L Aluminum=, mg/L Zinc' , mg/L LeadZ' , mg/L Freshwater (Saltwater) Benchmarks - 100 15 0.010 (0.005) - 0.75 0.126 (0.095) 0.075 (0.220) o- / t 16, - O -11 !_ ld -�,2 C o 2� ose <,00.5-- u a value is in excess or me hencnmarK, you must implement the -17er 1 or "tier 2 responses in the General Permit. z Total recoverable metal. ' These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/ . Mail original and one copy to: Division of Water Resources Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Solvent Management Plan Cc ification: RECEIVED "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for managing solvents, I certify that to the best of my knoCvled9eYanc068lief, no leak, spill, or dumping of concentrated solvents into the stormwater or onto areas which are exposed to rainfallorFc ru water runoff has occurred since filing the last discharge monitoring report. I further certify that this facility' [mple�tnentmgall the provisions of the Solvent Management Plan included in the Stormwater Pollution Prevention PiA "' Jt(, 1 I(jlq N 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 fine¢ and impri�(knment for knowing violations." (Signature of Permittee§__) Permit Date: 6/02/2015-5/31/2020 it /3o,IfC (Date) S WU-253-060515 Page 1 of I • `.. t _ ... i `� � � .t _ e s` ... .. e _ _d^.i;u. �`` � 1.. � � s STORIMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE (COC) NO.: NCG19LA0jg[#J[:5J SAMPLE COLLECTION CALENDAR YEAR: ZO J8 / /� his monitoring report is due at the Division no later than 30 days from FACILITY NAME: A-7) rON �� 47UJd AC�5 67I-a L the date the facility receives the sampling results from the laboratory.) SAMPLE COLLECTION NAME: d!'�Olahu "AIN JUN 13 2018 FAC[L[TYCOUNTY: CERTIFIED LABORATORY:EWj11A0.#AZi/l Lab#_ 6 Lab # UE N I RAL Eii_ES PHONE NO.: (2 Part A: Specific Monitoring Requirements UV'JR SECTIO?< Outfall No. Sample Collection Date, mo/dd/ r Total Rainfall, inches 00530 TPH by method 1664 (SGT-HEM) 01119 01104 01094 01114 Total Suspended Solids, mg/L Non -Polar Oil & Grease, mg/L Copper';, mg/L Aluminum'", mg/L Zinc'-';, mg/L LeadZ' , mg/L Freshwater (Saltwater) Benchmarks 100 15 0.010 ( ) 0.75 0.126 (0.095) 0.075 (0.220) t1 a vaiuc lb m excess lh the benchmark, you must implement the Tier i or t ier 2 responses in the Ueneral Permit. z Total recoverable metal. 3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: `Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge 1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management Plan Raleigh, North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan." „ _jam 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 impro ttment for knowing violations." (Signature of Vermltt�, Permit Date: 6/02/2015-5/31 (o ( K (Date) SWU-253-060515 Page I of 1 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING / REPORT (DMR) CERTIFICATE OF COVERAGE (COC) NO.: NCG1900[a®3❑ RECEI V RECEIVED SAMPLE COLLECTION CALENDAR YEAR: Zo! Q FEB Q 1 , Th)s monitoring report is due at the Division no later than 30 days from FACILITY NAME: ��) G�t/TOAt /coo 97 iy,&1CJ LLG LL 11`the date the facility receives the sampling results from the laboratory.) SAMPLE COLLECTION NAME: ;ENTRAL FILES ON/D SECTION CERTIFIED LABORATORY: AcAhlift_dU MGSUT Lab #/0 Lab # Part A: Specific Monitoring Requirements FACILITY COUNTY: c_y0 &V#4 PHONE NO.: (7,s'Z) VPL- 7S12,3 Outfall No. - Sample Collection Date, mo/dd/ r Total Rainfall, inches 00530 TPH by method 1664 (SGT-HE.M) 01119 01104 01094 01114 Total Suspended Solids, m /L Non -Polar Oil & Grease, mg/L Copper''-'', mg/L Aluminum'-, mg/L Zinc''}, mg/L Lead" Freshwater (Saltwater) Benchmarks 'I 09'Lo/ % // 100 15 0.010 (0.005) 0.75 0.126 (0.095) 0.075 (0.220) bo -1 8 < ol► oG <,Dos -- _ a7t/ ,oaS �0 < S .o6 8b Dyo �.Oa ' If a value is in excess of the benchmark, you must implement the Tier 1 or Tier 2 responses in the General Permit. Z Total recoverable metal. Jt ,CQ Rm — 14eck oAj 12124h7 'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge 1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management Plan Raleigh, North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan." G✓ , I �2 6� � (Signature of Permittee (Date) 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." ( tgnatu of Per ltte (Date Permit Date: 6/02/2015-5/31/2020 SWU-253-060515 Page I of I STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE (COC) NO.: NCG19©A®31 SAMPLE COLLECTION CALENDAR YEAR: 2--o 17 /� RE `�' E IV('1'tfiS monitoring report is due at the Division no later than 30 days from FACILITY NAME:6i✓ / ,tj77 IV let., ,f UN O 5 2017the date the facility receives the sampling results from the laboratory.) SAMPLE COLLECTION NAME: /fin 6 6tf NTRAL FILES FACILITY COUNTY: CERTIFIED LABORATORY: CA1t#Po ✓Me+'I17 ae Lab # 3 / WR SECTION Ve7— _ 7s-z3 Lab # PHONE NO.: (ZSZ) Yf Part A: Specific Monitorin2 Requirements Outfall No. Sample Collection Date, mo/dd/ r Total Rainfall, inches 00530 TPH by method 1664 (SGT-HEM) 01119 01104 01094 01114 Total Suspended Solids, mg/L Non -Polar Oil & Grease, mg/L CopperZ' , mg/L Aluminum, mg/L Zinc'', mg/L Lead2' , mg/L Freshwater (Saltwater) Benchmarks 100 IS 0.010 (0.005 ) 0.75 0.126 (0.095) 0.075 (0.220) 1 1 .6 < I .387 o/% 1005 �y [f a value ism excess of the benchmark, you must implement the Tier I or Tier 2 responses in the General Permit. 2 Total recoverable metal. 3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge 1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the p isions of the So ent Management Plan Raleigh, North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan." I / _ 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 a4d imprisonment foreknowing violations." (Signature orPe'rm Permit Date: 6/02/201 Say/7 (Date S WU-253-060515 Page 1 of I STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REFORT (I)MR) CERTIFICATE OF COVERAGE NO. NCG19❑O ®®© FACILITY NAME rrAJ A6 ss'T lt% a PERSON COLLECTING SAMPLES / CERTIFIED LABORATORY &:Wl/,ta&n Aa- � CA&c Lab# /o Lab tt Part A: Snecific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (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.) RECEIVED PHONE NO. (Z�?}u�2— L Z-A OCT 2 4 2016 CENTRAL FILES MAID Outfall No. Date Sample Collected, mo/dd/yr Total Rainfall, inches 00530 00400 0556 01119 01104 01094 01114 Total Suspended Solids, m /L pH, Standard units Oil & Grease, m /L Copper' , m /L Aluminum , m g/L Zinc" , m /L Lead"", m /L Benchmark -Zv 100 Within 6.0 — 9.0 30 0.007 0.75 0.067 0.03 <,00� ' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. 2 ,l'otal recoverable. 'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement Division of Water Quality for managing solvents. I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since tiling the 1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Raleigh, North Carolina 27699-1617 Management Plan included in the Sto mwater Ilutiolion Plan.' b C (Signature of ennittee (Datcl 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, accur e, and complete. I am aware that there are significant penalties for submitting false information, including the possibility,of fines ice"' tt for knowing violations." (Signature of Permittee) /v o /G (Date) Permit Date: 10/l/2009-9/30/2014 S W U-253-092309 Page I of I STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year ao /Co General Permit No. NCG190000 Certificate of Coverage No. NCG19©40©® This monitoring report summary of the calendar year should be kept on File on -site with the facility SPPP. Facility Name: e-/) [;R! To a/ A0AT I've)e-les County: d 14AI Phone Number: (;ks-k- 2-713 Total No. of SDOs monitored: Z Outfall No.: '500- I Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [� If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ - Outfall SDo-► Total Rainfall, inches 00530 TPH by method_ 1664 SGT•HEM f 01119' 01104 ,' , 01094 01114 TSS, mglL Non-polar,Oil 8 Grease, mg/L jCopper, _. 1 mglL Aluminum, mglL Zinc, mglL Lead, mglL Benchmark Freshwater Saltwater N/A 100 . 15 '- 0.010 I' (0.005) t 0.75 - 0.126 (0.095) ., 0.075 (0.220) Date Sample Collected O/dd/Yr ": a i at« �� „ i> > Sa r„ f i ��t,,,,, I. ,, <} : nr n ,,� � $y i.'��c. z 0 i V11 y / 6 i. 2 < .00l l l,caas' SWU-250NCG19-060815 Additional Outfall Attachment Outfall No. SDO • '2-- Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Er Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 2- If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Outfall5 ,y Total Rainfall, inches 00530 TPH by method ,1664 SGT-HEM i 01119 01104 01094 01114 - TSS,, Non -polar Oil &Grease - I Copper, mg/L' Aluminum, "m`g/L,:.- Zinc, mg/L' Lead, mg/L Benchmark Freshwater Saltwater N/A 100 15 0.010 (0.005) 0.75 0.126 (0.095) 0.075 (0.220) Date Sample Collected mo/dd/yr = 4 t t Y Wlr�i'4YrJ t r r llt v 1 AN 4 }! fl •itM`t. A.I. ,f 1 .N Y.. �.1.('it b '6 i <5 roo10 015-3 6aU0 4.01 SWU-250NCG19-060815 "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." Signs Date Mail Annual DMR Summary Reports to: DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 ASHEVILLE REGIONAL; OFFICE E FAYETTEVILLE REGIONAUOFFICE 'MOORESVILLE REGIONAL OFFICE 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON, REGIONAL OFFICE_ ,WICMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919)791-4200 (252)946-6481 CENTRAL OFFICE (9 10) 796-7215 WINSTON-SALEM'RECIONAL OFFICE 1617 Mail Service Center 585 Waughtown Street Raleigh, NC 27699-1617 Winston-Salem, NC 27107 (919) 807-6300 (336) 771-5000 SW U-250NCG 19-060815 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) SAMPLES COLLECTED DURING CALENDAR YEAR: 7,0 Al CERTIFICATE OF COVERAGE NO. NCG19[�JO❑©® (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sa pling results from the laboratory.) FACILITY NAME Ei1/!OdI dt/06 ' S COUNTY Cw&AI PERSON COLLECTING SAMPLES oDJb PHONE NO. (2 — 3 de7 Z3/ CERTIFIED LABORATORY-if/yZ,Qd,cA7er ®.VG Lab # /D Lab # Part A: Specific Monitoring Reouirements Outfall No. Date Sample Collected, mo/dd/yr Total Rainfall, inches 00530 00400 00556 01119 01104 01094 01114 Total Suspended Solids, m /L pH, Standard units Oil & Grease, m /L Copper", m /L Aluminum- , m /L Zinc ' , m /L Lead-' , m /L Benchmark - 100 Within 6.0 — 9.0 30 0.007 0.75 0.067 0.03 O -- _/7--/% .6`/ .W 2 < < S 6z" l "2 ii14t <. vGti't SDo .v Y -i� /ro .G tf. �✓ 3 <5 ,onio . G aS5 ceGa t•cvc.5 ' If a value is in excess of the benchmark. or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General permit. Total recoverable. 3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement Division of Water Quality for managing solvents, 1 certify that to the best of my knowledge and belief; no leak, spill, or dumping of concentrated Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater rtmoffhas occurred since filing the 1617 Mail Service Center last discharge monitoring report. I further cenify that this facility is implementing all the provisions of the Solvent Raleih, North Carolina 27699-1617 Management Plan included in the stormwater Po tion Pr tion Plan." (SiI-nature o ermittee (Dad) 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." S 13 [� (Date) Permit Date: 10/I/2009-9/30/2014 S W U-253-092309 Page I of I STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190)000 ze .� DISCHARGE MONITORING REPORT (DMR) SAMPLES COLLECTED DURING CALEND I2 y0 A. CERTIFICATE OF COVERAGE NO. NCG19 O 6 /' ❑❑® (This monitoring report is due at the Division no In er than 30 days from the date the facility receives the sa piing results from the laboratory.) FACILITY NAME C/��N�atl A)oL S V// COUNTY C ui& PERSON COLLECTING SAMPLES o<Jb PHONE NO. (�)— — 3 6r� Z31 CERTIFIEDLAQORATORY �ii/✓LP�,JYTr �.uG Lab# /O Lab # Part A: Specific Monitoring Re uirements Outfall No. Date Sample Collected, mo/dd/vr Total Rainfall, inches 00530 00400 00556 01119 01104 01094 01114 Total Suspended Solids, m /L pH, Standard units Oil & Grease, m /L Copper-' , m /L Aluminum- , m /L Zinc-' , m /L Lead" , m /L Benchmark 100 With in6.0-9.0 30 0.007 0.75 0.067 0.03 ti 2- If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. Total recoverable. 'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent. Management Plan Certification: - Mail original and one copy to: `Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement Division of Water Quality for managing solvents; I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the 1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Raleigh, North Carolina 27699-1617 Management Plan included in the Stormwater Po tion Pr tion Plan." C n Z D J (Signature o erminee (Dad) Ri D ✓ YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: -n N O r o Tll "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accord ft-ee svFdth system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 13 .� (Date) Permit Date: 10/1/2009-9/30/2014 S W U-253-092309 Page I oft Analytical and Stormwater Pe Issued June 2, 2015 ve Monito Xy G190063'' 31, 2020 Requirements for Date of Event 4/ iz /to Recorded Rainfall TE-06 NC ronos: Rain gauge: 61 le Event Duration NC Cronos: Sample Type Grab Sample Location SDO-1 SDO-2 Temperature -7, -7 C Convert F to C (F-32) x 0.555=C Sampled By Footnotes: fI 1. Measurement Frequency: Twice per year during a representative storm event. I" Sample (Oct. 1 thru March 31) 2"' Samplel(April 1 thru Sept. 30) 2. Representative storm event: Storm measures greater than 0.1 inches of rainfall that is preceded by at least 72 hours in which no storm outfall has occurred. 3. Monitoring Location: Monitoring shall be conducted at the same stormwater discharge outfall (SDO-1 and SDO-2) each time. 4. Sample Type: A grab sample will be collected with -in 30 minutes of the event. 5. Sample temperature. 6. Complete Chain of Custody Record Form' 203 rev.04/00, retain copy and overnight samples to Lab for testing or drop off on Wednesday at Edenton Utilities Department for Environment 1 truck pickup before 10:00 am. 7. Upon receipt of Lab certificate of analysis, complete Discharge Monitoring Report (DMR) and mail to state within 30 days. 8. Complete Qualitative Monitoring Report NC form SWU-242-112608. Notes: A-2 Mt M FIX NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: 11tp://portal.ncdenr.org/web/ I r/nodes-storinwater/ Permit No.: NX/1/-`l_D/ D/ 6/3/ / or Certificate of Coverage No.: Facility Name: u o County: W a/ Phone No(?'�� i all 023 ri Inspecto. m &6 r tA-niC Date of Inspection: Y —/ Y -/ to Time of Inspectiow 45 $0,41 Total Event Precipitation (inches): 4 �o V I'W Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) D4 es ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). rQualitative 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 (Signature is accurate and complete to the best of my knowledge: Page 1 of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 5"Do -I Structure (pipe, ditch, etc.) rc-/4- Receiving Stream: L r»ia u le �au nJr� _ Describe the industrial activities that occur within the outfall drainage area: B�2%u,/a �oT Je)&7 �TTIFAL_S /�,.OS Mn.L. LAi�u.n ..� El'L A� iC oAAsn 2. Color: Describe the color of the discharge using,basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: &t f alf b�GLaw l IV 3. Odor: Describe any distinc i weak chlorine odor, etc.): oy the discharge may have (i.e., smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: � I. 1 2 3 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: D, 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: ( D, 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes VQ 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes Q0 10. Other Obvious Indicators of Stormwater Pollution: List and describe �dv k/Cr 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-242, Last modified 7/31/2013 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: http://portal.ncdenr.or�/webnlxies-stormwater/ Permit No.: N/C/L Facility Name: ,_ County: `emu Inspector: Date of Inspection: Time of Inspection: Certificate of Coverage No.: Total Event Precipitation (inches): --4 ,y 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 referto 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, 1 certify that th.s report is accurate and complete to the best of my knowledge: of Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. SPO Structure (pipe, ditch, etc.) A"C Receiving Stream: %�L�rsYll,gQLC `506kAfo Describe the indu trial activities that occur within the outf, I drainage area: D QN e,&Uee�, _ / 10� ,1 ( .._. ...-ten Or».a. �_� L lam%_ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C-4&9� 3. Odor: Describe any distinct weak chlorine odor, etc.): /11 odors that the discharge may have (i.e., smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 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: \`--, 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: l✓ 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe 1 O 1 NoP No E No Yes 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-242, Last modified 7/31/2013 Enwo'0�][mM % 0 Tmq@d EDENTON BOATWORKS LLC ATTN: BOBBY LANE 140 MIDWAY DRIVE EDENTON ,NC 27932 ID#: 315 DATE COLLECTED: 04/12/16 DATE REPORTED : 05/04/16 REVIEWED BY: Stonnwater Slormwaler Anaksis Method PARAMETERS (#1, Grab) (#2, Grab) Date Analyst Code Total Suspended Residue, mg/1 7.2 8.3 04/14/16 KKF 2540D-97 Oil & Grease (HEM), mg/1 <5 <5 04/14/16 SEJ 1664B Aluminum, ug/1 152 153 04/22/16 LFJ EPA200.7 Copper, ug/1 20 10 04/22/16 LFJ EPA200.7 Lead, ug/l <5.0 <5.0 04/25/16 MTM 3113B-04 Zinc, ug/1 1l 60 04/22/16 LFJ EPA200.7 Environment 1, Inc. CHAIN OF CUSTODY RECORD P.O. Box 7085. 114 Oakmont Dr. Page I of I Greenville, NC 27858 encironmeht I inc.corn DISINFECTION Phone (252) 756-6208 • Fax (252) 756-0633 CHLORINE NEUTRALIZED AT COLLECTION CHLORINE J CLIENT: 315 Week: 18 pHCHECK (LAB) UV 4� I I P CONTAINER TYPE,P/G EDENTON BOATWORKS LLC NONE ATTN: BOBBY LANE CHEMICAL PRESERVATION 140,NIIDWAV DRIVE Lm! EDENTON NC 27932 �o E A -NONE D-NAOH (252)482-7423 ¢ w z w N B-HNO, E-HCL 00 = r ¢0 w z W C-H,SO, F-ZINC ACETATE/NAOH COLLECTION a w w < m M 8 < G-NATHIOSULFATE SAMPLE LOCATION DATE TIME 0 f`" a ii `f /2// l%. % 1'(,. - �G CLASSIFICATION: WASTEWATER(NPDES) 11q.'4k- DRINKINGWATER DWO/GW SOLID WASTE SECTION CHAIN OF CUSTODY (SEAL) MAINTAINED DURING HIPMENT/DELIVERY N SAMPLES COLLECTED BY: (Please Ptint) PJa hlo L,�N�� SAMPLES RECEIVED IN LAB AT G�o °C RE QUISHE 8Y(SIG. AMPLER) DATE/T1ME RECEIVE (SIG. ATErnME COMMENTS: Ya 7i0 RELINQUISHED (SIG.) DATETIME RECEIVEDB (SIG DATEMME RELINQUISHED BY (SIG.) DATEMME RECEIVED BY (SIG.) DATEMME PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM k5 Grab sample in the blocks above for each parameter requested. No— 315624 SAMPLING INSTRUCTIONS AND FORM COMPLETION FAII URE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE TYP;S, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE SEN�ITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE. 1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the deviations. 2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as much ice as will fit in the cooler. 3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The laboratory will either provide the preservative in the sample bottle, or in the case of 40 mi. Volatiles Vials, provide a bottle of Acid with detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note this information in the spaces provided on the front of this torm. 4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles. Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the "Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any neutralization is performed. 5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures as well as Composite start dates and times can be recorded in the "comments" section. 6) Other information required to be completed by the client are: Collection Dale and Collection Time for each sample location Temperature at Time of Collection Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished Other added sample locations and analyses required Type Of Disinfection Deletion on the form for any samples which are not needed (example: dry upstream location) Any other information felt to be pertinent should be included in the "Comments" section CONSIDERATIONS: Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should be collected as late in the day as possible to allow enough time ibr transportation, checking in at the lab and analysis. BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the right to establish required sample collection and delivery dates in order to meet the required holding times. CAUTION Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection. l.[\VIVVJ IJ2lLQUUJc. 1V V[LLLCQJIGut 1\cb[Vuu� nuP�rt �,v.v �.� uvuuy uuw .�.. „vu . ubv v, ., Station: KEDE - Northeastern Regional Airport Date of first observation: Decembe2000 r Station type:e: AWOWOS -III P City, State: Edenton, NC County: ChoA mCounty Latitude: 36.0285947° Longitude:-76.5697708 �'# WO Elevation: 20 feet above sea level Climate division: NC08 - Northern Coastal Plain River basin: Albemarle Supported by: FAA f Local Aviation This page is created dynamically and should not be bookmarked. Instead, bookmark the paqe preceeding this. Retrieving hourly data from Northeastern Regional Airport for past 3 day(s) 80 observations for this period of record (97.6% data available, 2 missing records) If you need more historical data from a larger period of record, please contact us for assistance C Date/Time of ob (Eastern Standard Tin )4/10/2016 00:50 " 34/ 10/2016 01:50 " 04/10/2016 02:50 " 04/10/2016 03:50 " 04/10/2016 04:50 " 04/10/2016 05:50 " 04/10/2016 06:50 " 04/10/2016 07:50 " 04/10/2016 08:50 " 04/10/2016 09:50 " 04/10/2016 10:50 " 04/10/2016 1 1:50 " 04/10/2016 12:50 " 04/10/2016 13:50 " 04/10/2016 14:50 " 04/10/2016 15:50 " 04/10/2016 16:50 " 04/10/2016 17:50 " 04/10/2016 18:50 " 04/10/2016 19:50 " 04/10/2016 20:50 " 04/10/2016 21:50 " 04/10/2016 22:50 " 04/10/2016 23:50 " 04/11/2016 00:50 " 04/11/2016 01:50 " 04/11/2016 02:50 " 04/11/2016 03:50 " Iv Precinil at 2m (in) http://cliniate.iicsu.edu/dynamic_scripts/croiios/query.plip 4/ 13/2016 NC CRONOS Database: Northeastern Regional Airport (KEDE) Hourly data retrieval Page 2 of 3 )4/ 1 1 /2016 04:50 " )4/I1/2016 05:50 " D4/II/2016 06:50 " )4/II/2016 07:50 " )4/ 1 1 /2016 08:50 " )4/ 1 1 /2016 09:50 " )4/ 1 1 /2016 10:50 " )4/ 1 1 /2016 1 1:50 " )4/I1/2016 12:50 " )4/I1/2016 13:50 " A/ 1 1 /2016 14:50 " D4/I1/2016 15:50 " 14/ 1 1 /2016 16:50 " 04/11/2016 17:50 " 04/11/2016 18:50 " D4/11/2016 19:50 " D4/ 1 1 /2016 20:50 " D4/ 1 1 /2016 21:50 " 04/11/2016 22:50 " 04/11/2016 23:50 " 04/12/2016 00:50 " 04/12/2016 01:50 " 04/12/2016 02:50 " 04/12/2016 03:50 " 04/12/2016 04:50 " 04/12/2016 05:50 " 04/12/2016 06:50 " 04/12/2016 07:50 " 04/12/2016 08:50 " 04/12/2016 09:50 " 04/12/2016 10:50 " 04/12/2016 11:50 " 04/12/2016 12:50 " 04/12/2016 13:50 " 04/12/2016 14:50 " 04/12/2016 15:50 11 04/12/2016 16:50 " 04/12/2016 17:50 " 04/12/2016 18:50 " 04/12/2016 19:50 " 04/12/2016 20:50 " 04/12/2016 21:50 " 04/12/2016 22:50 " 04/12/2016 23:50 " 04/ 13/2016 00:50 " 0.01 �)(() 0.03"A 0.05`)c(' 0.21" 0.12Q"O 0.1 QCO 0.05"C0 0.07')(f0 , 6 I 1 Qua http://climate.ncsu.edu/dynamic_scripts/crc)nos/query.plip 4/13/2016 NC CRONOS Database: Northeastern Regional Airport (KEDE) Hourly data retrieval Page 3 of 3 )4/13/2016 01:50 " )4/13/2016 02:50 " 34/13/2016 03:50 " 34/13/2016 04:50 " A/13/2016 05:50 " A/13/2016 06:50 " A/13/2016 07:50 " Sum Average 7/n L a, Mean (mar min)/2 71 Quality Control flags that may appear above Qc,rBD (I Not yet quality checked QCO I I QC Score indicates good data QC; I 0 QC Score indicates likely good data QC2 0 QC Score indicates likely bad data QC-) 0 QC Score indicates bad data NC CRONOS Database version 2.7.2 Query script last modified Apr 07, 2014 13:01:47 Page expelled in 0.093 secs. http://climate.ncsu.edLi/dynamic_scripts/cronos/query.php 4/1 1/2016 ® 0 E NON-STORMWATER DISCHARGE ASSESSMENT FORM 7 ALBEMARLE BOATS, I40 MIDWAY DRIVE, EDENTON NC DATE: Date of Test or Evaluation Outfall Directly Observed During the Test (identify as indicated on the site ma Method Used to Test or Evaluate Discharge Describe Results from Test for the Presence of Non-Stormwater Discharge Identify Potential Significant Sources Name of Person Who conducted the Test or Evaluation V i a m SUo - , S oo � 3 c`,Drivki vg N a l-3aa te'� 'i`,'auc. llin,d P.O. BOX 7085, 114 OAKMONT DRIVE PHONE (252 GREENVILLE, N.C. 27835-7085 FAX (252 ID#: 315 EDENTON BOATWORKS LLC ATTN: BOBBY LANE 140 MIDWAY DRIVE DATE COLLECTED: 04/12/16 EDENTON ,NC 27932 DATE REPORTED : 05/04/16 PARAMETERS Total Suspended Residue, mg/1 Oil & Grease (HEM), mg/I Aluminum, ug/1 Copper, ug/1 Lead, ug/1 Zinc, ug/I REVIEWED BY: Stormwater Slormwaler Analvsis Method (#1, Grab) (#2, Grab) Date Analyst Code 7.2 8.3 04/14/16 KKF 2540D-97 <5 <5 04/14/16 SEJ 1664B 152 153 04/22/16 LFJ EPA200.7 20 10 04/22/16 LFJ EPA200.7 <5.0 <5.0 04/25/16 M7'M 31136-04 11 60 04/22/16 LFJ EPA200.7 Frivironmenl 1, [pie. P.O. Box 7085. 114 Oakmont Dr. Greenville. NC 27858 a CHAIN OF CUSTODY RECORD Page I of _ I- _.. .. ,......_......._._..... Phone (252) 756-6208 • Fax (252) 756-0633 LIJuIrr_i IrviN - _ CHLORINE NEUTRALIZED AT COLLECTION CFII_pRINH CLIENT: 315 Week:18 J t_V pHCHECK (LAB) CONTAINER TYPE,P/G EDENTON BOATWORKS LLC Ij NONE ATTN: BOBBY LANE 140 MIDWAY DRIVE EDENTON NC 27932 CHEMICAL PRESERVATION A -NONE D-NAOH �z (252)482-7423 zzo a z w B-HNO, E-HCL 0 �< cl J = w C-HzSO, F-ZINC ACETATE/NAOH COLLECTION Oz ME o0 LL o 1 ¢ G- NATHIOSULFATE SAMPLELOCATION DATE TIME 00 o a a a termwaterj(#L—,rab �Z Y ��• 7. CLASSIFICATION: ornuratsrlKz Sra �:;: ��� ��� �-� � ; � WASTEWATER(NPDES) DRINKINGWATER L) DWO/GW SOLID WASTE SECTION - - - - - - - - CHAIN OF CUSTODY (SEAL) MAINTAINED DUR INGIPMENT/DELIVERY Y N SAMPLES COLLECTED BY: (Please Print) fj 0 h% /—A/V L57- SAMPLES RECEIVED IN LAB AT RE IOUISHE BY (SIG. AMPLER) DATE/11ME .,� RECEIVE (SIG. ATEMME Ya COMMENTS: Flo REUNOUISHED E1Y (SIG.) DATU TIME RECEIVED BY (SIG DATEl1ME REUNOUISHED BY (SIG.) DATUnME RECEIVED BY (SIG.) DATE/DME PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C' for composite sample or a "G for FORM N5 Grab sample in the blocks above for each parameter requested. N ° 315624 NC CRONOS Database: Northeastern Regional Airport (KEDE) Hourly data retrieval Page 1 of 3 1 'Station: KEDE - Northeastern Regional Airport Date of first observation: Decembe2000 r Station type:e: AWOWOS -III P City, State: Edenton, NC County: Chowan County Latitude: 36.0285947' Longitude:-76.5697708° jVC Elevation: 20 feet above sea level Climate division: NC08 - Northern Coastal Plain River basin: Albemarle Supported by: FAA / Local Aviation This page is created dynamically and should not be bookmarked. Instead, bookmark the page preceeding this. Retrieving hourly data from Northeastern Regional Airport for past 3 day(s) 80 observations for this period of record (97.6% data available; 2 missing records) If you need more historical data from a larger period of record, please contact us for assistance r@yp Date/Time of ob (Eastern Standard Time) 04/10/2016 00:50 " 04/10/2016 01:50 " 04/10/2016 02:50 " 04/10/2016 03:50 " 04/10/2016 04:50 " 04/10/2016 05:50 " 04/10/2016 06:50" 04/10/2016 07:50 " 04/10/2016 08:50 " 04/10/2016 09:50 " 04/10/2016 10:50 " 04/10/2016 1 1:50 " 04/10/2016 12:50 " 04/10/2016 13:50 " 04/10/2016 14:50 " 04/10/2016 15:50 " 04/10/2016 16:50 " D4/10/2016 17:50 D4/10/2016 18:50 " )4/10/2016 19:50 " )4/10/2016 20:50 " )4/10/2016 21:50 " )4/10/2016 22:50 " )4/10/2016 23:50 " )4/11/2016 00:50 " )4/ 1 1 /2016 01: 50 " )4/ 1 1 /2016 02:50 " )4/ 1 1 /2016 03 :50 " ly Precipi at 2m (in) http://cliniate.nesu.edu/dynamic_scripts/croiios/query.plip 4/13/2016 NC CRONOS Database: Northeastern Regional Airport (KGDE) Hourly data retrieval Page 2 of 3 04/11/2016 04:50 " 04/11/2616 05:50 " 04/ t 1 /2016 06:50 " 04/11/2016 07:50 " 04/11/2016 08:50 " 04/11/2016 09:50 " 04/11/2016 10:50 " 04/11/2016 1 1:50 " 04/11/2016 12:50 " 04/11/2016 13:50 " 04/11/2016 14:50 " 04/11/2016 15:50 " 04/11/2016 16:50 " 04/11/2016 17:50" 04/11/2016 18:50 04/11/2016 19:50 " 04/11/2016 20:50 " 04/11/2016 21:50 " 04/11/2016 22:50 " 04/11/2016 23:50 " 04/12/2016 00:50 " 04/12/2016 01:50 " 04/12/2016 02:50 " 04/12/2016 03:50 " 04/12/2016 04:50 " 04/12/2016 05:50 " 04/12/2016 06:50 " 04/12/2016 07:50 " 04/12/2016 08:50 " 04/12/2016 09:50 " 04/12/2016 10:50 F' 04/12/2016 1 1:50 " 04/12/2016 12:50 " 04/12/2016 13:50 " 04/12/2016 14:50 " 04/12/2016 15:50 " 04/12/2016 16:50 " 04/12/2016 17:50 " 04/12/2016 18:50 " 04/12/2016 19:50 " 04/12/2016 20:50 " )4/12/2016 21:50 " )4/12/2016 22:50 " )4/12/2016 23:50 " )4/13/2016 00:50 " ).21 " ' 112p` ).1 QCC ).05"('O 1 ).07)" ).04Q ° ).01 `)ca http://climate.ncsu.edLi/dynamic_scripts/cronos/query.php i 4/13/2016 iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillillillillillillilliillillillillilillillillillillillilliillillillillillillilliillillillillillilI __....L._�....::.....Al M1l...d...�.._.......-....a'1 _ f - _.. if — — L._ --- _ .._. - NC CRONOS Database: Northeastern Regional Airport (KEDE) Hourly data retrieval Page 3 of 3 04/13/2016 01:50 " 04/13/2016 02:50 " 04/1,3/2016 03:50" 04/13/2016 04:50 " 04/13/2016 05:50 " 04/13/2016 06:50 " 04/13/2016 07:50 " Sum Average //n S a, Mean (mar+min)/2 High Low .71 Quality Control flags that may appear above QCTBD 0 Not yet quality checked QC0 I I QC Score indicates good data ()C1 0 QC; Score indicates likely good data QC2 0 QC Score indicates likely bad data QC3 0 QC Score indicates bad data NC CRONOS Database version 2.7.2 Query script last modified Apr 07, 2014 13:01:47 Page expelled in 0.093 secs. littp:Hclimate.ncsu.edu/dynamic_scripts/cronos/query.php 4/13/2016 NON-STORMWATER DISCHARGE ASSESSMENT FORM 7 ALBEMARLE BOATS, 140 MIDWAY DRIVE, EDENTON NC DATE: Date of Test or Evaluation Outfall Directly Observed During the Test (identify as indicated on the site ma Method Used to Test or Evaluate Discharge Describe Results from Test for the Presence of Non-Stormwater Discharge Identify Potential Significant Sources Name of Person Who conducted the Test or Evaluation (/ i Analytical and Qualitative Monitoring Requirements for Stormwater Permit # NICG t90063 RECEIVED Issued October 1, 2009 Iapires: September 30, 2014 APR 17 2015 Date of I Vent,—�--� g�., yyr5 DW T Recorded Rainfall NC Cro1os: Rain gauge: 1 TE.14-06 to8 8 _ Event Duration INC Cronus: _ Sample Tyj)e Grab Sam le Location SDO-I SDO-2 Temperature Convert F to C x 0.555—C I — Footnotes: 1, MCLISurement Frequency: Twice. per year durilig a representative storm event. f Sample (Oct. I tluv Nt u-ch 31) 2"' Sample (April 1 thru Sept. 30) 2. Representative storm event: Storm measures greater than 0.1 inches of rainfall that is preceded by at least 72 hours in which no storm outfall has occurred. 3. Monitoring Location: Monitoring shall be conducted at the same stormwater discharge outfall (SDO-1 and SDO-2) each time. 4. Sample Type: A grab sample will be collected with -in 30 minutes of the event. 5. Perform testing of PH within 20 minutes rind sample temperature. 6. Complete Chain of Custody Record Dorm 203 rev.04/00, retain copy and overnight samples to Leib for testing or.drop off on Wednesday at Edenton Utilities Department for Environment I truck pickup before 10:00 am. 7. Upon receipt of Lab certificate of analysis, complete Discharge N/lonitoring Report (DN(R) and mail to stare within 30 days. 8. Complete Qualitative Monitoring Report NC form SWU-242-1 12608, !��OteS: ���? C�v�e/r) %V �%�✓t��2.e�f�nra.l; Y c�� /!: v STORMNVATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) SAMPLES COLLECTED DURING CALENDAR YEAR: O 1 - CERTIFICATE OF COVERAGE NO. NCG19®®©® ('This romico ing report is due at the Division no later than 30 days from the date the facility receives the sam ling results from the laboratory.) FACILITY NAME /Uf IVY+' -I C .1f�sR7%v'Siw.rot �u.4rS COUNTY e—I 0LPW PERSON COLLECTING SAMPLES Abb... Lnit PHONE NO. UR 2 - 7V23 CERTIFIED LABORATORYI:�A/t/ i2aVvm{L 7 / Lab # /J Lab # Part A: Specific Monitoring Re uirements Outfall No. - Date Sample Collected, mo/ddhT 'rota) Rainfall, inches 00530 00400 00556 01119 01104 01094�, 01114 Total:Suspended Solids, m /L pFL Standard units OiI S Grease, lu dL Copper" m /L Aluminum- , m /L Zinc-' m /L _' Lerd ' m /L Benchmark - -- - - - A00 Within 6.0-9:0- '30 ' '.0:007 - 0.75 W06711, ' t 0:03"- zz�v - I Lo 2.8 p 0 / 230 4 4k 4461 If a value is in excess of the benchmark, or outside the benchmark ranee (for pH), you trust implement the Tier I or "Fier 2 responses in the General Pernut. -Total recoverable. These benchmarks are water hardness dependant. Values shown based on a hardness of 56 m,-/L. Solvent Management Plan Certification:' Mail original and one copy to: 'Based upon my inquiry of the person or persons directly responsible for managing compliance with the pernin requirement Division of Water Qualm, for managing solvents, I ecrtifv that to the best of my knot+ledee and belief- no leak, spill, or dumping of concentrated Attn: Central Piles solvents into the storrn%vater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the 1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Raleigh, North Carolina 27699-1617 Management Plan included in the Slormwater Pollution Preve tion Plan." (Sig t re of75emiitte�r (Date) r YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "ll certifv, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a syslem designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of lines and imprisonment for knowing violations." Pemn;t Date: 10/1y009-9/30/2014 _ _ (Date) =. „ -.o • es SNU 253 092309. .._.-_Pa"e I of I.. . STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year ,Io /5 General Permit No. NCG190000 . Certificate of Coverage No, NCG19QF-4101©❑ This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date the facility receives laboratory sampling results from the final sample of the calendar year. Facility Name: County: � Phone Number: QT Total no. of SDOs monitored Outfall No. 5D0- I Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No IT Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No RS If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other ❑ Oulfall5L6-) Rainfalll, nches 00530 00400 00556 01119 0Ill 04""""' '01094 01114 TSS, mg/L pH, s.u. Grrease, m iL 9 Copper, . mg/L Aluminum, mg/L Zinc, mg/L Lead, mg/L Benchmark Collected Date SampletAM m0/dd/yr N/A 100 6.0 — 9.0 30 0.007 0.75 0.067 0.03 03 2v > <5.0 ,0f3 230 199 !, 005 SW U-25ONCG19-692309 Additional Outfall Attachment Outfall No. S DO — Z. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [� If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ OuuaII.S/b - Total Rainfall, inches 00530 00400 00556 01114 011,04 101094 011,14 TSS, mg/L pH, s.u. Oil & Grease, n g/L Copper, mg/L i Aluminum;. mg/L ' .Zinc, mg/L Lead, mg/L Benchmark Date Sample Collected'� mo/dd/yr N/A � 4 ` i v yrA — ,M 100 R ° NEtkf 6.0 — 9.0 1 u �' w Vi 30 Ir.9 t. a 0.007 ��`+M 0.75 P?, 1 5 { b(",�H 0.067 • ,t. III o Ft, 14t:IthSE£it.Yp 0.03 j4 03 La /'' iD �L• .o G5.0 ,0 0 1/7/ /yq I A, SW U-25ONCG19-092309 fb r W v, certify, udder penalty of law, that this document and all attach ie"nts ware prepared u der 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 tt' system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �! Signature Date Mail Annual DMR Summary Reports to: DWQ Regional Office Contact Information: 'w Asheville Office ..... (828) 296-4500 .- �•--Faye4eaille Offi3e�:--.(8j9) 433-3300'-- • - Mooresville Office ,_,C704) 663-1699___ -- .. Raleigh Office (919) 791-4200 Washington Office,-.(252) 946-6481 ' Wilmington Office ... (910) 796-7215 Winston-Salem...., (336)771-5000 Central Office .... .....(919)807-6300 \SjIG,UII I G,RFCIO\' 1L" OIhICG i I ARI FT.3 1 I1 LFiRE( ION 1'I OF�FICL,i \100.RFSYJLJJWWRF(;101N`A`I* 0 TICE 2090 US lilehway 70 225 Green Street 610 Oust Center Avenue/Suite 301 Sw,ulnanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 290-4500 -503 (-704)'663=1699�, (9 10) 433-3300 HIiYrI....',1�tCIONQ—i,Crf'l�� �. —� ��'►350(T�fi4nrcTh�rive:r� :�)-131'wltshm"o+'i�n Sitt�I�9;ifF" � R ticteh, _N'C 27609 Washington NC 27859 j .(919)'791=4200 as . .: "(252)9 (i=6t81 • \\'-1\SI,O\ SAI,Fi\i,ltl (,10NA:L, ClviVehl2A`Ix;O�PI(.1, ` -' OF'I iCF 1617 Nlat1 Service Curet :- 1,,,Z5 WMI(hto\vn Street, .�.� Raleigh, NC27699,ILI74L-�- 7 Wimstun Salem, NC 27.107 - (919) 507-6300 _ _ (3 36) 77.1-5000 _ _ 11217 175 Rhfird i3FiFe E#Msinnzm.. --t•� \VllmmI Iit01if N-C 2440. t 7opr�serrve�proik �Xli�.�. ' anc�rbartr�` f�q`Nottli Carvinas tvate7,�4� .. l S W U-250 N C G 19-092309 NON-STORMW'ATER DISCHARGE ASSESSMENT FORM 7 ALBEMARLEBOATS,-140 AIRAVAYDRIVE, EDENTON NC DATE: 3 4A S� Date of Test or Evaluation Outfall Directiv Observed During the Test (identify as indicated on the site map) Method Used to Test or Evaluate Discharge Describe Results from 'rest for the Presence of Non-Stormwater Discharge Identify Potential Significant Sources Name of Person Who conducted the Test or Evaluation Vie Uo,JL I = =4 rw ib STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 D13CHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCG1900 [?j®© FACILITY NAME f PERSON COLLECTIN CERTIFIED LABORA Part A- Snecific Monitorinn Requirements RECEIVED OCT 2 4 2014 CENTRAL FILES DWR SECTION SAMPLES COLLECTED DURING CALENDAR YEAR: �0 / (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sa piing r suits from the laboratory.) COUNTY L/ PHONENO.(t L) d —ZYX3 Outfall No. Date Sample Collected, mo/dd/vr Total Rainfall, inches 00530 00400 00556 01119 01104 01094 01114 Total Suspended Solids, m /L pH, Standard units Oil & Grease, m /L Copper' , m /L Aluminum , m /L Zinc' , m /L Lead", m /L Benchmark 100 Within 6.0 — 9.0 30 0.007 0.75 0.067 0.03 O / S S O /! 2- �015 C.o0i 1J0 3- SJ < I �' S l,00l 57 0 ' I f a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the bier I or Tier-) responses in the General Permit. ' Total recoverable. 3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Manavement Plan Certification: Mail original and one copy to: `Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement Division of Water Quality for managing solvents, 1 certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stonnwater runoff has occurred since filing the 1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Raleigh. North Carolina 27699-1617 Management Plan included in the Stonnwat Pollu iorr , evention Plan." hy (S iI do at u re�oT Perml ee (Date YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine�d imprisonment for knowing violations." (Si2naturree oof ermitte) (Date) Permit Date: 10/I/2009-9/30/2014 SWU-253-092309 Paee I of I 1p STORMWATER DISCHARGE OUTFALL (SDO) t� GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) SAMPLES COLLECTED DURING CALENDAR YEAR: 'y0 I CERTIFICATE OF COVERAGE NO. NCG19❑0 1Z1®® (This monitoring report is due at the Division no later than 30 days from 11 �+ Q the date the facility receives the sa pling rgsults from the laboratory.) FACILITY NAME /J e aR1f/S . n 4V.S A- COUNTY ('/40 Ct/.¢ic/ PERSON COLLECTING SAMPLES PHONE NO. i L &y�� CERTIFIED LABORATORY1Po&f1Atau/ 27 r,vcr Lab #� Lab # Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr Total Rainfall, inches - 00530 00400 00556 01119 01.14 01094 01114 Total Suspended Solids, m /L pH, Standard units Oil &G-ease, m6/L- Copper' mg/L Alum(nums , m /L Zinc' m g/L Lead"` , m,/L Benchmark 100 Wittiin6.0'-9:0 30' _ 0.007_ 0.75 _ 0067_ _.,0:03 rl0 I S (7 es D /1 /l 1O/5 00� )6 - 29 q2VIN < i s. e,001 s/ o ' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. Total recoverable. 'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: `Based upon my inquiry of the person or persons directly responsible for managing compliance with the Perron requirement Division of Water Quality for managing solvents. I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated Attu: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the 1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Raleigh, North Carolina 27699-1617 Management Plan included in the Stormwater Pollutiotr evention Plan." (Signature o Permi ee (Date YOU MUST SIGN THIS CERTIFICATION FOR AN INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under me direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines,4ptd imprisonutiAt for knowing violations." (Signature of 1'ermittg) (Date) Permit Date: 10/l/2009-9/30/2014 SWU-253-092309 Page I of I STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCG19ZR E[ FACILITY NAME A"aeti Jf eell,,!Ls 19ou-F1 PERSON COLLECTING SAMPLE_ 44moo4 D/liG� �Ol CERTIFIED LABORATORY 6yyiYnn ir/.e� .1� t.ve Lab #� Lab # Part A: Specific Monitoring Re uirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from the date the facility receives theempling results from the laboratory.) COUNTY N ,1,ing N PHONE NO. J 1f R 2.7Y Z 3 Outfall No. Date Sample Collected. molddlyr Total Rainfall. inches 00530 00400 00556 01119 01104 01094 01114 Total Suspended Solids m pH, Standard units Oil & Grease. M91L Copper`'. m Aluminum Zinc '. 'Lead '. m Benchmark - 100 Within 6.0 - 9.0 30 0.007 0.75 0.067 0.03 "D 2 7, S• 0 15 Y 2 C s-� a t3 2- UJ � o W J s e7 UJ LLO Jm 42a � � v If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. a Total recoverable. 'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement Division of Water Quality for managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the 1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Raleigh, North Carolina 27699-1617 Management Plan included in the Stormwate P utien v ion Plan." 5' 8 (Signature of Permittee) (Date 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: 10/1/2009-9/30/2014 . sr l y (Date) S WU-253-092309 Page 1 of 1 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling our this form, please visit: http://h2o enr state ne us/su/Fornns Documents htm#miscforms Permit No,: N/C/_ Facility Name:, _ County: — (�° Lf Inspector: Date of Inspection: Time of Inspection or Certificate of Coverage No.: N/C/G/ a/ e1161 Total Event Precipitation (inches): G `� t ✓eVaS a Was this a Representative Storm Event? (See informaiion below) I z ❑ No Please check your permit to verify if Qualitative Monituring must be performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: A�-.�.� (Signature of Permits or Designee) 1. Outfall Description: Outfall No. S DO —/ Receiving Stream: Describe the industrial activit. 2. Color: Describe the color of the (light, medium, dark) as descriptors: using basic colors (red', brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A/D/�� Page I of 2 swv 2a2 r 12ws M ti; 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear . . and 5 is very cloudy: (D ] 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the, stormwaterdischarge, where 1 is no solids and 5 is the surface covered with floating solids: t% 2 3 4 5 < 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 2 3 4 01 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 No 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-242.112608 I/ "t, P N a f SWt �� 4 .._r Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For gui(kmce on filling out this form, please visit: btti)://h2o.enr state nc us/su/Dorms Documents htmlimiscforms Permit No.: N/C/_/_/_/ /_/_/_/ or Certificate of Coverage o.: N/C/C/ / / 9/ 0/ 611 Facility Name: iQL s✓I.a.2t 'J a4e7L'r"/arm � T1 County: wA✓ Phone No. Inspector: b f, Date of Inspection: 3 v,rS Time of Inspection: 'total Event Precipitation (inches): i ,ve 0-.3 Was this a Representative Storm Event? (See information below) ®/Yes ❑ No Please check your permit to verify if Qualitative Monitoring musr be performed during a representative storm event (requirements vary). FA"Representadve Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that receded by at least 72 hours (3 days) in which'ndstorm event measuring greater titan 0.1 inches has urred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify than this report is accurate and complete to the best of my knowledge: � -/ (Signature of Permivee or Designee) 1. Outfull Description: OutfalI No. /moo —i— Structure (pipe, Receiving Stream: /q--/ /1tMIgA-le Describe the industrial aqJ vities thatoccur_wii 2. Color. Describe the color of the (light, medium, dark) as descriptors: 3. Odor: Describe chlorine odor, etc.): _ skv-242- a 2eoa etc.) the outfall drainage area; basic colors (red'; brown, blue, etc.) and tint that the discharge may have (i.e., smells strongly of oil, weak Page I of 2 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 2 3 4 561 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 No 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-242-1126N