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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
V
lv
DOC TYPE
❑ HISTORICAL FILE
L MONITORING REPORTS
l A / D 7
DOC DATE
❑
YYYYM M D D
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and La'ipd R sources General Permit No. NCG030000
Date submitted Z9
CERTIFICATE OF COVERAGE NO. N0003 0 Q. !
FACILITY NAME T2f}NE S C--
COUNTY -
PERSON COLLECTING SAMPLES
LABORATORY V14V 4=f1- fQ Lab Cert. N OZO
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z o /
SAMPLE PERIOD ❑ Jan -June ❑ IV -Dec
or [Monthly' fit Gf 5' __ month
`D/ISCHARGING TO CLASS ❑ORW HQW ❑Trout ❑PNA
RECEIVED ED X-Other Cl igs C_upply ❑SA
SEP 04 2019
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results. DWR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
n No discharge this periodj2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics s
Benchmarks
-
-
:100 mg/L or 50 mg/L4
6.0 —!9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
46529
C0530
00400
01119
01051
01094
00552
78141
0P
l3
%
(0,77
Q S' 2
! , av Z
, 0,9(a:'
6 3
<"4
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outran.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/l/2018-05/31/2021 - - SWU-245, last revised 11/1/2018
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic 'organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge; and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I'further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
A�! 7_ CrCW_50 vt
- Name (Print name)
C I--T S W LLvLarj el�
Title (Print titl
ture Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the;benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area MonitoringlResults: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
;New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEWES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REWNAL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: /f� �ih n iii, i J X�
I--` Imo -
Mail an oriainal copy of this DMR, including all "No Discharge" reportswithin 30'days of receipt of the lab results for at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee
Permit Date: 11/1/2018-05/31/2021
Date'
SWU-245, last revised 11/1/2018
Page 3 of 3
PAR
PROM PT•ACOU RATE• R ELIAS LE
LABORATORIES, INC
W W W.PARLABS.CODI
REPORT OF ANATIYSES
Attn: KURT CRANSON
TRANE CHARLOTTE
4500 MORRIS FIELD DR.
CHARLOTTE, NC 28208-
PROJECT NAME: AUG 19
DATE: 08/27/19
SAMPLE NUMBER-
136764
SAMPLE TD- TRC CC'1'YAL_ C
SAMPLE MATRIX- WW
--AMPLEU'-
08/ i 2, I9
TIME SA'-'!PL=U- Ji^_
DATE RECEIVED-
08/14/19
SAMPLER- KC
RECEIVED BY- DJ
TIME RECEIVED-
1215
DELIVERED BY- KC
TYPE SAMPLE- Crab
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE
'TIME
BY
RESULT UNITS
pH VALUE
SM 450OH-B
08/13/19
1800
KC
6.77 units
OIL & GREASE
EPA 1664
08/19/19
1350
CT
< 6.3 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
08/19/19
0815
DJ
<.5 mg/L
COPPER, TOTAL
EPA 200.7
08/21/19
1525
DM
0.052 mg/L
LEAD, TOTAL
EPA 200.7
08/21/19
1525
DM
< 0.002 mg/L
ZINC, TOTAL
EPA 200.7
08/21/19
1525
DM
0.086 mg/L
LABORATORY DIRECTOR
2217 Graham Park Drive • Charlotte, NC 28273
Phone: (704) 588-8333 • Fax: (704) 588-8335