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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C -7-7y
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ro
YYYYMMDD
CERTIFICATE OF COVERAGE NO.:
FACILITY NAME Charlotte Terminal
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY:
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG08D000
Date submitted 7/24/2019
NCGO8 0774 SAMPLE COLLECTION YEAR: 2019
SAMPLE PERIOD �% Jan -June July -Dec
or Monthly (month)
DISCHARGING TO Cl AS ❑ORW F—IHQW Trout F_1PNA
Lab Cen If � ❑Zero -Row Water Supply ❑SA
Comments on sample collection or analysis: - ,L Mother C
Jl ll- 2 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE i
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new all pei(p�q�S?'L f'iiE �% Ves ONo (if yes, complete Part A)
DVVR
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) SECTIONxFj No discharge this period?'
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/man
Benchmarks
is
100 or 50'
Parameter Code
46529
00552
C0530
NCOIL
001
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
i 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.
"See General Permit, Table 1 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Um it, 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,'<JIX mg/L. where XX is the numerical value of the detection limit, reporting limit, etc, in mg(L. Conversely, where fecal coliform results exceed the dilution upper limit, report the
result as'>)W.
SW U-245, last revised 11/1/2018
Permit Date: 1111/2018-05/3112021 Page 1 of 2
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) ❑ No discharge this period? z
Outfall
No.
Date Sample Collected'
(mo/dd/yr)
24hour rainfall amount,
Inches3
Sample Collected'
mo/dd/yr
Total Suspended Solids,
mg/L
pH,
Standard units
Non -Polar Oil &Grease,
mg/L
Benchmarks
-
-
-
100 or 50"
6.0 - 9.0
15
Parameter Code-
46529
-
C0530
00400
00552
Not applicable
Footnotes from Part A also apply to this 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.
FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO TI
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YESEINOFI
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DIM Including all "No Discharge"reports, within 30 days of receipt of the lab results for at end of monitorina 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 vlolations."
Signature of
7 1241 Z019
Date
SWU-248, last revised 11/1/2018
Permit Date: 11/1/2018-05/31/2021 Page 2 of 2
t'
TERMINALS
Jamie Boychuk, SVP Network Operations, Mechanical, Engineering, and Intermodal
CSX Intermodal Terminals, Inc. 500 Water Street, Jacksonville, FL 32202
March 8, 2019
Ms. Meaghan Atkinson.
Manager Environmental Programs
CSX Transportation, Inc.
500 Water Street, 101h Floor
Jacksonville, Florida 32202
Dear Ms. Atkinson,
You handle matters pertaining to compliance with Federal, State, and local environmental
laws and regulations. One of your responsibilities is preparing permit applications, variance
requests, report forms and certifications, and such other documents and papers as necessary to
assure compliance with environmental laws and regulations. Accordingly, I hereby authorize
you to sign the necessary environmental documents on behalf of the Company to carry out your
work.
Sincerely,
..vim
Jamie ychuk