NCG060205_MONITORING INFO_20190226

WSJ
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑HISTORICAL FILE
C�. MONITORING REPORTS
DOC DATE
o aOlt' i
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division.of.Energy, Mineral and Land Resources General Permit No. NCG060000
FEB 2 6 2019
Date submitted
k',ENTi \L FILES
DWR SECTION;
CERTIFICATE OF COVERAGE NO. NCG06 d 2 O S SAMPLE COLLECTION YEAR okd .1 ti
FACILITY NAMEC0S r dr"`
COUNTY G Ui 4 Fir+-O SAMPLE PERIOD []Jan -June ❑July -Dec
or ❑ Monthly' month
PERSON COLLECTING SAMPLES __De7,j►4 lS Dxi�LS t
LABORATORY 56AACH -A0A1-1jT1cgL Lab Cert. # N G - DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply ❑SA
[20therSv2FAe-C 14 o OP 14C
Part A: Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall' or ❑ No discharge this period'
Outfall Na
-Date Sample-
Collected; mo/dd/yr
TSS
mg/c
pH,
Standard units
COD,
mg/L ..
Oil and:Grease, ''
mg/L
Fecal Coliform,
Colonies per 100 ml -
_Enterococci,
Colonies.per 100 nil
Benchmark
-
100 or 50°
Within 6.0 = 9.0
120 :
30
10001 _
Soo,-.
Parameter Caste
C0530
00400 =
00340
00556
31616
61211
S s7
b -2-- X-0
rT o
.� -
L 5
/�
N t4
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? El yes [2no
Permit pate: 11/1/2018-05/31/2021
(if yes, complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
�:.
Outfall No
Date Sample Collected• .
- (mo/ddJyr} - .
24-hour rainfall amount,-
Inchesz
New Motor oil or-
Hydraulic OiI Usage
Non -Polar O&G/Total; :
Petroleum Hydrocarbons
ti
Total Suspended Solids'
Benchmarks
-
= _ .
_
15 mg/L
100 mg/L or 50 mg/L4
Parameter. Code
-
46529 . ..
NCOIL
00552
-CO530
Footnotes from Part A also apply to Part B
*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 Q NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO Q
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reporter within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

e
Environmental
QuulltP
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.tic.gov/about/divisionslcnergy-mineral-land-resources/
n pdcs-s to rmwater-gps
Pennit No.: NIC1.J 1 D 1.G l0 /0 101 o 1 or Certificate of Coverage No.: NICIG/ eel 1 D /2 / o /SI
Facility Name: C u 5 TO n FIN 15Hfft5 .'nl C-
County: u I l_ F02 D Phone No. 3 3�, -- 4- 3 ( — `7141
inspector: bEN N 1,4� P "'EiA tcl
Date of Inspection: % to I ao ;�--
Time of Inspection: .7 - / S7 A. M
Total Event Precipitation (inches)
3-0
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
0
(Signature of Pennittee or DeYgnee)
1. Outfall Description:
Outfall No. 5b 46 X Structure (pipe, ditch, etc.): ?I ee
Receiving Stream:
m u 00 y Gt-Er-->L
Describe the industrial activities that occur within the outfall drainage area:
4tL1nrDiNC, AW CUL-L C'e—MAf
Page I of 2
5WU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: V Q9-1 1-1 G WT- 11 62 `1 �?° rr, . _PA-2 K- 0 #4 4
1_OT G rL&q E L) - -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N u U +7U/Zs WEXC i7 E' j ECT>' D
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 Q 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
O1 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:
U 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No.
S. Is there an oil sheen in the stormwater discharge? oYes ® No.
9. Is there evidence of erosion or deposition at the outfall? O Yes ® No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 1 F12 W N c> 1 t.1 01 C rf 7a tzs £32
t r e-E 01' pO LL u -,-1 04
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 06/01/2018

RESEARCh & ANA1yTiCA1
I-Ab4RATO&S, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
I WATER 1 WASTEWATER I misc. I
COMPANY
.1.75 T f;M r1u15retl� 1 1u
JOB NO.
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R ry ry N ^ ^ REQUESTED ANALYSIS
S'CtR1EE'fl1DDRESS
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PROJECT
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CITY. STATE, ZIP
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SAMPLER NAPAE (PLEASE PRINT)
C11+1+j -V1-1L1=1`
CONTACT PHONE
C N r
S LER SIGNATURE
SAMPLE NUMBER
(LAF3 USE OtJLY�
DATE
TIME
COMP
GRAB
TENF
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LIES
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Ary. PLE LOCATM4I I.D.
RELINQUISHED BY
DATEITI11
RECEIVED BY
REMARKS:
7 `
SAMPLE TEMPERATURE AT RECEIPT • ! °C
RELINQUISHED BY
DATElTFAiE
RECEIVED BY

UESEARCk ANA1yiricA1
LAORATORiES, INCa
For: Custom Finishers, Inc
2213 Shore Street
High Point, NC 27263,
Attn: Dennis Dzielski
Report of Analysis
2/17/2020
• &i111A1�1l8101'I
11� G�Ff N� .. . #UCI �II
'C Alp
i
i 6 NC #34 ' .
S NC437701
.
Client Sample ID: SD02 Lab Sample ID: 78202-01
Site- Custom Finishers Inc Collection Hate: 216/2020 7:15
Parameter Method Result Units RepLimit,Analyst,Analysis!Qatefime
COD EPA 410.4 <5 mg1L 5 HW 2/10/2020
Hydrocarbon 0&G EPA 1664 Revision B1Silica Gel <5 mg1L 5 EE 2/12/2020
Total Suspended Solids SM 2450 0-2011 <5 mg/L 5 AW 21712020
tiA = not onoiyzed
P,0- Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
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