Loading...
HomeMy WebLinkAboutNCG080284_COMPLETE FILE - HISTORICAL_20141230- STORMWATER DIVISION CODING SHEET -: RESCISSIONS . PERMIT NO., l v U� DOC'fYPE COMPLETE FILE -HISTORICAL DATE OF RESCISSION p YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 11 - 7.-26 — i 4 CERTIFICATE OF COVERAGE NO. NCG080 -2, FACILITY NAME T-V) c C kG • o'IT_U�4�cY��� COUNTY (r\z C� PERSON COLLECTING SAMPLES l t rrn 16✓r LABORATORY ?a,- L ,--k,< Lab Cert. # 7 n Comments on sample collection or analysis: SAMPLE COLLECTION YEAR Z.o 1 SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly'_ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout' ❑PNA RECEIVED ❑Zero-flow ❑Water Supply ❑SA 1 V L! [Other �7�-a✓►+-, ..JGc DEC 3 0 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL. FILES Did this facility perform Vehicle Maintenance Activities using more than 55 galloMPf4%7wfmTci0Nbil per month? _yes ✓no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' 11 Outfall No. late Sample Collected, mo/dd/yr OOS30 00400 00556 �- •.: Total Suspended' Solids, mg/L­ pH, Standard units Non -Polar Oil and Grease/TPAEPA Method 1664 (SGT-HEM), mg/L ": 'NewMotor OiI Usage, "Annual`average gal/md* Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - Cvcq L Part B: Oil/water Separators'and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400, Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total.Suspended'Solids,.•: % mg/L `:pH . ` Stai dard-units Permit Limit - 15 50 or 100 see permit, "6.0 - 9.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 12--to-1 (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 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. u TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OLITFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: 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." c� (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgLws/su/np_dessw#tab-4 SWU-250 last revised April t 1, 2013 Page 2 of 2 iA74' Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: littp://portal.ticdenr.org/web/wa/wslsu/nndessw#tab-4 Permit No.: N/C/ G/�/ �/ G/ G/C�/ j / or Certificate of Coverage No.: N/C/G/�}/ �/ �? j/ Facility Name: `T`1- c _CLt—,y\cAe County: c�-IYv, j uPhone No. Inspector: Date of Inspection: 17--ta 1� Time of Inspection: Total Event Precipitation (inches): r i -I- Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑ Yes [�N o Please verify whether Qualitative Monitoring must be performed during a "representative storm event"or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consedutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: Y-Va - �,, 1 Z �-4 -1 (Signature of Permittee or Designee) Page 1 of 2 sWU-242, bast modified 10/25/2012 1. Outfall Description: Outfall No. CoT- GC-1 Structure (pipe, ditch, etc.)�-c- Receiving Stream: C'Y< Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): v16V12 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 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: 0 2 3 4_ 5 5. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 0 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes R 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, Last modified 10/25/2012 PAR PROMPT -ACCURATE -RELIABLE LABORATORIES, INC WW\1'.PARLABS.CO\1 REPORT OF ANALYSES Attn: TIMOTHY DARR THE CHARLOTTE OBSERVER FACILITY MANAGER 600 S. TRYON STREET CHARLOTTE, NC 28202- PROJECT NAME: DEC 14 DATE: 12/17/14 SAMPLE NUMBER- 116985 SAMPLE ID- COT-OF'01 SAMPLE MATRIX- WW DATE SAMPLED- 12/06/14 TIME SAMPLED- 0545 DATE RECEIVED- 12/09/4 SAMPLER- TD RECEIVED BY- DJ TIME RECEIVED- 1050 DELIVERED BY- TD TYPE SAMPLE- Grab Page 1 of 1 ANALYSTS ANALYSIS MFTHOD DATE TIME BY RESULT UNITS pH VALUE SM 4500H-B 12/09/14 1055 DJ 7.59 units OEL & GREASE EPA 1664 12/15/14 0240 CT < 5 mg/L TOTAL SUSPENDED SOLIDS SM 2540 D 12/15/14 0810 DJ 9 mg/L LABORATORY DIRECTOR P.O. Box 411483 • Charlotte. NC 28241-1483 Phone: (704) 588-8333 • Fax: (704) 588-8335 P� F;Z U PROM PT•ACCURATE • RELIABLE LABORATORIES, INC CHAIN OF CUSTODY Phone (704) 588-8333 Fax(704) 588-8335 Shipping: Mailing: 2217 Graham Park Drive PO Box 411483 Charlotte, NC 28273 Charlotte, NC 28241-1483 It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carnlina r]enartment of Fnvirnnmental nnfi Natural RasnHrrsac Company Name (billing) The Charlotte Observer Comments/ Special Instructions Address 600 S. Tryon Street City, State £t zip code Charlotte, NC 28202 Point of Contact & Telephone Number Timothy Darr (704) 227-6365 Sample Taken By: SIGNATURE PRINTED NAME Timothy Darr ARE SAMPLES FOR STATE or EPA REPORTING? YES NO "Sample Type: DW ww GWMW HW Soil other Sample Temp at time of sampling: ° C Sample Temp upon receipt: 3° C "Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No nla Residual Chlorine checked at time of sampling (Y/N): Dechlorination Necessary (Y/N): Client Sample I.D. Set Up Collection nalyses (Sample Location 1 Number) Comp Grab Preserv. Datefrime Datelrime Requested COT-OF01 X 4 -C pH, TSS Relinquished by: Daterrime X I H2SO4 I; IIa�G��=rhOIL Et GREASE Received by: '.2 -�) 2 -,/ / o Date/Time ' C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=hazardous Waste IT, Semi-annual Stormwater Discharge Monitoring Report --lior North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted Lj— 13 — b�f CERTIFICATE OF COVERAGE No.. NC 08D-Q- $1 FACILITY NAME rl-\Q- Qrj! 1. COUNTY PERSON COLLECTING SAMPLES LABORATORY RrtL IA-bs Lab Cert. #t Commenis on sa'rriple collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR Ac Iq SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ monthly' _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA V RECEI ED ❑Zero -flow []Water Supply ❑SA ..�. [Other-s,rn. t.J�✓ APR 28`ZOt4 Y CENTRAL FILES DWQ180G PLEASE REMEMBER TO SIGN ON THE REVERSE 4 No discharge this period' _Clutfatl �, �� � - ;. -Date _- - � :�: 00530 _�-.. _�_ -. 00400 00556- z 1. No Sarnple:Collecied, Total Suspended pH, Non -Polar Qil and:Grease/TPH,;EPA New;Motor Oil Usage; _ mo/dd/yr Solids, rri /L g - ;, z Standaid units: ( EM), rft/l. Method1664 SGT-H Annual average gal/mo Benchmark: - -- 50,=or-100 see; permit ;- " Within = - cosnr---i 31z5 lti� 120,1 - {4.41 I I. 5 ^,,t I Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Ono (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals O.titfalt = No : Date - = Sainple;Collected, -._ ::. .. _ 00556 _ _ 00530 _ .00400 . Nori Polar Oil and Grease/TPH EPA Method = Total-Susperided Solids, :- pH - W ry o/dd/yr _ 16 64 (SGT=HEM) =mg/L _ mg/L . W. Standard units: Permit limit =' = 15 - `- 50 or l00 see permit 6.0—'9.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 Page 1 of 2 r 46 STORM EVENT CHARACTERISTICS: Date 3t25 %%(first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 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 ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" revorts, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports)to: sion}•of-Water Quality `'• r t:. = '�' : �,`" "' "'''� , ;' Attm 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." (Signature of Pehn' ittee) LfIz3114 (Date) Additional copies of this form may be downloaded at: httg://gortal.ncdenr.orl;/web/wa/ws/su/ngdessw#tab-4 SWU-250 last revised October 25, 2011 Page 2 of 2 NCDENR Stormwater Discharge ;Outfall {SolA.; f I 1 Qualitative Monitoring Report For guidance on filling out this form, please visit: http://12ortai.ncdC.nr.oi-g/web/wq/ws/su/_rrpdessw#tab-4 Permit No.: N/Cput/-M�/6/aVP Facility Narne: `i�-tit c�,PriZlo l County: '[he-C-Uf:Xn 6u- Inspector: _ Mr,>L ,h� A fy1 Date of Inspection: "I\4 Time of Inspection: Le" Total Event Precipitation (inches): . 1 or Certificate of Coverage No.: Phone No. 91) �-- 3S�y _S 3 S"b •5�S' ' Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑ Yes [�INo Please verify whether Qualitative Monitoring must be pet formed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge From the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete'to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 5WU-242, Last modified to/25/2012 F 1. Outfall Description: Outfall No. CO-T—U.0J Structure (pipe,'ditch, etc.) Receiving Stream:' .w l+r'�..t + n Cr c.lc• Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (Light; medium? -dark) as descriptors: - • '.1 s� .� 4.. ],-i•...i . '`.i. k. � � E "a i ',6 .,�... r'� � � ? i 3. Odor: Describe any distinct!odors.thatthe discharge may have (i.e:;�smells.strongly of oil, weak chlorine odor, etc.): y. 4. Clarity: Choose the number which best describes tke clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 CD 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: (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: 1 �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 outfali? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes No 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 10/25/2012 An PAA PROMPT•Ar-CURATE• RELIABLE �ABORATORIES, INC %V %N' N4'. PA R l-A BS.(-0M REPORT OF ANALYSES Attn: CHUCK GRIFFITH THE CHARLOTTE OBSERVER FACILITY MANAGER 600 S. TRYON STREET CHARLOTTE, NC 28202- PROJECT NAME: MAR 14 DATE: 04/03/14 SAMPLE NUMBER- 1132.91 SAMPLE ID- OBS COT-OF01 SAMPLE MATRIX- WW DATE SAMPLED- 03/25/14 TIME SAMPLED- 1400 GATE RECEIVED- 03/23/14 SAMPLER- TD RECEIVED BY- DJ TIME RECEIVED- 1525 DELIVERED BY- TD TYPE SAMPLE- Grab Page 1 of 1 ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS ® pH VALUE SM 4500H-B 03/25/14 1530 DJ 6.91 units OIL & GREASE EPA 1664 03/31/14 0920 CT < 5 mg/L TOTAL SUSPENDED SOLIDS SM 2540 D 03/31/14 0840 DJ 12 mg/L LABORATORY DIRECTOR rl%t—CEIVED APR 28#j z8ZLI14 Information Processing Unit DW(71BOG 1'.0. Box 411483 • Chm-Inttr, NC 2K241-1483 1'hnnc: (704) 588-8333 • Fax: (704) 588-8335 PA PROMPT•ACCURATE • RELIA13LE LABORATORIES, INC Shipping: 2217 Graham Park Drive Charlotte, NC 28273 CHAIN OF CUSTODY Phone (704) 588-8333 Fax (704)588-8335 Mailing: PO Box 411483 Charlotte, NC 28241-1483 It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR laboratories, Inc. and the North Carolina Department of Environmental and Natural Resources. Company Name (billing) Comments/ Special Instructions The Charlotte Observer Address 600 S. Tryon Street City, State i3 zip code Charlotte, NC 28202 Point of Contact EL Telephone Number Chuck Griffith (704) 358-5663 Sample Taken By: SIGNATURE PRINTED NAME ARE SAMPLES FOR STATE or EPA REPORTING? YES NO *Sample Type: ow ww GwMW Hw soil other Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C **Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No n/a Residual Chlorine checked at time of sampling (YIN): Dechlorination Necessary (YIN): Client Sample I.D. (Sample Location 1 Number) Comp Grab Preserv. Set Up Date/Time Collection Date/Time Analyses Requested COT-OF01 X Y%1-1110tj pH, TSS " X OIL Et GREASE Relinquis a y' Date i Rece" d by: Date/Time lRelinquished by: DatelFime Received by: Daterrime M N L— %a L— I V C C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste See Other Side APR , 8 Information Processing Unit DWQIBOG