HomeMy WebLinkAboutNCS000325_COMPLETE FILE - HISTORICAL_20190212�IZo� Fa✓�;,<d
--- --STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
(V �- S 0 0.0
DOCTYPE
C� COMPLETE FILE'- HISTORICAL
DATE OF
RESCISSION
p � �a I a
YYYYMMDD
n
WE
M
rz
FEHRGR�`." M
ENGINEERING & ENVIRONMENTAL
Certified Mail No.: 7018 1830 0001 4853 5059
Return Receipt Requested
February 5, 2019
RECEIVE]
Division of Water Quality FEB 12 M9
Attention: Central Files
1617 Mail Service Center CEt4TRAL FILES
Raleigh, North Carolina 27699-1617 pWR SECTION
RE: Stormwater Discharge Outfall (SDO) Monitoring Report - January 2019
Patch Rubber Company
100 Patch Rubber Road
Weldon, NC 27870
NCS000325
Dear Sir/Madam:
Please find enclosed the Stormwater Discharge Outfall (SDO) Monitoring Report for storm
water discharge from the above -referenced facility for January 2019.
Please note the following:
• The facility was not able to collect the required samples from a "Representative
Storm Event" for the month of January 2019.
• The facility will continue monthly collection of storm water samples for analysis.
If you have any questions regarding these documents, please do not hesitate to contact
this office.
Sincerely,
N
TAAv nlL-�mble, CHMM
Y
Environmental Scientist
ALT: mns
Enclosure
cc: Mr. Marto Carter, Patch Rubber Company
0:1Patch Rubber Company119-1051PA Finat119-105 NC Div of Air - 2019.02.05 Storm Water SDO January 2019 letter-docx
221 E. Main Street I Suite 200 1 Freeport, IL 61032 1 p:815.235.7643 I f:815.235.4632 I www.fehr-graham.com
Insight. Experience. Results.
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000325
FACILITY NAME Patch Rubber Company
PERSON COLLECTING SAMPLE(S) Not applicable
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(This monitoring report shall he received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Halifax
PHONE NO. 2f 52)536-2574
EREQ
ATURE OF PERMITTEE OR DESIGNEE
UIRED ON PAGE 2.
Date
Sample
Collected
Total
Flow (iUa_pp.flj_Rainfall•
Total
• i
•1
"
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes Xno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
PH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
m0/1
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches); N/A
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 manpKIqsystem, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowIe be an elief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the py4sibility6f fines and imprisonment for knowing violations."
of Permittee)
- 1 2 A/l/
(Date)
The Facility was unable to collect the required samples from a "Representative Storm Event"
for the month of January 2019. "No Flow"
Form SWU-247, last revised 21212012
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000325 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME Patch Rubber Company RECEIVED COUNTY Halifax
PERSON COLLECTING SAMPLE(S) Not applicable A� 4 $ ZD�g PHONE NO. 2( 52 ) 536-2574
CERTIFIED LABORATORY(S) Lab #
Lab #E)ENTRA)_ FILES
DWR SECTION SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAG 2
Part A: Specific Monitoring Requirements
W"
jr, .
iSample
Date
Collected
• .
•
•
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
11,hrt B: Vehicle Maintenance Activity Monitorin, Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
_
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/T'PH
(Method 1664
SGT HEM), if
avoL
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/vr
MG
inches
MgA
UWA
Unit
galtmo
Form SWU-247, last revised 2122012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches): N/A
Event Duration (hours): (only if applicable -- see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 Ir and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the poxsi ,ty of ones and imprisonment for knowing violations,"
(Sianatur of Permittee) (Date)
The Facility was unable to collect the required samples from a "Representative Storm Event"
for the month of December 2018. "No Flow"
Form SWU-247, last revised 21212012
Page 2 of 2
F E H R G RAna-am
ENGINEERING & ENVIRONMENTAL
UPS Ground Tracking No. 1Z 884 74F 03 9441 7997
December 13, 2018
Division of Water Quality
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVED
DEC Z82018
CENTF?,flt_ FILES.
CIWR SECTION
Re: Storm Water Discharge Outfall (SDO) Monitoring Report - November 2018
Patch Rubber Company
100 Patch Rubber Road
Weldon, North Carolina 27870
NCS000325
Dear Sir/Madam:
Enclosed please find the Storm Water Discharge Outfall (SDO) Monitoring Report for storm
water discharge from the above -referenced facility for November 2018.
Please note the following:
• Storm water samples were collected during a representative storm event on
November 1, 2018.
• The results for zinc are above the facility's permit benchmark for Outfall 001 N.
• The facility has already implemented its Tier 2 response and will continue
monthly storm water inspections, analysis, and reporting.
If you have any questions regarding these documents, please do not hesitate to contact
this office.
Sincerely,
v T,/l&YY Uj__)
Amy L. Trimble, CHMM
Environmental Scientist
Enclosures
cc: Marto Carter, Patch Rubber Company (with Enclosures)
0:1Patch Rubber Company\18-1051PA Final118-105 -Div of Water Quality • 2018-12-13 -Storm Water SDO Nov 2018.docx
221 E. Main Street I Suite 200 1 Freeport, IL 61032 1 p:815.235.7643 I f:815.235.4632 I fehr-graham.com
Insight. Experience. Results.
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
PermitNurnberNCS 000325
FACILITY NAME Patch Rubber COmt]a_ny
PERSON COLLECTING SAMPLE(S)M ar1Q_ Caxter
CERTIFIED LABORATORY(S) pace Analytical Lab"" 40
Lab 9
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Halifax
PHONE NO. 2( 52 1536-2574
SIGNATURE OF PERMITTEE OR DESIGNEE
f.-QUIRPI) ON PAGE 2.
e
Date
'lm pd
,�
�-
• s
M� � � .
�
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity \lonitorinn Reuuirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if Opp-)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/vr
MG
inches
nim
mg
unit
gallmo
Form S%VU-247, last revised 21212012
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 11/1/2018
Total Event Precipitation (inches): 0.44
Event Duration (hours): (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Ann: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 possibilltj, of fines and imprisonment for knowing violations."
(Sianature:of Permittee) (Date)
f
Form SWU-247, last revised 21212012
Page 2 of 2
Meritech, Inc.
Environmental Laboratory
,gr-
Laboratory Certification No.165
0 1 W
Contact: Amy Trimble Report Date: 11/28/2018
Client: Fehr Graham NPDES it: NCS000325
221 R Main St Project: Patch Rubber Co.
Freeport, IL 61032 Date Sample Rcvd: 11./14/2018
Merltech Worlc Order # 111418105 Sample: OF 001 N Grab 11/1/18
earameters Resuit5 Analysis Date Rep_ortine I.iuiitl ilnit Method
COD <15 mg/L 11/16/1B 15 mg/L EPA 410.4
Zinc, total 0.124 mg/L 11/19/18 0.010 mg/L EPA 200.8
Meritech Work Order # 111418106 Sample: OF 002 S Grab 11/1/18
Parameters
COD
Zinc, total
Re.5111tsAnalysis Date Revorting I,Irnit t od
<15 mg/L 11/16/18 15 mg/L EPA 410.4
0.066 mg/L 11/19/18 0.010 mg/L EPA 200.8
1 hereby certify that 1 have reviewed and approve these data.
Labor•atoly Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
y} Chain of Custody Record (C►C)
NPDES#:_1V,G�51M3a5
Phone:_ L86 a35-7_U433 - - -
Address: Q"Qi E. rrioi n ft Fax:_4&5) aW_ —4Ea�d
LL�rembJG� ►V-n.Corr�
Email: rncar@ aftJ-rrubber.
_4?C�iC'�.�:_I�� — _ Project:PC[�Y�} gUbtfCOY
P.O:#:
Attention: m T Turn Around Time'
Flow would you like your report sent? `RUSH work needs prior approval.
Circle all that apply: Email referred), Fax, Mail Std 10da ) 3-5 Days 24-d8 Hrs
i Y 9 E Ill � 1 � �`C+ � INC.
1
ENVIRONMENTAL LABORATORIES
y 642Tamco Rd. Phone: 336-3424748
Reidsville NC 27320 Fax: 336-342-1522
Email: info@meritechlabs.com
www.meritechiabs.com
Sample Location and/or ID#
Sampling Dates & Times
person Taking Sample (sign/Print):
Lab Use Only
Start
End
comp?
Grab?
#of
Cont.
Test(s) Required
-on ice?
Yes / No
pH OK?
CI OK?
Date °
Time
Date
Time
OF
I I-1�
�j'.0/i
- - 8
g'�Y�Prcr
C�MD
Temperature Upon
Receipt: J.
., (g
Method of
Shipment:
Dechlorination (c0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples
must be done in the field prierto preservation. "`
Comments:
-
Compositor #
Jug #
❑ UP5
❑ Fed Ex
Are these results for regulatory purposes? Yes X No ❑
ram,
1Z Report results in: mg/L mg/kg ❑ ug/L [)
❑ Hand Deliver
ry
Reiinqu"fished by: Rate: Time;
1 18 11.3Lka
Rece�v y:. i �rn�J f [late: Time• , , . ,
Ly �✓-/r ).u_�'
® Other
i
ReEi qu ed b Date: ime:
% .�.� �.y,r �i ?✓ y . f
Received b Date: Time:
y:
RelinquishedbyDate: 'rime,
Rec ' "b: pe Ti J�
A�
NC DENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: ,I—Ilportal.ncdenr,arg/_wci) wglwsjsti.1tipdesswgtah-4
Pcrmit Uo.: N./C/S / 010 / 013 / 2 f 5/ or Certificate of Coverage No.: C/_._/ _/
Facility Name: Ratch Rubber Company
County. Halifax Phone No. 252-536-2574
Inspector: _lllzl l-e-, CIA7Z 2
Date of Inspection: % i- - Y'
Time o f I nsp e cti o n: S'__ _10_
Total Event Precipitation (inches): DT FH'
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
4 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 refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
i and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
s 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
I 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:
Lure ppermittee or Designee)
Page 1 of 2
SWU-242, Last inadified 10/25/2012
-.._._.._....__._._.L-....._.putfaliDescription: - _._._..__,_..__ ._.___. ..__._.w... _____.�._...,.._....._.._ .._.._....,.,..,_..._-- --
Outfail No. 001 Structure (pipe, ditch, etc.) Concrete pi2e
Receiving Stream: Unnamed tributary to Roanoke River
Describe the industrial activities that occur within the outfall drainage area:
North oarking lot roof drains
2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: G'1r . Aid'
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ I /0'yLX
4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
m 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 cowered 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:
a 2 3 4 5
7. is there any foam in the stormwater discharge? Yes oo
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
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 modifled 10/25/2012
KIAV
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htti%l/ilrrtal.rl eiir.nry/web/rya/ws/su/npclessw#tab--1
Permit No.: ZI J�/g/g/Q/ Q/.3 /�/� or Certificate of Coverage No.: I/�/'L/�(_/_/�/—/_/
Facility Nanie: Patch Rubber Co 2a
County: Halifax Phone No. 252-536-2574
inspector: /ISULt=V_ (—rA/t}/
Date of Inspection: (! l — 2[ lx
Time of Inspection:
Total Event Precipitation (inches):
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
1' Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "rneasureable 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 I
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 `f
obtains approval from the local DWQ Regional Office. 1
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Sigrfature d—Permittee or Designee)
Page I of 2
SWU-242, Lastmodlfted 19/25/2012
1. Outfall Description: '
Outfall No. 002 Structure (pipe, ditch, etc.) Concrete pipe
Receiving Stream: Unnamed_ tributary to Roanoke Rivet
Describe the Industrial activities that occur within the outfall drainage area:
Roof drains
(light, medium, dark as descriptors:..---. iv —A. g g { } d tint
2. Color: Describe the color of the disc ar a using basic colors red, � g } ptown, blue, etc. an '_—
_ _ 3. Odor.:_Describe.any_distinct.odors.that.the.discharge_may_have_(i.e.,.smellsstrongly_of.oil,_._..
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is vety cloudy:
() 2 3 4 5
S. FloatingSofids: 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:
CamIA
' 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:
(A N
y 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 �I
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe IN I u'
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erasion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012