NCG030597_DMR_20210601

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted June 1st, 2021
CERTIFICATE OF COVERAGE NO. N0003 0 5 9 7
FACILITY NAME American Emergency Vehicles
COUNTY Ashe RECEIVED
PERSON COLLECTING SAMPLES Brandon Patrick
LABORATORY Statesville Analitical Lab Cert. # 440 JUF2 12021
Comments on sample collection or analysis: CENTRAL FILES
9011RSECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2021
SAMPLE PERIOD X❑ Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]Watersupply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Point 1
04/30/21
.3
<2.688 mg/L
6.61
<.002 mg/L
<.002 mg/L
.031 mg/L
7.10 mg/L
N/A
Point 2
04/30/21
.3
<2.778 mg/L
6.31
.0025 mg/L
<.002 mg/L
<.001 mg/L
<5 mg/L
N/A
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance forthe same parameter at the same outfall.
2For 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.
`See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

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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 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 ❑X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: Winston Salem
Mail an oriainal and one copy of this DMR includina all "No Discharge" reports 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, North Carolina 27699-1617
"I certify, under penalty of law,711 this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel proper ther and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gather the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that a are sig ificant penalties for bmitting false information, including the possibility of fines and imprisonment for knowing violations."
tsi a ttee (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

I
i
Mi
sta"water MchpOO&A (00)five.
Moto ; RepoP
1 "
For p idanw on frlllifg out
Permit No.:
Facility Name• ' J
Inspector.
Date of Inspection: to
Time of inspection:
Total Event Precipitation (inches):
1 i/fti" V Ifi
or Certiff
Ago% A i ?J, ! PWMV 14M
No. I410
Was this a "Represented Storm Even' or "Ni '
(See information below.) ; eastn�eable Stot�m gent+" as defined by the permit?
Yes ❑ No
Plew verify whedier QuQl ye hfon
event"or "�itecrsurearblestarry e�f'[ ft�mustbeperfor��ft o'frepreserttrttfv�es#artn
eats vary, demdrng on the pennftf.
Qualitative monitoring re4Wrements vary. Most pefimits
Performed during "rep�n#ative storm event?' Orduring qualftative tnonitior�ag�o be
some permits do not have,•tbis a `�sureable storm event:' However,
regwirement Please refertD these de&ftw % ifapptuabj&
A erepreseatatWe SWM,eveW Is a storm event gm
and that is preceded by atieast 72 hours n t
r than 0:1 bu es of rainfaD
0.1 inches has ) w�bicb no storm event measurin8greater d=
.precipitation. up e r° eventmay up to 10 aonseeutwe hoary ofao
"Ewa eble storm c"=C is a shown eventtbat nesults in am actual di
pernutted site outfall. Thy previous measurable storm event iaust have from the
prior. • The 72 hour storm iUft vw does notapply ueebeen at least 72 hours
interval is representative rk storm event, #f ftng �e s is able to documenttitat4dwrter
obtainsa rovai ftlom thell ' DW � Office.pE°8 Plod, and the permitter
BY this signature, l Certifylthatthis reportis accurate and coin late to
P the best of my knowledge;
(Signature of Perinitiee of Designee)
Page 1 of 2
swu 242. 1AUUM&Aea 10rzs/201

1. Outfell Qescripifon: ..
oudWI No. 1 Structure (pipe, ditx� etc)
Receiving Stream:_. _
Describe the industrial activities that occurwldiin the outfall drainage area:
2. Color. Describe the color of the dWhMeithg basic colors (red, brown, blue, etc.) and tint
Clight; medium, dark) as descriptors: .
3. Odor. Demibe my disdnctodors tat the discharge may have (Le., smells strov* ofoll,
weak chlorine odor, eM)ZKCA
-
4: C3a W. Choose the number which best describes the clarity of tree discharge, where 1 is
clear and 5 is verycoudy:
2 3 4 5
• 5. Fioattng Solid:: Choose the number which best describes the amount of floating solids in
the stormwaterr discharge, where i is no solids and 5 is the surface covered with floating solids:
1 4J 3 4 5
6. Suspended Sollds. Choose the number which best describes the amount of suspended
solids to the sbormwater cis+charge, where 1 is no solids and 5 is eatmmgly muddy:
2 3 4 5
7. Is there any foam lathe stonnwater discharge? Yes
8. is there an oil sheen in the starmwater discharge? Yes
9. Is there evidence of erosion or din atthe autfall? Yes D
10. OdW Obviooa lndk�ttots of Stormtwat r Poiiation:
List and describe '
Note: Low clarity, high solids, and/or the presence of fomnr, oil sheen, or erosion/deposition
may be indicatfve of pollutant esposure. These conditions warrant . ther fnvesdgation.
Page 2 of 2
SWU-242 LutmoMW 1o/xs/zoiz

Analytical Results STATESVILLE
ANALYTICAL
Town of West Jefferson
PO Box 490
335 Clearwater Drive
West Jefferson, NC 28694
Receive Date: 05/03/2021
Reported: 05/13/2021
For: AEV Stormwater
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
210503-20-01
Copper
Point 1
<0.002
mg/L
EPA2o0.7
05/12/2021
MD
210503-20-01
Lead
Point 1
<0.002
mg/L
BM3113B-2004
05/11/2021
MD
210503-20-01
Oil and Grease
Point 1
7.10
mg/L
EPA1664R.B
05/06/2021
CE
210503-20-01
TSS
Point 1
<2.688
mg/L
sM2WD-2011
05/07/2021
CE
210503-20-01
Zinc
Point 1
0.031
mg/L
EPA200.7
05/12/2021
MD
210503-20-02
Copper
Point
0.0025
mg/L
EPA200.7
05/12/2021
MD
210503-20-02
Lead
Point
<0.002
mg/L
sM3113a-2m
05/11/2021
MD
210503-20-02
Oil and Grease
Point 2
<5
mg/L
EPA1664Rev0
05/06/2021
CE
210503-20-02
TSS
Point 2
<2.778
mg/L
sWWD-2011
05/07/2021
CE
210503-20-02
Zinc
Point
0.01
mg/L
EPA200.7
05/12/2021
MD
Respectfully submitted,
Melissa Myers
NC Cart #440,
NCDW Cart #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 210503-20-01 Temp on Arrival: 3.0
pH on Arrival: <2 Parameter Schedule:
Nitric Acid Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: Copper
Nitric Acid Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: Lead
Nitric Acid Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule:
TSS
Received on Ice
Sample Number 210503-20-02
Temp on Arrival: 3.0
pH on Arrival: <2
Parameter Schedule:
Nitric Acid
Received on Ice
Chemicals in containers, lab
pH on Arrival: <2
Parameter Schedule:
Copper
Nitric Acid
Received on Ice
Chemicals in containers, lab
pH on Arrival: <2
Parameter Schedule:
Lead
Nitric Acid
Received on Ice
Chemicals in containers, lab
pH on Arrival: <2 Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2of3

Statesville Analytical Holdings, LLC
122 Court St. Statesville, NC 28677 A E\
704-872-4697 H V
CHAIN OF CUSTODY
SAMPLE TYPE: STORM WATER "PRESERVATION CODE
LOCATION: American Emergency Vehicles 1 - H2SO4, 2 - HNO3, 3 - HCL,
FACILITY ID#: NCG030000 4 - NAOH, 5 - NONE, 6 - COOL ICE
SAMPLER NAME: Brandon Patrick 7 - NA2S203, 8 - OTHER
COMPOSITE SAMPLE: START DATE: START TIME: STOP DATE: STOP TIME:
SAMPLE NAME:
COLLECTION
DELIV
TEMP
SAMPLE TYPE
PRESERVATION'
PH
verify
CL2-D-CL2
LAB SAMPLE
to NUMBER
DATE
TIME
TEMP
GRAB
COMP
F-FIELD
L-LAB
YES
NO
TSS - Point 1
04/30/21
om
13,3
G
F6
Oil & Grease -
Point 1
04/30/21
G
F6
Total Pb - Point 1
04/30/21
G
F6
Total Cu -Point 1
04/30/21
G
F6
Total Zn - Point 1
04/30/21
6 Y o
. 3
G
F6
04/30/21
TSS - Point 2
04130/21
og3t.
1 3 ,f7
G
F6
Oil & Grease -
Point 2
04/30/21
G
F6
Total Pb - Point 2
04/30/21
G
F6
Total Cu -Point 2
04/30/21
G
F6
Total Zn - Point 2
04/30/21
� �
�?,'j
G
F6
RELINQUISHED BY:
DATE
S-3-a I
TIME
o?so
E 11ED B
- �,t,
O
5
T
TI E
I '2
RELINQUISHED BY:
DATE
TIME
RECEIVED BY:
DATE
TIME
"Laboratory preservation is ensured by addition of preservatives prior to sample
containers leaving the lab, unless otherwise noted.
CL2-D-CL2 = Chlorine check and dechlorination verification. 2( l�' �`ij. 1*1 �i 0-09l
PRESERVATION:
() COOL 40C: BOD, RESIDUE, CONDUCTIVITY, MBAS, COLOR, ALKALINITY, CR, VI, TURBIDITY
() COOL 40C, PH<2 H2SO4: NH3, NO2-NO3, TKN, OFtG, TOC, COD, HARDNESS, PHENOLS, TOT PHOS.
() COOL 40C, PH<2 HNO3: METALS EXCEPT CR, VI
0 NONE: CHLORIDE, PH, FLUORIDE Point 1: pH `• 1
OTHER:
()COOL4°C, NA2S203: COLIFORM BACTERIA Temp 17 y.
Cond 7 2
Rainfall: ' Point 2: pH 6• 3I
0.30 Temp 13-'7
Cond /Q6
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3of3