NCG030333 DMR SW (2)

Semi-annual Stormurwtar 0«dharee Monitorin>6: Reddrt
for North Carolina Division of Water Quality General Permit No. NCGO300oo
Date subrnitted
CEIMAcATE of cOvWGE No. NC603 j SAMPLE COLLECTION VUft
FAQLnY NAME Cl_Cl S ., ,,.c I . �.c L _L A1,e &qBrwti f Q r -c a+!PSAMPLE PERIOD Jan•3une U July -mac
COUNTY G a v ,c v� or Monthly' h
PERSON COLLECTING SAMPLES _ tri t �s v T Ta . - DISCHARGING TO CLASS []DR -III W rout []PNA
omme ts'onOfty La Cert. lf' Oleroaflow OW,. Supply [] SA
Comneents on sample collection or analysis: rIolmr
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -�
Part A: Stormwater Benchmarb and Monitoring Results
outfall No. Data Sampla 1244mr sairdatl
eolleeted' amount.
&=>
TOW Suspended So114s Standard units
loo mA/Lor su nwt: 6.0-9A
No discharge thlsperiode
Non:pOlar 4tLG/ Total Toxic
Copper teedTO.O"67
Total Petroleum
HydrocarbonsOrt ss
0,0117 mg/L 033 MAI/L 15 AWL 1 rns/t
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 dis
' The total precipitation must be recorded using data from an on-site rain gauge, unattended sites maybe eligible fora waiver of the rain gauge requirement.
`-See General Permit, Table 3 identifying the especially sensitive receiving water c d'katio where tae i+tore. fsrotoctive benchmark
s Total Toxic Organics sampling Is applicable only for those facilities which >t�plfels:
electronic crystals, or manufacture cathode ray tubes, For u r"auet� manufacture ,
p rposes-qf tht
Effluent Guidelines for the facility subject lathe requirement to sample (fbmeial f nishin use the de�rotinn assBound jinn 4o CFR 433.ides Is'that 11�for seirtitonductarcontained in'the PA
manufacture use the definition as found in 40 CFR 469.12, for electronic crystal manufacture use the definition as found in 40 of 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date. 1]/1/2012-10!31/2417
SWU•24S, Inst rCvisw 10/25/2012
Page i of 3

Fo___Aes that incorporate a solvent management plan Into the Stormwater Pallufron Prevention Plan may so certify, and the requirement for TTO rnonitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the 7 TO monitoring waiver, the discharger shall sign the following certification statement:
'Based upon my Inquiry of the person�r P� ectly responsible for managing compttance with the per t monitoring req�i r e�it total toric organics
fn0),1 certify that to the best of my ifirbwf�a belief, ;ng vl t toxic organics into
stormwatik fbl 4has.tlttur�slrtro ° ��� �� 8 ormwateroraraas which are exposed to rainfall or
hdta�t�dlstfir n n b er certify that this fad yr is implemen6og the all the provisions of the
sol�rrtoi�t plan included in the Stonnwater Pollution Prevention Plan.'
Name -Print nes )
Title (Print title)
►gn (Date)
Note: Results must be reported In numerical Ramat. Oo not resort Below Detection limit, BDL, <PQL, Novi -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be-moorted in the format !<XX midL" where XX is the numerical value of the detection
limit, re ing limit, etc. in mg/L
- - -1 P kap 6-�-I � . 7�3Z. -&I- M71i- �' °i _ 45-1,
Note: 11 You report a sample value In excess o the benclinw � �" O.031 a O: 11 8'
i rk you must fmplemerrt Tier r`I; pr era responses. See General permit text. arc
Part B: vehicle Maintenance Area Monitoring Results: only for facilities averaging:,. SS gal of new oil per month.
No discha e`thls perlode
Outfall No. L�re 24hour raJtrfaU :' _
amount, Non -POW O&G/TP1by
(mb/dd! ) Indtess EPA 1664(SGT ttETotal Suspended Solids pH
8enc1►morfct �a - 1S mg/L 100 ntg/1 or SO •
mdll 6.O -9A SU
G
Fmuwtes from Pat A also apply to this part e; --
See General Permit text, Table S, Identifying the esperially sensitive receiving water classifications where the more
protective benchmark applies.
Permit Date: 111112012-10131/2017
SWU-245, last revised 10/25/2012
Page 2 of 3

V�
A tf you report a sample vdlite in exceu of the benchmark you muse irr,r,ement Tier 1, Tier 2, or tier 3 responses. See General Permit text
FOR PARtA ANO PART 8 MONft'ORiNG RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMEMS. SEE PERMIT PART 11'SfCTWN g,
` 2 Eyta""CES IN A ROW FOR THE- E:PAfffiR ATTHE SAME OUTMt TR1GGfR riERZ Rgq MEp . SEE PERMtfi PART If SfC'RON B.
• T1TA 3: ►tf, % FAC U Y HIED A O NOE SENOMARK EX FS R THE SAN1F PAftARAE1I:R AT A
ff , MAve�Y ?#ACTtOTliE oW4 REGib"toFF d? M ❑ wO L] NE OUTFALL? YES p nla p
REGXMAl.4Y;UC6hACT NAME:
AW: DWQCentrA Files
1617 Mag Servke Center
Raleigh, North Carolina 21d99.1614j
YOU, _MUSTS1GN 71ti5 fiFRYIPItAMM F2 Atly 1NrQH.1A! ft jHPO 7f0 .
'I cerbly, under penalty of taw, that this document anda1 tachmenis wbm prepared under my direction or supervirfon in accordance with g system d
assure
"at qualified personnel prpporiy gathor artd evaluate the information submitted. eased on my inquiry of the person or perapng y�,hp ma a e the Bed to
thosens directly responsible for$atherirtg the information, the syg m, or
information submitted is, oo the best of my knowledge artd belief, true, accuntie, and complete. t
am awar that t re are significant penalties for su"I g f Info anon, ince i ibiG bf_iTnc�s and 1m risonmentlbr knowln viplatl ,
itP�?-�,-'it, ! I�.lay - pm -� p �1
®,®y©2 C�.:la•1(
(oats)
Porm'A Date: 11/1/x012-10/31/2017
SWU•215, Imst revised 10/25/2012
Page 3 of 3