NCG030467 DMR SW (3)

I
I
STORMWATER DISCHARGE OUTFALL(SDO)
I MONITORING REPORT
GENERAL PERMIT NO.NCG030000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2nd Half 2016
CERTIFICATE OF COVERG413011,6,7 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Wireway Husky Corporation__ COUNTY Lincoln
PERSON COLLECTING SAMPLES Camden B.DeVane PHONE NO.f704) 438-5629
CERTIFIED LABORATORY Pace Analytical,Incorporated Lab#37706
Lab# PLEASE SIGN 'IN THE REVERSE-
Part A: Specific Monitoring Requirements
,,; ,Date `,`„ ;,f .,,,-',:,-..'010530I,"' , ' r'6;.=,00400:',,.;;;. ,010.5,1`'' "P' ,'00556,-%,-- „ 78141,
Sainpl Collecteci;! Total Suspended,Solids,: !1,- , apx;— ,+�` k..-,, r' ;'Oil,'and;+,Grease,a Total' Toxic,Or
NO. - ,•.- - , ,r i'r,.r,` • • • , . • , d'';Lead.,,ntg/L - •'�,,, . - .
,,. mo/dd/yr,', _mg/L..,, ,I,, ,,Standard;-units' ,._ c' ,r;, +'In • " ` .—
Bench�mar 7�,, .°k'„ _ ' ','''''"I\'''',-
,'i' 'rk,\rc _;'�z„I{` ''''.:100'I"'''' - ,; tl r 'v.,`� '4i� .iu ' ,,,� -,30 ,et,, ,. „ ,1., „
',: ;I ',�it➢ain,6:09.0'�',' :®.033";� ��',' k'
1 09/02/16 <2.5 6.80 <0.005 <5.0 --
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH,you must implement Tiei 1 om Tier 2 responses.
See General Permit.text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes _X_no RECEIVED
(if yes,complete Part B) OCT 0 5 2016
_Part B: Vehicle Maintenance7nActivity Monitorin RequirementsrCENTRAL FILES
Ir ,kptu,,,,lf' e', ,a 1,z'IBate'n,4 1i°gq J^,r:i;,'•;, ,'a P,';'4.',.'0055,6 1. t',"1• 'f''''':',;...,,'''',,;400530,',',':,'•:',•
,eJ',, '}'r ,i ,a Y r ',-', - ' DWR SECTION
� °' ',. �, � `,'�„, w r'' ,00400��"''^,„,,, �
r1':,'Sample',Colle&ed;v;....,,,,: - 1:Oil and Grease,' 1,,, x,;Total'Suspen leil=Solids,'; ,i- ,p11, ;New Motor;Oil,Usage,1
,• :47P ''''' .,y= U '-' E- :,�;°.y ",�i1„ �'rngIL� ' ,,',, "�.iStanda-a'units ”
,_ ,,„,, N,aiag(,d_ yr„ _ ?,;,' ,13 . , , , 1 k ,,, g ,,'_�,,; =` '„ nnua'l,avera'ge•gal/mm,,
-Benchthd7rk-' , _ , ,•''t'',- .'`'`:',';.', 30'3� „ ' x ;,6:0"x'9:0II' . ,- , _
E _ NOT APPLICABLE
Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH,you must implement Tier 1 om Tier 2 responses.
See General Permit text.
STORM EVENT C ARACTERISTICS: Mail Original and one copy to;
Division of Water Quality
Date September 1,2016 Attn• DWQ Central Files
Total Event Precipitation(inches): 0.39" 1617 Mail Service Center
Raleigh,Nom th Carolina 27699-16 17
1 Total Toxic Organics sampling is applicable only for those facilities which perfomm 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
S W U-245-0313 08
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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 49 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469 31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring 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 TTO monitoring waiver,the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics(TTO), l
certify that to the best of my knowledge and belief,no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring*,report. I further certify that this facility is implementing the all the provisions of the solvent management
plan included in the Stormwater Pollution Prevention Plan"
®gyp c/ ,/0 i,
Name(Print name)
O � 13
Title(Print-titl`e7
7/2 6
(Signature) -�' (Date)
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a systems 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 fine and imprisonment for knowing violations."
(Signature of A'erngaitTe) (Date)
SWU-245-031308
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