NCG120038 DMR SW (3)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted 5/27/16
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CERTIFICATE OF COVERAGE N@rNG�2®�38 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Halifax County Landfill SAMPLE PERIOD x Jan-June ❑July-Dec
COUNTY Halifax or Monthly1 (month)
PERSON COLLECTING SAMPLES Edgar Stanfield DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Environment 1 Lab Cert.# 10 Comments on ❑Zero-flow ['Water Supply EISA
sample collection or analysis: ®Other C
RECEIVED PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A: Stormwater Benchmarks and Monitoring Results JUN 01 Z016
CENTRAL FILESI No discharge this period?2
DWR SECTION
Outfall No. I
Date Sample I 24-hour rainfall
Collected amount,
(mo/dd/yr) Inches3 Chemical Oxygen Demand Fecal Coliform Total Suspended Solids
Benchmarks===> - - 120 mg/L 1000 count per 100 mL 100 mg/L or 50 mg/L4
Basin 1 5-3-16 44 <2 23
1 Monthly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
3The 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.
4 See General Permit text,Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example,do not report Below Detection Limit, BDL, <PQL, Non-detect, ND,or other similar non-
numerical format. When results are below the applicable limits,they must be reported in the format, "<XX mg/L",where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely,where fecal-coliform results exceed the dilution upper limit, report the result as">XX".
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.
------ - --- -- - -
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?2
Date Sample 24-hour rainfall
Outfall No. 1
Collected amount, Non-polar O&G/TPH by
(mo/dd/yr) Inches3 EPA 1664(SGT-HEM) Total Suspended Solids pH
Benchmarks=_=> - - 15 mg/L 100 mg/L or 50 mg/L4 6.0—9.0 SU
•
Footnotes from Part A also apply to this Part B
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 AAND 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:
Mail an original and one copy of this DMR,including 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
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."
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(Signature • rmittee)
- - - - - ----- ------ - -- ----- -- i-ta- - te) --- -
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 2 of 2

Environment 1,Inc. CHAIN OF CUSTODY RECORD
P.O.Box 7085,114 Oakmont Dr.
Greenville,NC 27858 Page J_of_I_
environmentlinc.com DISINFECTION p CHLORINE NEUTRALIZED AT COLLECTION
Phone[phone]•Fax[phone] `}(/
Ull CHLORINE
CLIENT: 299 Week: 11Ct pH CHECK(LAB)
❑"UV
HALIFAX LANDFILL(COAL&ASH) 11:111NONE P P P CONTAINER TYPE,P/G
C/O SMITH GARDNER,INC.
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ATTN:JOAN SMYTH CHEMICALPRESERVATION
14 N.BOYLAN AVENUE C G A
RALEIGH NC 27603 o A-NONE D-NAOH
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[phone] --� w 6 Cl) P. B- HNO3 E-HCL
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o 1: C-H2S03 F-ZINC ACETATE/NAOH
COLLECTION w 8 V
8 ii_ q Ti a cc G-NATHIOSULFATE
SAMPLE LOCATION DATE TIME o o p ¢ ?uv r� F °a-
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Basin#1g:SI3 iz,4 "» " . CLASSIFICATION:
1-.111 WASTEWATER(NPDES)
DRINKING WATER
DWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY(SEAL)MAINTAINED
DURING SHIPMENT/DELIVERY
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SAMPLES COLLECTED BY:
(Please Print)
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SAMPLES RECEIVED IN LAB AT 3-c °C
R NR ISH I =--,- ' •pp/ /7mrnME 5RECEIVE BY SIG.)/ r •1 ATE/TIME COMMENTS:
i ce. al)/,'/ ( v/3 l of !l/(.0
R QUISHED BY(SI ) DA i ME RECEIVED BY(SIG.) DA i ME
- RELINQUISHED BY(SIG.) DATE/TIME RECEIVED BY(SIG) DATE/TIME
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PLEASEREADInstructions for completing-this form on the reverse side. Sampler must place a"C"for composite sample or a"G"for -----„,--;-,--- —
FORM#5 Grab sample in the blocks above for each parameter requested. N 2 3 0 3 3 8 4