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Home My WebLink AboutNCG100163_MONITORING INFO_20151230STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v C� �00J �D DOC TYPE ❑HISTORICAL FILE BWONITORING REPORTS DOC DATE ❑ a'CJJ 5 1a '3 YYYYMMDD STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 0 0 0 lv C cflobl6.3 FACILITY NAME Worthington Ag Paris PERSON COLLECTING SAMPLE(S) Skip Leigh CERTIFIED LABORATORY(S) Pace Analylical Lab # 5342 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (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.) RECEN'=Dy Wayne (jEL 3 PZ.HONE NO. ( 419 ) 735-0987 CENTRAL FPLE*E REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 1 6.0 — 9.0 2 100/50 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 11/21/2015 0.9 5.0 8.0 ND -- ND ND 001 12/15/2015 0.5 -- -- ND -- -- 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 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan 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), I 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 all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Skip Leigh Name (Print name) Manager Title (Pri it _ Si ature Date 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 and belief, true, accurate, and complete. I am aware that t[Vere are signif!pant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /1-1 -19-/s (Signatd of Permittee or DelWnee) (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 (7' RECEIVED JAN 21 Z015 I STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 6 V 0 1�'C 6- i 0 0 / k3 FACILITY NAME W n 241- -/ 1,4 on/ �y P�� k5 - PERSON COLLECTING SAMPLES} SK; a L e +9 4 CERTIFIED LABORATORY(S) /4 CE Lab # Part A. 5to rmwater Benchmarks and Monitoring Results CENTRAL FILES DWRS�ECTION SAMPLES COLLECTED DURING CALENDAR YEAR: oC (D / V (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.) At C COUNTY PHONE NO.{_) O q 2 -I rn PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you mast submit this discharge monitoring form rioting "No Flow" or "No Discharge" within 30 days of the End of that period to comply with permit reporting requirements. p»..;r, r�:7. T... I ; �.��,�'�,K' �-rae� �,c c _ to r'''" rs' 4:t } _ - -•�3'+:-= Z _ �.- - �'i�- ^a�w■ ] i _ L� tit F'c ?�+ii 2`r a ':ZL[C - ��.17 2 -�-r-s �_�� ..^y.•„L 'ay Ytr .r O- z- cx it�V l * ` s i'io'%�i51@L'3g8tE�d.I J H,� �..ryE e G t'�Iead<T ll}r'T�etalT e ?tY�rtR�:., 3tandaids_ �s r.�. 4�,r ')DBG PH' s .m8ii. r, _ Reca�rerable, �•' ti�Idsr ,. �.r-it'k'i` - _ _1 - 'f=G-ft�if p^.�- _ ram- ::t i - ,w' ci x i.�.',f Y� r:^ r_Inrfte C� y�..`�.ry _� iY- . �: Y5 :,A.�r...%3r:! .�(• :. .vy'-_':ti- .. - -. ..-T-.. ...»„-: -fi" .. i '�JSi�! L`F� _ WGT �i= T-r �]+ F�.4 r i�� .;r3T.,.,. .r. s� :wY i`- ::_ r3 - - t,M '�+% f'•;•T qq �-(r, . 1s �k.;.i�'i,�•`.r - "i_= }'.. 'L:.s-:t�2: c-s:: ..� y E-_ _ �..�S l:y C :'N-'� =:.4. r .`.,:�� S J'� i _ .f j j= .y r=• r�r - s.yrx= -iT ••}- (li ✓�C:1.� _:''[[--�� - _-.k.rffi'�+-r _•i:s�'� - - , _�n.-� G-i' 'c :ats<. ;'.y�'iY- Yr-SI•... T.'-Y..-.N �`ii iL-s t�},y 8 mark - aad3}G_ - ,� 3 S. Z— �Q• .y IV G iv D 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 or Tier 2 responses in the General Permit. ISee If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is *e pH of the precipitation (within Instrument accuracy) instead of 6 S.U_ Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. z See General Permit text to identify whether the moreprotective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40Code of Federal Regulations (CFR) Part 122. Form SWU-251, lost revised October25, 2012 Page Iof2 STORMWATER DISCHARGE OUTFALL {SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certificotioo Stotement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TToj, I 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 storrnwater runoff has occurred since filing the last discharge monitoring report. i further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Nan." :5K,f /-e;9 i-� Name (Print name) Title (Print tile) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 161T Mail Service Center Raleigh, North Carolina 27699-1617 Date "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 evaluatethe information submitted. eased on myinquiry 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." (Signature-9 Permitteeor Designee) /// q//_s- {Date} Form SW U-251, lost revised October 25, 2012 Page 2 of 2 RE E 1! n i C- ,--I�b I �3 CERTIFICATE OF COVERAGE NO. NCG100 0 4 0 STORMWATER DISCHARGE OUTFALL (SOO) MONITORING REPORT FACILITY NAME Worthington Ag Parts PERSON COLLECTING SAMPLE(S) Skip Leigh CERTIFIED LABORATORY(S) Pace Analytical Lab #_ 53� Lab # Part A: Stormwater Benchmarks and Monitoring liesults CENTRAL. FILE` DWQ/80G SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 (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 Wayne - - PHONE NO. 9( -19 -j 735-0997 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no dischorge; you must submit this discharge monitoring form noting "No Flow -or "No Discharge' within 30 days of the end of that period to comply with permit reporting requirements. i 1 _ Y _ :#_ 1s �c r (( 1i• F�T�ir_Ty."I� _ t, l.�all� r":Lw r � f ;i° � Y '�.fitsi �i'i3Sl f,�f�=i:e1._{i3_;r } 1 iL �� =mFFsi !=jiCS.11 ' v a fi 37 ilil?I;s. - i1. f. `�'.�t��{�*�t, t_I 1 !' - !t- � -- 41i '� ��`119=1 3I(!{ �i�i tp � ( t . !i}S=Ei,iE 3 :�`.��t'.#' Y , li.'.L.Ii y!_ 1. t" }'}LF C:.'�." :: ri �# �ii iiie�t.ii t f sl(i.-• lti#'. `[ r t-'-anti { rlPi`• Ai f~�' ��_} }F i tii 'i Yai'fi`{l .. 11 �ltl{;;t�' ;31-e # IF 11t" - k:T"'i !. �`,•, ii----- I ji i7f. .+1\Il I ,• i•li� 4 i i}3 i�#ffF=i!$ it l- t'!i} i i A, 11'YtU i ian��aF - F §s{iL�t��`:: i� ,� ( 1l - " i sii.r." -� =cai •i i e' ` }t�'�� '- li.Ff 1__k��t lt� ri5S Silt, ";[ s.. -iiJ i �i S��'ieii1 s 1f: d r 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 or Ti ~jti ftGeneral Permit. QJ$OG ISee If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH Jeveis are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or Total precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9, ISee General Permit text to Identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 1012 Page Iof2 5TORMWA7ER DISCHARGE OUTFAILL (SDO) MONITORING REPORT Facilities that #ncorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan 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), I 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 tht, last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the 5tormwater Pollution Prevention Plan." Skip Leigh Name (Print name) Manager Title {Print titl Sig na re Date Mall Original and one copy to: Division of Water Qua Ilty 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 an 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 aMslgnificant penaltiesfor submitting false information, including the possibility of fines and imprisonment for knowing violations." N- or (Date} Form SWU-251, lost revised October25, 2012 Page 2 of 2