HomeMy WebLinkAboutNCG030272_MONITORING INFO_20190521STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv C&
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
o �?� � �i 05 a �
YYYYMMDD
Semi-annual Stormwa_ter_Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5/15/19
CERTIFICATE OF COVERAGE NO. NCG030272
FACILITY NAME Bally Refrigerated Boxes, Inc.
COUNTY Carteret
PERSON COLLECTING SAMPLES Ted Jennings
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
w%IZA
Ci-:N f1;(AL FILES
SAMPLE COLLECTION YEAR 2019 nWR SECTION
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
Za-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
01
4/26/19
.25
0
7.3
0
0
0
0
N/A
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z 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.
' 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
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), 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle -
Name (Print name)
President
Title (Print title)
&�-_4�ttz W-&,, 4 s- / z -(!
(Signature) D
(Date)
Note: Results must be reported in numerical format. 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.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
ti
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
FOR PART A 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 ANYONE OUTFALL? YES [:]NON
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:
1 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."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5129/18
CERTIFICATE OF COVERAGE NO. NCG030272
FACILITY NAME Ballv Refrigerated Boxes. Inc.
COUNTY Carteret
PERSON COLLECTING SAMPLES Ted Jennings
LABORATORYPrism Lab Cert. #i 402
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ® Jan -June ❑ July -Dec
f_ or ❑ Monthly' (month)
RECEI �!E17&ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�o)$ ❑Zero -flaw [:]WaterSupply ❑SA
®Other
CENTIKEkL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics s
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
01
4/24/18
1.2
4.0
7.4
0
0
0
0
N/A
' 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.
'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/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
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), 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
President
Title (Print title)
(Signature)
W/--I/-/P
(Date)
Note: Results must be reported in numerical format. 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.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
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 tent.
FOR PART A 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
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 lob 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."
(Signature of Permittee)
G --YIL- _
Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 1115/18
CERTIFICATE OF COVERAGE NO. NCG03 0 2 7 2
FACILITY NAME Bally Refrigerated Boxes, Inc.
COUNTY Crateret
PERSON COLLECTING SAMPLES Tod Jennings
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June Q July -Dec
or ❑ Monthlyl (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Watersupply ❑SA
RECEIVED
[]Other
JAN 2 5 2019 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CENTRAL FILES
GWR 51~C710f'J
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L`
6.0 - 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
01
12/19/18
.12
0
6.3
0
0
0
0
N/A
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
I 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.
° See General Permit, Section B, Table 1 to identify 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: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for Tf0 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 Tf0 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
(TfO), 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
President
Title (Print title)
Signature Date
Note: Results must be reported in numerical format. 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.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfall No.
pate Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches3
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to 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.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3
FOR PART A 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 Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the
case o "No Discharge" re arts 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."
Signature of Permittee
Permit Date:11/1/2018-05/31/2021
^/P/%
Date .
SWU-245, last revised 11/1/2018
Page 3 of 3
Semi-annual St_ormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 2/22117
CERTIFICATE OF COVERAGE No—NC-G0302-72 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Bally Refrigerated Boxes, Inc.. SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY Carteret or ❑ Monthly' __ fmonth)
PERSON COLLECTING SAMPLES Ted Jennings DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Prism Lab Cert. # 402 ❑Zero -flow []Water Supply ❑SA
Comments on sample collection or analysis: RECEIVED ®Other
MAR 0 9 2917 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
No discharge this period?2
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 Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks ===>
_
-
100 mg/L or 50 mg/0
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
01
2(8/17
0.54
0
7.1
0
0
0.017
0
N/A
' 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 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.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s 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
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), 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 the all the provisions of the
solvent management plan included in the stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
President
Title (Print title)
(Signature)
3 —
(Date)
Note: Results must be reported in numerical format. Do not report` bw 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.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?-'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
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 A 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 EXCEEDANCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an original and one copy of this DMR, including o!! "No Discharge" reports 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."
(Signature of Permittee)
3- 3—
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
1) lip
Semi-annual Stormwater Discharge Monitorin Report
1; p
• for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted DL15LID
CERTIFICATE OF COVERAGE NO. NCG030272
FACILITY NAME Bally Refrigerated Boxes, Inc.
COUNTY Carteret
PERSON COLLECTING SAMPLES Ted Jennings
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis: RECEIVE®
MAY 2 3 2016
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR 2016 & 9"o
SAMPLE PERIOD ® Jan -June ❑ July -Dec
,4
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout [:]PN;.��
❑Zero -flow ❑Water Supply ❑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)
24rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non-Polar O&G/hour
Total Petroleum
Hydrocarbons
Total Toxic
Organics;
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
01
4/28/16
0.23
BRL
7.2
0
0
0
0
N/A
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 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.
4 See Generai 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
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), 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
President
Title (Print title)
S I"7 6
(Signature) (Date)
Note: Results must be reported in numerical format. 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 mit/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No,
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
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 A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMA; including all "No Discharge" reports within 30 days of recei t of the lab results or at end qf 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."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual _Stormwater_Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
•" Date submitted 11/20/15
CERTIFICATE OF COVERAGE NO. NCG030272
FACILITY NAME Bally Refrigerated Boxes, Inc.
COUNTY Carteret
PERSON COLLECTING SAMPLES Ted Jennings
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® Juiy-Dec
or ❑ Monthly' month
DISCHARGING TO CLAS5 ❑ORW ❑HQW []Trout ❑PNA
RECEIVE] ❑zero -flow []Water Supply []SA
DEC 06 2016 ®Other
CENTRAL 1=1 LfECUTJO SIGN ON PAGES 2 AND/OR 3 -�
DWR SE
❑ No discharge this period?2
Outfall No.
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches-'
Total Suspended Solids
pH,
Standardrd units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
TotalToxic
Organicnits
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
01
11/4/16
0.57
0
7.1
0
0
0
0
N/A
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.
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.
s 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/l/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3
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:
r
"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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
President
Title (Print title)
(Signature) (Date)
Note: Results must be reported In numerical format. 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 me/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 -- 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
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 -A 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 8.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cowry of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for 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."
(Signature of Permittee)
4 —29—/z
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 11/10/15
CERTIFICATE OF COVERAGE NO. NCG030272
FACILITY NAME _ Bally Refrigerated Boxes, Inc.
COUNTY Carteret
PERSON COLLECTING SAMPLES Ted Jennings
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
�CIVEU ®Other
NOV 2 4 Z015 U PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
D�/R �C7jLES
ON
.❑ No discharge this period ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
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/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
01
10/29/15
0.06
16
7.1
0
0
0
0
N/A
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z 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, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
' 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-24S, last revised 10/25/2012
Page 1 of 3
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), 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
President
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. 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.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 -- 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Hate: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
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 A 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 ANYONE OUTFALL? YES ❑ NO ❑
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."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
RAIN EVENT DATA
FACILITY: Bally Refrigerated Boxes, Inc. _
ADDRESS: 135 Little Nine Drive
Morehead Citv. NC 28557
CONTACT PERSON: "Fed Jennings TELEPHONE: 252- 240-2829
STORM EVENT INFORMATION
DATE
YEAR
MONTH
DAY
15
10
29
}-FOURS
MINUTES
DURATION
0
24
PRECIP.
AMOUNT (IN.)
0.06
RUNOFF
VOL. (M/GAL.)
0.018
HOURS
DAYS
PRECEDING
2
EVENT
14
PRINCIPLE EXECUTIVE OFFICER OR AUTHORIZED AGENT
PRINT
SIGNATURE
DATE
Ted Jennings
f
r
I
o��
aP'RISM
OLABORATORIE& tNG
Full -Service Analytical &
Environmental Solutions
Leonhardt Environmental, P.C.
Paul Spangenberg
Suite 101, 8392 Six Forks Road
Raleigh, NC 27615
NC Certification No. 402
SC Certification No. 99012
NC Drinking Water Cert No. 37735
VA Certification No. 460211
DoD ELAP: L-A-B Accredited Certificate No, 1_2307
1SOIIEC 17025: L-A-B Accredited Certificate No. L2307
Project: Bally Semi -Annual Stormwater
Lab Submittal Date: 10/30/2015
Prism Work Order: 5100570
Case Narrative
11/10/2015
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Angela D. Overcash
VP Laboratory Services
Data Qualifiers Key Reference:
Reviewed By Cara C. Rusmisell For Angela D. Overcash
Project Manager
HT Sample received and analyzed outside of the hold time.
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 704/529-6364 - Toll Free Number: 1-8001529-6364- Fax: 7041525-0409 Page 1 pf 5
PRISM
di.eoe.ror+�Ea s+c
Full -Service Analytical a Sample Receipt Summary
Environmental Solutions 11/10/2015
Prism Work Order: 5100570
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Bally
5100570-01 Water 10/29/15 10/30/15
Samples were received in good condition at 3.1 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1-800/529-6354 - Fax: 7041525-0409 Page 2 of 5
c
r \
aP R I S M Full -Service i
Environmental Solutions
P��ewwra+ies iHc
Laboratory Report
11`110/2015
Leonhardt Environmental, P.C.
Project: Bally Semi -Annual
Client Sample ID: Bally
Attn: Paul Spangenberg
Stormwater
Prism Sample ID: 5100570-01
Suite 101, 8392 Six Forks Road
Prism Work Order: 5100570
Raleigh, NC 27615
Sample Matrix: Water
Time Collected: 10/29/15 07:20
Time Submitted: 10/30/15 10:25
Parameter
Result Units
Report
MDL Dilution Method Analysis Analyst
Batch
Limit
Factor Dateffime
ID
General Chemistry Parameters
Oil & Grease (HEM)
BRL mg/L
5.0
0.48 1 '16648 11/5115 9:55 ARC
P5KO106
pH
7.1 HT pH Units
1 `SM4500-H B 10/30/15 11:39 ARC
P5J0597
Total Suspended Solids
16 mg/L
2.6
0.80 1 SM 2540 D 11/4116 21:15 EGC
P5K0080
Total Metals
Copper
BRL
mg1L
0.010
0,0021
1
'200.7
1115i15 18:41
BGM
P5K0065
Lead
BRL
mg/L
0.0050
0.00070
1
'200.7
11I5i15 18:41
BGM
P5K0065
Zinc
BRL
mg/L
0.030
0.0073
1
*200.7
1115115 18:41
BGM
P5K0065
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 3 of 5
N
Full-Service Analytical &
0R I S M I Environmental Solutions
�VrLAaaNATanIE%INC
Leonhardt Environmental, P.C.
Attn: Paul Spangenberg
Suite 101, 8392 Six Forks Road
Raleigh, NC 27615
Total Metals - Quality Control
An alyte
Project: Bally Semi -Annual Stormwater
Level 11 QC Report
.11110/15
Prism Work Order: 5100570
Time Submitted: 10/30/2015 10:25:OOAM
Reporting Spike Source %REC RPM
Result Limit Units Level Result %REC Limits RPM Limit Notes
Batch P5KOO65 - 200.7
Blank (P5K0065-BLK1)
Prepared: 11/04/15 Analyzed: 11/05/15
Copper
BRL
0.010
mg/L
Lead
BRL
0.0050
mg/L
Zinc
BRL
0.030
mglL
LCS (P5K0065-BS1)
Prepared: 11/04/15 Analyzed: 11/05115
Copper
0.254
0.010
mg1L
0.2500 102 85-115
Lead
0.259
0.0050
mgtL
0.2500 103 85-115
Zinc
0,267
0,030
mg1L
0,2500 107 85.115
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 4 of 5
a
o� �
Full•Service Analytical &
� F R�i ISM Environmental Solutions
�Y �iaoi�AttM11E5 ING
Level II QC Report
.11110115
Leonhardt Environmental, P.C. Project: Bally Semi -Annual Stormwater Prism Work Order: 5100570
Attn: Paul Spangenberg Time Submitted: 10/30/2015 10:25:OOAM
Suite 101, 8392 Six Forks Road
Raleigh, NC 27615
General Chemistry Parameters - Quality Control
Analyte
Result
Reporting
Limit
Units
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Batch P5J0597 - NO PREP
LCS (PSJ0597-BSI)
Prepared & Analyzed: 10/30115
pH
Batch P5KO080 - NO PREP
6.88
pH Units
6.880 100 98.5-101.5
Blank (P51<0080-131-KI)
Prepared & Analyzed: 11/04/15
Total Suspended Solids
LCS (PSK0080-13SI)
BRL
5.0
mg1L
Prepared & Analyzed: 11/04115
Total Suspended Solids
Batch P5KO108 - NO PREP
470
5.0
mg1L
477.0 99 90-110
Blank (P5K0108-BLK1)
Prepared & Analyzed: 11/05/15
Oil & Grease (HEM)
LCS (P5K0108-BSI)
BRL
5.0
mg/1-
Prepared & Analyzed: 11/05/15
Oil & Grease (HEM)
33.3
5.0
mg/L
40.00 83 78-114
Sample Extraction Data
Prep Method: 200.7
Lab Number Batch Initial Final Datefrime
5100570-01 P5K0065 50 mL 50 mL 1110405 7:50
Page 5 of 5
Semi-annual_ Stormwater.Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5/4/15
CERTIFICATE OF COVERAGE NO. NCG030272
FACILITY NAME Bally Refrigerated Boxes, Inc.
COUNTY Carteret
PERSON COLLECTING SAMPLES Ted Jennings
LABORATORY Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' _ _ (month}
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
j p� ❑Zero -flow ❑Water Supply [:]SA
�� I�
Ri V ru ®Other
JUN 02 2015
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CENTRAL FILES
DWR SECTION
No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24 hour rainfall
amount,
Inches'
Total Suspended Solids
PH,
Standardrd units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
01
4/16/15
0.31
BRL
7.9
BRL
BRL
BRL
BRL
N/A
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For 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.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s 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
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), 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
President
Title
(Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. 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.
Note: 1f 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
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 ANYONE OUTFALL? YES ❑ NO ❑
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."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
�R ISM
�77LABORATORIES, INC.
Full -Service Analytical &
Environmental Solutions
Leonhardt Environmental, P.C.
Paul Spangenberg
Suite 101, 8392 Six Forks Road
Raleigh, NC 27615
NC Certification No. 402
SC Certification No. 39012
NC Drinking Water Cert No. 37735
VA Certification No. 460211
DoD ELAR: L-A-B Accredited Certificate No. L2307
ISOIIEC 17025: L-A-B Accredited Certificate No. L2307
Project: sally Semi -Annual Stormwater
Lab Submittal Date: 04/17/2015
Prism Work Order: 5040323
Case Narrative
04/30/2015
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Angela D. Overcash
VP Laboratory Services
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole For Angela D. Overcash
Project Manager
HT Sample received and analyzed outside of the hold time.
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a T
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Ina
449 Springbrook Read - P.O. Box 240543 - charlotte, NC 28224-0543
Phone: 7041529-6364 - To]] Free Number: 1-800152"364 - Fax: 7041525-0409 Page 1 Of 6
N It
An'k13 I"fIEnvir nmee Analytical 8
V ! Environmental Solutions
Y LABOfiATOFlIES ING
Sample Receipt Summary
04/30/2015
Prism Work Order: 5040323
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
001-004 5040323-01 Water 04/16/15 04/17/15
Samples were received at 11.7 degrees C. See case narrative for further information.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, tnc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 704152M364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 2 of 6
r
/A
P R ISM I Full -Service Analytical 8
E nvironmenial Solutions
9 aaow raaiEa iNa
Leonhardt Environmental, P.C.
Attn: Paul Spangenberg
Suite 101, 8392 Six Forks Road
Raleigh, NC 27615
Laboratory Report
0413012G15
Project: Bally Semi -Annual Client Sample ID: 001-004
Stormwater Prism Sample ID: 5040323-01
Prism Work Order: 5040323
Sample Matrix: Water Time Collected: 04/16/15 08:50
Time Submitted: 04/17/15 12:15
Parameter Result Units Report MDL DElution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Oil & Grease (HEM)
BRL
mglL
5.0
0.37
1
'1664B
4/27/15 9:30
MJO
P5DC469
pH
7.9 HT
pH Units
1
'SM4600-H B
4/23115 15:29
EGG
PSD0366
Total Suspended Solids
BRL
mg1L
2.9
1.0
1
'SM 2540 D
4/22/15 10:15
EGC
P5D033C
Total Metals
Copper
BRL
mg/L
0.010
0.0014
1
'200,7
4124115 19:14
BGM
P5D0374
Lead
BRL
mg1L
0,0050
0.00056
1
'200.7
4/24115 19:14
BGM
P5D0374
Zinc
BRL
mg/L
0.030
0.0024
1
'200,7
4/24115 19:14
BGM
P5D0374
This report should not be reproduced, except in its entirety, witheut the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1.800152"364 - Fax: 7041525-0409 Page 3 pf 6
Y�
Full-Sar ico Analytical E.
JP R I S M Environmental Solutions
ABORwTORIES ING
Leonhardt Environmental, P.C.
Attn: Paul Spangenberg
Suite 101, 8392 Six Forks Road
Raleigh, NC 27615
Total Metals - Quality Control
Analyte
Batch P5D0374 - 200.7
Project: Bally Semi -Annual Stormwater
Level It QC Report
4130115
Prism Work Order: 5040323
Time Submitted: 4/17/2015 12:15:00PM
Reporting Spike Source %REC RPD
Result Limit Llnits Level Result %REC Limits RPO Limit Notes
Blank (P500374-BLKi)
Prepared & Analyzed: 04/24/15
Copper
BRL
0.010
mg1L
Lead
BRL
0.0050
mg1L
Zinc
BRL
0.030
mg1L
LCS (135130374-121SI)
Prepared 8r Analyzed: 04/24/15
Copper
0.255
0.010
mg/L
0.2500 102 8.5-115
Lead
0.256
0.0050
mg/L
0.2500 102 85-115
Zinc
0.263
0.030
mg1L
0.2500 105 85-115
This report siould not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/526-0409 Page 4 of 6
' S M n FullService Analyt do &
' V' Environmental SoSubns
�voonnroaies iH�
Level If QC Report
4/30115
Leonhardt Environmental, P.C. Project: Bally Semi -Annual Stormwater Prism Work Order: 5040323
Attn: Paul Spangenberg Time Submitted: 4/17/2015 12:15:00PM
Suite 101, 8392 Six Forks Road
Raleigh, NC 27615
General Chemistry Parameters - Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P5D0330 - NO PREP
Blank (P5D0330-BLK1)
Prepared & Analyzed: 04/22/15
Total Suspended Solids
LCS (1135D0330-13SI)
BRL
5.0
mg1L
Prepared & Analyzed: 04/22/15
Total Suspended Solids
Batch P51130366 - NO PREP
480
5.0
mg1L
468.0 104 90-110
LCS (P5D0366-BSI)
Prepared & Analyzed: 04/23/15
pH
LCS (P5D0366-SS2)
6,88
pH Units
6.880 100 98,5-101,5
Prepared & Analyzed: 04/23/15
pH
Batch P5D0469 - NO PREP
6.92
pH Units
6.880 101 98.5-101.5
Blank (P5D0469-1BLK1)
Prepared & Analyzed: 04/27/15
Cil & Grease (HEM)
LCS (P5D0469-13S1)
BRL
5.0
mg1L
Prepared & Analyzed: 04/27/15
Oil & Grease (HEM)
Matrix Spike (PSD0469-MS1)
32.3 SA mg1L
Source: 5040323-01
40.00 81 78-114
Prepared & Analyzed: 04/27/15
Oil & Grease (HEM)
39.5
5.0
mg1L
40.00 0,700 97 78-114
Sample Extraction Data
Prep Method: 200.7
Lab Number Batch Initial Final DatefTime
5040323-01 PbD0374 50 mL 50 mt_ 04I24115 8:20
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543
Phone: 7041529-6364 • Toll Free Number: 1.8001529-6364 - Fax: 704l525-0409 Page 5 of 6
Fml$-Service Analytical
10
CHAINit
OF
CUSTODY �I �, wa ,V, ._ .r�_.. avA...,—
s
•
AROROORiFN INr
449 Springbrook Road • Charlotte, NC 28217
Phone 704f529.6364 Faux:: 7041525-0409
{-a� Client Company Name: L Ij
Report To/Contact Name: j �N7PJC,.S
Reporting Address: l� �.Ah� _ALA
4&RtT)4cAb Cj Nc
PAGE OF QUOTE # To ENSURE PROPER BILLING:
Project Name: d0!FXt_L_ k:�— I &I-OR14WAtc7 _
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
provisions andfor CIC Requirements
Invoice To;
Address:
Phone:�7zP-�,7�10J,,P)Fax (Yes) (NO); _ Purchase Order No./Billing Reference
Email Address: L: EON1ruC�5 �1����C�� -'
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Requested Due Date ❑ 1 Day ❑ 2 Days U 3 Days C14 Days ❑ 5 Days
Rushwork
EDD Type; PDF_,�LExcel Other "Working Must Be
Certification: NELAC DOD FL NC
Days" J 6-9 Days 13 Standard 10 days ❑ ed
Site PLAtisr
SC OTHER N/A
Location Name: Samples received after 14:00 will be processed next business day.
Site Location Physical Address: I_35 /—/M ✓ J►1kJ5 Turnaround lime is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO _
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon Collection: YES NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS REQUESTED
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA.
REMARKS
LAB
'TYPE
NO.
SIZE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES
!D NO.
HOURS
SLUDGE)
SEE BELOW
50
VVA i eR
CSC /
4nti
o I
D Sb
LIJAZtj�
L P
06 05�
µfA�cJe
1)0j
j
1 �AcU
t 67
0
w�'TC:
Z-C-2
I
I
I
I
Sampler's Signature Sampled By (Print Name) Affiliation H fit- i
Upon relinquishing, this CAIn of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be h
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
Relinquished By Slgnature) Received By: (SlgnaWrol Date. MihlorylHoum Additional Comments Site AfrlVai Time
�,-
Relinquish By: (Signature) If Received By: (SSgnalure) Date S(ie Departure Time ;{
i b Ft
Field Tech Fee �r
Relinquished By: (Signature) Received For Laboratorio y: Date --:
:.•�� Mileage
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH STODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST C09XNTIL RECEIVED AT THE LABORATORY, l�
1OFedEx 50
❑ UPS ❑ Hand-dellvered Cl Prism Field Service U Other (J
NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
O NC J SC ❑ NC ❑ SC ❑ NC El ❑ NC Q SC ❑ NC El SC El NC ❑ SG ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC
Ct ❑ ❑ ❑ ❑ rl Cl rl n
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
I
CERTIFICATE OF COVERAGE NO. NCG030272
FACILITY NAME Bally Refrigerated Boxes, Inc.
COUNTY Carteret
PERSON COLLECTING SAMPLES Ted Jennings
LABORATORY Prism + Lab Cert. # 402
Comments on sample collection or analysis:
Date submitted 10/15/14
SAMPLE COLLECTION YEAR 2014
SAMPLE PER16D ❑ Jan -June ® July -Dec
or ❑ Monthly( (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
low ❑WaterSuppiy ❑SA
RECEIVED ED ®Other
NOV 17 1014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
❑ No discharge this period 72
Outfall No.
I
Date Sample
Collected1
(mo/dd/yr)
24-hour rainfall
amount;
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxii
Organlcss
Benchmarks
100 mg/L or 5o mg/L°
6.0-9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
01
10/15/14
1.73
0
6.4
0
0
0
0
N/A
I
1 Monthly samoline (instead of semi-annuall must
beein with the second consecutive benchmark exceedance for the same Darameter
at the same outfall.
z 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 retarded 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.
s 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
I
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:
E
i
"Based upon my inghuiry 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Michael Coyle
Name (Print name)
i President
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. 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.
Note: If you report a sample value in excess of the benchmark, you must implement rer 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?,'
Outfali No
.Date Sample'
Coliectedl'
(mo/dd/y'r).:a
244hour ralnfall `
amount,
Inc6es3 .
`Non Molar 0&G/TPH by
EPA 1664 (SGT-itEM};
Totaf5uspended Solids-
pH
Benchmarks''.160
mg/L, or 5o mg/L*:
6.0 - 9A Stl,
E
I
i
i
Footnotes from Part A also apply to this Part iB
* See General Permit text, Table 5; identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
I
E
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
1 Page 2 of 3
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, rer 2, or Tier 3 responses, See General Permit text
1
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER i REQUIREMENTS. SEE PERMIT PART 11 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 ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one covy of this DMR inrludin aJl "No Dischar e" re arts within 30 da s o recei t o the lab results or at end o monitoringeriod
in the case of "No_Dischat' e" 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."
(Signature of Permittee)
E
f
Permit Date: 11/1/2012-10/31/2017
1, /d
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3