HomeMy WebLinkAboutNCG060104_MONITORING INFO_20181126STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v CG o o C9 ib�
DOC TYPE
p HISTORICAL FILE
MONITORING REPORTS
DOC DATE
pa`O I 0 I L
YYYYMMDD
STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000"� � _ -'1= ti= s�.-L"= -r `SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
CERTIFICATE.O> COVERAGE NO: NCG06'0104 + - ___ _ __ - __ _ _ :-=(This monitoring.report is due at the Division no later than 30 days from
- tic „ r i,. • r_cs1, rthea ate thc1facility receives the sampling results from the laboratory.)
•-____ __ FACILITY NAME Alberdinek Boley. Inc _�: - _ ..HA, _ _COUNTY Guilford
PERSON COLLECTING -SAMPLES Susan Feir �' ' -_ :i: .� }x -�- f: __ ~ PHONE NO. 33i 6 1-454-5000
_, CERTIFIED L'ABQR_ ATO_RY Meritech Lab # 165 NO Y 2 6 jja
�Lali #' PLEASE SIGN ON THE REVERSE
- �WR SECTION
Part A: Specific Monitoring Requirements
Outfall
;Date
's; H• 00530
00400
00340
00556
31616
No...
'
Sample
• Collected,
mo/dd/ r
JyTotal Suspended '_
:.Solids,
mgtL
_ -.. pH,
•Standard units
Chemical Oxygen
Demand, mg/L
Oil and Grease,
J mg1L
Fecal Coliform,
Colonies per 100 ml
Benchmark'
- -
11 - 100
Within 6.0 — 9.0
120
0 30 _
1000
T
ALB #1
10/11/2018
-.. 3
6.9
<15
<5
NIA
ALB #2
10/11/2018
5
7.4
<15
<5
NIA
_ .-.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.
See General Permit text.
I 4 1
- -_ Did -this facility perform Vehicle':Maintenance Activities using more_than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
1
--"Part,€ i
B:.Vehicle Maintenance Activity Monitoring Requirements i
Date:- ¢
00556
00530
aa, 00400
:No..
S��mple.Coilected; i
mo/dd/ r
Oil and Grease,
m
Total Suspended Solids,-
M.
pH,
Standard units
New Motor Oil Usage,
Annual average al/mo
Benchmark
-
30 `
100
i6.0 — 9.0
-
___.. ••:Note: Ifyou report .a sampledwalue in.excess,•of the bench mark'.value, or -outside the benchmark range for pH, you must implement Tier 1 or Tier 2
responses. See General Permit text.
SW U-249-102107
Page 1 of 2
STORM EVENT CHARACTERISTICS:
,j. Date 10/1 1 /2018 (first event sampled
Total Event Precipitation (inches): 4.13
Mail Original and one copy to:
Division of Water Quality, Attn: DWQ Central Files
1617 Mail Service Center
4 Raleigh, North Carolina 27699-1617
certify„under penalty:of�law,ahat this document and:all>attachments_were;prepared under my direction or supervision in
_ accordance with wsystem_designed to assure:that qualified personnel. properly.. gather -and evaluate the information submitted. Based
. on:my, inquiry of;the,persowor-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, aecurate;.and complete. I am aware that there are significant
penalties foir submitting,false.information;-includint: the possibility otfines and imprisonment for knowing violations."
_� 0 A)v V 1 g
(Date)
S W U-249-102107
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMITNO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 0104
FACILITY NAME Alberdin =k Boley, Inc
PERSON COLLECTING SAMPLES Susan Feir
CERTIFIED LABORATORY Meritech Lab # 165
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
('Phis monitoring report is due at the Division no later than 30 days from
the date the.facillity receives the sampling results from the laboratory.)
COUNTilfo Yr urd _„
I 4
PHONE -NO. ( 336 ) 454-5000
JULaP3E SIGN ONTHE REVERSE
j� �{LE
DVV"7 CIEC 1 ION
Outfall
Date
00530
00400
00340
00556
31616
No.
Sample
Collected,
mo/dd/yr
Total Suspended
Solids,
V
mg/L
pH,
Standard units
Chemical Oxygen
Demand; mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Benchmark
-
100
Within 6.0 — 9.0
120
30
1000
ALES # l
5/30/2018
5.3
7.1
<15
<5
NIA
ALB 42
5/30/2018
7.4
6.9
<15
<5
N/A
Note: if you report a sampled value in excess of the benchmark value., or outside the benchmark range for pH, you trust implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date
00556
00530
00400:
No.
Sample Collected,
mo/dd/ r
Oil and Grease,
m /L
Total Suspended Solids,
mg/L
"pH,
Standard units
New Motor Oil Usage,
Annual averse gal/mo
Benchmark
30
100
6.0 — 9.0
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Ticr 2
responses. See General Permit text.
S W U-249-102107
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 5/30/2018_ (first event sampled
Total Event Precipitation (inches): 0.110
Mail Original and one copy to:
Division of Water Quality, Attn: DWQ Central Files
1617 Mail Service Center
Raleigh. [forth 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 there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature ofe
q S --J.,(1.N._-.I g
(Date)
SW U-249-102107
Page 2 of 2
STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
CERTIFICATE OF COVERAGE NO. NCG06 0104 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Alberdingk Bolev, Inc COUNTY Guilford
PERSON COLLECTING SAMPLES Susan Feir RECElf'1H�Q�VE'NO. 33( 6 )454-50(l0
CERTIFIED LABORATORY Meritech Lab # 165
Lab # NOV 2 211LTASE SIGN ON THE REVERSE
Part A: Specific Monitoring Requirements CENTRAL FILES
DWR SECTION
Outfall Date 00530 00400 00340 00556 31616
No.
Sample
Total Suspended
pH,
Chemical Oxygen
Oil and Grease, ,
Fecal Coliform;
Collected,
Solids,
Standard units
Demand, mg/L`
a mg/L.
Colonies per 100 ml
mo/dd/ r
mg/L
Benchmark I - 100 Within 6.0 — 9.0 120 30 1000 -
ALB #1
10/13/2017
4
7.4
< 15
< 5
NIA
ALB #2
10/13/2017
121
6.9
71
< 5
N/A
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfali
No.
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
Oil and Grease,
m
Total Suspended Solids,
mgfL
pH,
Standard units
New Motor Oil Usage;
Annual averse al/mo
Benchmark
-
30
100 i
6.0 - 9.0
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 10/13/07 (first event sampled)
Total Event Precipitation (inches): 0.19
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S W U-249-102107
Page I of 2
"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 P 'ttee) (Date)
S W U-249-102107
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO60000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
CERTIFICATE OF COVERAGE NO. NCG06 OI04 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Alberdingk Bolev. Inc COUNTY Guilford
PERSON COLLECTING SAMPLES Susan Feir PHONE NO. 3L� 454-5000
CERTIFIED LABORATORY Meritech Lab # 165
Lab # PLEASE SIGN ON THE REVERSE
Part A: Specific Monitoring Requirements
Outfall I Date 1 00530 1 00400 1 00340 1 00556 1 31616
No.
Sample
Total Suspended
pH,
Chemical Oxygen
Oil and Grease,
Fecal Coliform,
Collected,
Solids,
Standard units
Demand, mg/L
mg/L
Colonies per 100 ml
mo/dd/ r
Benchmark I - 100 Within 6.0 — 9.0 120 30 1 1000
ALB # 1
l 0/13/20 t 7
4
7.4
< 15
< 5
NIA
ALB #2
10/ 13/20 t 7
121
6.9
71
< 5
NIA
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
Oil and Grease,
n
Total Suspended Solids,
pH,
Standard units
New Motor Oil Usage,
Annual avers a al/mo
Benchmark
-
30
100
6.0 — 9.0
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier i or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 10/13/07 (first event sampled)
Total Event Precipitation (inches): 0.19
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SW U-249-102107
Page 1 of 2
"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."
0
(Signature 'ttee) (Date)
SWU-249-102107
Page 2 of 2
STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCC060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
CERTIFICATEOF COVERAGE NO. NCG06 0104 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Alberdin k Boley, Inc COUNTY Guilford
PERSON COLLECTING SAMPLES Susan Feir RECEIVED PHONE NO. 33( 6 )454-5000
CERTIFIED LABORATORY Meritech Lab# 165
Lab # AUG 0 2 Z01/ PLEASE SIGN ON THE REVERSE
Part A: Specific Monitoring Requirements CENTRAL FILES
DWIQWR SFQTl0Kl
Outfall Date 00530 00400 00340 00556 31616
No.
Sample
Total Suspended
pH,
Chemical Oxygen
Oil and Grease,
Fecal Coliform,
Collected,
Solids,
Standard units
Demand, mg/L
mg/L
Colonies per 100 ml
mo/dd/yr
mg/L
Benchmark I - 1 100 1 Within 6.0 — 9.0 1 120 1 30 1 1000
ALB 91
6/ 16/2Q 17
22
7.1
< 15
< 5
N/A
ALB 42
6/16/2017
52
T7
< 15
<5
N/A
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.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part It: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
Oil and Grease,
m /L
Total Suspended Solids,
m /L
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
30
t00
6.0 — 9.0
-
Note: Ifyou 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.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 6/16/07 (first event sampled)
Total Event Precipitation (inches): 2.16"
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S W U-249-102107
Page I of 2
"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 imprison ent for knowing violations."
3( -UL17
(Signature of�tltee) (Date)
SWU-249-102107
Page 2 of 2
M
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06_0 j j2__� SAMPLE COLLECTION YEAR 2oil2
FACILITY NAME /-k L9 clZD7 IV K 90 i_FY ,TNC: FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 6 u1 L FaR (� � ��� iD15�HAR�INGprocess meats TO 5ALTWATER�❑YESuse tmal�fats/byproducts
PERSON COLLECTING SAMPLES SuSAN FE [gN
LABORATORY IuERt"rEc4__ Lab Cert. # i6S AN 05 20(J
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
r11=n1-rPn1 Mi c:c
Part A: Stormwater -Benchmarks and Monitoring Results Uy �C I Tatal event rainfall z or ❑ No discharge this period'
Outlall No Sample Collectetl, TSS, pH, COp, Oil and Grease, Fecal ColiformEnterococci ,
mo/dd/yi:. mg/l r 5tandard units mg/L, mg/L' Coiornes per100 rn ; Coloniesper 100 m1
Berichmark�.4 .,. ' , 104or.50. .:;WithinJ60-9.0 _120 . 30.'i . =, 1000 -' SQO
A , z4 7 �S
#2 ,, zq 4ofb 3v 6.77Zz C
umy appiwN to raaiMes tnat use/prucess meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at aM outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes r�no if es complete Part B)
Part rs: venicte maintenance Area monitoring ttesuits: only Tor tacinties averaging > 5b gai of new motor ou/montn.
unry appuca w iduuueb uiat use/pruccaa mean.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, T-able 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2
*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
e 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 lab results (or at end
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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
(Date)
D/M° 17
Additional copies of this form. may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted TULY
CERTIFICATE OF COVERAGE NO. NCG06 O L d Q SAMPLE COLLECTION YEAR Zd1 {o
FACILITY NAME AL.9c-99iu6K BcULEy, .I►vC • _ TACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY CU��Fc�RD_ ❑use/process meats ❑use animal fats/byproducts
PERSON COLLECTING SAMPLES _SUSAnI FEi�PQ DISCHARGING TO SALTWATERS? ❑YES❑- NO �� LABORATORY_ M1=k, LTF_ C m _ Lab Cert. #1 / S_ ECG+�
1 V G!C VLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
,lUt 29 '1016
Total event rainfall z
or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
C_92NT
mgry,NR S
Fa —a— d Grease,
CTION mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
A!. �
(y Z2 al
7 21
< /S
<
ALg
rQzq 20
<2.S
6.
< /
<
s Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
ASee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes El -no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
k Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(If yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Pugs ] of 2
*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 Lor at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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
2S .5yL- /6
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdcssw#tab-4
S W U-24 9
Last Revised: Oclober 18, 2012
Page 2 of 2
North Carolina Division of Energy, Mineral, and Land Resources
SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR)
Vehicle Maintenance Activities Only
Date submitted 20 r
CERTIFICATE OF COVERAGE NO. NCG OCo O 1 b Y _ RECEIVE'DMPLE COLLECTION YEAR
FACILITYNAME 4,_9e91D,�GK DEC 18 2m
COUNTY 601 cT61?0
PERSON COLLECTING SAMPLES CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
LABORATORY r1&17,Ti:c/4. _ Lab Cert. # 16S DWR SECTION
Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall' 0 /Z „ or ❑ No discharge this periodz
Outfall No.
Sample
Collected,
mm/dd/yr
Total Suspended
Solids (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
04:a a �/L
(i#appficablia)
C Op
pH, Standard units
(if applicable)
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 50
15
so
Within 6.0 — 9.0
-
�`Q #i
ti 17 zols
166
<S
20
7. i
,4-& '` Z
1, 7 2a15-
27
77
The total precipitation must be recorded using data from an on -site rain gauge.
z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
C�3
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L", where XX is the numerical value of the
laboratory's 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.
FOR MONITORING RESULTS:
A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C.
• Two exceedances in a row for the same parameter at the same outfall trigger TIER 2 REQUIREMENTS.
TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall? YES ❑ NO ❑
IF YES: Have you contacted the DEMLR Regional Office? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014
Page I of 2
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 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 Perm
U DLG I�
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/Ir/npdes-stormwater
SWU-254 Vehicle Maintenance Activities DMR Gast Revised- August 11, 2014
Page 2 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted TV Ly . 2 0/S
CERTIFICATE OF COVERAGE NO. NCG060 L O R SAMPLE COLLECTION YEAR 26Is,-
FACILITY NAME ALi7eR pI"GK ma c, ivC - �FAC4l ff: ,ACTIVITIES INCLUDE (check all that apply):
COUNTY G u 1 L 1-7-1) �}11 use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES .StzSAN F iiZ�- AUGD SCWWRGING TO SALTWATERS? OYES 2146
LABORATORY /y C 2 , .r&C H Lab Cert. # Id-"— sTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE—)
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
500
20ir
ri l
7. 21
70
<�s;'
—
c _�z
IIZCY—
,►, A
G- e
3Y
l
_'
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfails. You must still submit this discharge monitoring report with a checkrrtark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes E ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a check+nark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
5WU-249 Last Revised: October 18, 2012
Page l of 2
*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 l
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 o "No Discharge' reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
j
Raleigh, NC 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
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted NOVEMBER 30, 2014 RECEIVED
DEC 0 r A
CERTIFICATE OF COVERAGE NO. NCGo6 060104
FACILITY NAME ALBERDINGK BOLEY, 1NC.
COUNTY GUILFORD
PERSON COLLECTING SAMPLES SUSAN FEIR
LABORATORY MERITECH Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014 CENT
FACILITY ACTIVITIES INCLUDE (check all that apply]: DWR Spr FILES
❑ use/process meats ❑ use animal fats/byproductsCTION
DISCHARGING TO SALTWATERS? ❑YES X❑NO
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall z 1.60" or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
ALB #1
09/29/2014
39 mg1L
7.44
24 m /L
<5 m /L
ALB #2
09/29/2014
6 mg/L
6.73
20 m /L
<5 m /L
1 Only applies to facilities that use/process meats. RECEIVED-
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. DEC 0 5 2014
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark a lies.
NTRAL FILES
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes �no R �tc J!�srrnplete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
0 tfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a cher.kmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SW U-249 Last Revised: October 18, 2012
Page I of 2
*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 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 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, NC 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
O2 bEL 1l
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Las( Revised: October 1 H. 2012
Page 2 42
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted MAY 28, 2014 JUL 11 2014
CERTIFICATE OF COVERAGE NO. NCG06 060104 SAMPLE COLLECTION YEAR 2014 CENTRAL FILES
FACILITY NAME ALBERDINGK BOLEY, INC. FACILITY ACTIVITIES INCLUDE (check all that apply): DWQ/BQG
COUNTY GUILFORD ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES SUSAN FEIR DISCHARGING TO SALTWATERS? []YES X❑NO
LABORATORY MERITECH Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 1.60" or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
ALB #1
05/15/2014
5 mg/L
6.89
29 m /L
<5 m /L
ALB #2
05/15/2014
6 mg/L
7.02
22 m /L
<5 m /L
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at a� outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes x❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
3D
100 or 50
6.0-9.0
-
A Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if es complete Part B)
SWU-249 Last Revised: October 18, 20t 2
Page I of 2
*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 If 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 for at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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 passibility of fines and imprisonment for knowing violations."
(Signature of
09 3'yL l y
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SW U-249
Last Revised: October 18, 2012
Page 2 of 2