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Home My WebLink AboutNCG060178_MONITORING INFO_20190218STORMWATER DIVISION COOING SHEET NCG PERMITS PERMIT NO. /V CG20�0I 1 O DOC TYPE ❑HISTORICAL FILE �,MONITORING REPORTS DOC DATE 00) YYYYMMDD SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Dates 'btRRA Dl M 6 OGL 6 C T"/Oaf CERTIFICATE OF COVERAGE NO. NCG06 0 1? 8 FES 18 NIUMPLE COLLECTION YEAR ` (/2-Z FACILITY NAME Sunset Feeds , Inc FACILITY ACTIVITIES INCLUDE (check all that apply) COUNTY Forsyth CEN I "L FILUJ use r Ronnie Charles D1rlR SECTION ❑ /p ocess meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS. []YES ®NO LABORATORY R&A Lab Cert. # 37701 Part A: Stormwater Benchmarks and Monitoring l:esults PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 0 • Be" 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 504 Within 6.0 — 9.0 120 2 30 1000 N/A Soo N/A 1 _ _ _ - - 2 , Z 1 g 5' N/A N/A 3 .39. 2 45 NA NA F:-- - ------------- 77� 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 checkmark here. 4See 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 I Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or SO 6.0 — 9.0 - 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 checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ice complete Part B) T i *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 for 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 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 Permittee) / / (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#t6b-4 SWU-249 Last Revised: October 18, 2012 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 3 rg— 2-01 Q CERTIFICATE OF COVERAGE NO. NCG06 0 1 7 8 FACILITY NAME Sunset Feeds, Inc COUNTY Forsyth PERSON COLLECTING SAMPLES Ronnie Charles LABORATORY R&A Lab Cert. # 37701 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _-___ , - '201 S FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES ®NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2. 9 _ Bo" 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 Soo 1 �' 3_^1$ 2- 3 —/q II $ 7 ( C N/A N/A 2 LS. Z 5 N/A N/A 3 51 7, 1 56 < S N/A N/A 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 checkmark here. 4See 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 - 30 100 or 50 6.0 T 9.0 - 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 checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. RECEIVED (ifyes, complieteRPa tB)zm CENTRAL FlLFzS DWR SECTION i *FOR PART A AND PART B MONITORING RESULTS: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART H SECTION B. 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. 0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ONOPI IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail aa original and one copy of this Dl IR, including all "ll�o_ Discha Lge" reports, tnriEirin 31? days r� receiat of the lob results for at end of monitorhm r_ eriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 p ` Qu MUST SIGN! THIS CERTIFICATION FOR ANY INFORMATION -REPORTED. I certify; under penalty of iaw, 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 yubrnitted. 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." ( fiintilre a# Permittee) 3 - S zOl f (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/sulnpdessw#tab-4 SWU-249 Last Revised: October 19, 2012 pane 9. of 7 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted _ _ 6 ZQ -2,017 CERTIFICATE OF COVERAGE NO. NCG06 0 1 7 8 FACILITY NAME Sunset Feeds, Inc COUNTY Forsyth PERSON COLLECTING SAMPLES Ronnie Charles LABORATORY R&A Lab Cert. #I 37701 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _ _ '', 017 __ FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? RYES ®NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z 0. 80" 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 I Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 Soo 1 ''ST-23 - Zoo 7 3'-23 - 2jt17 5' 1-3 -lei Z5" o 6.76 32 N/A N/A 2 il, c3 7q N/A N/A 3 7, e 7. 1 S S 5 N/A N A 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 discha rge at gny outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See 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 - 30 100 or 50 6.0 - 9.0 - ` 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 My outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies, if es complete Part B) RE, CFPV�E JUN�I� CENTRAL FILES DWR SECTION *FOR PARTA 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 EXCE£DENCES 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 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 Perrnittee) 1z- I (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdesswHtab-4 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted IL-144 • Zoi G CERTIFICATE OF COVERAGE NO. NCG060 1 7 S *SAMPtE COLLECTION YEAR 2-016 FACILITY NAME 5unse-f Erru/f RECE FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY ✓s: 4 QEC 2 X -Zbjb❑ use/process meats ❑ use animal fats/byproducts PERSON COLLE ING SAMPLES Fv,11Vt- G&del DISCHARGING TO SALTWATERS? [_]YES L?f10 LABORATORY R-r A Lab Cert. # 3 9701 r^GNTRAL FILES 0WR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 1 01 Z or ❑ No discharge this period3 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 5D0 1 b- 97.4 5 Lf -s q < S CS 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-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 ❑ 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 - 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. {ifyes, complete Part By SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART 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 lab results for at end of monitoring period in the case of "No Discharge" reportsLto: 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." 64A"-� d. at'a-� (Signature of Perrnittee) 1Z-19-Zo16 (Date) Additional copies of this form may be downloaded at: http://porLal.ncdenr.org/web/wqZws/su/npdesswgtab-4 SWU-249 Last Revised: October 18, 2012 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted `d - 2 Z — Z-01 G CERTIFICATE OF COVERAGE NO. NCGO612 L 2 G FACILITY NAME SunSel Frt.13 Inc COUNTY l`orsyyL, PERSON COLLECTING SAMPLES `T,'w, ,t f w0m Pono" z (Irrtdr r LABORATORY R -f 19 Lab Cert. # 3?90j Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2-0 1 6 FACILITY ACTIVITIES'INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES ONO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1 or [] No discharge this period3 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 Soo ! 7- 3 1016 473 6,17 q1 C 7- )1- Z016 b ,3 6. 5 r 1 Z < 3 - 7ai4 131 O 7 3 9q < S - 1 Only applies to facilities that use/process meats. CENTRAL. FILES 3The total precipitation must be recorded using data from an on -site rain gauge. SECTIQN For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmarkgi v 4See 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 ❑ 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 So 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 checkmark here. 4See 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 D...-.. 1 -r') 0 *FOR PART 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 on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or 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." 6Yv+"-� ! (Signature of Permittee) 5-22- (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#ftab-4 SWU-249 Last Revised: October 18, 2012 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted / 1 -I 9 - 2-015 CERTIFICATE OF COVERAGE NO. NCG06 0 I. 7 FACILITY NAME <u/!N-I P.14 , Zh C COUNTY hors-r-4 PERSON COLLECTING SAMPLES T�,n iVC�/3om LABORATORY R{A Lab Cert. # 3990[ Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 201 S FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES &NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 RECEIVE® NOV 2 3 2015 CENTRAL FILES DWR SECTION Total event rainfall Z or ❑ No discharge this period3 OutfaEl No. Sample Collected, mo/dd/yr T55, mg/L pH, Standard units CO[], mg/L Oil and Grease, mg/L Fecal ColonieColonies Enterococci , per 100 ml Benchmark - 300or50Within 6.0 - 9.0 12D 30 al(010 500 241S t, 15 cy Y10 71 C S 2 _ c;r -1 S- ° o S < jr ------ 37,3 &.1 So° R3 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 2U outfalls_ You must still submit this discharge monitoring report with a checkmark here. 4See 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 ❑ 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 - Only applies to facilities that use/process meats. Z 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. "See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ice complete Part B) SWU-249 Last Revised: October 18, 2012 e *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 It 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 on final and one copV o this DMR includin al! "No Dischar e" re orts within 3R da s o recei t o 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, 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 Permittee) //—icl--LO15" (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4 SWU-249 Last Revised: October 18, 2012 _O�Qp w A J�9pG RECEIVED JUL 2 7 2015 Stormwater Discharge Outfall (SDO) CENTRAL FILES Qualitative Monitoring, Report OWR SECTION For guidance on filling out this form. please visit hn://Iiortal.nedenr.orgZweb/wq/ws/su/npdessw#tab-4 Permit No.: NC6060000 or Certificate of Covera€NCG060355 Facility Name: GFS-US, LLC County: Randolph Phone No. 336-341-6686 Inspector: Neal McDutfie (RAL) Date of Inspection: 06/19/15 Time of Inspection: 1840 Total Event Precipitation (inches): 0.28 Was this a "Representative Storm Event" as defined by the permit? (See information below.) 12(Yes ❑ No 0Please verb whether Qualitative Monitoring must he performed during a representative storm event or measureastorm event" (requirements vary, depending on the permit.) Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measurable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must h able to document that a shorter approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permitee or Designee) S W I),242-020705 1. Outfall Description Outfall No. 001 Structure (pipe, ditch, etc.) Ditch Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors Light Grey 3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.) None 4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: I 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? 8. Is there an oil sheen in the stormwater discharge? 9. Is there any evidence of errosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes No Yes No Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. of V4ATF9 t� �- Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit http://portal.ncdenr.org/web/wg/ws/su/npdcssw#tab-4 Permit No.: NCG060000 Facility Name: GFS-US, LLC or Certificate of CoveracNCG060355 County: Randolph Phone No. 336-341-6686 Inspector: Neal McDuffie (RAL) Date of Inspection: 06/19/15 Time of Inspection: 1840 Total Event Precipitation (inches): N/A Was this a "Representative Storm Event" as defined by the permit? (See information below.) ❑ Yes N(No No flow or discharge reported Please verify whether Qualitative Monitoring must he performed during a "representative storm event or "measureahle storm event" (requirements vary, depending on the permit.) Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measurable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site ouYfall. The previous measurable storm event must h able to document that a shorter approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permitee or Designee) SWU-242-020705 1. Outfall Description Otitfal!.No. 002* Structure (pipe, ditch, etc.) Storm Grate/Pipe Receiving Stream: UT to Uwharrie River Describe the industrial activities that occur within the outfall drainage area: Chemical Storage/Distribution Facility 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors NIA 3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.) NIA 4: Clarity: Chose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: NIA 1 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: NIA 1 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: NIA 1 2 3 4 5 7. Is there any foam in the stormwater discharge? 8. Is there an oil sheen in the stormwater discharge? 9. Is there any evidence oferrosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: Yes Yes Yes NIA No NIA No NIA No NIA List and describe * No discharge from this outfall due to construction grade elevation to high. Ali stormwater flow was diverted to outfall 001. This stormwater site will no longer be included in future stormwater monitoring. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 7 -13 15S CERTIFICATE OF COVERAGE NO. NCG06 0 1 SAMPLE COLLECTION YEAR 2— 01 FACILITY NAME SN n fo / F+eds : N_C, FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY 1, RECgAge/process meats [] use animal fats/byproducts PERSON COLLECTING SAMPLES on,' i C'•4q te5 (NG TO SALTWATERS? [_]YES ZNO LABORATORY R -f A Lab Lert. a '321LL JUL 17 2015 Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILEs DWR SECF PLEASE REMEMBER TO SIGN ON THE REVERSE --) Total event rainfall z 0. g or ❑ No discharge this period3 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 Enterococca , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 Soo 63,0 6. q q N H- N A -Z� , t g: 0 137 hl A _2t7.,r 3q.L� '-1 I <5 N 4 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 2ny 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 [:]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 - 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. 4See 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 Page 1 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 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 tab 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, 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 Permittee) _rr 3--1 5� (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Last Revised: October 18, 2012 Page 2 of 2 S WU-249