HomeMy WebLinkAboutNCG060371_MONITORING INFO_20190111STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
w U& d 3"7 1
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ a 0 1
YYYYMMDD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYYM M DD
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Hate submitted January 4, 2019
CERTIFICATE OF COVERAGE NO. NCG060 3 7 1 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Harris Teeter Distribution FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Chris Hay - EnviroTrac Ltd. DISCfiARGING TO SALTWATERS? ❑YES ❑■ NO
LABORATORY Pace Analytical Lab Cert. # 12 t �— �-" c - V C U
JAI 11 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES Total event rainfall 0.5 or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
t� C45q; 11 Ui"
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
SD0-1
12/14/18
30.0
7.2
42.3
<5.0
NIA
NIA
SDO-2
12/1411 B
3.0
7.3
<25.0
<5.0
NIA
NIA
MO-3
12/14/1B
98.7
7.2
66,3
<5,0
NIA
NIA
SDO-4
12114/1B
207
7.6
201
<5.D
NIA
NIA
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? i❑ 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
-
SDO-1
12/1411 B
<5.0
30.0
7.2
> 55 gal
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.
"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
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 ANYONE OUTFALL? YES F] NO n
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 o
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, inclydithikpossibility of fines and imprisonment for knowing violations."
1-9-2019
(Signature of Perri�ittee) ) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#ttab-4
SWU-249 Lust Revised: October 18, 2012
Page 2 of 2
SEMI-ANNUAL STORMWATERDASK~HARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. N CG060000
CERTIFICATE OF COVERAGE NO. NCG06_jo-,7
FACILITY NAME Harris Teeter Distribution
COUNTY Guilford
PERSON COLLECTING SAMPLES Chris Hay s""/mn^*uw.
LABORATORY Pace A=w,m"/ Lab Cert. #
Part A:StormvvaterBenchmarks and Monitoring Results
Date submitted Jmvo.20m
SAMPLE COLLECTION YEAR on»
RECEIVED
JUL 2 4 2018
FACILITY ACTIVITIES INCLUDE (check all that apply)- CENTRAL FILES
0 use/process meats 0 use animal fats/bypq*F�ISECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall/0.23 or E]Nodischnrgethbp"'od 3
P.
1.
.:Stan amuniltsi:::
/ Only applies tvfacilities that use/process meats.
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.
^ 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 udn8morethanBgaUons of new motor oil per month? Xyes El no
Part B: Vehicle Maintenance Area Monitoring Results. only for facilities averaging > 55 gat of new motor oil/month.
It No
IOnly applies uofacilities that use/process meats.
^ The total precipitation must herecorded using data from anon-site rain gauge.
' For sampling periods with nodischarge 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.
(jLyt�, complete Part B)
S\YD-240 CuuRevised: October 18,2012
Page )of2
IOnly applies uofacilities that use/process meats.
^ The total precipitation must herecorded using data from anon-site rain gauge.
' For sampling periods with nodischarge 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.
(jLyt�, complete Part B)
S\YD-240 CuuRevised: October 18,2012
Page )of2
*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 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 on original and one copy of this jQMR, 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 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
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web _wci/,W$ _su/npdesswtttab-4
S W U-249
I,ast Revised: October 18, 2012
Page 2 of 2