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Home My WebLink AboutNCG100031_MONITORING INFO_20180602STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. IV C& 406t31 T%�V 3 I DOC TYPE ❑HISTORICAL FILE P-MONITORING REPORTS DOC DATE ❑ o{ li � � � � d a YYYYMMDD May 24, 2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Rigsbee Auto Parts 1680 E Williams Street Apex, NC 27539 Coverage No.: NCG100031 James Environmental Inaltagenient, inc. Certified Mail 7018 0360 0000 9620 0695 RECEIVED JUN 0: 2018 CENTRAL FILES DWR SECTION On behalf of Rigsbee Auto Parts, James Environmental Management, Inc. is submitting the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the 2018 first semi-annual monitoring period. Should you have any questions or require additional information, please feel free to call. Sincerely, e. F/kOrT Katharina Albert Environmental Specialist 512-244-3631 kalbert@lamesenvironmental.com Enc. 2018 1" Semi -Annual Stormwater Discharge Outfall Monitoring Report (and one copy) cc: Sammy Rigsbee 600 Round Rock West Drive, Suite 201 9 hound Rock, Texas 79681 • (512) 244-3631 • Fax: (512) 244-0853 CERTIFICATE OF COVERAGE NO. NCG100 0 3 1 FACILITY NAME Rigsbee Auto Parts PERSON COLLECTING SAMPLE(S) Sammy Rigsbee_ CERTIFIED LABORATORY(S) TestAmerica Pensacola Part A: Stormwater Benchmarks and Monitoring Results STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Lab f# 314 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Wake PHONE NO. (919) 362-8397 PLEASE REMEMBER TO SIGN ON THE NEXT PAGE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics, mg/L Benchmark - - 6.0 — 9.01 100/50, 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 4/24/2018 0.8 8.75 54 <1.7 <12 0.023 exempt Note: If you report a sampled value in excess of the benchmark value, or outside the henchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Z&*� d—,acz--v/, A L�� 4j:�O� Name (Print name) S--3v-sir Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of. my knowledge and belief, true, accurate, and complete. am aware that there are si -cant p alties for,¢ubmitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Peffniftee or S- 3y-�v/� (Date) Form SW U-2S1, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 0 3 1 REL„a iSAsp DURING oi�Thontoring report shall beeceiedby the Division no later than 30 days FEB dr- U g date the facility receives the sampling results from the laboratory.) FACILITY NAME �Rigsbee Auto Parts CENTRAL Fl!<E� COUNTY Wake PERSON COLLECTING SAMPLE(S) Sammy Rigsbee GVIIR SECTION, PHONE NO. (919) 362-8397 CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 010S1 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0-9.01 100/50Z 15 8,000 (Tiers 2 and 3) 0.03 1.0 00 v Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, lost revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater%Pollution Prevention Plan." ,-e iJ TAN'"' Name (Print name) �ftJrl1�.✓ 4td Print title) - �1'� /- 2-6 Signa re Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 significagt4mgalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of erm ee or Desig ee) (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT '' CERTIFICATE OF COVERAGE NO. NCGIO0030 FACILITY NAME Matlock's Used Cars and Parts PERSON COLLECTING SAMPLE(S) / CERTIFIED LABORATORY(S) Lab # Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: b I (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) Part A: Stormwater Benchmarks and Monitoring Results RECEIVED COUNTY Rowan PHONE NO. (704 ) 704-278-2258 PLEASE REMEMBER TO SIGN ON THE REVERSE 3 For sampling periods with no discharge, you must submit this 01ScharjeNnWbitoring form noting "No Flow" or "No Discharge" within 30 daysof the end of that periodrtorcomply wiith.permit reporting requirements. outfall-: ! ' No Date v Sample Collected; Total i : '.00400 :., 40530 pH, ;, Total Suspended Non -polar ` Ethylene Glycol, !Tot Ledd,fal - Tox 5 To tal ic mo/dd/year Rainfall, Standard So1�ds (TSSj; O&G/TPH- mglL .-Recoverable;. Orgacs3 m , inches Units mg/L (Method 1664.; mg , :SGT:HEM mg/.L �. Benchrnark,.� - „' 6.0 — 4.01 100 50z / 15 (Tiers L and 3] 0:03. 120 r ZD // Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See if pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT ' Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) • r /� r Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware lot thery1re significant for for submitting false information, including the possibility of fines and imprisonment for knowing violations." ee or / %0 (Date) Form SWU-251, lost revised October25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT f CERTIFICATE OF COVERAGE NO. NCG100 0 3 1 c FACILITY NAME _Rigsbee Auto Parts PERSON COLLECTING SAMPLE(S) _Sammy Rigsbee CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: _2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Wake PRONE NO. (_919_)362-8397 ® {{ PLEASE REMEMBER TO SIGN ON THE REVERSE 4 f� r— r For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply �with fper »rt gporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic 3 Organics ,mg/L Benchmark - - 6.0 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 05/23/2017 1.4 8.54 28 <4.6 <12 0.0097 Exempt Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." /Z � - -Sjo , Name (Print name)-5A&Yvvj /(--) &-SSPy Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are sign ifican`penaItles for submitting false information, including the possibility of fines and imprisonment for knowing violations." of PermlX ee or Desi ee j (Date) Form SWU-251, lost revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 _0_ _3_ _1_ SAMPLES COLLECTED DURING CALENDAR YEAR: _2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME _Rigsbee Auto Parts COUNTY Wake PERSON COLLECTING SAMPLE(S) _Sammy Rigsbee PHONE NO. (_919_)362-8397 CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 Lab #-,r r n� WED PLEASE REMEMBER TO SIGN ON THE REVERSE Part A: Stormwater Benchmarks and Monitoring Results For sampling periods with no discharge, you must subm'i�G—�filtis°fimonitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period 0 tamply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (T5S), m L gJ Non -polar O&G/TPH {Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics , mg/L Benchmark - - 6.0 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 09/19/2016 1.4 - 110 <1.7 <12 0.016 Exempt Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Pr ... nti2.H / 7 Nr Name (Print n me) Title (Print title] Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are sigrgWks"nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 12 - 2,F- -Lo& (Date) Form SW U-251, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CEMFIFICATE OF COVERAGE NO. NCG100 _0_ _3_ _1_ SAMPLES COLLECTED DURING CALENDAR YEAR: _2016 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME _Rigsbee Auto Parts PERSON COLLECTING SAMPLE(S)_Sammy Rigsbee RECEIVED IGCD CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 Lab # JUL 2 9 2€11b Part A: Stormwater Benchmarks and Monitoring Results COUNTY Wake PHONE NO. (_419_)362-839 PLEASE REMEMBER TO SIGV E REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Disd rge" within .30 days of the end of that period to comply with permit reporting requirements. CENTRAL FILES D1NR SECTION Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 ' '"',0 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total ® Recoverable, mg/L `Total Toxic Organics3, mg/L Benchmark - - 6.0-9.01 100/50, 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 06/28/2016 1.4 130 <4.5 <12 0.016 Exempt Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October 25, 2012 Page ]. of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print me) l u"Lal Title (Print title) u r e V Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of `?- z�, --zYG (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 0 3 1 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Rigsbee Auto Parts COUNTY Apex PERSON COLLECTING SAMPLE(S) _ Sammy Rigsbee PHONE NO.( 919 } 362-8397 CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 RECEIVED Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE 4 JAN 2 0 2016 Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES DWR SECTION For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. 'Outfall No. bate �x Sample Collected, ino/dd/.Yeah' Total - Rainfall, 'f inches „ z 00400 K2,; �� 00530 � F , „ # � ': . 717,023 0.1051 7,$141 x , pH, a Staridard , Units ` Total,5usperiiied 4 s 5ollds;[TSS};&GTAA664 mg/�L Non=po [Method S_GTnHEM'. Ethylenet'Glycol, mg/L it "LeadWTotal Recov total Tox e� ;Organics3,�:' Benchmark !+ - Zoo i9'0 t a , $ ��0 Y. :[+Tiers/2 and 3} _ 0.03 H 001 11/19/2015 1.8 8.12 12 <1.8 <20 0.0092 Exempt Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled Stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October 15, 2011 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Prin me) _ �CQ.J utJC' Title (Print title) ure ��T Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant alties f r subm'"ng false information, including the possibility of fines and imprisonment for knowing violations." 11) (Signa-fu—re of PermitteA or /- i �-- a D /01" (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 0 3 1 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 T ��(This monitoring report shall be received by the Division no later than 30 days JUL 2 7 2O15 from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Riesbee Auto Parts _ CENTRAL PILES PERSON COLLECTING SAMPLE(S) Sammy Riasbeev_R S;=N CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 Lab # Part A: Stormwater Benchmarks and Monitoring Results COUNTY . Apex PHONE NO.( 919) 362-8397 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic 3 Organics , mg/L Benchmark - - 6.0 — 9.01 100/50z 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 06/26/2015 1.3 9.19 52 <1.5 <20 0.016 Exempt Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plow Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) d Title (Print title) Signature Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Date 2-1 — Z J/r "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." 7_ z 2-- z-O/-- (Date) Form SWU-251, lost revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 3 D SAMPLES COLLECTED DURING CALENDAR YEAR: Z� (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME MA 1 ocy—IS to CAZyS COUNTY 17-0�-13 PERSON COLLECTING SAMPLE(S) IL.�Ni I !. J � PHONE NO. (2) �. CERTIFIED LABORATORY(S) Lab # �] ECC IN/F Lab # I� G REMEMBER TO SIGN ON THE REVERSE C,2 1.�.•1 Part A: Stormwater Benchmarks and Monitoring Results JAiV 2 0 2015 CEWWjAiNTRAL FILES ....•: For sampling periods with no discharge, you must submit this dischorgeQrr�b PJJ9ir�ia noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall_ No. ,,. Date -Simple Collected, mo/dd/year, -:Total: Rainfall; inches 1100400 - 00530 ---- ':=77023 .• 01051 78141 pH, S andard' �. Units , Total Suspended . Solids (T5S), : mg/L-.•` -' Non -polar O&G/.TPH ' (Method 1664 SGT-HEM), mg/L Ethylene Glycol;:,, . ; ''mgk :L. i, ` .Lead, Total Recoverable, mg/L Total Toxic 3 Organics, mg/; Benchmark - - 6.0 — 9 0 .. 100/50 15 (Tiers 2-and 3)-. 0.03 1.0 GOV- Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. ;See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table If of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SW U-251, lost revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), l certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) _� -� Title (Print title) Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant p9nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." WZW . , - .. Form SWU-251, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) s . MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 -03 Q FACILITY NAME IM PERSON COLLECTING SAMPLE(S) I CERTIFIED LABORATORY(S) Lab #� Lab #. Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: D (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year < Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids(TSS), mg/L Non -polar O&G/TPH (Method.1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable,, mg/L Total Toxic 3 Organics, mg/L Benchmark . - - 1 6.0 — 9.0 2 100/50 .. 15.. - a,aoo (Tiers`2 and. 3) 0.03 1.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled Stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122, Form SWU-251, last revised October 25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan.; Name (Print name) Title (Print title) Signature Da e Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." or (Date) J Form SW U-251, lost revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 FACILITY NAME Rigsbee Auto Parts PERSON COLLECTING SAMPLE(S) Sammy Rigsbee CERTIFIED LABORATORY(S) Test American Pensacola —Lab #_314_ Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: _2014_ (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) cI�UNTY Wake �� GPHONE NO. (_919_) 362-8397 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 f tuES For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall;Date t. No. ` . 11, ��,. Sample Collected, mo/.dd/year i'' TotalpH, Rainfall, cinches 00400 .• Standard Units?: TotallSuspended hds{TS5);� mg/Lti� 3 N uNon�polar' TPHffih�bx ^{Meth"o�d 1664r �T HEM; r"n MgLLt Ethylene Glycol, mg/L *��'� > i~ Lead, Total Recoverable, Total Toxic 3 Organics , mg/L `Benchm_ar_k rf: � - t'� s 6 0` �9-01Ty��1Q0�/502 , tTIJ .n. ,P 'S• 'I, . ` .:. 4 •+i } I �v 15''y, ,." + �. Vj- 0b i n(Te�rs 2 and1.0 001 7/15/2014 2.3 8.42 28 <2.2 <1.2 0.0035 Exempt Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plon Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." �-�,o 4,A. ?av/j- Name (Print name) C)W r)O Y- Title (Print title, L! Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are si ' ' ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature c4 ermit ee r esign e) (Date) Form SWU-251, lost revised October 25, 2012 Page 2 of 2 CERTIFICATE OF COVERAGE NO. NCG100 d a O STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: Zalq (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.). FACILITY NAME I LC.ILIS L�L.S *` ZT� COUNTY �I PERSON COLLECTING SAMPLE(S) 1 1 I. &S, ILIVED PHONE NO. ( Dt- ) CERTIFIED LABORATORY(S) Lab # Lab # AUG Q 4 Z014 PLEASE REMEMBER TO SIGN ON THE REVERSE � CEWRALFILES Part A: Stormwater Benchmarks and Monitoring Results DWQ/BOG For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date ' Sample Collected, mo/dd/year - Total Rainfall, inches 00400 00530 - - - - 77023. 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/C Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/502 15 8,000. (Tiers 2 and 3) 0.03 1.0 Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 1See if pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3 For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October 25, 2012 Page 1 of 2 BIDMATE by Car-Part.com, Ft. Wright, KY Wed Jul 23 2014 17:09. Stock#: AHC0396 Model: 2005 EXPLOR Vin: 1 FMZU63K25UCO2930 . I Paget IA a STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such za discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organi qra— 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 al4 the provisions of the spiv r management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) -PLANT M r9--�t1 62!;-� Title (Print title) Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of, the person or persons who manage the system, o r those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledgeand belief, true, accurate, and complel am aware that there zre significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ittee or Des 7- (Date) Form SWU-251, lastrevlsed October r-- STORMWATER DISCHARGE OUTFALL(SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 -00 FACILITY NAME LDS—[ S PERSON COLLECTING SAMPLE(S) 1,4eJ? CERTIFIED LABORATORY(S) Lab # Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: q (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY _ I�-QK.; �!�j4 PHONE NO. rA2!f )_27E- ZZS'i�2.) PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year r Total Rainfall, inches,. 60400 00530 - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L I "' Non -,polar, ; ; O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylane Glycol,, s mg/L Lead, Total 'Recoverable, mg/L Total Toxic Organics3, mg/L .. Benchmark - - 6.0 — 9.01 100/502 15 8,000 (Tiers 2 and 3) 0.03 1.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. ;See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2 See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, lost revised October25, 2012 Page 1 of 2 BIDMATE by Car-Part.com Ft. Wright, KY Wed Jul 23 2014 17:07: Stock#: AHC0392 Model: 2000 BEETLE Vin: 3VWCF21C6YM483936 .Y= Page 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Pion 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), certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the storrr,water or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." )L� t NA 4t. t —t e5z- Name (Print name) P C-An(T NI,�i11 C �Z Title (Print title) • � ZS Signature Date Mail Original and one copy to: Division of Water Quality Attw Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete, I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." UNA 7 —,o2 AGA U/1 NA ►�'� . Form SWU-251, lost revised October25, 2012 Page 2 of 2 SIDMATE by Car-Part.com Ft. Wright KY Wed Jul 23 2014 17:07: Stock#: AHC0392 Model: 2000 BEETLE Vin: 3VWCF21 C6YM483936 Page 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 _0--,3__IRECEIVEDAMPLES COLLECTED DURING CALENDAR YEAR: _2014_ (This monitoring report shall be received by the Division no later than 30 days JUL 2 9 2014 from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Rigsbee Auto Parts_ CED Wr40GES PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab #. Part A: Stormwater Benchmarks and Monitoring Results COUNTY Wake PHONE NO. (_919_) 362-8397 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, Inches 00400 ' 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/s02 is 8,000 (Tiers 2 and 3) 0.03 1.0 001 01/01/2014 — 06/31/2014 t4 (ov1 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. 15ee If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range Is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The sohrerr management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, th. discharger shall sign the following certification statement: Solvent Management Plan Certification Statement "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwatel runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan Included in the Stormwater Pollution Prevention Plan." �7 1'41'tiiM G ca -e Name (Print na e) aUeV- Title (Print title) Slgna ure Date Mail Original and one copy to. - Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the informations, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are slggWeagt penalties ipr submitting false information, including the possibility of fines and imprisonment for knowing violations." lee (Date) Form SWU-251, last revised October 25, 201. Page 2 of