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HomeMy WebLinkAboutNCG100190_MONITORING INFO_20110809STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C& I Oo I r O DOC TYPE ❑HISTORICAL FILE [MONITORING REPORTS DOC DATE ❑ ,)o I I Q � c '7 YYYYMMDD V7 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http:l/h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms Permit No.: NIG0/Q/ DIQI-01n o'� or Certi At Facility Name: T)J 1Daw County: F Inspector: - R1i l Date of Inspection: Time of Inspection:4h— of Coverage No.: N/C/G/_/_/ I I 1_l No. Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) MYes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By this sigptmrttl certify that -is report is accurate andS=klete to the best of my knowledge: of Permittee or Designee) 1. Outfall Aescription: Outfall No. ` Structure (pipe, ditch, etc.) Receiving Stream: Describe t e industrial activities that occur within the outfall drainage area: 901 I 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: I 4, 2 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /Il7� 406 A(Z-A /C Page l of 2 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no�solids and 5 is the surface covered with floating solids: ( 1 J 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: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes (No J S. Is there an oil sheen in the stormwater discharge? Yes o 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 s6,4.)D w A16, Q es� IfS STORMWATE R DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG100000 CERTIFICATE OF COVERAGE NO. NCG10 0100 FACILITY NAME f v PERSON COLLECTING SAMPLES CERTIFIED LABORATORY ,ab #�y Lab IF Specific Monitoring Requirements: SAMPLES COLLECTED DURING CALENDAR YEAR: O� (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY J Al PHONE NO. PLEASE SIGN ON THE REVERSE 4 Outfall Novi Date ` ;Sample Collected„ mo/dd/yr, . � �00530 00400 _, 01051 OOSSb. - -_ 78141. 77023 , ,,Total Suspended, Solids, MWL pH,. Standard_ units '' •Lead, Total �R_ecoverable, m 1, Oil and Grease, mg/L b. Total Toxic Organics', m IL Ethylene Glycol, mg/L -Benchmark _ 100 Within 6.0 = 9.0 , , 0.03 30 1 14 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Dale (first event sampled) Total Eve t Precipitation (inches): Date �, (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches); Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S W U-251-031308 Page I of 2 I For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table I1 of Chapter 40 Code of Federal Regulations (CFR) Part 122. Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for l-l'O monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO). I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." I2�L 1 _ eon e,,j Name (Print name) _ QWhe,r Title e) 8/2 (o /I nature) (Date) "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 possib'tl'ty-& fines and imprisonment for knowing violations." of 1/e2-af1 S W U-251-031308 ,Page 2 of 2 RESEARCh & ANA1yTlCA[ kbORATWES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD I WATER I WASTEWATER 1 MISC. I COMPANY JOB NO. i ? t �� S� ti5 ym 0*5 O� \�VvQ� m� O� 'Z-~ may, S O� a o 1 1 � y. 0 0��pc� V00 0 Q` z 0 O b�� QF F Q� O Q Q Q `1v V VrV� ^v v ^v y v �tim REQUESTED ANALYS STREET ADDRESS P90JECT CITY, STATE, ZIP SAMPLER NAME (PLEASE PRINT) CONTACT f PHONE -3 4 SAMPLERSIGNATURE SAMPLE NUMBER (LAB USE ONLY) DATE TIME COMP GRAB TEMP C RES CI crtoRiHe RErw. O n a NI saMVLE MATRX is w w} SAMPLE LOCATION 1 I.D. jQr X,`�{ `--�j_!f Its. �Z r';;r�S l ivC'� oil a C-f JC' J �j `I RELINQUISHED BY DATEITIME RECEIVED BY i r REMARKS: SAMPLE TEMPERATURE AT RECEIPT .' } ' °C RELi Q ED BV DATEITIME RECEIVED BY RESEARCh & ANA[yTiU LAbORATORVS, INC. Analytical/Process Consultations RECEIVED N-C, DBOL of ENR AUG 2 9 200 Winston-Salem Reglonei ogic-p .•` SLY '�. Z CO �" NC #34 z i cn r � rat Davidson Auto Salvage Date Sample Collected : 08/09/11 622 Grims Blvd. Date Sample Received : 08/09/11 Lexington, NC 27292 Date Sample Analyzed : 08/09/11 Attn: Date of Report : 08/17/11 Analyses Performed by : SK -JC -YJ Lab Sample Number Lab Sample Number Lab Sample Number -------------------- -------------------- -------------------- 709704 709707 709708 Parameter Storet # Results Results Results Oil & Grease (00556) <5.0 mg/1 Lead,Tot (01051) <0.005 mg/L TSS (00530) 12.0 mg/l pH (00400) 7.20 std. units Clients Sample Source 622 GRIMS BLVD 622 GRIMS BLVD 622 GRIMS BLVD Number LEXINGTON LEXINGTON LEXINGTON Time Collected (Hrs) 1600 1600 1600 P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2641 • Fax 336-996-0326 www,randalabs.Com R ESEARCh & ANALyTICA1 • QpOQO LABORATORIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample Identified as 622 Griffis Blvd. (A Davidson Auto Salvage Project, collected 09 August 2011) 1. Pesticides/PCB's Quantitation 622 Grims Blvd EPA Method 608 Limit Parameter (mg/L) (mg-/L) Aldrin 0.001 BQL Alpha,BHC 0.001 BQL Beta,BHC 0.001 BQL Delta,BHC 0.001 BQL Gamma,BHC 0.001 BQL Chlordane 0.010 BQL 4-4'-DDD 0.001 BQL 4-4'-DDE 0.001 BQL 4-4'-DDT 0.001 BQL Dieldrin 0.001 BQL Endosulfan 1 0.001 BQL Endosulfan 11 0.001 BQL Endosulfan Sulfate 0.001 BQL Endrin 0.001 BQL Endrin Aldehyde 0.001 BQL Heptachlor 0.001 BQL Heptachlor epoxide 0.001 BQL Methoxychlor 0.001 BQL Toxaphene 0.020 BQL PCB 1016 0.005 BQL PCB 1221 0.005 BQL PCB 1232 0.005 BQL PCB 1242 0.005 BQL PCB 1254 0.005 BQL PCB 1260 0.005 BQL Sample Number 709705 Sample Date 08/09/1 1 Sample Time 1600 PCB = Polychlorinated Biphenyl mg/L = mlligrams per Liter= parts per million (ppm) BQL = Below Quantitation Limits RESEARCh & ANA1YTICA[ LAbORATORIES, INC. Analytical/Process Corlsultanons Chemical Analysis for Selected Parameters and Water Sample Identified as 622 Grims Blvd. (A Davidson Auto Salvage Project, collected 09 August 2011) E Semi -volatile Organics Quantitation 622 Grims Blvd ❑, Volatile Organics Quantitation Method 625 Limit (gT& EPA Method 624 Limit 622 Grims Blvd Parameter (mQ/L) (mg/L) Parameter (mg/L} ni&L 4-Chloro-3-methylphenol 0.010 BQL Methylene Chloride 0.010 BQL 2-Chlorophenot 0.010 BQL Trichlorofluorormethane 0.010 BQL 2,4-Dichlorophenol O.C10 BQL 1,1-Dichloroethene 0.010 BQL 2,4-Dimethylphenol O.C10 BQL I,1-Dichloroethane 0.010 BQI- 2,4-Dinitrophenol 0.C50 BQL Chloroform 0.010 BQL 2-Methyl-4,6-dinitrophenol 0.050 BQL Carbon Tetrachloride 0,010 BQL 2-Niimphenol 0.010 BQL 1,2-Dichloropropane 0.010 BQI, 4-Nitrophenol 0.050 BQL Trichioroethene 0,010 BQL Pentachlorophenol 0,050 BQL Dibromochloromethane 0.010 BQL Phenol 0.010 BQL 1,1,2-Trichloroethane OA10 BQ1- 2,4,6-Trichlorophenol 0.010 BQL Tetrachloroethene 0,010 BQI, Acenaphtbene 0.010 BQL Chlorobenzene 0.010 BQL Acenaphthylene 0.010 BQL Trans-1,2-Dichloroethene 0,010 BQL Anthracene 0.010 BQL 1,2-Dichloroethane 0.010 BQL Benzidine 0.050 BQL 1, 1, 1 -Trichloroethane 0,010 BQL Benzo(a)anthracene 0.010 BQL Bromodichloromethane 0.010 BQL Benzo(a)pyrene 0.010 BQL Cis-1,3-Dichloropropene 0.010 BQL Benao(b)!]uoranihene 0.010 BQL Benzene 0,010 BQL Beazo(ghi)perylene 0.010 BQL Trans-1,3-Dichloropropene 0.010 BQL Benzo(k)tluoranthene 0.010 BQL Bromoform 0.010 BQL Benzyl butyl phthalate 0.010 BQL I,1,2,2-Tetrachloroethane 0.010 BQL 8is(2-chloroethoxy)methane I'0.010 BQL Toluene 0.010 BQL Bis(2-chloroethyl)ether 0.010 BQL Ethyl Benzene 0.010 BQL Bis(2-chloroisopropyl)ether 0.010 BQL Chloromethane 0.010 BQL Bis(2-ethyl-hexyt)phthalate 0.010 BQL Bromomethane 0.010 BQL 4-Bromophenyl phenyl ether 0.010 BQL Vinyl Chloride 0,010 BQL 2-Chloronaphthalene 0.010 BQL Chloroethane 0,010 BQL 4-Chlorophenyl phenyl ether 0.011) BQL Total Xylenes 0.010 BQL Chrysene 0.010 BQL Acrolein 0.100 BQL Dibenzo(a,h)anlhracene 0.010 BQL Acrylonitrile 0.100 BQL 1,2-Dichlorobenzene 0,010 BQL 2-Chloroethyl vinyl ether 0.010 BQL 1,3-Dichlorobenzene 0.010 BQL 1,4-Dichlorobenzene 0.010 BQL Dilution Factor I 3,3-Dichlorobenzidine - 0.020 BQL Di-N-Butyl phthalaie 0.010 BQL 2,4-Dinitrotoluene 0.010 BQL Sample Number 709705 2,6-Dinitrotoluene 0.010 BQL Sample Date 08/09/1 1 Di-N-Octyl phthalate 0.010 BQL Sample Time (hrs) 1600 Fluoranthene 0,010 BQL Hexachlorobenzene 0.010 BQL Hexachlorobutadiene 0.010 BQL Ilexachlorocyclopentadiene 0.010 BQL Hexachloroethane 0.010 BQL Indeno(1,2,3-cd) pyrene 0.010 BQL Isophomne 0.010 BQL Naphthalene 0.010 BQL Nitrobenzene 0.010 BQL N-Nitrosodimethylamine 0.010 BQL N-nitrasodi-n-propylamine 0.010 BQL N-Nitrosodiphenylamine 0.010 BQL Phenanthrene 0.010 BQL Pyrene 0.010 BQL 1,2,4-Trichlorobenzene 0.010 BQL 4,6-dinitro-2-methyl phenol 0.010 BQL Diethyl phthalate 0.010 BQL Dimethyl phthalate 0.010 BQL Fluorene 0.010 BQL 1,2-diphenyl hydrazine 0.050 BQL Dilution Factor 1 Sample Number 709705 Sample Date 08/09/11 Sample Time (hrs) 1600 mg/L = milligrams per Liter = parts per million (ppm) BQL = Below Quantitation Limits North Carolina Department of Environmental Quality Pat McCrory Donald R. van tier Vaart Governor Secretary Industrial Compliance Inspection Worksheet Permit#: County: Facility Name: J Compliant: Contact Name &Title: �-i+) �C [,CO13J1►'Z�% Date of Inspection: Who is present for the inspection? Le on e V F L- Watershed: . t1 331n -40P - Are all potentially pollutant materials stored inside or Time M: cover and protected from stormwater runoff? Does this site perform onsite vehicle maintenance? If so, is more than 55 Gal used per month? If so, has analytical monitoring being performed? Has this site developed a SPPP? Is the SPPP updated annually? Does the SPPP contain an updated copy of the permit? Does SPPP contain a siteplan showing contours, location of all outfalls, all streams and natural features, all structures on the site, roads, etc? Note any discrepancy with permit requirements: Division of Energy, Mineral, and Land Resources Energy Section • Geological Survey Section • Land Quality Section 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • 919-707-9200/ FAX: 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.org/web/Ir/ An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper All parts of the permit should be contained in one 3-ring binder, including permit, sitepian, qualitative and analytical monitoring records, operating procedures, employee training documentation, a record of all spills and method of containment and corrective action. Is site compliant? Note any discrepancies: Self Moriiforing;. Qualitative Monitoring maintained per permit requirements? Note any discrepancies found: Is Analytical Monitoring required? Is monitoring being performed as required? Is pl- reaclihl faken at-time,of'sample�collection?'- pit r`riiii�r eter•caated regularly?-' Note any discrepancies in monitoring results:,; Are all records maintain for minimum of 5 years? Outfalls: Were all outfalls observed during the inspection? Does site have representative outfall status? Were all outfalls clear of debris and easily reached for inspection? Note any discrepancies found: