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.
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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
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SAMPLE LOCATION 1 I.D.
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RELINQUISHED BY
DATEITIME
RECEIVED BY
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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
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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: