HomeMy WebLinkAboutNCG100203_MONITORING INFO_20140922STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V G& I o ba 3
DOC TYPE
❑ HISTORICAL FILE
14 -MONITORING REPORTS
DOC DATE
❑ a d1\-j C) q a
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO) R CEIVED
14
MONITORING REPORT SEQ .2 Z'
CENTRAL FILES
CERTIFICATE OF COVERAGE NO. NCG100 _2_ _-- _3_ SAMPLES COLLECTED DURING CALENDAR YEAR: _2014_ DWR SECTION
(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 Triad Auto Parts, LLC
PERSON COLLECTING SAMPLE(S) Billy Wyrick
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab #`314_
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
COUNTY Guilford
PHONE NO. T(_336_) 274-0747
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring farm 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
I: 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 . i
Recoverable,3.
mg/L
Total toxic '.
Organics,; ;
mg/L
'Benchmark
-
6.0 — 9.0
100/502
15
8,000
(Tiers 2 and 3)
4;03
1 0
001
7/16/2014
1.2
7.2
8.0
<2.2
<1.2
0.0037
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, lost revised October25, 2012
Page 1 of 2
5
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."
BY 11-t �— i IItiQ- Q,T
Name (Print name) �T
so�,Qs �,�
Title (Print title) h .
Signature 1
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
9
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 possibility of fines and imprisonment for knowing violations."
(Signature of Permittee or Designee
q/i Z[4-
(Date)
Form SWU-251, lost revised October 25, 2012
Page 2 of 2
f
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 _2_ _0_ _3_ 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.)
FACILITY NAME Tria Auto Pa s, LLC COUNTY Guilford
PERSON COLLECTING SAMPLE(S) art ��{��paQV U2CF��� PHONE NO. (�) 7
CERTIFIED LABORATORY(S) Lab #
Lab # AUG 0 4 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES
DWQISOG
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
'Date
e_Y ;r'�r .:'..
1, ' '
mo/dd/year ri
� � �-�
"
� � �.�
TotalI.
Rainf
pit a all
mch'es
€
00400,
;.-00530 .
-
�770Z3
01051
•" . g�.;i i
pH,y;.
`-: r
Standa d
Units'
r�
'. _s �. ,.
7 Total Suspended
Solids (TSS}, ,
mg/L
Non -polar
T
0&G/.. PH
(Method 1664 _
SGT=HEM),'n►$/L
l .::' ..e, i,
: Ethylene Glycol;
m" L h
g/
t.
'�,
Lead, Total ?
:Re o'veraiil�"'
e,
a rng iL ii
/
z�,a as . ,uG
.._..n.sYe
Total�Toxic
^i3 '
Organics;, ;
"#.� R' fit,
t�.im,.�
Benchmark
;(
6 0 '9 0:
._
100/50
15
8000 d
(Tiers 2'and 3}
0:03
001
01/01/2014 —
06/31/2014
� Iny�tij
}� I
ti
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.
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 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."
fs H�� �1hQV�Qir
Name (Print name)
S(�QS
Title Print title)
Aa 9/-25/i4-
Signature 0 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 t%ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee or
A�15/1
(Date)
Form SWU-251, last revised October 25, 2012
Page 2 of 2
It'
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visil: littp://portal.ncdeni-.orglweb/wq/ws/su/npdessw#tab-4
Permit No.: N/C/
Facility Na] e:
County: cv
Inspector:
Date of Inspection:
Time of Inspection:
'-0/ 0/ O/ 0/ 0 _ or Certificate of Coverage No.: NIC/G/ I I o/ c/2103/
No.
Total Event Precipitation (inches): 4 SI
Was this a Representative Storm Event? (See information below) ❑Yes L"J No
Please check our permit to verify if Qualitative Monitoring must he petfortned during a representative
storm event (requirements vat-v).
----... ---...... ..... ........... ....................................
—--..--..
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 signature, I 4ertify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Desi!ee)
1. Outfall Description:
1
Outfall No. l Structure (pipe, ditch, etc.)
Receiving Stream: Li —Tile.
Describe the industrial activities that occur within the outfall drainage area: V ?i t.5YY1 V1T,tI
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Lt L.,-r Brim, -A.- N w . �> o �.� Tt v►T
3. Odor:
chlorine odor, etc.):
any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
SWU-242-20120613
Page 1 of 2
4. Clarity: Choose the number which best describes the clarity of the discharge. where I is clear
and 5 is very cloudy:
1 `J 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
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 02 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes
). Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe l! V UdLP� �J _ V !e
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
5WU-242-20120013