The URL can be used to link to this page

Home My WebLink AboutNCG120099_MONITORING INFO_20190115STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C& I a Qjj 9 9 DOC TYPE ❑HISTORICAL FILE P/MONITORING REPORTS DOC DATE ❑a O I Q O I )S YYYYMMDD Semi-annual Stormwater Dischaar a Monitoring Report ,A. for North Carolina Division of Water Quality General Permit No. NCa12 o 6Ccbb Date submitted I 19LZ-015 CERTIFICATE OF COVERAGE NO. NCG I Z. C,U� FACILITY NAME ' - { COUNTY • -Fo PERSON COLLECTING SAMPLES t LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 2 a 1 4f' SAMPLE PERIOD ❑ Jan -June N July -Dec R� �#1 C�l�or El Monthly' _ . — _ Lonthl DISCHARGING TO CLASS ❑ORW ❑HQW []Trout []PNA JAN 15 2019 ❑Zero -flow ❑watersupply []SA []Other CENTRAL FiLES MR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE XNo discharge this period' Outfall No: Date . Sarrfpie Collected, :rtro/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo 50 or 100 see permit Within.6>0 — 9.0 15 - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes .,,_no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected,; 00556 00530 00400 Non -Polar Oil.and Grease/TPH'EPA Method C1ia541SdVHEM)',mg/L Total Suspended Solids, :mg/L `' pH, Standard'units Permit Llinit'" - 15' 50 or 100 see,permit 6.0— 9.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): _ Date (list each additional event sampled this reporting period, and rainfall amount) 0 Total Event Precipitation (inches): Note. IIf you report a sample value In excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text. f FOR —PART A AND PART 6 MONITORING_ RESULTS: • A BeNCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: MaiLan origfnal_and one cap of this DMR, including all 'No _Discharge" reparts, within 30_days of receiDt othe _lob results (or at end of monitorina period in the case of "No Discharoe" reoorts) to. Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 'YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that quallfled personnel properly gather and evaluate the Information submitted. Based un 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. l am aware that there are significant peoties for sub7iiltting false information, Including the possibility of fines and imprisonment for knowing violations." (Signature of r' (Da Additional copies of this form may be downloaded at: htty//yortal.ncdenr.org/web/wcl/ws/5u/npdessw#tab-4 SWU-250 last revised October 25, 2012 Pave 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality eneral Permit No. NCG120000 Date submitted Zo/ CERTIFICATE OF COVERAGE NO. NCG12 a 0 FACILITY NAME GUoJs4* /a luSa Tics 0-47� Lp,,..�Q�;•// COUNTY PERSON COLLECTING SAMPLES &4e LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2,n 7- SAMPLE PERIOD ❑ Jan -June .�Ouly-Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water Supply ❑SA RR"3=11/Fr ❑Other JAN 0 9 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE a i}WR SECTION INFORMATIOW PROCESSING UNIT YNo discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Chemical Oxygen Demand Fecal Coliform Total Suspended Solids Benchmarks =__> - - 120 mg/L 1000 count per 100 mL 100 mg/L or 50 mg/L° 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here, 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX_me/L", where XX is the numerical value of the detection limit, reporting limit, etc, in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX". Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date:' 1 /1/2012-10/31/2017 5WU-248, last revised 1r`-15/2012 t Page 1 of 2 ' Part B: Vu .le Maintenance Area Monitoring Results: only for facilitieL _raging > 55 gal of new oil per month. dVo discharge this period:2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L 6.0 — 9.0 SU "Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART 6 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMR, including all "No Discharae"reports, within 30 days of receipt of the lob results tor at end of monitorina period in the case of "No Discharge" _reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather an- devaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons -dire tly'responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that tle'are sigriificyi penalties•for submitting false'inform'@tion, including the possibility of fines and imprisonment for knowing violations." (Sign (Da ) Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGV?-600 o Date submitted 07/06/2017 CERTIFICATE OF COVERAGE NO. NCG I Z 6 u! 1 FACIL17YNAME Waste Industries C&D HiQh Point Landfill COUNTY Guilford PERSON COLLECTING SAMPLES C jyd . H�P_rrin,� LABORATORY ResearCh & Ana�l sis Lab cert, f! Comments on sample collection or analysis: SAMPLE COLLEc nON YEAR 2017 SAMPLE PERIOD ®'Jan -June ❑ July -Dec or ❑ Monthlyf /rnonth� DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA [—]Other /EKE SE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new forpiv pse/ month?,.x yes _no (if yes, report your analytical results in the table immediately below) 4 u I� CENTRAL FILES Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) DWR SECTION ONo discharge this period' outfaii No.... Date Sample Cc[lected;, mo/dd% _......... 00530 �. 00400 .. .. . 06556 ! Total Suspended . Solids, riieg/L,_: _._ .. pH, .. Standard ur& : HoisrPplar:011 atsd 6rease/TPHEPA: IHlethod:i6f 4(SGT -HEM), mg/1 , : New Motor Oil Usage, . Annttal average gal/tiro Bench _ SO o1-100 See.Perretft : ::: Whitin 60=9:0' ,IS. - 3 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulls Stations and Terminals (If applicable) Outtall Date - . Oo5S6.:. 0053D 00400; No Sample,Collected,, .. hlon-Polar Oil and Grrsase/TPH EPA:Method'' T_atal SusjaeeitdetJ Solids;. PH; mo/dd/ „ i564 (SGT.NEM) m$/L _ .. .....: ..: . .:. _.... ..... Standard units _. _....... _ so or.io0.see iyerrstlt ... 6.a 9.0 Petir4rl# Linttt _ 15..._..-.- t For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page I of 2 STORM EVENT OfARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): -- Date (list each additional event sampled this reporting period, and rainfall amotmt) Total Event Precipitation (inches): Nate: If you report a sample value in excess of the benchmark, you must implement Ter 1, 77er2, or Tier 3 responses. See General permit text FOR PART A AND PART B MONITORING RESULTS; • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERM IT PART B SECTION I o TIER 3: HAS YOUR FACILITY HAD OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES NO M' IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mall an oddinal god o this AMR ind din a1! "Na Dischra e" re withi U a a t resafts or at end a ma Irarin reod in tJf a case of "No Discharae"'renortsJ to. Division of Water Quality Attn: DWQCentmI Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFY TION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible or gath ing the i ormation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significa penal ' s for su itting false information, including the possibility of fines and imprisonment for knowing violations." y ? ZI r (Slgna re o ermittee) (D ) Additional copies of this form may be downloaded at: htto://gortal.ncdenr.org/web/wo/ws/"sulnpdessw$ftab-4 SWu-230 last revised April Ill, 2013 Page 2 of 2 f` CERTIFICATE OF COVERAGE NO. FACILITYNAME Waste Indu: COUNTY Guilford ial Stormwater Discharee Monitoring Report Division of Water Quality General Permit No. N00080000 ,,,Date submitted 11 /27/2015 L t Landfill PERSON COLLECTING SAMPLES LABORATORY EZesearch & Ana Isis Lab Cert. # 3'7'7 0 1 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June �1uly-Dec or []Monthly'.. (month)DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA r ❑ [:]Water Water Supply ❑SA � �Ci V fzD ❑Other DEC 701� PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallo C A GiSpermonth? X. yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' ` Outfail l 3 - 3 No ISarnpfeCollected,�< --, _ :. Date - _ ----nio/dd/_ �.� . - � 00530 i . - � - 00400- - - - ,, Tota! Suspei%ded� i Sopds,'m8/� __;,,� pH ; ..- . _. <Standard.uMts,�:._,? FN_'orwPolar 0iand Grea/`1 PH EPA; . ._ c _: Method 1664.1jSGT-HEM New MotoOt) ''sage, F .0 . _ _ #.Armual average ga[/rtio; 8chmarfi� "" _ d500�.100see;peimit� )I- 4 l 7 YG 45 11- 9 /S•g '7,38 GS /V11 3 1+• 9 o15 1 3 2,• 3 G• 4 NA Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Dutiall 1No~ ,Date; _ ;SaRipl C ecte 1, Viso/dd/ v 00556��` ' y,Nvn-Polar.0il , ;00530. F00400 and Greasef7PH_EPA'Metliod_ •1664 �SGT: Fi€Nlj; mg%L', -Total Strspertticd So!lds; . n�g/1'. :Standard' units ... ., - Prmlt Limit . r ., _. _.. _ - . -� -- --' ;15 - - : 50 ora00 see permit' 6.0 = 9A � 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date - - 6 (first event sampled) Total Event Precipitation (Inches): / • ��• Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: !f you report a sample value in excess of the benchmark you must implement Tier 1, rer 2, or rier 3 responses. See General Permit text: FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUfFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony of this DMR including all 'No Discharae" rerrarts, within 30 dat!s of recefgt,ot thg Jab results for at end of monitoring oeriod in the case of No Discham 'reports) to; Division of Water Quality Attn: DWQ Central Files 1617 Mall Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION_ FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are signiflcar)(penaltieifor submitting false information, including the possibility of fines and imprisonment for knowing violations.' of I z, ,5— (� Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/nQde5sw#tab-4 SWU-250 w last revised April 11, 2013 Page 2 of 2 RESEARCh & ANAIyTICA1 LAbORATORIESF INC. For: Waste Industries of High Point 5830 Riverdale Drive Jamestown, NC 27282 Attn: Catherine Hernandez Report of Analysis 11/18/2015 CS i • / . �ti0. Ni NC #34 } NC H37701 S f � Client Sample ID: Outfall #1 Lab Sample ID: 11376-01 Site: Waste Inudstries Collection Date: 11/9/2015 14:30 Parameter Method Result Units Rep Limit Analyst Analysis Daterrime Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 RH 11/12/2015 Gel pH SM 4500 H+B-2000 7.76 Std. Units AP 11/9/2015 1722 Total Suspended Solids (TSS) SM 2540 D-1997 13.0 mg/L 5 JB 11/11/2015 Client Sample ID: Outfall #2 Lab Sample ID: 11376-02 Site: Waste Inudstries Collection Date: 11/9/2015 14:30 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 RH 11/12/2015 Gel pH SM 4500 H+B-2000 7.38 Std. Units AP 11/9/2015 1723 Total Suspended Solids (TSS) SM 2540 D-1997 15.8 mg/L 5 JB 11/11/2015 Client Sample ID: Outfall #3 Lab Sample ID: 11376-03 Site: Waste Inudstries Collection Date: 11/9/2015 14:30 Parameter Method Result Units Rep Limit An_ _alyst Analysis DaMajme Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 RH 11/12/2015 Gel pH SM 4500 H+13-2000 6.69 Std. Units AP 11/9/2015 1725 Total Suspended Solids (TSS) SM 2540 D-1997 32.3 mg/L 5 JB 11/11/2015 NA = not analyzed 5 P,O. Ebx 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www,randalabs.com Page 1 ral coa basic yid RESEARCh & ANAlyTICAI CHAIN OF CUSTODY RECORD . LABORATORIES, INC. Analytical / Process Consultations Phone (3361 996-2841 WATER !WASTEWATER MISC. COMPANY Whii ,,j� wj L..,� JOB NO, o " o _ti� M1 O `a y, yO* � Z M1 my p `Qm�G y0' • CZ0}�00 op co `0 a C� Q C9 oc� C' �m v p F � Q• (' Q • Q • Q • 0C �" y` REQUESTEC ANALYSIS STREET ADp(R�E PROJECT.r=es CITY, STATE, TIP SAMPLER NAME (PLEASE PRINT)1 CONTACT PHONE & 1�-= �lei�l`Q,4-cZ `Q��.7 I Z SAMPLER UNATURE SAMPLE NUMBER MB USE ONLY) DATE TIME COMP GRAB TEMP -C rs>:s � CHLORINE o S0.NPl.E Ig SAMPLE LOCATION ! I.D. 41 0 RELINQUISHED BY DATEf E RECEIVED BY REMARKS: , SAMPLE TEMPERATURE AT RECEIPT �• °C RELrQUISHEb B DATEITIME l RECEI BY RECEIVED MAR 2 3 206 CENTRAL FILES D WR SQ tN Semi-annual Stormwater Discharge Monitoring ebb for North Carolina Division of Water Quality G neral Permit No. NCG080000 Date submitted 1!7 CERTIFICATE OF COVERAGE No. NCG 1 L Q 0-0-0 SAMPLE COLLECTION YEAR 2e'15- fACIUTY DAME &E,u SAMPLE PERIODP?Tan-June ❑ July -Dec COUNTY a L js I P- h or ❑ MonthW lmonrhl PERSON COLLECTING SAMPLES 04V DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY , e,-,eg =K }�, GT Lab Cert. q as []Zero -flow ❑Water supply [:]SA Comments on sample collection or analysis: ❑Other Part A: Vehicle Maintenance Areas Monitoring Requirements PLEASE REMEMBER TO SIGN ON THE REVERSE 4 No discharge this period' ' outfali .'Date •rSampli Collected, 0 arhio dd/•yr, 00S30 " ' 00400 ODS56 Total Suspended Solids, mg/L pH, Standard units Non -Polar oil and Grease/TPH EPA Method"1664 (SGT=HEM), mg/L New Motor Oil Usage, Annual average gal/mo Beri[I+rnark, ate" = s0or,100seepermit' Withid6.0-9.0 15 - ► L 5- Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no (if yes, report your analytical results in the table Immediately below) Part B: oit/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals d ouifall No. Date Sample Collected, : 00556 00S30 00400 Non -Polar Oil and(Grease/TPH EPA Method :1664'(SGT-'HEMl,'Thng Total Suspended Solids, <:mgJl pH, Standard units Permit Li`mlt'" - - is* 50 or 100 see permit 6.0 -9.0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised Oclobcr 25, 2012 RESEARCh & ANA[yTICAl' LABORATORIES, INC. CHAIN OF CUSTODY RECORD Analytical 1 Process Consultations Phone (336) 996-2841 w17ER 1 NfAS7EWAS5R ASISC. .c • s • • a 4 ' ME! m- IF . ■ •• • J1 •r i ME r• ■■■■■■■ - LJ■■■■■■■■■■■s■■ �r■■■■ram ■�■�■■��■■■■ ■�■ 1■■Il■■■■r■ ■■■■�r■�rrr■ ■�■ ■■r■■■■■■■ ■■■■■■■■m■o■■■■ A. . ■ •, TEMPERATURESMPLE 1 -, , : ■ , .:fir e STORM EVENT CHARACTERISTICS: Date !' (first event sampled) Total Event Precipitation (inches): 6'151) Date (list each additional event sampled this reporting period, and rainfall amount) 0 Total Event Precipitation (inches): Note. Ilf yiou report a sample value In excess of the benchmark, you must Implement Tierl, Tier 2, or T1er3 responses. See General permit text. FOR PART A AND PART B MONITORINGRESU�TS: • A B!NCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION S. a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMET£RAT ANYONE OUTFALL? YES O NO:�K IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO REGIONAL OFFICE CONTACT NAME: it an orlatogi and one copy of this QW-Inclutfing pit Y2 Discharge" reports, within 30 days ofreCeint of the lab results forat end of monitoringerlod in ghe case 'N9 Dischor e" re arts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center f Raleigh, North Carolina 27699-1617 - Q_ U_MgST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED; "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible r gatheri g the in rmatlon, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significanpenalties7orsubq f�ting false Information, Including the possibility of fines and Imprisonment for knowing violations." 3 i 9 rS (Signature of Permtttee( (Dal l Additional copies of this form maybe downloaded at: httpj/,p_prtal.ncdenr.orglwcb/wq/ws/su/npdesswgtab-4 SWU-250 last rCA3cd Ociober 25. 2012 Paze 2 of 2 RESEARCh & ANA1yTICAt UbORATORIES, INC. For: Waste Industries of High Point 5830 Riverdale Drive ,Jamestown, NC 27282 Attn: Catherine Hemandez Report of Analysis 2/23/2015 4C ico NC 034 ZI NC937701 s Client Sample fD: Outfall 1 Lab Sample ID: 785.01 Site: Waste Inudstries Collection Date: 21102015 9:00 AM �, '..J '14 .u'bi .tom f. • 2 MOB• Yh.l' ,.�+� MEN _..Qy. - l�v AareirieCer�""i �s tp; tcH� - ti ct; l •. : Urifta' t r�1Ai�alvstaFliatsFDstAlTiitie' `�•w.�:.'�. s�;� Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5,0 mg/L 5 JB 211WO15 Gel Total Suspended Solids (TSS) SM 2540 D-1997 10.8 mgA- 5 YJ 2111r2015 1300 PH SM 4500 H+13-2000 7.39 Std. Units AP 2/11/2015 Client Sample ID: Outfali 2 Lab Sample 10: 785-02 Site: Waste Inudstries Collection Date: 2/102015 9:30 AM Parameter ' fi �'ti'.:' _'.; ,• `.ti' �;Methad' �; tt;#I_t3;;U. nits Kt T "�'i it'y9p�IlL.+r/Aftafvsla D8telTima Hydrocarbons, Oil 8 Grease EPA 1664 Revision A/Silica <5.0 mglL 5 JB 2/16/2015 Gel Total Suspended Solids (TSS) SM 2540 D-1997 6,00 mg/L 5 YJ 2/112015 13D0 PH SM 4500 1-1+8-2000 7.53 Sid. Units AP 2111/2015 NA = not analyzed P.O. t3ox 473 106 Short Sheet Kemersvitle, North Carolina 27284 336-996-2841 Fax 336-9W0326 wwwsandatabs.com Page 11 of 25 ai •-o� as-c ++tv Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qu lity General Permit No. NCG120000 Date submitted d, CERTIFICATE OF COVERAGE NO. NCG12Q CD O —� SAMPLE COLLECTION YEAR 2 FACILITY NAME OAs-t e 1A-) nU STK! E,5 SAMPLE PERIOD ❑ Jan -June July -Dec COUNTY C c,i / V d,,e 0 or ❑ Monthly'(month) PERSON COLLECTING SAMPLES LABORATORY i�eSce✓�ir.Qri Comments on sample collection or ;,I Jab Cert. # A O ysls: Part A: Stormwater Benchmarks and Monitoring Results RES�TO CLASS ❑ORW ❑HCtW [:]Trout❑PNA 1Z e� 1/ CI,J ❑Zero -flow []Water Supply [:]SA JAN 12 2015 ❑other CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE DWR SECTION ❑ No discharge this period:' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Chemical Oxygen Demand Fecal Coliform Total Suspended Solids Benchmarks ===> _ - 120 mg/L 1000 count per 100 mL 100 mg/L or 50 mg/L W1 man" l� CO2 �w 0014 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall, 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX". Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See Genera! Permit text. Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012 Page 1 of 2 Part B: Vc._ _,e Maintenance Area Monitoring Results: only for facilities0eraging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L4 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD-4 OR MORE BENCHMARK EXCEEDENCES FORTH . E'SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring aeriod- in the case of "No Discharge" reports) to: , Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS.CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of lava, 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 tha her are "sig ' icant penalties for submitting false information, including the possibility of fines and imprisonment for kriowing violations." �r Y _ k I l4 � � .. .. ;. .CYw•w�7. (Signature of Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012 , Page 2 of 2 RESEARCh & ANA[yTICA1 LAbORATQRIES, INC. Analytical/Process Consultations dP 0 U) No : r rrri� O�RQ; \5 AtA Waste Industries of High Point Date Sample Collected : 12/24/14 5830 Riverdale Drive Date,Sample Received : 12/24/14 Jamestown, NC 27282 Date Sample Analyzed 12/24/14 Attn: Date of Report 01/05/15 Analyses Performed by JP -AP -YJ Lab Sample Number -------------------- 802029 Parameter Storet ff Results Oil & Grease -MINERAL <5.0 mg/1 pH (00400) 7.65 Std. Units TSS (00.530) 30.0 mg/l I -------------------- Clients Sample Source OUTFALL 41 Number ! Time Collected (Hrs) P.O. Box 473 • 106.Short Street • Kernersville, North Carolina 27284 • 336-996-2841, • Fax 336-996-0326 www.randalabsxom ENVIRONMENTAL CONSERVATION LABORATORIES CHAIN -OF -CUSTODY RECORD www.elncolabs.com Orlando, FL32824 Dr. Ja1e �=1ve Paric Cd�Suite 117CaarrCopdwl1 Industrial CL (407) 926-6314 Fax (407) 8SO4M (904) 29&3007 Fart (904) Z*-6210 {9to)467-1090 Fax )s19) 4c7ss1S page . as Sample lat n--�—� Rol"u Datefnmo3d • U Reohred By Damlflme Z CommentaGpectal Roporling Requi�re�m�entss RoMquW*d BY Datefnmo RoceWod By DaubTime �+ • `S ' �:+ I ` �.+��Q Ra6nqurdwd By DataMma - RwoK-od By Dotamme l%1$� ✓✓✓ Cooler a'a h Temps on RecelW pj Car didon Upon Recelpt Acceptable Unacceptable Uamix: rs1'v-urGuncrWalor so -son Uw-vrMKing Warm st:-b8 imGm irw•Sunacp wafer WW-wanawalpr n-our u-V[nor tomnii in commonM) Preservation: Moe r -HU N-HNV3 S-M tS(A NO•KoOH O.Othar (detall In comments) Note : All samples submitted le ENCO Labe aro M aeeordance with Iho terms and conditions Ilatod on the mversa of this lawn, unless prior writlen agroonwnts oxlat VISUAL STORM WATER INSPECTION FORM p) Date: — Facility: Waste Industries High Point C&D Landfill _ .. Location ID: Sampler(s): TV--\.C_rC+,uV Location Description: I •. ,o c cJl 11 Field Parameters: Time of Sampling (To occur within the first 30 minutes of discharge, not to exceed one hour) Nature of Discharge C) (Type of storm event causing discharge, such as runoff, snow melt, etc.) PARAMETER OBSERVATIONS AND COMMENTS Color Odor r Clarity Floating Solids Settled Solids Foam Oil Sheen Other Indicators of Storm Water Pollution not Listed Above Probable sources of any observed irregularities: Signature: Date: VISUAL STORM WATER INSPECTION FORM X Date•. „� f \ -� 1 1-1 Facility: Waste Industries High Point C&D Landfill Location ID: Sampler(s): Location Description: Field Parameters: C1\ vc�<— vl rC, Time of Sampling (To occur within the first 30 minutes of discharge, not to exceed one hour) Nature of Discharge VC) % -s C�r--"J (Type of storm event causing discharge, such as runoff, snow melt, etc.) PARAMETER OBSERVATIONS AND COMMENTS Color Odor Clarity Floating Solids Settled Solids Foam Oil Sheen Other Indicators of Storm Water Pollution not Listed, Above Probable sources of any observed irregularities: Signature: Date: VISUAL STORM WATER INSPECTION FORM Date: Facility: Waste Industries High Point C&D Landfill Location ID: i " r"Ii1S Sampler(s): _ ;u r-,N Location Description: I n ,P." G'1 N PC"-",)\S Field Parameters: Time of Sampling (To occur within the first 30 minutes of discharge, not to exceed one hour) Nature of Discharge (Type of storm event causing discharge, such as runoff, snow melt, etc.) PARAMETER OBSERVATIONS AND COMMENTS Color Odor Clarity _ Floating Solids Settled Solids Foam Oil Sheen Other Indicators of Storm Water Pollution not Listed Above Probable sources of any observed irregularities: Signature: Date: VISUAL STORM WATER INSPECTION FORM Date:„ ` Facility: Waste Industries Hi h Point C&D Landfill Location ID:� C Sampler(s): Location Description: C5 Field Parameters: Time of Sampling (To occur within the first 30 minutes of discharge, not to exceed one hour) Nature of Discharge WC) % "S (Type.of storm event causing discharge, such as runoff, snow melt, etc.) PARAMETER OBSERVATIONS AND COMMENTS Color Odor Clarity Floating Solids C, Settled Solids Foam Oil Sheen Other Indicators of Storm Water Pollution not Listed Above Probable sources of any observed irregularities: Signature: Date: