HomeMy WebLinkAboutNCG120105_COMPLETE FILE - HISTORICAL_20190107STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
C?'HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ � U 19 � I 01
YYYYMMDD
Semi-annda! Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG120000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG12 0 1 0 5
FACILITY NAME Kersey Vally Landfill
COUNTY Guildford
PERSON COLLECTING SAMPLES
LABORATORY city or High Point water Quaiily Lab Cert. # 55
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
QECLSA'�l�(I�P�RRIOD El Jan -June QJuly-Dec
�� `` or ❑ Monthly'- (month)
JAN DISCI fA PGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
CENTRAL FILES❑Zero-flow [:]Water Supply ❑SA DWR SECTION []Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
❑® No discharge this period?'
Outfall Na.
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 5D mg/0
SDO-001
SDO-002
SDO-003
SDO-004
SDO-005
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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.
a 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 benchmarkr, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2
N
Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ?2
OutfaEl Na.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
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.o 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: j
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
O 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. _
i
o 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 copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR 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 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)
Permit Date: 11/1/2012-10/31/2017
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted S-- / N—/ 2'
CERTIFICATE OF COVERAGE NO. NCG 12 0 1 0 5
SAMPLE COLLECTION YEAR 2019
FACILITY NAME Kersey Valley Landfill �!{� SAMPLE PERIOD 0 Jan -June ❑ ]uly-Dec
COUNTY Guildford M�Y 4 D or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Ronald Barron LABORATORY-
zQj�
LABORATORY City of High Point Water Quality Lab Cert. # 55 EI V nj4L fil��
Comments on sample collection or analysis: & SECT' tv
Part A: Stormwater Benchmarks and Monitoring Results
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
0 No discharge this period'
Outfall No.
Date Sample
Collected 1
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal Coliform
Colonies per 100 mL
Total Suspended
Solids
mg/L
pH,
Standard Units
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
SDO-001
4-5-2019
.65
52
2600
34.8
6.29
SDO-002
4-5-2019
.65
23
67
4.6
6.34
SDO-003
4-5-2019
.65
21
800
10.2
6.41
S DO-004
4-5-2019
.65
25
67
83.2
6.39
SDO-005
4-5-2019
.65
630
520
44.6
6.28
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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 1, 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 mg/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 5XX".
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: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2
1.A-�
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
15
100 or 504
—
Parameter Code
-
46529
00552
C0530
NCOIL
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. 5ee 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 PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal cony of this AMR. includina all "No Discharae" retorts, within 30 days of receiot of the lab results (or 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 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
Permit Date:11/1/2018-5/31/2021
/y-/
Date
SWU-248, last revised 11/1/2018
Page 2 of 2
NORTH CAROUNA S INTERNATIONAL CITY
Receiving Laboratory: Initial Samplers: (print/sign
City of High Point Laboratory Services
KIVETT DRIVE LANDFILL - PERMIT # NCG120000
STORMWATER - CHAIN OF CUSTODY RECORD
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