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Home My WebLink AboutNCG210428_MONITORING INFO_20190114STORMWATER DIVISION CODING SHEET NCG PERMITS . PERMIT NO. IV 0 4 9A DOC TYPE ❑ HISTORICAL FILE [. MONITORING REPORTS DOC DATE ❑ 30161 1 r YYYYM MDD CERTIFICATE OF COVERAGE NO FACILITY NAME COUNTY PERSON COLLECTING SAMPLES LABORATORY Semi-annual Stormwater Discharge Monitorinn_Renort for North Carolina DEMLR Gene al Permi No. NCG210000 Date submitted SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June my -Dec or []monthly' (month) DISCHARGING TO CLASS []ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow []Water Supply [—]SA ❑Other 2142 V 77 7 2 Lab Cert. # Comments on sample collection or analysis: PLEASE REMEMBER TO SIGN ON THE REVERSE 3 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) D-fio discharge this period. � } Outfall No. Date Sample Collected (mo/dd/yr) 24hour rainfall amount, Inches3 Chemical Oxygen Demand Total Suspended Solids�A Benchmarks 120 mg/L 100 mg/L or 50 mg/L.^! -RE 3 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 ill the format. "<XX ma/L". where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. 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: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 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 O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/0 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 ATTHE 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coon of this DMR, includina all "No Discharae" reports. within 30 days of receipt of the lob results (or at end of monitoring 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 am =�sjjgnor submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) a Permit Date: 8/1/2013-7/3'1/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR Gener I Pe mit No. Date submitted 8 CERTIFICATE OF COVERAGE NONCG21L�)' SAMPLE COLLECTIONEARZ ! � �,�� FACILITY NAME 1 %�/ .9.�r 2(f SAMPLE PERIOD Jan -June ❑ July -Dec COUNTY or ElMonthly' _ (month) PERSON COLLECTING SAMPLES GL DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA YLABORATORY Lab Cert. d ❑Zero -flow ❑Water Supply []SA ❑Other Comments on sample collection or analysis: N CG 210000 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) [2"No discharge this period:2 Outfall No. Date Sample Collected, (mo/dd/yr) 24-hour rainfall amount, Inches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> _ 120 mg/L 100 mg/L or 50 mg/L ;D :-C IV D uN 15 2ata WlkAL FILES NR SECTION! 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. 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: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B., Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period?? Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/L4 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 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 and one coov of this DMR, includina all "No Discharoe" reports. within 30 days of receipt of the lab results for at end of monitorina period in the case of "No Discharae" 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. am aware thane ale-5i8nificenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permit Date: 8/1/2013-7/31/2018 I 11Xe19 Oatef- SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring for North Carolina DEMLR Gen ral Permit No. NCG210000 Date submitted CERTIFICATE OF COVERAGE NO. NCG21O SAMPLE COLLECTION YEAR _ 4YC,11�_ FACILITY NAME SAMPLE PERIOD ❑ Jan -June [Al@y-Dec COUNTY1 �+ or ❑ Monthly) (month) PERSON COLLECTING SA PLES / C�p� ° � EQ.Eeo"j TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Lab Cert. ❑Zero -flow ❑Water Supply []SA`��ly2 a Z018 ❑Other Comments on sample collection or analysis: CEN-FRAL FILCs SECTION DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE CW Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) o discharge this'period?2 Outfall No. Date Sample Collected) (mo/ddyr) 24hour rainfall amount, Inches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks =_=> _ - 120 mg/L 100 mg/L or 50 mg/L r� E 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. 3 The 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 reporteS in the format. "<XX m¢/L". where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text. Permit Date: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. P-ho discharge this period: Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inche53 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L 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 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT !NAME: Mail an oriainal and one cop of this DMR, includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina period in the case of "No Discharge" oortss� 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 thjere,are_,�ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." f (Signature of Permittee) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharee Monitoring Report for North Carolina DEMLR Gen ral P rmit No. NCG210000 Date submitted CERTIFICATE OF COVERAGE NO. 21 4� SAMPLE COLLECTION EAR i l FACILITY NAME .� ,C1� SAMPLE PERIOD San -June ❑ July -Dec COUNTY or ❑ Monthly'_ (month) PERSON COLLECTING SA PLES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Lab Cert. k ❑Zero -flow []WaterSupply ❑SA ❑Other Comments on sample collection or analysis: e PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) FVrN, discharge this period72 Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches' Chemical Oxygen Demand Total Suspended Solids Benchmarks ===> 120 mg/L 100 mg/L or 50 mg/L Il l� r IVE® 2 2017 �;I✓NTF7L FILES ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same paF0W_RrS tQT46 putfall. '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 for "<XX " where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Aermft text. Permit Date:8/2/2013-7/31/2018 0 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. R No discharge this period?z " Outfa[I No. Date Sample 24-hour rainfall Collected' amount, a Non-polar,O&G by EPA - v '.664 � „ Total Suspended Solids' (mo/dd/yr) Inches -}.r1 {SGT-HEM)'•,• ,- %1 ". . • �a � .- genchmarks =__> - 15 mg/L 100 mg/L or 50 mg/L ,O» ti 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 TRIGGERSTIER 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: 'l • y.r Mail an oriainal and one coov of this DMA. including all "No Discharoe" repots, within 30 dovs of receipt of the lab results 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 MU Sr 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 dir esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware t ere .5r1gnificant_pSP4tIes for submitting false information, including the possibility of fines and imprisonment for knowing violations." 7171AK.1;1' (Signature of PermiDI/2018 at Permit Date: 8/1/20 SWU-245, last revised 7/31/2013 Page 2 of 2 • Semi-annual Stormwater Disa.,srae Monitoring. RelRort for North Carolina DEMLR Gene a P rmit No. NCG210000 Date submitted CERTIFICATE OF COVERAGE NO NCGZ1 L' Z ,& FACILITY NAME - ✓/ _' D^ COUNTY D PERSON COLLECTINd SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June my -Dec � L� f� �r ❑ Monthly)^ _ _ (month) SC ARCING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA JAN 12 2017 ❑Zero -flow ❑Watersupply [:)SA CENTRAL FILES [:]Other DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) [ErN__o discharge this period?? Outfall No. Date Sample Collected (mo/dd/yr) 244hour rainfall amount, IncheS3 Chemical Oxygen Demand Total Suspended Solids Benchmarks 120 mg/L 100 mg/L or 50 mg/0 I 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 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 mg L", where XX is the numerical value of the detection limit, reporting limit, etc, in mg/L. 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: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013 Page 1 of 2 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, Inches3 ' Ndn-polar O&G by EPA 1664 (SGT-HEM) - Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/0 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 8 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 lI 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina period in the case of "No Discharae" 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 resp ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware t ag signi icafi eTlties for submitting false information, including the possibility of fines and imprisonment for knowing violations." � �t4z (Signature of PE WWI j/ lfilr Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2� Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR Gen al P rmit No. NCG210000 Date submitted CERTIFICATE OF COVERAGE NO. 21 �d `'� FACILITY NAME sll = / L✓t[i COUNTY PERSON COLLECTING SAM ES LABORATORY Lab Cert. it Comments on sample collection or analysis: SAMPLE COLLECT21jan-June YEAR _ SAMPLE PERIOD ❑'July -Dec RECEIVED or [] Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA JUL 19 Z016 ❑Zero -flow []WaterSupply []SA CENTr,AL FILES ❑Other DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A:'Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch', or other similar material on site for longer than seven (7) days.) eNo discharge this period?' Outfall No. Date Sample Coliectedl (mo/dd/Yr). 24hour rainfall amount, lnches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> - 120 mg/L 100 mg/L or 50 mg/0 AVIP ? 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 fora 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. 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: B/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 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 O&G by EPA 1664 (SGT-HEM) . Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100:mg/L or 50 mg/L 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 ATTHE 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 DEMLR REGIONAL OFFICE? YES„❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt. of the lab results for at end of monitorin-q—p d in the case of "No Discharae" 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 r ible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware er re signi ica (ties for submitting false information, including the possibility of fines and imprisonment for knowing violations." t (Signs ure of Permittee (D e) Permit Date: 8/1/2013-`h`3f/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 Serni-annual.StorlmwaterDischarge; rMohitorina:Report for North. Carolina'DEEVIl,R Gener l`P !mit,No, NCG210000 Date submitted 11A CERTIFICATE OF COVERAGE NOA =G21 �/O��CJ F FACILITY NAME COUNTY PERSON COLLECTING -SA PLES LABORATORY.. • L'ab'Cert.,# Cornments on sample collection oranalysiis: SAMPLE -COLLECTION YEAR O10 SAMPLE 'PERIOD ❑ Jan -June vly=Dec or ❑'Monthly' lmonthJ R E�wEIJARi��I�Ir TO CLASS' ❑OiiW ❑HQW [:]Trout ❑PNA j� �/ �.J ❑Zero=flow ❑Water Supply ❑SA DEL ? 8 :--uib ❑Other CENTRAL FILES PLEASE:REMEMSER TO SIGN ON THE,REVERSE 4 DWR SECTION Part A:'Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch; or other similar material on site for longer than seven (7) days.) No diseharge,thiS.period ?2 Outfall'No. 'Wtetample yy.241hotirrainfall �. Collected amoui�3!Chemical Inches �. Dicygen Demand , fiotal'Susp&i& Solids ,genchmaiks > ".�- 4 r y° ` ; = •:� �r iµ= a120 ;mg/Lr ' "G r 400'm L or:50 mg/0 . - -- - - -- -- — -- — - - - - -. -.- . -. -- - . -- - -- - - - - - ..- — — 1 Monthly sampling (instead of semi-annual),must begin witKthe 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 monitoringreport with a checkmark`here. 3The total precipitation must be recorded using data from an on-site•rain gauge. Unattended sites maybe eligible fora 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. r: FoexaLj3ple, dg�t teaort Beiow•Detection'Limft, BDL, <PQL,,.,Non-detect, ND, or other similar non - numerical format. When results are below the appli6614-limits., jhe_Xmusfhel_r`epot d'in he foJAntat. "<XX4n� /r, where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark -you must implement Tier 1, Tier Z or-Tierr3 responses. See:General Permit text. Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. WNo discharge this period?2 Outfail No. Date Sample , T4-hour rainfall , 1 ,�;=x amount, Z ry dmo%dd/Yr�b �. l�ches3q�..1f64iSG�T=HEIVIj: Non-,pola nO&G hy,E_PA, +_ 4 w #STQtaI SusD ended Solids DenchMdrks =_=> _ - „ ` 15 iiiB/L" -,100`Mg/L or 50 mg/0 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 7+er I, Tier 2, or Tier 3 responses. See General Permit text. FQR PART A AND PART 8 MONITORING RESULTS: . A BENCHMARK EXCEbANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART It SECTION B. • 2 EXCEEDANCES IN'A ROW FOR THE SAME PARAMETER ATTHE 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 Q NO.❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES,Q NOQ REGIONAL OFFICE CONTACT -NAME: ail an arlrtirra! and one cor�v_of this DMiR indudinra,all -"No ®ischaroe<, reports, within 30 days,of receivrof the lahresults for _at. .end. of monitorinaperiod in the case of No Discharae" revortsl to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST THIS CERTfFICATION FOR ANY IRIFORMATION REPORTED: I certify, under penalty of law, that this docum ent and all attachments were prepared under my direction or supervision in accordance witha 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 dir r le.for erang the information, the information submitted is, to the best of my knowledge and belief, true, accurate; and complete. am aware th bere ay s ggifi =es for submitting false information, including the possibility, of fines and -imprisonment for knowing violations." (Signature of 'Perr+lt.Date: a/,;" e� .(D (e) SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual.Stormwater Discharee Monitorine:Rel2ort - ` for North Carolina DEMLR Gener ' I P mit No. NCG210000 Date submitted 4/ CERTIFICATE OF COVERAGE'NO N G21 'Sr' a SAMPLE COLLECTION YEAR O/ 0 FACILITY NAME l! � � SAMPLE "P.ERIOD -] Jan -June my -Dec COUNTY or ElMonthly' month PERSON COLLECTING SA PLES DISCHARGING -TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY. .Lab,Cert.'# ❑Zero -flow ❑Water Supply [:]SA Comments on sample collection or analysis: []Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) 'No discharge this period?Z Outfall No. Date Sample • . , . -Collected '(mo/dd/yr)' . ,' 244hour rainfall .amount,' Inclie's3 - Chemical Oxygen'Deinand Y. � - Total.Suspendgd'Solids Benchmarks 120mg/U - 100 mg/L or 50 mg/i 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_ 'The 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 nbt'report.Below'Detection'Limit, BDL, <P,QL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable"limits,;thev must be reported iri it a fbrriiatc="<XX mpIV where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier-3 responses. See Genera! Permit text. Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring -Results: only for facilities averaging > 55 gal of new oil per month. D No discharge this period?' Outfall No:(Collected Date Sample r 24�hour, rainfall,, amount3, r '.Inches No`n'-polar O&-G byE'PA 0; _-16k(SGSHEM)$ ` : Totafsuspended Solids Benchmarks 100 mg/bor.50 mg/0 0 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 TRIGGERSTIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW. FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2'REQUIREMENTS. SEE PERMIT PART 11 SECTION B: • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES,_❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Alai! an o�ci inal_and one cony of this DMR, includina all "No Discharge" reports, within30 days of receipt•of the lab results for 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 dir yr le.for Bring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware th here a s WJfi ies'for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permit: Late: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR Gene r I Permit No. NCG210000 Date submitted CERTIFICATE OF COVERAGE NO. NfiG?1 aZ/d SAMPLE COLLECTION AR Dre,�7/' FACILITY NAME / % - SAMPLE PERIOD Jan -June [] July -Dec COUNTY or El Monthly' (month] PERSON COLLECTING SA & P L E S �.�� G�Ly + DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Lab Cert. ft,�/- . _ -RECEIVED ❑Zero -flow ❑Water Supply [:]SA Comments on sample collection or analysis: JUL Q 9 2015 ❑Other PLEASE REMEMBER TO 51GN ON THE REVERSE -4 CENTRAL FILES Part A:°Stormwater Benchmarks and Monitoring Results (Monitoring require d i ilNy if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) 7 "No discharge this period ?2 Outfall No. i�ate'Sample Collected' (mo/dd/yr)j 24-ho0rainfall amount, Inches; Chemical Oxygen Demarid Total Suspended Solids 8enchinarks = => _ " . 120 mg/L. ' `100 mg/L or 50 mg/L ' 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: Tor example, do not'renort 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. 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: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?2 Outfall No. Date Sample 1. collected {mo%dd/Yr} '.._ 24-hour rainfall ainaun3, Inches _� Nilir-polar 0&G by EPA ;r. ..1664(SGT-HEM) y Total Suspended Solids Benchmarks =_-> _ - 15^mg/L 100 mg/L or 50 ring/0 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 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one coon of this DMR, including all "No Discharae" reports. within 30 days of receipt of the lab -results for at end of monitorina period in the case of "No Discharde" reports) - 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 difectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware a are nifica t nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permi ee ) {D e} Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual.Stormwater Discharge Monitorinng, Report for North Carolina DEMLR Gener I PermiyNo. NCG210000 Dat e ub 'tted J s ml CERTIFICATE OF COVERAGE NO0 CG210 Qf 4�;; FACILITY NAME ef' � COUNTY PERSON COLLECTING SAMPLES z LABORATORY Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR SAMPLE PERIOD Jan -June July -Dec or [] Monthly) (month) DISCHARGING'TO CLASS ❑ORW� ❑HQW ❑Trout ❑PNA � ow ❑Water Supply [—]SA RECEIRECEIVED ❑Othe DEC 0 3 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 3 CENTRAL FILES Part A:'Stormwater Benchmarks and Monitoring Results (Monitoring is requ I f K#jUility stores exposed accumulations of sawdust, wood chips, bark; rtaulch', or other similar material on site for longer than seven (7) days.) .ff'No discharge -this period?' Outfall No. Date Sample Collected) (mo/dd/yr) _. 24-hour rainfall amount, Inches3 Chemical Oxygen'Demand Total Suspended Sollds Benchmarks == => _ - 120 mg/L 100 mg/L or 50 mg/L Monthly sampling (instead of semi-annual) must begin with•the second consecutive! benchmark exceedance for the same parameter at the same outfali. 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 fora 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 no re ort 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 f" XX mglV where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. 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: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. [fNo discharge this period?2 Oudall No. Date Sample Collected'- (mo/dd/yr], 24hour rainfall amoant-, 3 'Inches "" - Non -polar O&Gby EPA -1664 (SGT-HEM) Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/1. 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 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2-REQUIREMENTS. SEE PERMIT PART 11 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: fl an original and one copy_ofthis DMR, including all "No Discharae" retorts, within 30 days of receipt of the lab results for at end of monitorina period in the, e o "No Dischar e" Meads) 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 resp ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware thaw signi7ant pe,pa)ties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Perm r/v, 1—a,7"Zz ate Permit Date: 8/1/2013-7/31Y/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 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 No_n-polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/0 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 ATTHE SAME OUTFALI_ 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coot/ of this DMR. includina all "No Discharae" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" repo 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: 9 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 res! ible 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-aWlsignifigbnt pepajties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permit Date: 8/1/2013-7/3 ate SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Perm. No. NCG210000 Date subm'tted / i l% I CERTIFICATE OF COVERAGE NO CG 10 Z FACILITY NAME COUNTY PERSON COLLECTING SAMPLES LABORATORY Lab Cert.-# Comments on sample collection or analysis: SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June 7uly-Dec or ❑ Monthly'- (month? DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) [0"No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Chemical Oxygen Demand Total Suspended Solids Benchmarks =_=> _ - 120 mg/L 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. 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 fora 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 re orted In the format "<XX mSLL" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. 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: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 07/24/2014 CERTIFICATE OF COVERAGE NO. NCG21_ 0428_ FACILITY NAME Enviva Pellet Northampton COUNTY _Northampton_ PERSON COLLECTING SAMPLES Heath Lucy_ LABORATORY —Environment 1 Lab Cert. # 10 Comments on sample collection or analysis: SAMPLE COLLECTIO EAR 2014 SAMPLE PERIOD Jan -June July -Dec �� or El Monthly' DISCNAR�GING TO GLASS ❑ORW HQW Trout PNA ❑Zero -flow []WaterSupply ❑SA JUL 2 5 2014 ❑other CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE -� DWQIB4G Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No dischorae this oeriod?2 Outf all No. Date Sample Collected' mo dd r 24-hour rainfall amount, Inches; Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> - - 120 mg/L 100 mg/L or 50 mg/L4 1 06 11 14 .1 567 1600 2 06 it 14 .1 No Discharge No Discharge 3 061114 .1 555 22 4 06 11 14 .1 1456 347 ' 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. 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 exam, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, then must he reported in the format, "<xx mg ji where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. 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: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 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 O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L 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 Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 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 4OR 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 and one coov of this OMR. includina all "No Discharge" reports, within 30 days of receiat of the lab results for at end of monitoring period in the case of "No Dischorae" 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: N 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. am aw re that there are significant p nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. 7/,j (Signature of Permittee) (Date) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 nold BNVXVA MLETS NORTRHAMPTON, LLC 10TH i HXATH LUCY 074 LEBANON CHURCH ROAD OARYSBURG ,MC 27831 TO,- 469 DATE COLLXCTED: 06/11/14 DATE REPORTED t 06/23/14 REVIEWED BY t J r Y Stormsrater Stormwnter Storrn+vnter Starmwiter Amnlysis Method PARAWTIMS (111, Grnh) (#2, Grab) (03, Grab) (114, Grab) Date Analyst Code P11 (not to be used for reporting) 6.6 w1ustaig 7.1 7.7 0611=4 TRB 4500HB-00 COI), mg/1 567 Missing 555 1456 06117/14 TRB F16000-79 Total Suspended Residue, myfi 1600 Missing 22 347 0013114 LW 7,540D•97 r 'P.O. Box 7085.114 Oakmont DL Gxe=yMe. ETC 27858 C AI N OF CUSTODY RECORD .P', z of I vY • . !• • DeACALPFSMV A -NONE • ! ZINC ACErATENAOH K rti ULFATE + r Now �^,7' S■■■■■■■■■■■■ ! \ - • �-■■■■■■■■■■■■■■■■m■ ''�•''c ': : !��ir- • •jai I •i„►�a : � 'r — I, LIASE READ instructions for oompiaing this form on the reverse side. Sampler -must p atefor�carijposfta's�a3nple�oT a= G�forr Y �! 274840 w...3...n....•.nw......,......+w:ly PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14140428 SAMPLE COLLECTION YEAR: _2014 FACILITY NAME: S. T. Wooten Corporation Burton Park SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June PERSON COLLECTING SAMPLES: James Jackson COUNTY: Onslow CERTIFIED LABORATORY: SGS Lab # 481 PHONE NO. (252) 290-5912 Lab # ADD TO LISTSERVE? [—]YES ❑NO EMAIL: LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: ❑SA ❑HQW [:]RNA ❑Trout ®Other OPTIONAL INFO: Part A: Wastewater Monitoring Requirements Outfall No. Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L) Duration (minutes) Total Flow (gallons/day) - - - 6-93'4 303,5 53 1 04-16-2014 VE/RM 7.5 NA NA NA APR 29t r n i rl1 CC nIAlrlIT) ' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. 2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. 7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 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 i onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and completerI am aware th t there are signific nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." i ure of Permittee it Date: 7/1/2010-06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2