HomeMy WebLinkAboutNCG210397_MONITORING INFO_20170515STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v 31 —I
DOC TYPE
❑HISTORICAL FILE
ONITORING REPORTS
DOC DATE
❑ c2 0 1� D 5 I 5
YYYYMMDD
PERMI ;FF_NAMElADF)J3ESS nwutnFar�fuy?ameuo=> ^=fnnJenly
NAME I I'ROBUILI) LLC i
ADORES S2100 STERLIN DRIVE
A1`BE,NIARLE NC 28001
FACILIN ALBEMARI-r NORTH CAORLINA
LOCATION S-FANLEY COUNTY
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI
DISCHARGE MONITORING REPORT (DMR)
2-16 {17-15)
NCO210000
PERMIT NUMBER I I DISCHARGE NUMBER
MONITORING PERIOD
YEAR I MID DAY YEAR MO DAY
FROM 16 01 TO 1 16 1 12 1 31
(20-21) (22-23) (24-25) (26-27) (28-29) (30-31)
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Form Approved.
OMB No. 2040
(((r^JJJ�I/VV�I Approval expiresresQ5-5-31-98
Check here if No Discharge
NOTE: Read Instructions before completing this form
(3 Card Orly) QUANTITY OR LOADING
(4 Card Only) QUALITY OR CONCENTRATION
NO.
FREQUENCY
PARAMETER
(46-53) (54-61)
(3845) (46-53) 54-61
EX
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MINIMUM
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(64-68)
(69-70)
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NAMEITITLEPRINCIPAL EXECUTIVE OFFICER
ICERTIFYUNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPAREE
UNUER MY DIRECTION OR SUPERVISION IN ACCORDANCE VTTH A SYSTEM DESIGNED TO ASSURE
THAI QUALIFIED PERSONNEL PROPERLY GATHER AND EvAwATF THE INFORMATION SUBMITTED
TELEPHONE
DATE
CHR1 S LANIBER 1-i^ I / GENERAL
BASED ON MY INQUIRY OF THE PERSON OR PERSONS WHO MANAGE THE SYSTEM. OR THOSE
PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE INFORMATION
MANAGER
SUBMITTED IS TO THE BEST CF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE.
IA WE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION,
'�Q(I 9g j-G 7��
2017
17
SIGNATURE dF RINCIPAL EXECUTIVE
INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT VCR KNOWING VIOLATIONS. SEE 1B
U-S C. § 1001 AND 33 U S C- § 1319- (Penalties �mder these stalul- may wdude Bnes up to SIG,. and
AREA
TYPED OR PRINTED
alma.Imum�mlxieonmentofbet-6monthsand5yearc.}
OFFICER OR AUTHORIZED AGENT
NUMBER
YEAR
MO
DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
EPA Form 3320-1 (1 Q-96) (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE I OF I
Certificate of Coverage
Page I of
STATE Of NORTH CAROLINA
DEPARTMENT Of ENVIRONMENT AND NA'1-URAL RESOURCES
DIVISION Of WATER QUALITY
GENERAL PERMIT No. NCG210000
CERTIFICATE OF COVERAGE No. NCG210397
STORMWATER
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Probuild Company LLC
is hereby authorized to discharge stormwater from a facility located at
ProBuild Company, LLC
2100 Sterling Dr
Albemarle
Stanly County
to receiving waters designated as Jacobs Creek; class WS-IV water(s) in the Yadkin River Basin(s) in
accordance with the stormwater pollution management requirements, monitoring and reporting
requirements, and other conditions set forth in Parts 1, I1, ❑I and IV of General Permit No. NCG210000
as attached.
This certificate of coverage shall become effective August 1, 2013.
This Certificate of Coverage shall remain effective for the duration of the General Permit_
Signed this day August 1, 2013.
for "Thomas A.Reeder, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
BFS / PROBUILD LLC
ALBEMARLE NORTH CAROLINA
COMPREHENSIVE SITE COMPLIANCE EVALUATION
(Reprices/augments one semi-annual inspection)
DESCRIPTION: The Comprehensive Site Compliance Evaluation shall be completed once
annually to evaluate the overall accuracy and effectiveness of the Stonnwater Pollution
Prevention Plan. The Comprehensive Evaluation Certification shall also be completed once
annually to certify this evaluation.
Evaluation Date and Time: t vj , oo q►
Evaluation Personnel: OYYs -11 Q..
J
Does the Stormwater Pollution Prevejjtiun Plan accurately reflect the operations and run-off
conditions at the facility? YES NO
Changes:
If in Year 2 or 4, have storm water samples been analyzed quarterly? Have the results been
submitted by the 3 Mar ..1 sF of the following year, as required by the General Permit?
YES /NO
Evaluation of pollution Control spill response equipment:, (� j
► AP
E�7xi {1nrl N, lcplle0ctio�an /.V1 po(Am 0 a14(l Wt50
)IIV 1 1 I
luation pf storatr cas: r
uation fr oof a Ea , MCILIInA ng a description o any necessar�4 c1,-pning:
fuatio,p gf�catch ba�i.is and; )-rap, including any sediment rern,wpl orGFosign,_T pair:
Nole: Any necessary revisions to the SVVPPP must be made within 2 weeks and implemented within 12
weeks_
!`nntI: r�i r.�nr l�onri�.
BFS / PROBUILD LLC
ALBEMARLE NORTH CAROLINA
COMPREHENSIVE EVALUATION CERTIFICATION
(Append to Comprehensive Site Compliance Evaluation annually)
ns ( at(n . certifv 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 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 fine or
imprisonment for knowing violations.
Name and Official Title: {
Can 6 S Lain ���aul
Telephone Number:
� 0 q - qB�-
Signature:
Date Signed: /";2 r -ow/o
C00y FJ1I.FRS GROUP
PROBUILD COMPANY LLC
Albemarle NC
NON -STORM WATER DISCHARGE CERTIFICATION
Description of Potential Non -Storm Water Discharges: Condensate from air compressors have
been inspected and are in compliance with the SWPPP.
Methods used: Visual Examination
I certify that in my professional judgment, the discharge from the site consists only of storm
water. This certification is based on review of site plans and engineering drawings and
observation of storm water conveyances and outfalls under dry conditions. I further certify that
all potential sources of non-stormwater at the site, a description of the results of any test and/or
evaluation for the presence of non-stormwater discharges, the evaluation criteria or testing
method used, the date of any testing and/or evaluation, and the on -site drainage points that were
directly observed during the test have been described in detail in the stormwater pollution
prevention plan prepared for the site. I further certify that no interior building floor drains exist
which are connected to any storm drainage system or which may otherwise direct interior floor
drainage to exterior surfaces, unless such floor drain connection has been approved and
permitted by the commissioner. I am aware that there may be significant penalties for false
statements in this certification, including the possibility of fine and imprisonment for knowingly
making false statements.
U � 171 /7
arty Signature Date
DZ t � C� �rvl�rvZ,
Responsible Party (Print or Type)
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE No. NC 100 �-SAMPLE COLLECTION YtAR 2014
FACILITY NAME ProBuild—Abermar ~SAMPLE PERIOD ❑Jan -June ■July -Dec
COUNTY Stanly / or ❑ Mbnthlyl (month)
PERSON COLLECTING SAMPLES Lance Lamonds RECEi VSDARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORYK&W Laboratories Lab Cert. ## 559 ❑Zero -flow ® Water Supply ❑SA
Comments on sample collection or analysis: OCT 0 1 2Q�4 ❑Other
CENTRAL FILES
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,)
❑ No discharge this period?'
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
C54 Albemarle NC
Sub Area 001
7/15/2014
2.25
68
6.7
C54 Albemarle NC
Sub Area 003
7/15/2014
2.25
220
957
C54 Albemarle NC
Sub Area 004
7/15/2014
2.25
130
487
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.
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 mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 reponses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/L
C54 Albemarle NC
Sub Area 002
7/15/14
2.25
ND <0.5 mg/L
(Method 8015)
NA
Footnotes from Part A also apply to this Part B
Nate: 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 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_ork!i al 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 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 person directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am awa rqjhy t there are,, gnmcant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
(Signature of PLermittee) (Date)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2