HomeMy WebLinkAboutNCG130008_MONITORING INFO_20190103 (FIX)PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
/V 13 0o v 8'
❑ HISTORICAL FILE
MONITORING REPORTS
YYYYM M D D
M
North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicie/Equipment Maintenance Activities Only
Date submitted 1� t i'� rg
CERTIFICATE OF COVERAGE NO. NCG J30oo�
FACILITY NAME S +.1�-s �.._ �,(�F ♦ -eEIVED
COUNTY �� _ JAN 0 3 2019
PERSON COLLECTING SAMPLES T4�b..
ENTRAL FILES
LABORATORY eN Co Lab Cert. # S 5 DIAM SECTION
SAMPLE COLLECTION YEAR C 1 ��
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month,
Total event rainfall' 05 or ❑ No discharge this period'
Outfall No.
Sample
Collected,
mm/dd/yr
Total Suspended
Solids (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
Oil and Grease, mg/L
(if applicable)
pH, Standard units
(only if applicable)
New Motor Oil or
Hydraulic Oil Usage,
Annual average gal/mo
Benchmark,
-
100or501
15
30
Within 6.0 — 9.0
-
o17°13
is
L
0w�Vc)-
11/7 a
(p
%O
1 The total precipitation must be recorded using data from an on -site rain gauge.
Z For sampling periods with no discharge at aft outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June /. 2018
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 DWR Central Files:
Division of Water Resources*
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
*Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR.
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."
-=::E
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at:
https:lldeq.nc. gov/about/divisions/energy-mineral-land-resources/npdes-stormwater-gps
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1. 2018
Q'i
Semi-annual StormWater D1scharge'M6nitori!jg:R6pprt
'for North Carolinci'Divisidh of I Water Quality.General Permit No. NC.G08 . 0000
Date submitted
CERTIFICATE OF COVE"GE NO. NCra
FACILITYNAME
1 .1W
COUNTY 1�'&f ( d4
PERSON COLLECTIMG SAMPLES
LABORATORYJ!L.N Lab Cert. # Nf- (4 (4 .1
Comments on sample collection or analysis:
Part A; Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 26 )!r
SAMPLE PERIOD. jam -June (July -Dec
or ❑ Monthly' --------- Lmonthl
DISCHARGING TO CLASS [3ORW E]HCIW EjTrout OPNA
OZero-flow []Water Supply r ly [:]SA
RECEIVED ❑
E]Other
DEC 0 4 Ulb
PLEASE.RENTEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SECTION ❑ No discharge this period'
. . . . . . . .. . -
woo A
bp'(,
In,
Of ff
W
HEM
v
04
Q 0
1-7
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 13: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
WW'W"16
ga
U
"g,"DIg
-y�
�vgn,-
—.L
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 October 25, 2012.
'Page I of 2
�•�
STdRM EVENT CHARACTERISTICS:
+ Date (first event sampled) .
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value In excess of the benchmark you must implement TJer 1, Her 2, or Tler 3 responses. See General Permit text.
FOR PART AND PART B MONITORIN E U TS:
• 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 It 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:.
n orialnaJ and one cony of this DMR, i Iudin"1J - a DJ cs harae" re�orU within 30 dates ofrecelnt of the lob results (or at end of monitoring Qerlod In
At —
the ease of jNo Mchome" to arts) 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 quallBed 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 aye lgnlficant peq�alties for submitting false information, including the possibility of fines and,imprisonment for knowing violations."
11 A A s
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http-//g)_ortal,ncdenr.ord%keb/wq/ws/su/nodessw#tab-4
SWU-250 last revised October 25, 2012
Page 1 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF C R NO NC ) 6
FACILITY NAME
COUNTY 6
&42K_cc
PERSON COLLE 1NG SAMPLES _d%�
LA130RATORY 8k-G b Lab Cert. 0 &C_ _Z
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2 O
REDp . h]j PERIOD gJan-June ❑ July -Dec
_ �Y J1 or ❑ Monthly'_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
JUN 3 0 2014 ❑Zero -flow [—]water supply []SA
CENTRAL ci []Other
DWQ180G ES
p11ASE RrMEMSER TO SIGN ON THE REVERSE 4
❑ No discharge this periods
Outfall
No.
Date
Sample Collected,
mo/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
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
i5
-
s
.2
:2• Zv
Seuow
J
3
�- o
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,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
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 October 25, 2012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date &%y (first.eventsampled)
Total Eve t Precipitation (inches): 5
Date (11st each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
e A BENCHMARK 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 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:
Mail gn adefinal antang co gygLLis DMR—in clu 0kn a all "No Msch a ra e" repo res, with in 30 dq Rs_ojr 1 t gof t e lab resuk Itsor at en d o nIto rftrija aeriod in
the pose of "No Dlsg> arse" reports} ta:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU _ UIV STSIGN THIS CIERTIFlG4TION FOR ANY INFORMATION REP01M
"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 forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
thereAe sign lfica7l!�enaldes for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
of Permittee)
-6�26-(
(Date)
Additional copies of this form may be downloaded at: http./Igortal.ncdenr.org/web/w—clLwsLiu/npdessw#tab-4
web/wg/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2