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HomeMy WebLinkAboutNCG030282_COMPLETE FILE - HISTORICAL_20170106- STORMWATER DIVISION CODING SHEET RESCISSIONS. PERMIT NO. DOC TYPE El COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ (�! �UI / UI d b YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report + for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 3 5a►J E-0/7 CERTIFICATE OF COVERAGE NO. NCG03 0 t 9 2 SAMPLE COLLECTION YEAR 2016 FACILITY NAME VGIAA 10c, SAMPLE PERIOD ❑ Jan -June © July -Dec COUNTY or ❑ monthly" month PERSON COLLECTING SAMPLES r M/1R/C P, SWAn1xJ , r DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA �ECE V MU Zero -flow Water Su i S LABORATORY VAL& ACOA�jC� Lab Cert. # �d ❑ ❑ PP Y ❑ A Comments on sample collection or analysis: JAN 0 $ 2017 ❑Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION Part A; 5tormwater Benchmarks and Monitoring Results No discharge this period?' - Outfall-No. Date'Sam le- 6.. ., P . Collected (mo/dd/yr) '24=hour rairifall amount,Standard Inches3 ' -Total Suspended: Solids ard: units _ Copper Lead Zinc Non -Polar p&G/ Total'Petroleum . Hydrocarbon s TotaLToxic s Organics . Benchmarks ===> - 100 mg/L or 50 mg/L 6.0 = 9.0 0.007. mg/L.' 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L I2 nr 1b / N D 19 11-b NA 0, DO rK l` N9 N ZA 1 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 for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date:,1.1 11/2012-10/31/2-017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities tha._r..,corporate a solvent management plan into the Stormwater POI luL._ I Prevention Plan may so certify, and the requirement for TTO moi.- .wring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." l�'fL' Name (Print name) �D C 2 �- 3 �i' Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. 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 malC, 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. 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 Collected �24 hourrainfall amount, 3 Inches Non -polar O&G/TPH. by EPA.:.1664:(SGT-HEM)' - Total Suspended Solids P pH Benchmarks:===> .. - -. 15cmg/L 100 mg/L or;SO-mg/L*' 6.0 - 9.0 SU . Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying'the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 _ _ ; Page 2 of 3 A!ote: 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 EXCEEDANCE=S IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. a 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 carry of thisDMR, 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 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 jhkt there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:. I"/ l/2012-10/31/2017 At7 (Da ) SWU-245, last revised 10/2S/2012 Page 3 of 3 OP- (mil ►i rkL Semi-annual Stormwater Dischar-Re Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. N _ FACILITY NAME G ~'®O L S COUNTY T� V N C, 4 M i3_!r PERSON COLLECTING SAMPLES N 4k-IL e 19W,A00 LABORATORY. PJNe1 E ANAt,Yr<a LabCert.# `{o Comments on sample collection or analysis: JucLV-; S g ASE - GdAf, A PRoM kvbiaL6 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Y.a SAMPLE PERIOD tS Jan -June ❑ July -Dec or ❑ Monthlyl (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA RECEIVED ❑zero -flow ❑Water supply ❑SA ❑Other FEB 0 4 2015 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES DWR SECTION ❑ No discharge this period?' Outfall.No. - D'ate Sample' 1 Collected `- (mo/dd/yr) '' 24-hour rainfall amount, Inches3. Total Suspended: Solids pH,.' ' Standard units : Copper Lead Zinc Non -Polar 6&G/' TotalRetroleum.. Hydrocarbions Total Toxic Organics. Benchmarks =__> _ - 100-mg/L or 50 mg/L° 6.0 - 9.0 0.007. mg/L 0.033`mg/L 0.067-mg/L 15 mg/L 1-mg/L b l Atr s . tK,2 V-M t4lb ° P SA. nl•A 5 L. Q.03 ,nl L >l_ A 0 a S. 64 c 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. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date:,!' 11/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 100 Facilities tha-._=,corporate a solvent management plan into the Stormwater PolIuL:.-.i Prevention Plan may so certify, and the requirement for TTO mot,, Oring. may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the ali the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." W/h Q�� y�3-- Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. 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 ms/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. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?Z �r Outfall No. Date Sample �- � Collected (mo/dd/yr) .... 24-hour rainfall amount, Inches. . Non -polar O&G/TPH.by, -EPA 1664'(S.GTTotal.HEM} Suspended Solids - pH Benchmarks -_>. _ ,;: ;. : 15 mg/L :. > 100 mdL or 50 mg/L" 6.0 = 9:0`SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 2 of 3 Nate: if y. ._ . eport a sample value in excess of the benchmark, you must imp. —rent Tier 1, Tier 2, or Tier 3 responses., See General Permit text FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TILER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 115ECTION 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 REGIONALOFFICE? YES ❑ NO ❑ REGIONAL. OFFICE CONTACT NAME: Mail an original and one gov gf this QKR, !aQ1.uding all h o Discha e" egoMgRM within 30 days of recei t of the lab results for at end of anarritarina neriad in the case of ryNo Discharge tegoML to: Division of Water Quality Attn: DWQ Central Files iG17 Mail Service Center Raleigh, North Carolina 27699-1517 YOLNUST SIGN THIS CERTiFICATIDN FO,(t 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. I am aware where are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date Permit Date-.,'-'./1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report ' for North Carolina Division of Water Quality General Permit No. NCG030000 Dt b 'ttd 2� TAN 9"G a e su ml e ! l CERTIFICATE OF COVERAGE NO. _ _ SAMPLE COLLECTION YEAR i FACILITY NAME U 5 G PAQ Cao I i LJC SAMPLE PERIOD N Jan -June ❑ July -Dec COUNTY bL)A) COM 8 F PERSON COLLECTING SAMPLES M ARK % Sc•7A.V►`� LABORATORY PAGE ANALVT(AL Lab Cert. # ``/O Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results or ❑ Monthly' (month DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout❑PNA RECEIVED ❑Z h - low ❑Water Supply ❑SA ❑ CENTRAL FiLES EASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 PLEASE DWR SECTION ❑ No discharge this period?2 Outfali.No. `'Date'Sam le- P Collected) (mo/dd/yr) '24=hour rainfall amount, Inches Total Suspended: Solids PHA . Standard units : Copper Lead Zinc IVon Polar O&G/ Total Petroleum Hydrocarbons . Total Toxic Organicss. Benchmarks===> q l Qft%C% C, 6,,5 100 mg/L.or 50 mg/L 6.0=9.0 0.007.mg/L. 0.033 mg/L 0.067 mg/L 15 mg/L` 1 mg/L 2 m 7,& rvD ND D.o21. A ND N 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. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date:,!-' f1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities tha-.._:,corporate a solvent management plan into the Stormwater PolluL._J Prevention Plan may so certify, and the requirement for TTO mot„coring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." NIA 00-_ 3,\ �l; cF R 43 Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits,.thev 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. 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) . ._. 24hour: ralnfall . amount, _ .- _. €nches.. Non -polar O&G/TPH by EPA,..1664 (SGT-HEM)' Total Suspended Solids pH Benchmarks 15:mg/L 100-rng/Lor50-mg/L* 6.0-9.0'SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date:11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 2 of 3 Alote: 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. ,e FOR PART AAND PART B MONITORING RESULTS: o 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 11 SECTION B. o 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: Mail an on final and one cogy of this DMR including all "No Discharge"" re orts within 30 days of receipt of the lab results for 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. I am aware ths-LLthere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature af-Isermittee) Permit Date: /1/2012-10/31/2017 J. (Da e) SWU-245, last revised 10/25/2012 Page 3 of 3