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Home My WebLink AboutNCG210416_MONITORING INFO_20150831STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. �v �� i �� CO DOC TYPE. ❑ HISTORICAL FILE 13(MONITORING REPORTS DOC DATE ❑ �i �� 3 1 YYYYM M D D See4.A SeCgpna Se C Repuirod Cliem IMormation: Re,Mi Project C .o .n: Invoice lnfomvton: Page, 1 Of t Comp&Y- Sirs Metal Maragembft Repot To: Jemm T ee A]taruiom - Morasx.. 2912 Neute 9w4rdrE Copy To: -. .Company Norte: - New run, NC 28%0 AEUea: ;a%ua-.'-":;"w'e"i•r —Aga,.- Emag: - PurUate ONer a: Papa Duote: Phe .. Fa Pmject Names -. Sim Slomlwaer 1p. Propct Maraper, kevin. i�oacelaos.mm 'XZ'=--P_".E�':,"'uC�:�'State / loratlon"J��A;;L"iRiBt W Reouesbo Our Data: - - ProiaeC R 1p. P .w M - .. R -uaeNd __ - -RroeraE a''- }•'iiJ ` `-'. YAigIX COCe ^ o COLLECTED Pre52 tive Y �� £kz`d•`.' W. arena vows - ww SAMPLE ID 4 ¢ START END g One Clmncter per (A-Z 0.91,-) µ en ow. of Sample Ma must Ce uerique n.-- is TIA�TIIS w `z. 2. :. v0 �- •>,' C ^ O - /w r�y W K a u: 3 m i 'O s ii Z o n i'. .- Q. 'N a m �f B ,,A \ . DATE TIME. f o r r iJ ¢ p I RZIR YY' e�"lle 7a 8� r 9 �T 10 az: R �1 �•.�_.... ;A�, R.c:e �ADDRgNAL�WYYENRy�- �F .a�. __ ..� .��• =ry �RELNOU491®6Y _, ^�.._.�_..,. ... iAFNJATON �- - 54 �=°AiE� .. '� ,rd:...=r^. .- fl,- ems..:..-�:.. ACCEPIBI BYI ..., �� ...a..�..st'ir. L�h+OAIE :.- »..t--.�..:a %`SYTINE'^ +»...v..s.: '�,'�y9AMW.EC0.4DIilON4? t5.,.»...�c...:>,._. - -•..:� i 115 gpA 4 tr 36 . f,(o. � SAMPL{FRNE ANDGNA,..,.TURE....''a U s e PRINT Nana oI SAYPLER 2�_ �iCfPLo w 3 F ` m g x �yU E 3 SIGNATURE of SAMPLER 7 7 DATES 9netl: � / / F Ka4 Z'. NCL. CHAIN -OF -CUSTODY / Analytical Request -Document 16 The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fells must be completer) accuratey. m r rn a aceAnalytical" ~pacelabs own SAMPLE ANALYTE COUNT Project: SIM STORMWATER Pace Project No.: 92265901 Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 An21ytDS Lab ID Sample ID Method Analysts Reported Laboratory 92266901001 SIM STORMWATER EPA 1664B JMS 1 PASI-C EPA 200.7 JDA 3 PASI-A SM 2540D SAM 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 11 al"Analytical" ~..pacelabs.can ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: SIM STORMWATER Pace Project No.: 92265901 Sample: SIM STORMWATER Lab ID: 92266901001 Collected: 08/31/15 13:00 Received: 09/02/15 09:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 1664 SGT-HEM, TPH Analytical Method: EPA 1664E Total Petroleum Hydrocarbons ND mg/L 5.0 1 09/03/15 09:12 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper 26.6 ug/L 5.0 1 09/03/15 18:15 09/05/15 01:59 7440-50-8 Lead 33.1 ug/L 5.0 1 09/03/1518:15 09105/1501:59 7439-92-1 Zinc 132 ug/L 10.0 1 09/0311518:15 09/08/1513:01 7440-66-6 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 66.0 mg/L 10.0 1 09/03/15 08:43 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/29/2015 04t09 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 11 laceAnalyfical" e+ pacelaEe.arn QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: SIM STORMWATER Pace Project No.: 92265901 OC Batch: GCSV/22482 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH Associated Lab Samples: 92265901001 METHOD BLANK: 1547739 Matrix: Water Associated Lab Samples: 92265901001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Petroleum Hydrocarbons mg/L ND 5.0 09/03/15 08:53 LABORATORY CONTROL SAMPLE: 1547740 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L 20 15.9 80 64-132 MATRIX SPIKE SAMPLE: 1547741 92264895001 Spike MS MS %Rec Parameter Units Result Conc. Result %Rec Limits Qualifiers Total Petroleum Hydrocarbons mg/L NO 20 16.0 80 64-132 Results presented on this page are in the units Indicated by the "Units" column except whom an altemate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/29/2015 04:09 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 11 aceAnalytical a wxwpaoNabd.cnm QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: SIM STORMWATER Pace Project No.: 92265901 QC Batch: MPRP/19409 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92265901001 METHOD BLANK: 1548011 Matrix: Water Associated Lab Samples: 92265901001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ug/L ND 5.0 09/05/15 00:14 Lead ug/L ND 5.0 09/05/15 00:14 Zinc ug/L ND 10.0 09/08/1511:49 LABORATORY CONTROL SAMPLE: 1548012 Spike LCS LCS % Rec Parameter Units Conc. Result %Rec Limits Qualifiers Copper ug/L 500 478 96 85-115 Lead ug/L 500 496 99 85-115 Zinc ug/L 500 436 87 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1W013 1548015 MS MSD 92265996003 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Copper ug/L 7.1 500 500 479 535 94 106 70-130 11 Lead ug/L ND 500 500 486 546 97 109 70-130 12 Zinc ug/L ND 500 500 438 485 86 95 70-130 10 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1548016 1548017 MS MSD 92265890001 Spike Spike MS MSD MS MSD %Rec Parameter Units Result Conc. Conc. Result Result e/ Rec %Rec Limits RPD Qual Copper ug/L 1.4 500 500 1830 1840 93 95 70-130 1 mg/L Lead ug/L NO 500 500 490 490 98 98 70-130 0 Zinc ug/L 1.7 500 500 2180 2190 97 99 70-130 1 mg/L Results presentee on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/29/2015 04:09 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 11 (�5a?eAnalyficale awx./uceleEscom QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite lo0 Hunlersville, NC 28078 (704)875-9092 Project: SIM STORMWATER Pace Project No.: 92265901 QC Batch: WET/39859 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92265901001 METHOD BLANK: 1547726 Matrix: Water Associated Lab Samples: 92265901001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L NO 2.5 09/03/15 08:40 LABORATORY CONTROL SAMPLE: 1547727 Spike -CS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 250 264 106 90-110 SAMPLE DUPLICATE: 1547728 92266113001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 6.8 5.8 16 D6 SAMPLE DUPLICATE: 1547754 92265989001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L NO ND RECEIVED DEC 15 2015 t ENRUMD'QL1,iLgy S7�A�t/AIEi�ll:l G Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right athe result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 09/29/2015 04:09 PM without the written consent of Para Analytical Services, Inc.. Page 7 of 11 laceAnalytical e ~pardeha co n QUALIFIERS Project: SIM STORMWATER Pace Project No.: 92265901 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL- Adjusted Method Detection Limit. PQL- Practical Quantitation Limit. RL- Reporting Limit. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 S - Surrogate 1,2-Dlphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Add preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/29/2015 04:09 PM without the written consent of Pace Analytical Services, Inc- Page 8 of 11 aceAnalytical ~.pacelaDe.ove QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical SMICOa, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: SIM STORMWATER 92265901 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92266901001 SIM STORMWATER EPA 1664E GCSW22482 92266901001 SIM STORMWATER EPA 200.7 MPRP/19409 EPA 200.7 ICP/17446 92265901001 SIM STORMWATER SM 2540D WET/39859 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/29/2015 04:09 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 11 Document Name: Document Revised; May 18, 2015 acoAnalyt cad Sample Condition.0 on Receipt SCUR Pa e 1 of 2' Document Number. Issuing Authority: F-CHR-CS-003-rev.16 Pace Huntersville Quality Office Client Name: _S'A) kt&APage 2of21afoil internal Use Only Courier: ed Ex ❑ UPS❑ USPS❑ Client❑ Corivir l❑ Pace Other f Custody Seal on Cooler/Box Presentt ❑ yes no Seals intact: El n no r p PackingMaterial: u le �,/ .I � v❑p O Bubble Bags ❑ None they. Thermometer Used IR Gu T1401 Type of Ice: , et lue None Samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Tem �, rP .0 P' Biological Tlssue;isFrozen: Yes N NiA• Date, andlnitl sofpera a am 1 contents:.- G Temp should be above freezing to 8"C Comments: Chbiln of Custody Present:' �s ONO DNIA 1. Chain of Custody Filled Out: Dyes IKO ❑NIA 2. t` 0 — $caltpG2 Chain of Custody Relinquished: Dyes K ON/A 3. Sampler Name & Signature on COC: 4Xes ONO DNIA 4. Samples Arrived within Hold Time: 1111117 DNo_ ❑NIA 5. Short Hold Time Analysis <72hr : Ores MKO ❑NIA 6. Rush Turn Around Time 'Requested: ❑ves &l o ❑N/A 7, Sufficient Volume: IW" ON DNIA 8; Correct Containers Used: (6 Kes ONO DNIA 9. -Pace Containers Used: es DNo ❑NIA Containers Intact: Vrees ONO DNIA 10. Filtered volume received for Dissolved tests ❑Yes ONO /A 1]. Sample Labels match COC; (go ❑NIA 12. - iiCIII - i ', ,,e{s.. 1p�� D -Includes date/time/ID/Anal sis Matrix: tW All containers needing preservation have been checked. es ONO DNIA 13. All containers needing preservation are found to be in es ONO DNIA compliance with EPA recommendation. �,/ I!KONO exceplions: VOA, coliform, TOC, O&G, Wl-DRO water) 1�/ Samples checked for dechlorinallon: DYes Ono L1KIA 14. Heads ace in VOA Vials >6mm : DYes ONO NIA 15. Trip Blank Present: DYes ONO NIA 16. Trip Blank Custody Seals Present DYes ONO IKIA Pace Trip Blank Lot# ifpurchased):------ --..._--.-_....__-_.-____.._....._..._....-._..---------._._.._,..__....._. Client Notification) Resolution: Field Date Required? Y I N Person Contacted: Daterrime: Comments/ Resolution: SCURF Review: + ./d Date: 1 r S W q2%(� Q ` SRF Review:, Date: T 2 5 WO# � 922659®1 Note: Whenever (her s a discrepancy,affecting.North Carolina compliance -II IIB: I II.III II I II 9II-- samples, a copy of this form will be -sent to: the North Carolina DEHNR"- Certification Office lie out of hold, incorrect preservative, out of temp, 92265901 - Incorrect containers) Page 10 of 11 CERTIFICATE OF COVfRAGE NO. FACILITY NAME 0r277-4 COUNTY I L.S'cA/ PERSON COLLECTING SAMPLES. LABORATORY Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR Generat Permit No. NCG210000 Date submitted 7 O / UL...I�//(�� I -:2biS Lab Cert. # Comments on sa ple collection or analysis: _ Av F)cW SAMPLE COLLECTION EAR SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMIEMBeR TO SIGN'ON THE REVERSE 7 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.) I-1 Ai., ai«a r o *Ai, . -,4:>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 o F)ow i RECEIVED JUL. 10 2015 DENR-LAND QUALITY STORWATER PERMITTING ' 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 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 2, or Tier 3 responses. See General Permit text. Permit Date: 8/1/2013-7/31/2018 , SWU-245, last revised 7/31/2013 Pagel of 2 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. Gate 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 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 original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water 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 that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 7 7 2D)S (Date) 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 General Permit No. NCG210000 Date submitted I / (o Ia o t5 CERTIFICATE OF CO�V/ERAGE NO. NCG21� � L� FACILITY NAME /V0R771 c�ROLAIA C-f-i7D COUNTY 1AII I Son PERSON COLLECTING SAMPLES zjr�9 m ES (nI JScni LABORATORY Lab Cert. q Comments on s mple collection or analysis: SAMPLE COLLECTION YEAR 201f SAMPLE PERIOD [Jan -June ❑ July -Dec or ❑ Monthly' (month) %DISCHARGING TO CLASS ❑ORW ❑HQW (—]Trout ❑PNA ❑Zero -flow (—]Water Supply ❑SA ❑Other y rlocJ PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required onlfiffthe t stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) t.m dNo discharge this period?z ECEIVED 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 o lomi JAN 0 9 71-;0 CENTRAL FILES Dln/R SECTION ' 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, NO, 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-24S, 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 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 copy of this DMR, includina all "No Discharae" reports. within 30 days of receipt of the lab results (or 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date:8/1/2013-7/31/2018 (Date SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 1 I (o I; o i 5 CERTIFICATE OF CO�VfRAGE NO. NCG21IJ 1 I CQ FACILITY NAME /VoarH C LF2oy i rJ ` C t COUNTY L(/l1 Soi✓ I i� PERSON COLLECTING SAMPLES R rrl 65 /71 . 7A_ C.ioA) LABORATORY Lab Cert. fl Commentso�rysample collection or analysis: No Flow SAMPLE COLLECTION YEAR aS O 14 SAMPLE PERIOD ❑ Jan -June E1 July -Dec or ❑ Monthly' (month) �j DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply [—]SA JAN 0 ❑other 9 l015 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 OWR SECTIONI� 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.) Q No discharge this period?Z 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 ' 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 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 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 > SS gal of new oil per month. ❑ No discharge this period?Z 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 1, 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 copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitorinaperiod 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) / (Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Permit Date:B/1/2013-7/31/2018