NCG030307_MONITORING INFO_20190819

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& cBo3
DOCTYPE.
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ 00 O U 9
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted </v 1 V ? '
CERTIFICATE OF COVERAGE NO. NCG03D _,]L D %
FACILITY NAME tJailoA Tcol S•Tn�phc� ro of NG
COUNTY Cuvu bcr 1 Gv rJ
PERSON COLLECTING SAMPLES ,Jvs,IAJ I-Fnokicr
LABORATORY KA icrn Pn c Lab Cert. # /Jr PX9 #!l
Comments on sample collection or analysis: nJc boH # 37-//y
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE�rgPLLECiION YEAR %Icj
REC9@SAIk1I�1P.ERIOD ❑ Jan -June []Jul yy-Dec
�U or ❑ Monthly' 7/vvi.e (month)
pUG iDISC-HnRRGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
CEN 1 KAL FILES ❑Zero -flow ❑Water Supply ❑SA
DWR SECTION ❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
P� No discharge this perloar-
Outfall Nolr Date Sample 24 hour rairifall pH,
Non Polar O&G Total Toxic
i TotalSuspendedSolids Copper -Lead Zinc
Total Petroleum
Collected amoun3, ` Standard units Organics
(mo/dd/yr) Inches
Hydrocarbons
Berichmarks =_> 1U0'mg/L dr SO mg/L 6 0 9 0' O:OOTmg/L Oc03 mg/L, 0 o67'mg/l 15 mg/L - 1 mg/L
' Monthly sampling (instead of semi-annual) must begin with itl�the second consecutive benchmark exceedance for the camp naramptor nt tho ,,.hu
`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, 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
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."
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 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Footnotes fr
am Part A also apply to this Part B
❑ No discharge this period?
. 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

Nc'e: 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 DWQ 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. I
am aware that ere are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
7—g-(9
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

STORMWATER DIVISION CODING SHEET:
NCG PERMITS
PERMIT NO.
/V
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ J06 V I I
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted cwn 0 3'--'
CERTIFICATE OF COVERAGE NO. NCG03 O �7 o -7 SAMPLE COLLECTION YEAR— 7 0i F
FACILITY NAME JYi�Y2r4 Tra-,( J, C'TeguAfila, C, of A(L SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Cvv�t 1.�r a nQ j or [] Monthlyl Wlp month
PERSON COLLECTING SAMPLES T/, sn�/ f-Foov+er R�C�(DIE,:ARGINGTOCLA55 ❑ORW ❑HQ ❑Trout ❑PNA
LABORATORY VVIcCror$ac- LabCert.# n&0A1'L #II 1L�I []zero -flow ❑Watersupply [:]SA
Comments on sample collection or analysis: we po tf #r 3-7-7 I q AUG 1 9 2019 ❑Other
CEN I tf;L FILES . PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?z
Non Polar 0&G Total Toxic
Outfall No' Date Sample 24 hour rainfall pH /
i TotalSuspended�Solids Copper -;Lead Ztric Total Petroleum Organics
Collected amount;:' Standard units
Hydrocarbons
Benchmarks 100 mg/L or 50 mg/L° 6 0 9 0 0 007-`mg/L �0.03 mg/L. ' -0.067 mgJL 15 mg/L : 1 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedanre for the came nnr.m.t., �t fk- ��...... ....c..n
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.
° 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:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
• , - _ Pagel of 3

Facilities that Incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
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."
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 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, Tler 2, or Tier 3 responses. See General Permit text.
Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Footnotes fr
❑ llo discharge this period?
Outfall No DateSample 24 hou�.:r'alnfall
Collected' ernpunt, Non-polar,0&G/TPH by
imp/dd/yr) Inches' EPA 1664 (SGT-HEM) Total Suspended, Solids pH
Benthmgrks-=>.. __:. .. _ - . iSmg/L 100'mg/LorSOmg/L* bA-To
om Part A also aooiv to this Part R
'.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

I- Noll: 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 DWQ 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 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 awareAl at there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permittee)
Permit Date:11/1/2012-10/31/2017
(Date)
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
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 O _3 O -7 SAMPLE COLLECTION YEAR zG% ol
FACILITYNAME i o 1'a-M � ,1 F1 ,S7awaP w (o ,oF n16 SAMPLEPERIOD ❑Jan -June []July -Dec
COUNTY or ❑ Monthly' JLJ1 month
PERSON COLLECTING SAMPLES J vs %rnJ Noo v2l' R EC E 1 \,DLSSARGING TO CLASS ❑ORW ❑HQ ❑Trout ❑PNA
LABORATORY VVl Lab Cert. # A) C OnlZ#11 ❑Zero -flow [-]WaterSupply ❑SA
Comments on sample collection or analysis: NCDUH #*3771N AUG 19 2019 []Other
CENTRAL FILES PLEASEAEMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?-
Date.Sample 24 hour rainfall ` pH - - - Non Polar O&G/ Total Toxic
Outfall Nos 1 Total Suspended Solids Copper - :Lead Zinc TotaLPetroleum
Collected amount,:' Standard urifts s
(mo/dd/yr) Inches3 Hydrocarbons Organics
Benchmarks; -__> 100 mg/L or 50 mg/L° "` 6 0 9 0 ;; ' O:OOTmg/L '0:03 mg/L, ; a0 067 ing/I i5: mg/L : 1 mg/L
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark excPPdanrA fnr rl,p
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a check mark 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, 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that Incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
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),1 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."
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 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period.
r- -
Date Sample " -:24 hou�.rainfall
Outfall No Collected) amount, Non -polar 0&G/TPH by
3 Total Suspended Solids pH
(mo/dd/yr) Inches' EPA 1664(SGT-HEM)
Benchmarks===>.. 35mg/L 100mg/LorSOmg/1l6-0-9:O5u
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

'--foie 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 DWQ. 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 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 persc directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awareA t there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permittee)
Permit Date:11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3