NCG030440_MONITORING INFO_20190717

STORMWATER DIVISION CODING SHEET:
NCG PERMITS
PERMIT NO. Iv C) l
DOC TYPE .❑ HISTORICAL FILE
I R funhirmoi U!` nonnoTC

n n
r1
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted )—%a0I9
CERTIFICATE OF COVERAGE NO. NCG03 o q V TD
FACILITYNAME -NVe,as+eet —T FAl�`Acl;(
COUNTY VO I tL
PERSON COLLEC ING SAMPLES I� _
LABORATORY yftr kemL f 2 Lab Cert. If
Comments on sample collect :_
ionor analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION EAR �o/9 _
SAMPLE PERIOD Jan -June ❑ July -Dec
RECF� MYFt=R or El Monthly' (month)
GINGTOCLASS ❑ORW ❑HQW ❑Trout ❑PNA
JUL 1 7 pp)g ❑Zero -flow ❑Water Supply ❑SA
/❑Other C— _
CENTkAIL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2AND/OR 4 4
❑ No discharge this period?Z
Outfall No.
Date
Sample
Collected'
mm/dd/yr
24-hour rainfall
amount,
Inches;
Total Suspended
Solids
pH,
Standard
units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total
Toxic
Or
Benchmarks
-
-
100 mg/L or 50 mg/L^
6.0-9.0
O.O,IDmg/L
O.OiSing/L
O.Jumg/L
15 mg/L
l�mg/L
oj+ AIt oo I
Out all Do)
DL o? /9
o(, o I
J .5 "
S"
p
p.0
8o
/s
b.0
0.0
0.0
0.0
0Y.19
D,0
NJA
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceeaance iortne same parameter acme
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 preci pitation must be recorded using data f rom an on -site rain gauge. Unattended sites may be eligible for awaiverofthe rain
gauge requirement.

4 See General Permit, Tab le 3 identifyingthe especially sensitive receivingwaterclassificationswherethe more protective benchmark
applies.
'Total Toxic Organics sampling is appl icable only forthose facilities which perform metal finishing operations, manufacture semiconductors,
manufacture electroniccrystals, 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 forthe facility subjectto 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 electroniccrystal manufacture
use the definition asfound in 40 CFR469.22; and for cathode ray tube manufacture use the definition found in 40 CFR469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement
for total toxic organics (TTO) monitoring maybe waived. The solvent management plan shall include a list of the total toxicorganic
compounds used and the otherelements listed in the General Permit. Forthose facilities electing to employ the TTO monitoring waiver, the
dischargershal I sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible forma n a gingcompli a ncewiththe permit moni to ring requirement for TTO, 1
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the sto rmwa ter or areas which are exposed to
rainfa l l or stormwa ter runoff has occurred since fi l ing the l as tdischargemonitoring report. I further certify that this faci l ityis imp l ementing the
a l l the provisions of the solvent management plan included in the stormwa ter Po l l uti on Prevention Plan."
Name (Prin name)
rA C'V I _� ��f+
Title(Printt e)
(Signatur (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL,<PQL,Non-detect,ND,orothersimilar
non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XXmg/L",whereXXisthe
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 I, 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'
mm/dd/yr
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664(SGT-HEM)
Total Suspended Solids
pH
Benchmarks =>
_
-
15 mg/L
100 mg/L 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 especi a l lysensitivereceivingwa ter c l ass ificationswh ere the more protective benchmark a pp l ies.
Note: if you report a sample value in excess of the benchmark, you must implement Tierl, 7ier2, or Tier 3 responses. See General Permit
text.
FOR PART AAND 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: ____________-_---_____-_
Mail an original and one copy of this DMR including all "No Discharge" reports within 3o 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 assurethat qualified personnel properly gather and evaluatethe information submitted. Based on my inqui ry of the person or
persons who manage the system, or those persons directly responsible for gatheringthe information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am awa re that there are significant penalties for submitting fa Ise i nformation, i ncluding the
possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)