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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
U J (T J l 7
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ h \% 7 d 1 30
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 7/26/19
CERTIFICATE OF COVERAGE NO. N0003 0 5 9 7 SAMPLE COLLECTION YEAR 2019
FACILITY NAME American Emergency Vehilces SAMPLE PERIOD ❑X Jan -June ❑ July -Dec
COUNTY Ashe or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Brandon Patrick DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Blue Ridge Labs Lab Cert. q 544 r �g ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: RECE i\i E D ❑Other Class C
Part A: Stormwater Benchmarks and Monitoring Results
JUL 8 0 2019
CENTRAL
bWR SECTFILESION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period; 2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Point 1
5/6/19
.40
<5
8.16
.003
<.03
<.067
5.7
n/a
Point 2
5/6/19
.40
1 <5
7.35
.001
<.03
<.067
6.3
n/a
' 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, 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: 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 Storm water 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."
Gary Graybeal
Name (Print name)
Compliance Manager
Title int )
1 Q� 7/26/19
(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 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)
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 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
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 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 ❑X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: Winston Salem
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 p erly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible fo athering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware ghat thereAre significant pe alties for 5ubmitting false information, including the possibility of fines and imprisonment for knowing violations."
7/26/19
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3
Nick Walters
3180 Idlewild Rd
West Jefferson, NC 28694
June 28, 2019
Neal Ham
American Emergency Vehicles
165 American Way
Jefferson, NC 28640
Subject: Bill for required sampling of storm water for Permit# NCG030000
05/06/19: Sampling of storm water points # 1 and # 2......... $100.00
OS/08/19: Sampling for Wastewater Pretreatment ...............$100.00
Total: $200.00
Bill is for sampling to meet permit requirements for period January -June 2019.
Nick Walters
31801dlewild Rd
West Jefferson, NC 28694
WATER QUALITY LAB Et OPERATIONS, INC.
PO BOX 1167, BANNER ELK, NC 28604
8288986277
FAX 8288986255
CHAIN OF CUSTODY
SAMPLE TYPE:
STORM WATER
LOCATION:
American Emergency Vehicles
FACILITY ID#:
NCG030000
SAMPLER NAME:
Brandon Patrick
AEV
*PRESERVATION CODE
1 - H2504, 2 - HNO3, 3 - HCL,
4 - NAOH, 5 - NONE, 6 - COOL ICE
7 - NAZS203, 8 - OTHER
COMPOSITE SAMPLE: START DATE: START TIME: STOP DATE: STOP TIME:
SAMPLE NAME:
COLLECTION
DELIV
TEMP
SAMPLE TYPE
PRESERVATION*
PH
verify
CL2-D-CL2
LAB SAMPLE
ID NUMBER
DATE
TIME
TEMP
GRAB
COMP
F-FIELD
L•LAB
YES
NO
TSS - Point 1
05103/19
/D4G
I S o°c.
G
F6
OGJ_)yy
Oil & Grease -
Point 1
05/03/19
1
G
F6
C
Total Pb - Point 1
05103/19
I
G
F6
Total Cu -Point 1
05103/19
`
G
F6
Total Zn - Point 1
05103/19
lo`15
15 0*c
G
F6
TSS - Point 2
05103/19
o57
C
1q.10
G
F6
1
Oil & Grease -
Point 2
05/03/19
G
F6
47
Total Pb - Point 2
05/03/19
G
F6
Total Cu -Point 2
05/03/19
(
G
F6
Total Zn -Point 2
05/03119
1056
Iy.1 J`
G
F6
- I REL/ NQVISHED BY:
DATE
TIME
R CEIVED BY-
DATE
IME _
wG� 1�
S-G-i9
0730
5L-/�
o��?S
/� R LIN UISHED BY
_DAT f�
l
EIVE B4 Y:
DATE
TIME
(C ,
to
k2Ecs::)
*Laboratory preservation is ensured by addition of preservatives prior to sample
containers leaving the lab, unless otherwise noted.
CL2-D-CL2 = Chlorine check and dechlorination verification.
PRESERVATION:
() COOL4°C: BOD, RESIDUE, CONDUCTIVITY, MBAS, COLOR, ALKALINITY, CR, VI, TURBIDITY
O COOL 4°C, PHQ HZS04: NH3, NO2-NO3, TKN, 0&G, TOC, COD, HARDNESS, PHENOLS, TOT PHOS.
() COOL 4°C, PH<2 HNO3: METALS EXCEPT CR, VI
OTHER:ONE: CHLORIDE, PH, FLUORIDE Point 1: pH o�
S.
() COOL4°C, NA2S203: COLIFORM BACTERIA Temp
Cond - /00,
l Point 2: T3S-
Rainfall: Q yp T mp _ 1y.°('c
Cond - 111.3
st°' water Discharge
Rualitative Monitori,
Forguidance on filling out
Permit No.:
Facility Name-
County -
Inspector.
Date of Inspection:
Time of Inspection:
JWl (00)
Report
^ l.i"ice
or Certifi of overage No.: g/f./�A/.3/ �e�
Total Event Precipitation (unches): ,y0_(01
No. l
Was this a ollepresentative Storm Event or
(See information below.) -Measureable Storm £vent as defined by the permit?
I,
' Yes ❑ No
Please verify whether Qualitative Monitoring intuY 6e performed during a ipresentatfve storm
evenCor measureablesto.rmevent'(requirements va depending on the
rY. Pd qg permit).
Qualitative monitoring re4uirements vary. Most permits
require Performed during a `representative storm event or during a meaasureable storms monitoring
Hoto wever
some permits do not have;this requirement Please refer to these definitions, If applicable.
A orepresentative storm!eve!!C is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. k single storm precipitation. hours of may contain up to 10 consecutive houof no
A'measutable storm event, is a storm event that permitted site outtall. The previous results is an actual discharge from the
measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply If the"permittee is able to document thata shorter
interval is representative for local storm events during the sampling period, and the pertdittee
obtains approval from the!Ierai nurn o �. ,
i
By this signature, I certifyRhat this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-24Z Lan modified 10/2S/2012
L Otttfall Description:
Oudall No. : Structure (pipe, ditch, etc) D'tVdr%
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area.-
2. Color. Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Al Mi)4 co/er
3. Odor. Describe any distinct odors that the discharge may have (Le., smells strongly of oil,
weak chlorine odor, etc.): 17oee-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be htdicative of pollutant exposure. These conditions wartant.further investigation.
Page 2 of 2
SWU-242, Laatmodi8ed 10/25/2012
R
Blue Ridge Labs
PO Bor 2940
Lenoir, A'C 28645
828-72M149 blueridgelabslenoir@gmail.com
Client:
Water Quality Labs
P. 0. Box 1167
Banner Elk, NC 28604
Attention:
Mr. P. Isenhour
Date Received:
094May-19
Report Date:
20-May-19
Sample Date:
03-May-19
BRL 4:
BRL-2019-0327
Lab Sample ID:
LSID-2019-01283
Client Sample ID:
AEV Point 91
I'a rameter
CLI
Pb
Zn
Result MQL
Unit
Method
0.003 0.001
mg/I
200.7 1994
0.01
mg/I
200.7 1994
0.001
mg/I
200.7 1994
Analysis
Analysis
Time
Date
Analyst
17:16
5/20/2019
KCJ
17:16
5/20/2019
KCJ
17:16
5/20/2019
KCJ
Reported By:
S. J. J son, D.R. Wessinger
Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 10 of 12
WATER QUALITY LAB & OPERATION, INC.
P.O.BOX 110TDANN[RELK, NC2O0O4
(828)080'0277
CLIENT: AMER|CANEMERGENCY VEHICLES LOGIN TIME: 12:00PM
SAMPLER:
COLLECTED DATE: 0'kJay-19
REPORTED DATE: 7-Jun'19
|D#:
ANALYSIS
ANALYSIS
MQL�s
.::UNITS:::::::SAMPLE::
`:ANALYSIS:
METHOD:::::::
::::ANT::`
POINT
POINT
REPORTED BY: NC CERTIFIED LAB # 544
PAUL|SENHOUR.SUPERVISOR
OLA
Discharge 0 tfall (SDO)
►e Monitoring Report
Forguidanee on filling out 4is form, please visit,
Permit No.:
Fadlity Name• ' i -�—n r or Certifi of overage No.: I/CAV"&�y ,
County -
Inspector..
Inspector... hone No..
Date of Inspection S •3 /3 q
Time of Inspection: J058'
Total Event Precipitation (anches)•
Was this a 011epresentative Storm Event or'Measureable Storm Event as defined by the permit?
(S�e(e/information below.)
�1 Yes
Cl No
Please verify whether Qualitative Monitoring inusY be Performed during a 'representathe storm
event'ar measureableSW.tmevent'(requirementsva
►Y depending on the permit),
Qualitative monitoring re4uirements vary. performed during Most twits
require qualitative monitoring to be
some permits do noo'representative storm event or during a •measureable storm event' However,
t have this requirement Please refer to these definitions, if applicable.
A'representative storm!eveuC is a storm event that measures greater than 0.1 inches of rainfall
a0-1 nd that is preceded by at.least 72 hours (3 days) in which no storm event measuring greater than
Precipitation. inches has occurred q single s event
premay contain up to 10 consecutive hours of no
A'measurable storm evgnY is a storm event that results in an actual discharge from the
Permitted site outfall. The previous measurable storm event must have been at least 72 hours
Prior. The 72-hour storm interval does not apply if the permittee is able to document thata shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from theloml nwn
i
By this signature,) certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242. 1a modined 10/25/2012
1. Outfall Description:
Outfall No. 2 Structure (pipe, ditch, etc) ?ipa
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color. Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(ligh% medium, dark) as descriptors, C lc, r
3. odor. Describe any distinct odors that the discharge may have (Le., smells strongly of oil,
weak chlorine odor, etc): no+%4
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
EV 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
6). 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
C2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant.f u-ther investigation.
Page 2 of 2
SWU-242, Wt modified 10/25/4012
Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client:
Water Quality Labs
P. O. Box 1167
Banner Elk, NC 28604
Attention:
Mr. P. Isenhour
Date Received:
09-i'v1ay-19
Report Date:
204btay-19
Sample Date:.
03-,'v1ay-19
BRL 4:
BRL-2019-0327
Lab Sample ID:
LSID-2019-01284
Client Sample ID:
AEV Point 42
Parameter
Result
MQL
Cu
0.001
0.001
Pb
'
0.01
Zn
0.001
blueridgela bslenoir@gmail.com
Analvsis
Analysis
Unit
Method
Time
Date
Analyst
mg/I
200.7 1994
17:20
5/20I2019
KCJ
mg/I
200.7 1994
17:20
5/20/2019
KCJ
mg/l
200.7 1994
17:20
5/20/2019
KCJ
Reported By:
S.I son, D.R. Wessinger
* Concentrations are below Minimum Quantiricalion Limit except where noted.
NC Laboratory Certificate No. 275
Page I I of 12
WATER QUALITY LAB & OPERATION, INC.
P.0.BOX 1107.BANNERELK, NC20004
(820)090'5277
CLIENT: AK8ER|CANEMERGENCY VEHICLES LOGIN TIME: 12:00PW
ADDRESS: SAMPLER:
CITY: COLLECTED DATE: 6'i0uy'19
STATE: REPORTED DATE: 7'Jvo`19
ANALYSIS:%'.-'.
ANALYSIS
MQL!s
.:UNITS:::
.:::SAMPLE..:
.*,ANALYSIS.
METHOD.:.::::
::ANT.
POINT
POINT
REPORTED BY: NC CERTIFIED LAB ft 544
PAVL|SENHOUR.SUPERVISOR