NCG030612_MONITORING INFO_20191216

STORMWATER DIVISION CODING SHEET:
NCG PERMITS
PERMIT NO,
----------------------
Iv �� 03 0U I a
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑_a��� la��
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year o�Olq
Individual NPDES Permit No. NCSFIF IF IF IF IFI or
Certificate of Coverage (COC) No. NCG❑O ❑3 ❑D ©Pl® LCC T I O
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. No D L
Facility Name:
County: 0 ("
Phone Number:
Outfall No.
- m13
Total no. of SDOs monitored
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No ❑
Yes ❑ No ❑
Yes ❑ No
RECE1 j/ E 1.7
DEC 16 2ntc
SECTIOai
Parameter, (units)
Total
Rainfall,
inches
Benchmark
Date Sample
Collected,
mm/ddlyy
N/A
Elm
®®
SwU-2ti4 - ueneric ,vnnuai Umrt
Last revised 510212016

Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑
XMIMMIN
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SWU-264 - Generic Annual DMR
Last revised 5/02/2018

-" 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 thepossibility of fines and imprisonment for knowing violations."
Signature
Date /.*,
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAVETTEVILLEREGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL.OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center?opreserve
prolecf
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
and enhaacg;
336) 776-9800
919) 807-6300
North CarWmas water=:;"
SWU-264 - Generic Annual DMR
Last revised 5/02/2018

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General
Date submitted 1 a - 1,1- / 9
CERTIFICATE OF COVERAGE NO. NCG03 O to I o2
FACILITYNAME O LIdS Pl1mp_s
COUNTY G L6 RA r'
PERSON COLLECTING SAMPLES RECEIVED
LABORATORY Lab Cert. u DEC 16 2019
Comments on sample collection or analysis:
'r-NTKHL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Permit No. NCG030000
SAMPLE COLLECTION YEAR a C) I q _
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
n No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
COS30
00400
01119
01051
01094
00552
78141
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.
'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.
4 See General Permit, Section B, Table 1 to identify 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: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

-----Facilities that incorporate solvent management plan into the Stormwater Pollution PreventionPlan 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."
�dRM4S �iiltil�
Name (Print namer
A C i y I°-n 4noQ e/Z
e t title) /
nature 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.
n No discharge this period?2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches;
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter code
-
46529
NCOIL
00552
CO530
Footnotes from Part A also apply to 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.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

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 original copy of this DMR, including all "No Discharge" reports within 30 daVs 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 jJ t here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
%02 /02
Date
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 3 of 3

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit littps://deq.tic.gov/about/divisioiis/energy-mineral-land-resources/
n pdes-s tonn water-gps
Permit No.: N_/CIG /01,3 /O/d 1.0 / O/ or Certificate of Coverage No.: N_/C/G/0 /3
Facility Name: CoCL-IJS PLLrnaS
County: In Ll-1 i PORJ Phone No. 3 3(P - LP (0
Inspector:
Date of Inspection: l a - 10 - 1
Time of Inspection: 1 1
Total Event Precipitation (inches): .04 DEC 1'a 1.k"l
CENTRAL FILEb
Ow"R aEnCiki
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" 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 that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
'0005,gnature of Permittee or Designee) RECEIVIED
G DEC 1, e 2019
1. Outfall Description: NTf-IL FILE-
Outfall No. Structure (pipe, ditch, etc.): N/R SECTIO;t'
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page I of
i
SWU-242, last modified 06/01/2018

I
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 3 4 5
Is there any foam in the stormwater discharge? O Yes O No.
Is there an oil sheen in the stormwater discharge? OYes O No. _
Is there evidence of erosion or deposition at the outfall? O Yes O 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 further investigation.
5 W U-242, Last modified 06/01 /2018
Page 2 of 2

Weather History for Greensboro, NC I Weather Underground Page I of')
---------------- to
We'll q.d;krOqk4VFR48 again
to210179 Tb#'ftted Walk-
In Tubs
Walk -In Tubs Provide Easy Access
Bathing & In -Home Hydrotherapy.
Improvement Center
Greensboro, NC A
.) Piedmont Triad International O 11:05 AM EST on December 10, 2019 (GMT -0500)
Weather History for KGSO - December, 2019
December
i
10
2019
View
Week of December 8, 2019
I I
t Daily Weekly Monthly Custom
�t
Max
Avg
Min
Sum
Temperature
Max Temperature
58 °F
52 °F
48 °F
i'. Mean Temperature
54•F
45°F
39°F
Min Temperature
50 °F
38 °F
29 `F
Degree Days
Heating Degree Days (base 65)
26
20
11
59
Cooling Degree Days (base 65)
0
0
0
0
Growing Degree Days (base 50)
4
1
0
4
Dew Paint
Dew Point
57 °F
39 °F
22 OF
Precipitation
I
Precipitation
0.04 in
0.03 in
0.00 in
0.08 in
II Snowdepth
0.0 in
0.0 in
0.0 in
-
Wmd
Who
16 mph
7 mph
0 mph
Gust What
23 mph
22 mph
22 mph
See Level Pressure
Sea Level Pressure
30.48 in
30.12 in
29.93 in
https://api.wunderground.com/history/airport/KGSO/2019/12/1 O/Weekly H istory. html?re... 12/10/2019

Weather History for Greensboro, NC I Weather Underground
Page 2 of 3
Weekly Weather History Graph
F
16
20
10
Sunday Monday
in hp Barometric Pressure
Tuesday
Wednesday Thursday
Rlday Safi
12
hPa
0.5
1033
0.3
30.1
026
1019
fit—
29.9
Sunday Monday
mph WW Speed
Tuesday
wd GustkmM
Wednesday Thursday
Friday SaLNay
1013
309
9
20 0
�—
T �T
32
59
10.00
—
24
16
— —y. _—_.___.—_
_
A
0a
Sundae, Monday
Old Dir (tl
Tuesday
Wednesday Thursday
Friday Saturday
0
360.0
nog
1eo.0
30.0
00
Sunday Monday Tuesday Wednesday Thursday Friday Saturday I.,
Search for Another Location
Submit
Astronomy
Dec.1D,2D19
Rise
Set
Actual Time
7:19 AM EST
5:05 PM EST
CivB Twilight
6'.51 AM EST
5:33 PM EST
Nautical Twilight
6:19 AM EST
6,05 PM EST
ASVonomical Twilight
5:47 AM EST
6:37 PM EST
Moon
4:13 PM EST
5'.32 AM EST
Length. o/ yisi�le.Lighl 1 Oh 42m
Length of DaX 9h 45m
Waxing Gibbous, 97%of the Moon is Illuminated
https://api.wunderground.com/history/airport/KGSO/2019/12/1 O/WeeklyHistory.html?re... 12/10/2019

Weather History for Greensboro, NC I Weather Underground
Page 3 of 3
Today Dec 12 Dec 18 Dec 26 Jan 2
Waxing Gibbous Full Last Quarter New First Quarter
Daily Weather History & Observations
2019 Tamp. ff) Dew Point(T) Humidity fib) Sea Level Press. (in) Visibility(mi) Wind (mph) Precip.(in) Events
Dec high avg low high avg low high avg low high avg low high avg low high avg high sum
48 39 29 27 24 22 78 58 37 30.48 30.37 30.27 10 10 10 9 5 11 0.00
50 43 36 49 39 25 100 813 59 30.23 30.05 29.97 10 5 1 14 5 18 0.04 Rain
58 54 50 57 54 50 100 98 93 29.96 29.95 29.93 6 2 0 16 10 23 D.04 Fog . Rain
II htips://api.wundergroLind.com/history/airport/KGSO/2019/12/10/WeeklyHistory.html?re... 12/10/2019