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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv U& D 3 0
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ �� �a
YYYYMMDD
Stormwater Discharge Monitoring.Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 12-6-19
CERTIFICATE OF COVERAGE NO. N0003 _0..-6 4 7
FACILITY NAME Greenheck Fan Corporation
COUNTY Cleveland _
PERSON COLLECTING SAMPLES Shealy Environmental Services
LABORATORY Shealy Environmental Services Lab Cert. q 329
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD 0 Jan -June ;Q July -Dec
or [-]"'Monthly," (month).
DISCHARGING TO CLASS,❑ORW ❑HQW ❑Trout ❑PNA
RC/v��t ❑Zero=flow ❑Watersupply []SACC ' ED ❑®Otherclassc
DEC 11 2019 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 i
CC CRAL FILES
UVJ:q SECTIOAI EJ No discharge this-periodjz
Outfall No.
Date Sample
Collected'amount,
(mo/dd/yr) ,
24-hour rainfall
_ __—lnches3
Total Suspended Solids
pH,
Standard units
Copper
Total Lead
Total Zinc
i Non -Polar O&G/
Total Petroleum
Hydrocarbons
Hydrocarbons
Total Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 m_ g/O
6.0 — 9.0
l 0.010 mg/L
_0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
--
46S29
C0530
00400
01119-
01051
01094
00552
78141
001
10/17/19
0.33
6.2 mg/L
7.4
<0.0050 mg/L
<0.0010 mg/L
<0.010 mg/L
<5.0 mg!L
3 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outtall.
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, 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, marufacture
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 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."
Alex Roberts
Name (Print name)
Title (Print title)
Signat re' - 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?z
Outfall No.
Date Sample Collected'
(mo/dd/yr).
24-hour rainfall amount,
Inches3
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
PetroleumHydrocarbons
Total Suspended
Solids
Benchmarks
^�
15 mg/L
SW mg/L or 50 mg/O
Parameter Code
-
46529
NCOIL
_ 00552
CO53o _
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 1, or Tier 3 responses. See General Permit text.
SWU-245, last revised 11/1/2018
Page 2 of 3
Permit Date: 11/1/2018-05/31/2021
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 artoriginalcopdof-thii DMR, Including all -"No Discharge reports,. within 30 dbys'of receiptof thelab reiii t (6fat end'ofmunitoifna peHod.in the
case of "NwDischorge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
.YOurou5T 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."
Signature of
Permit Date: 11/1/2018-05/31/2021
Date
SWU-245, last revised 11/1/2018
Page 3 of 3