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Home My WebLink AboutNCG060030_MONITORING INFO_20190702STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCG bW b3D DOC TYPE ❑ HISTORICAL FILE ❑MONITORING REPORTS DOC DATE an�9 o�aa ❑ YYYYMMDD Baxter June 26, 2019 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 RE: Certificate of Coverage No. NCG060030 Year 1 —Period 1 Stormwater Discharge Outfall Monitoring Report Baxter Healthcare Corporation Enclosed is the semiannual SDO monitoring report as required by the General Stormwater Permit NCG060030, Part II, Section B. Sample value at ST04 for pH were observed to be below benchmark limits. A Tier 1 response was performed with details recorded in the facility SPPP with the following findings: 1. Inspection of the area contributing stormwater flow to this outfall did not reveal any source that would lower pH below 6. 2. Analysis was performed on rainwater samples during the event and again at later dates. The results of this analysis were rainwater pH values ranging from 5.4 to 6.2. Baxter believes this to be the cause of this benchmark exceedance. We will continue to monitor the outfalls as required. If you have any questions or require additional information, please contact Corey Carpentier at 828-756-6636. 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. Sincerely, Corey Carpentier EHS Enclosures: Semiannual DMR (Original and one Copy) JUL 02 2019 ry r RAL FILE-8 E_c7lbN Baxter Healthcare Corporation PO Box 1390 Marian, NC 28752 T 828.756.4151 7 # Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-stormwater-gps Permit No.: N/C/ ( / /, /, / /, / or Certificate of Coverage No.: N/C/G/O/.G/0/0/3/,Q' Facility Name: t� R A gTC—K kf\ I -t i Lp,'c co County: �( bOWLI) Phone No. Inspector: Date of Ins Time of Inspection: 2 , 2 U Total Event Precipitation (inches): 0 ,Z 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 stone event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the pennittee 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, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature ofVermittee or 1. Outfall Description: Outfall No. STO .I- Structure (pipe, ditch, etc.): P i PC Receiving Stream: r_ NORTH FO CATALJEA Describe the industrial activities that occur within the outfall drainage area: QC((_sgiN (, DtIC-if— LUP+btNL +\tan lnjwm)t V- Page I of 2 S W U-242, Last modified 06/01 /2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: CICAP Li ty41 1I 1.n �,N7 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No tJC 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: I a 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: 0 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: 7. 8. 9. 10. 1 l 2 1 3 4 5 Is there any foam in the stormwater discharge? O Yes KJ NO. Is there an oil sheen in the stormwater discharge? OYes 66 No. Is there evidence of erosion or deposition at the outfall? o Yes 01No. 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. Page 2 of 2 S W U-242, Last modified 06/01/2018 STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06 O O 3 O FACILITY NAME RPxTE.(Z E�Fs(iti<ARL Cn�'P COUNTY r1C SCOWL O PERSON COLLECTING SAMPLES LABORATORY (L Lab Cart.# Q 35 C K467. A Nf,1, I ; C+, \ 110 Part A: Stormwater Benchmarks and Monitorine Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD QJan-June ❑ July -Dec or ❑ Monthly' /month) DISCHARGING TO CLASS ❑ORW ❑HQW E2�rout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE -i Total event rainfall z or n No discharge this period3 Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000' 500, Parameter Code C0530 00400 00340 00556 31616 61211 6 S 3s,i 6.N3 is <4, ' Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes [2/no (ifyes• complete Part B) Permit Date: 11/1/2018-05/31/2021 SWLI-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitorine Results: only for facilities averaeine > 55 gal of new motor oil/month. 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/L" Parameter Code - 46529 NCOIL 00552 C0530 Footnotes from Part A also apply to Part B *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 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, NC 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee 61 Date Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 2 of 2 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-storm water-gps PetmitNo.: N/C( // /. /. /. ( / / or Certificate of Coverage No.: N/C/G/.0/6(0/0/3/0/ Facility Name: Rpo(q (Z kl. \ TN (AKC Cap County: he ts?" Wc- I I Phone No. Inspector: Date of Inspection: Time of Inspection: �S P Total Event Precipitation (inches): 0 ,1S 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 stone event must have been at least 72 hours prior. The 72-hour stone interval does not apply if the permittee is able to document that a shorter interval is representative for local stone events during the sampling period, and the pennittee 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: (Signature of Permittee or I. Outfall Description: Outfall No. STO Z Structure (pipe, ditch, etc.): N f E Receiving Stream: tJ0ZN Folk Csle\WSFl Describe the industrial activities that occur within the outfall drainage area: —rky(K -TgAC f r i -rHv-�,n To R nF FPc.', I'-t-- Page 1 of 2 S W U-242, Last modified 06/01 /2018 2. Color: Describe the color of the discharge using (light, medium, dark) as descriptors: CA R W IT�f ' 3. Odor: Des chlorine odor, etc.): colors (red, brown, blue, etc.) and tint odors that the discharge may have (i.e., smells strongly of oil, weak 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 3 4 5 5. 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: 1 (D 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: 7. 8. 9. I C2 3 4 5 / Is there any foam in the stormwater discharge? O Yes d/No. Is there an oil sheen in the stormwater discharge? 0Yes O No. Is there evidence of erosion or deposition at the outfall? O Yes �6/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. Page 2 of 2 S W U-242, Last modified 06/01 /201 S STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06 O 0 3 O FACILITY NAME BAkTEI; Wa, tW_AC Ct 6 COUNTY Mr T)OwC I ) PERSON COLLECTING SAMPLES LABORATORYeP L;6 Lab Cert. # 9 3 S PA QC 1 `i0 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR ZO I I SAMPLE PERIOD [Jan -June ❑ July -Dec or ❑ Monthlys (month) DISCHARGING TO CLASS ❑ORW ❑HQW [Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or ❑ No discharge this period, Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - - 100or504 Within 6.0 — 9.0 120 30 10001 Soo, Parameter Code C0530 00400 00340 00556 31616 61211 TO 2 < <4 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. , For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes U(o (if ves, complete Part B) Permit Date:11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches2 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/0 Parameter Code - 46529 NCOIL 00552 C0530 Footnotes from Part A also apply to Part B *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 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, NC 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of b� Date Permit Date: 11/1/2018-05/31/2021 5WU-249, Last Revised 11/5/2018 Page 2 of 2 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out thisforn, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/ n pdes-stolmwater-gps PermitNo.: N/C/. /, / ( / ( ( / or Certificate of Coverage No.: N/C/G/,3/G/O/,0/3/0/ Facility Name: RpxjC R "hijooRE. ao- . / County: M l bot,C O Phone No. Inspector: Date of Ins Time of In: Total Event Precipitation (inches): 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: (Signature of Permittee or 1. Outfall Description: Outfall No. S-T o3 Structure (pipe, ditch, etc.): P � P c— Receiving Stream:. NORTH COPY - Describe the industrial activities that occur within the outfall drainage area: (n poS1Lt u tC,2 jgLm t-cC ,,i ' pUAtJ7 Page 1 of 2 5 W U-242, Lazl modified 06/01/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: k1c) Di S W tx0.6� 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): N0 L&MAP=6L 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 2 3 4 5 5. 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: 0 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: 7. 8. 9. Ol 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 ( 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. Page 2 of 2 S W U-242, Last modified 06/01/2018 STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted 6 III I 19 CERTIFICATE OF COVERAGE NO. NCG06 O O -Z U FACILITY NAME Q P X1QL C 2L COUNTY � PERSON COLLECTING SAMPLES N fN- No NOP P (r( LABORATORY fJ P� Lab Cert. # NI P� Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 20I SAMPLE PERIOD dian-June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW rout ❑PNA []Zero -flow ❑Water Supply RSA ❑Other_ FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE -i Total event rainfall' or [OlNo discharge this period' Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0-9.0 120 30 10001 5001 Parameter Code - COS30 00400 00340 00556 31616 61211 A - Wo z � uy f aLc 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes [7(o (ifyes, complete Part B) Permit Date: 11/1/2018-05/31/2021 5WU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. 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 C0530 Footnotes from Part A also apply to Part B *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 [JJ 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 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, NC 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee d,dlol Date Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 2 of 2 a 2. Color: Describe the color of the discharge using basic (light, medium, dark) as descriptors: C ICAO \ 1 11H I'lif (red, brown, blue, etc.) and tint 3. Odor: Describe any di tinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 06 r J� 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 (2 1 3 4 5 5. 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: 1 12 I 3 4 5 6. Suspended Solids: Choose the number which best describesithe amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. 8. 9. Is there any foam in the stormwater discharge? o Yes QS No. Is there an oil sheen in the stormwater discharge? oYes 4No. Is there evidence of erosion or deposition at the outfall? O Yes V.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. Page 2 of 2 5 W U-242, Last modified 06/01/201 R Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this fonu, please visit hnps://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npd es-stormwater-gps Permit No.: N/C/, ( /, /, ( /, /, / or Certificate of Coverage No.: N/C/G/Q/.6/.o%0/3/QY Facility Name:^SmIL- Z -I(ARE. N(f\V iUpp , County: V) ( Owc� � Phone No. Kjk S6-1,�oS4 Inspector: Date of Inspection: Time of Inspection: Z Total Event Precipitation (inches): 0 11S 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, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee 1. Outfall Description: Outfall No. S 64 Structure (pipe, ditch, etc.): Receiving Stream: 1,Iouo Fob C-p�,Tr-,Wse) Describe the industrial activities that occur within the outfall drainage area: -Mt uc- LoA )-,N _flNb (mLoNs),,tNl,- w(�-s nLA� Page 1 of 2 S W U-242, Last modified 06/01 /2018 STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Datesubmitted I.3 CERTIFICATE OF COVERAGE NO. NCG06 OO 3 v FACILITY NAMElCPa(, CzRP COUNTY Mc_S�OWE I� PERSON COLLECTING SAMPLES LABORATORYRnxc Q A)o iaAt,- ;Z]A�, Lab Cert. fJ 9 3S ef.(L RwPi:--V\CA\ 14b Part A: Stormwater Benchmarks and Monitorine Results SAMPLE COLLECTION YEAR 20( 1 SAMPLE PERIOD [Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW [rout ❑PNA [_]Zero -flow []WaterSupply [:]SA ❑Other FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall' 6125u or ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - 100or504 Within 6.0 — 9.0 120 30 50001 Soo, Parameter Code C0530 00400 00340 00556 31616 61211 10 -6, 5?-7 11 <14A, NI A 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. sMonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes �o (if yes, complete Part B) Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outf all 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 C0530 Footnotes from Part A also apply to Part B *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 • 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 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, NC 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee d-4(n Date Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 2 of 2