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Home My WebLink AboutNCG060030_MONITORING INFO_20200113*0� STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. 4(- G DOC TYPE ❑ HISTORICAL FILE C)4 MONITORING REPORTS DOC DATE ❑ 13 YYYYMMDD Baxter January 8, 2020 Division of Water Quality Attn: Central Files 1617 Mail Service Center RECENED Raleigh, NC 27699-1617 JAN 13 2020 RE: Certificate of Coverage No. NCG060030 CENI KAL FILES Year I — Period 2 DWR SECTION 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 values at all outfalls were observed below benchmark limits. 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Sincerely e5 Corey Carpentier EHS Enclosures: Semiannual DMR (Original and one Copy) Baxter Healthcare Corporation PO Box 1390 Manon, NC 28752 T 828.756.4151 STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 ` Date submitted ( 6 ct1 CERTIFICATE OF COVERAGE NO. NCG06 Cl 0'0 0 FACILITYNAME Q�AXTE �(�H(ARL CoRfOR�C o� COUNTY ( L )`)r) W (-.\ PERSON COLLECTING SAMPLES , t_�PFL_N l Z-Yigr� LABORATORY ggxl(R WWT P l fi� Lab Cert. Ji 9 3S PI\CC. G\Nn�iZICA I y 0 REC JAN I GEWI m, :-iC= F.w.(-,TI(`- Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June [July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW [ZTrout ❑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 -) n Total event rainfall' 0, I Ior ❑ 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 - 100 or 504 Within 6.0 - 9.0 120 30 10001 5001 Parameter Code C0530 00400 00340 00556 31616 61211 I z 6.7 1L L N Ps ' 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. 'See 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 [Zno (ifyes, 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, 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 So mg/L4 Parameter Code - 46529 NCOIL 00552 CO530 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 ANYONE OUTFALL? YES [:]NOR 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 Permit Date: 11/1/2018-05/31/2021 (j161)� Date SWU-249, Last Revised 11/5/2018 Page 2 of 2 NCO Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguitiunce onfilling out thisjorm, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/ n pdes-stonnwater-gps Penn itNo.: N_/C/CS/o/6/o/CO/0/ or Certificate of Coverage No.: N/C/G/0/6/0/6/J/(3/ Facility Name: 8m-ILy- kcf\17UcP,KC Cofpofp1 l- 00 County: rl Ch 0 w C I I Phone No. � 1'16�- J, j - y T Inspector: J Ii= ke N Date of Inspection: 11127 Time of Inspection: Total Event Precipitation (inches): a 1h 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 ofPermittee or Desigt) 1. Outfall Description: Outfall No. S-t 01__ Structure (pipe, ditch, etc.): I Q E Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: tDAD i J l -/ knl I-U A D Awle� CofL Wl)R N01,-LC Page I of 2 SWU-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: CVA 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): N 00 E 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2D 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: I� 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: 1 0 3 4 5 7. Is there any foam in the stomtwater discharge? o Yes c// No. 8. Is there an oil sheen in the stormwater discharge? 0Yes O/No. 9. Is there evidence of erosion or deposition at the outfall? o Yes 40 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. NCGO60000 Date submitted I I I CERTIFICATE OF COVERAGE NO. NCG0600 3 0 FACILITY NAME 8AX7LR I o (141(P R�_ Cok COUNTY tn1 Dh JC \ 1 PERSON COLLECTING SAMPLES Lab Cert. p PNCL-. ANA1`!T icn, I Ho Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June Idjuly-Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ❑Other 11 FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE --> a Total event rainfall' Wol 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 - 100 or 504 Within 6.0 — 9.0 120 30 1000' 500' Parameter Code - C0530 00400 00340 00556 31616 61211 2 z4 ,2 M L 0 tp ' Only applies to facilities that use/process meats. 1The 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 Vno Permit Date: 11/1/2018-05/31/2021 (if ves, complete Part B) SWIL-249, Last Revised 11/5/2018 Page 1 of 2 Part e: 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, Inchesz 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 ❑ 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 Permit Date:11/1/2018-05/31/2021 Iz�lbll�l Date SWU-249, Last Revised 11/5/2018 Page 2 of 2 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguiclance onfilling out thisforw, please visit https://deq.ne.gov/about/divisions/energy-mineral-land-resources/ n pdes-sto rm water-gp s PenmitNo.: N/C/&n/0/6/0/O/O/O/ orCertificateof Coverage No.: N/C/O/Ov /6/0//3101 Facility Name: n D {�(TLP County: 1 1(�t.Jc �1 Phone No. Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): 0, � 0 t 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. ,,�'2— Structure (pipe, ditch, etc.): Receiving Stream: Describe the industrial activities that occur within t,ie outfall drainage area: Pa"e I of 2 SWU-232, last modified 06/0112019 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: GIEAQ 3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak chlorine odor, etc.): k1oOL 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 stonmvater discharge, where 1 is no solids and 5 is dle surface covered with floating solids: 02 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stonnwater discharge, where 1 is no solids and 5 is extremely muddy: 1 O 3 4 5 7. Is there any foam in the stonnwater discharge? o Yes O /No. S. Is there an oil sheen in the stonnwater discharge? OYes V//No. 9. Is there evidence of erosion or deposition at the outfall? O Yes C 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. Pape 2 of 2 S W U-242, Last modified 06/011201 S STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted c� CERTIFICATE OF COVERAGE NO. NCG06 O O 3 O_ SAMPLE COLLECTION YEAR 1 FACILITY NAME Rfvc-Ce-2 OE.o,(YNcA SAMPLE PERIOD ❑ Jan -June ZJJuly-Dec COUNTY M(,Loj,r_ uou(sWnR(� or El Monthly' month PERSON COLLECTING SAMPLES , (aw t) Cam- Nu S�nyI" W—Coco . LABORATORY RAk-K (L j jQj P Lf)b Lab Cert. q `f 35 DISCHARGING TO CLASS ❑ORW ❑HQW VTrout ❑PNA Pa.f E, �)NANT'tA I �{ ❑Zero -flow []Water Supply ❑SA ❑Other FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z or FAlNo 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 500, Parameter Code - C0530 00400 00340 00556 31616 61211 O � ;Sell AEG-E.. N ' 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. 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 Ej/no Permit Date: 11/1/2018-05/31/2021 (if yes, complete Part B) SWU-249, Last Revised 11/5/2015 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 ❑ 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 Ij�6j)1� 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 onftlling out thisjorin, please visit https://deq.ne.gov/about/divisions/energy-mineral-land-resources/ n p d e s-s to no w at a r-g p s PernitNo.: N/C/e/(3/6/0/0/0/Q/ or Certificate of Coverage No.: N/C/G/C)/6/0/0/3/0/ Facility Name: County: t-1c.1nt,,< � \ Phone No. Inspector: Date of Ins Time of Inspection: M10 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 Descyiption: OutfalI No. ST O _� Structure (pipe, ditch, etc.): ( I PC. Receiving Stream: r K)(0kT9 FOPK Clef\! Describe the industrial activities that occur within the outfall drainage area: Wr )F "T. WA-fEf-- PIP,t\I—r IN 11 P-LN Page I of 2 SWU-232, Last modified 06/012018 r 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: NUD 3. Odor: Describe an distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0(3 J 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: lO 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: d 2 3 4 5 6. 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: 22 3 4 5 7. Is there any foam in the stormwater discharge? o Yes c✓ No. 8. Is there an oil sheen in the stormwater discharge? oYes dNo. 9. Is there evidence of erosion or deposition at the outfall? o Yes 4o, 10. Other Obvious Indicators of Stormwater Pollution: List and describe N 0 p S(4t 1 01 -f a i d S t7 c 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 SWU-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 14I c\ CERTIFICATE OF COVERAGE NO. NCG06 0 O 3 0 FACILITY NAME ,RAXJ .IZ I-& hH AFZ CR(t1PxyZio rJ COUNTY MLDowCI PERSON COLLECTING SAMPLES LABORATORY&Rq RW10P LPA LabCert.N C(3S PACE hr Ve Ttcp, ) 1�0 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June Q July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW QTrout ❑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 a Total event rainfall' �)o ,1 1 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 - 100or50' Within 6.0 — 9.0 120 30 10001 5001 Parameter Code C0530 00400 00340 00556 31616 61211 z-1 29,O 02 i�i L cr- 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 'See 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 1' no (if yes, complete Part B) Permit Date:11/1/2018-05/31/2021 SWIJ-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/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 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 Permit Date:11/1/2018-05/31/2021 1-j16 h Date SWU-249, Last Revised 11/5/2018 Page 2 of 2 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling our thisjorut please visit https://deq.ne.gov/about/divisions/energy-mineral-land-resources/ n piles-stormwater-g p s Permit No.: N_/C/G /0/6 /O/C)/ ICl/)/ or Certificate of Coverage No.: N/C/G/()/6 /0/G /3 P/ Facility Name: RMsL �- � NCA n-mi, l ,a IJ County: rn(1)o,.[-�. \ I Phone No. SA--7SO-9K Inspector: Date of Inspection: Time of Inspection: q II Total Event Precipitation (inches): n , � 1 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 petmittee is able to document that a shorter interval is representative for local storm events daring 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 1. Outfall Description: Outfall No. �qe)' Structure (pipe, ditch, etc.): PI PE. Receiving Stream: , 1— 1 Describe the industrial activitiesthat occur within the outfall drainage area: LOPD „j(, ��jLUn of N (r ML(N*R` AtJn 40F Rom,. O F f- . Page 1 of SWU-242, Last modified 06/01/2018 m 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: I:(,AT t t'l-t 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): AIbr IC 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: I 2Q 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 I is no solids and 5 is extremely muddy: 1 2 0 4 5 7. Is there any foam in the stormwater discharge? o Yes G� No. 8. Is there an oil sheen in the stormwater discharge? oYes c3 No. 9. Is there evidence of erosion or deposition at the outfall? o Yes 40. 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 SWU-242, Last modified 06/01/2018