HomeMy WebLinkAboutNCG060317_MONITORING INFO_20190822STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NcG o � o �' 7
DOC TYPE
❑ HISTORICAL FILE
E� MONITORING REPORTS
DOC DATE
❑ I ��
YYYYM M D D
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG06000O REC EIVED
Date submitted ;(-, / /(o 1 % � AUG 2 2
CERTIFICATE OF COVERAGE NO. NCG0i _31�2
FACILITY NAME & y S%%l %/� /%%rLL/�Y� i� om 101JA/ ty
COUNTY
PERSON COLLECTING SAMPLES,�d� Cft�O/Sizcc_
LABORATORY 4A1M64,AcAkab Cert. # lVe yyo
rl/c!)1,0 ¢ 3r77SS
EPAa!✓C 06 °/0af
Part A: Stormwater Benchmarks and Mori Results
pp 2019
SAMPLE COLLECTION YEAR l CENTRAL FILE, -
FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECT10^.
❑ use/process meats use animal fats/byproducts
DISCHARGING TO SALTWATERS? YES KNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
k
Tn rnl avant rninfnll z Y > nr Fl Aln rllcrhn..,o rhlc „o.;.,.13
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform1,
Colonies per 100 ml
Enterocc i',
Colonies per 100 ml
Benchmark
/d 0/
100 or 504
Within 6.0 — 9.0
120
30
1000
500
a df
L
.G
S 5`- 2
#
a
O
L
Only applies to facilities that use/process meats.
2The 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.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes 11.1
)6j, no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month
. Outfall No.
Sample Collected,
mo/dd/yr
- OiLand Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average,gal/mo
Benchmark
- -
`30-
100 or
6.0-9.0 -
-
Only applies to facilities that use/process meats.
2The 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.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October IS, 2012
Page I oft
*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 ATANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME:
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 firs\ and imprisonment for knowing violations."
(Signature of Permittee) (Date) l
Additional copies of this form may be downloaded at: http:ZZportal.ncdenr.omZweb/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 o F 2
SEFAI-ANNUAL STJE'tly-,*I IAiER DISb'FiARC-E MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted k l /(,
CERTIFICATE OF COVERAGE NO. NCG06II3L�2
FACILITY NAME CCivt /V V.
COUNTYC�--
PERSON COLLECTING SAMPLES
LABORATORY S/n j,=C'v;'Lu i(N,ayn, A -kab Cert. It Ne y'yb
/✓Cl�c;
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR .,Z 0 / Ci
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES KIND
PLEASE REMEMBER TO SIGN ON THE REVERSE --�
h
Total event rain foll nr n Nn Hicrhnrna this nu rinrT
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/!-
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococci',
Colonies per .1.00 ml
Benchmark
xj� �jcj
100 or SO-
Within 5.0-9.0_1
120
30
1000
I Son
- Only applies to facilities that use/process mews.
'The total precipitation must be recorded using data from an en -site rain gauge.
' For ampling periods with no discharge at ally outfalls. You must still submit this discharge monitoring report with a _heckmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark acolies.
Did this facility perform Vehicle Maintenar:ce Activities using more than 55 gallons of new motor oil per month? I❑ yes � no
Part B: Vehicle Maintenance Area Monitoring Results: a n I y for facilities averaging > 55 gai of nets motorail/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Ntotor Oil Usage
Annual average. gal/mo
Benchmark
-
30
100 or 504
6.o — 9.0
-
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 3, identifying the especially sensitive receiving water classifications where the more Protective benchmark applies.
(if yes, complete ?artBl
S%VU-249 Last Revised: October IS, 2012
Paee I oft
*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 TH E 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 ❑ NO M
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO [g]
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DA(IR including all "No Discharge" reports within 30 days f receipt of the lab results (or at end of
monitoring period m the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-161.7
YOUIVUISTSIGN7 I5CE,"TIFICATIG'tVFC',`,tjNYliV 0RP/1k'riOP1REPOR7tD:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance kvith a
system designed to assure that qualified personnel properlygather 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 arc aware that there are significIr
'
information, including the possibility of =roes and
(Signature of Permittee)
es oc submlttingfalse
r
irnprison,�Ient For knowing violations." ant pena .
(Date)
Additional copies of this form may be downloaded at: http://portal ncdenr org/web/wg/ws/su/npdessw##tab 4
S\VU-249
Last Revised: October 18.201)
Paoe2of 2
Analytical Results STATESVILLE
ANALYTICAL
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 07/23/2019
Reported: 08/06/2019
For:
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190723-53-01
Chemical Oxygen
OF1
<25
mg/L
HACH8000
07/25/2019
CL
Demand
190723-53-01
Oil and Grease
OF1
<5.24
mg/L
EPA19 RevB
08/06/2019
CL
190723-53-01
TSS
OF1
<4.167
mg/L
SM254OD-2011
07/26/2019
WC
190723-53-02
Chemical Oxygen
OF2
30
mg/L
HACH9000
07/25/2019
CL
Demand
190723-53-02
Oil and Grease
OF2
<5.08
mg/L
EPA16WevB
08106/2019
CL
190723-53-02
TSS
OF2
15.56
mg/L
SM2emD-2011
07/26/2019
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
Condition of Receipt
Sample Number 190723-53-01 Temp on Arrival: 3.2
Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Sample Number 190723-53-02 Temp on Arrival: 3.2
Parameter Schedule: Oil and Grease
Hydrochloric Acid
Received on Ice
Chemicals in containers, lab
Parameter Schedule:
TSS
Received on Ice
Parameter Schedule:
Chemical Oxygen Demand
Sulfuric Acid
Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3
Client
STATFSVILLF.ANALYTICAL
122 C.. S s . • P.O. B. 228
Sp¢svilic, NC 29697
Address: ) [ IQ
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(704) 872-6697
Contact Pawn: Phone # 7p FAx#
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Chain of
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PO # Requisitioned by: Rime Dale)
Custody Record
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Relinquished by:
Received by:
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Time begin®pm Date 7_1231— %
Time encl,&. L®m pm Date���
CotDpysite Sampling #2:
Time begin/ - 1 pm Date -7 !
Time end�)�3he, pm Oate2/s?ko
Time 15 m,&ate �77 L?
Time lE am,90ate
Time am, pm Date _/_/_
Time am, pm Date _/_J_
Lab CmMnts:
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Analytical Results
Bay State Milling Co.
Post Office Box 358
Mooresville, NC 28115
Receive Date: 07/23/2019
Reported: 08/06/2019
For:
Comments:
�71 - % 7A.NALYTICAL
Sample Number parameter Sample ID Result Unit Method Analyzed Analyst
190723-53-01
Chemical Oxygen
OFt
<25
mg/L
HACH9000
07/25/2019
CL
Demand
190723-53-01
Oil and Grease
OF1
<5.24
mg/L
EPA166 RevB
08/0612019
CL
190723-53-01
TSS
OF1
<4.167
mg/L
SM25400 2011
07/26/2019
WC
190723-53-02
Chemical Oxygen
OF2
30
mg/L
HACHsoe°
07/25/2019
CL
Demand
190723-53-02
Oil and Grease
OF2
<5.08
mg/L
EPAIB Reve
08/06/2019
CL
190723-53-02
TSS
OF2
15.56
mg/L
SM25 W-eon
07/26/2019
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
Condition of Receipt
Sample Number 190723-53-01 Temp on Arrival: 3.2
Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Sample Number 190723-53-02 Temp on Arrival: 3.2
Parameter Schedule: Oil and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3
Client: T4 //
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