NCG080715_MONITORING INFO_20191206

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
lvC6 o� 1
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
�D01�11a0�O
DOC DATE
❑
YYYYM M D D

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NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: littp://12ortal.ncdenr,org/web/wq/ws/su/npdessw#Lab-4
Permit No.: N/C/-6/ V/ $l `u/v/U/ u/ or Certificate of Coverage No.: N/C/G Ji S/
Facility Name: C2 4Ch,9&^e1
County: 131a,,k- Phone No. /0"S6ZYaOCx.)
Inspector: jarcz 2 -e4
Date of Inspection: 1(— 1 Z'
Time of Inspection: 3'• 3-0 P w-,
Total Event Precipitation (inches): ( „c
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.) �y
lK ves ❑ No RECEIVED
DEC 06 2019
Please verify whether Qualitative Monitoring must be performed during a 'representative storm
r'""- „ I
event" or "measureable storm event" (requirements vary, depending -on the-perm"it).
IJWft vF,'T10'.I
`. Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
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 DWQ Regional Office.
By t>K'sApf'u�k,)//tify that this report is accurate and complete to the best of my knowledge:
re of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. -i Structure (pipe, ditch, etc.)
Receivine Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the dischar e using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L15
3. Odor: Describe any distinct
weak chlorine odor, etc.):
that the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 ( D3 4 5
S. 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:
Z, ) 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> 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater�PPolllution:
List and describe rh44✓uun� T /j
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 10/25/2012

Semr -ann as St®rmei aterr Mschare e M®r�ot®rri �
for North cCarroHna ®Mvisuon of Water QuallKy General PefrmK No. N00080000
Date submitted /.2 - .�- / S
CERTIFICATE OF COVERAGE NO. NCG®8 —1 ( S'
FACILITY NAME 2
COUNTY e
PERSON COLLECTING SAMPLES
LABORATORY ill✓ CA6^t•s+ LabCert. it '3?'7:PL-9
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR c3 O f
SAMPLE PERIOD ❑ Jan -June my -Dec
or ❑ Monthly'_ (months
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow [-]Watersupply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 7
No discharge this period'
Outfall
No.
Benchmar[<
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
50 or 100 see per ii
pH,
Standard units
Within 6.0 — 9.0
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT+IEM), mg/L
15
New Motor Oil Usage,
Annual average gal/mo
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
OutfaI
No.
Permit Limit
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
15
Total Suspended Solids,
mg/L
50 or 100 see permit
pH,
Standard units
6.0-9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250
last revised O- ',er 2T 2012

STORM EVENT CHARACTERISTICS:
Date ��/U/el ( irsteventSampled)
Total Event Precipitation (incises):
Date (list each additional event sampled this reporting period; and rainfall amount)
Total Event Precipitation (Inches):
Note: If you report a sample value in 2ncess of the benchmark, you must implement Tier 1, Tier 2, or Fier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMEVTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER Y REQUIREMENTS. SEE PERMIT PART II SECTION B.
o 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 DWQ REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coon of this DMR, including wll °`1Uo Disohwrwe" reports vvrthirfi 367 dalrs of reeeipt of the ia'b results for gt 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 FO ANY INFORlyikTIONREPORTED:
"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 informatics 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)
{ -�c9—
(Date)
Additional copies of this form may be downloaded at: httID://pzirtal.ncdenr.orgZwebZwq/ws/`su/npdesswtta
S W U-250 last revised October 25, 2012
0..- 1 -11

Environmental Chemists, Inc.
1 1 6602 WindmiII 4Vav, Wilmington, NC 28405 • 910.392.0223 Lab • 410.392.442.1 Fax
M; 710 6uv.sertown Road, blanhv, NC 27954 • 252.473.5702 Lab/Fax
2$5-A Wilmington liighmay, Jacksonville, NC 285411 910.347.5843 Lob/Fax
ANALYTICAL & CONSULTING CHEMISTS infofn.encimnmentalehemicL>.cum
CR England
Date of Report: Nov 25, 2019
16491 Highway 87 West
Customer PO #:
Tar Heel North 28392
Customer ID: 13110021
Attention: Jorge Carrasco
Report #: 2019-19124
Project ID: Storm Water- Tar Heel Facility
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
19-48571 Site: Storm Water
11/12/2019 3:20 PM Water Client
Test
Method Results Date Analyzed
Oil & Grease (0&G)
EPA 1664 With silica Gel <51 11/15/2019
Residue Suspended (TSS)
SM 2540 D 36.1 mg/L 11/1412019
pH
SM 4500 H B 6.33 units 11,120/2019
Comment:
Reviewed by: "it I,
n
Rewrt 4 2019 19124 Page i of 1