NCG120019_MONITORING INFO_20191210

MR "
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
❑ b I % Q V
YYYYMMDD

-RTIFICATE OF
\CWTY NAME
3UNTY
:RSON COLLEC
Semi-annual Stormwater Discharee Monitorine Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted 1 Z - S- 19
NO. NCG12 0 L: _L q
SAMPLES
'DURAIuny-� - S.n u W Y Lab Cert. #
imments on s mple collection or analysis:
'art A: Stormtirater Benchmarks and Monitoring Results
_nEC 10 2019
Ch7r `L F1
LE
-""�1' rt� ;n S
_- 107!
SAMPLE COLLECTION YEAR 20 i ct
SAMPLE PERIOD ❑ Jan -June duly -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑zero -flow ❑Water Supply [:]SA
Mother
PLEASE REMEMBER TO SIGN ON THE REVERSE --)�
O
ittall No..
Date Sample
Collected'
(mo/dd/yr) '.
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
,vo uscnarge
Fecal Colifonn
rnis perioar-
Total Suspended Solids
-Ben
arks —=> '
_
.. 120 mg/L
10M count per 100 mL
100 mg/L or SO mg/L
I2-
4 ft
2 10
lonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall,
it sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
ie total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement.
?e General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
:e: Results must be reported in numerical format. For example. do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
nerical 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
ection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
:e: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tler 3 responses. See General Permit text.
nit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
- - Page 1 of 2

fart B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this Deriod?z
°ootnotes from Part A also apply to this Part B
Vote: 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.
:OR 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
tEGIONAL OFFICE CONTACT NAME:
Nall an orlainal and one copy of this OMR including all 'No Discharjue'reaorts within 30 days of receiot of the lab results for at end of monitorina period
n the case of'No Discharae'reoorts) to:
)(vision of Water Quality
attn: DWQ Central Files
L617 Mail Service Center
taleigh, North Carolina 27699-1617
rOU 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
hose persons directly responsible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
im aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/2- -S 1 f
(Date)
11/1/2012-10/31/2017
SWU-248, last revised 10/25/2012
Page 2 of 2

���
NC ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hUp://12ortal.ncdenr.Qrg/web/wo/ws/sij/nndessw#t
Permit No.: N/C//A/_/ D/3 /_/dr Certificate of Coverage No.: N/C/a/L/L/ o/ 0/ 1 /g/
Facility Name: ta„ d I"
County: Phone, No. Z12-/ e2,2
Inspector:
Date oflnspeci :
Time of Inspection:
IVA
Total Event Precipitation (inches): , 3"
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
PrYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a 'representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
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
I 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 this signature, I certify that this report is accurate and complete to the best of my knowledge:
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. _— Structure (pipe, ditch, etc.)
Receiving Stream: Sec o•, C! C-.—e � /c
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: /i o- A.' A14-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): N 0. i'e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: C
2 3 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:
Q 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:
Q 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? Yes
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 10/25/2012

Axy'
NCD �EN,�R
Stormwater Discharge Outfall (00)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: http://I?ortal.ncdenr.g.rg/wgb/wg/ws/sti/npdessw#tab-4
Permit No.: N/C/,
Facility Name: _
County: _
Inspector:
Date of Inspe£iA-
Time of Inspection:
_/ ©/� /_/_/ • or Certificate of Coverage No.: N/C/C/L/_L/ o/ o/ I /g/
Total Event Precipitation (inches): , j"
Phone. No. Z12V �2)8 atll
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
,L�'Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
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 this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
/1
Pagel of 2
SWU-242, Last modified 10/25/2012 .

1. Outfall Description:
Outfall No. �_ Structure (pipe, ditch, etc.)
Receiving Stream: Sec o
Describe the industrial activities that occur within the outfall drainage area:
Sca ' Ai4 K u L K'n r a
,pi/&2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
// (light, medium, dark) as descriptors: ,.' -' h.- sc l A.g
H 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
�///Y5. 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 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
,()%j17. Is there any foam in the stormwater discharge? Yes No
Id B. Is there an oil sheen in the stormwater discharge? Yes No
110 9. Is there evidence of erosion or deposition at the outfall? 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
SWU-242, Last modified 10/25/2012

NC ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidonce on filling out this form, please visit: http://oortal ncdenr org/web/wq/we%u/�pdessw#tah 4
Permit No.: N/_C/ 2
Facility Name:
County:
Inspector:
Date oflnsp i
Time of Inspection:
or Certificate of Coverage No.: N/-C&I-L/2./ o/ o/
}� Phone No. ._ Z 12-/ �2,2 R
Total Event Precipitation (inches): . 3
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
C*ryes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "Measureable storm event' (requirements vary, depending on the permit).
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. i
i
A "measurable storm event" is a storm event that results in an actual discharge from the
jpermitted 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 this signature, I certify that this report is accurate and complete to the best of my knowledge:
11—\ —
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. / Structure (pipe, ditch, etc.)
Receiving Stream: Sac on d (",—c � &
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ,�/p ; c 4 „tpb
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _-J.a
r"p4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
1 clear and 5 is very cloudy:
1 2 3 4 5
1/
r;1 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 2 3 4 5
�Jf�yfi. 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 No
/Ild B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? 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
SWU-242, Last modified 10/25/2012

Analytical Results
Rowan County Landfill
PO Box 532
Woodleaf, NC 27054
Receive Date: 11/18/2019
Reported: 11 /25/2019
For:
Comments:
STATESVILLE
ANALYTICAL
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
191118-16-01 Chemical Oxygen 3 <25 mg/L HA0HB00° 11/20/2019 CL
Demand
191118-16-01 Fecal Coliforms 3 <1 CFU100 ML SM92220-2 11/18/2019 WC
191118-16-01 TSS 3 <2.703 mg/L SM2SaoD-e011 11/22/2019 CJE
Respectfully submitted,
r1J0i'J✓���7'll �,
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 191118-16-01 Temp on Arrival: 3.2
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

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