HomeMy WebLinkAboutNCG140032_MONITORING INFO_20191223� bo
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
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DOC TYPE
❑ HISTORICAL FILE
[� MONITORING REPORTS
DOC DATE
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YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO.. NCG140 a 3
FACILITY NAME: Danw, R" ;—m7
SAMPLE COLLECTOR:
CERTIFIED LABORATORY Ki Lab#S51
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitorine Reauirements
SAMPLE COLLECTION YEAR: A01 1
SAMPLING PERIOD: DQJuly-December El January -June
COUNTY 4^1
PHONE NO. (1!*1 4Ma.- 4&(
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA❑HQW ❑PNA ❑Trout ®Other
Outfall No.
Date Sample
Collected
(mm/dd/yr OR
NO FL01N)t
pH
(Standard Units)
TSS
(mg/L) -
Total
Rainfall"
(in)
In Tier 2
Monthly Monitoring?
(y/n)
p of Months in Tier 2
Sampling'
-
-
6_9'
100;3
-
-
-
�a i
V.
IlLVLe At r..-
v
IDEC 23 201
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I
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
°For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 1 of 2
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using> 55 gal of new motor oil/month— averaged over a calendar year.
ONo.
No.
Date Sample
Collected
1
(mo/dd/yr)
pH
(Standard
Units)
Non -Polar
Oil & Grease using
method16M4
SG7-HEM
(mg/E)
Total
Suspended
Solids
(mli
Total
4
-Rainfall _
(in)
New Motor Oil Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier 2
Sampling 2
6-92
152
100za
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO
HAVE YOUCONTACTED THE REGION? YES [-]NO.❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge' reports) within 30 days of receipt of sample (or at end of monitoring period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSFSIGN THIS CERTIFIC4TION 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. lam
aware that there are ificant pe° Itt for sAmiitting false information, including the possibility of fines and imprisonment for knowing violations."
D �o�l R 1*19
(Signature of Permi ee) (Date)
Permit Date: 8/1/2017-6/30/2022
Last Revised 07/27/17
Page 2 of 2
r—
PROCESS WASTEWATER —Semi -Annual Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 Q f�Z
FACILITY NAME: J bmm Kto�dA W►i IC�f1
SAMPLE COLLECTOR: KNIT Wei j-
CERTIFIEDLABORATORYI- Lab#
Lab #
LIMrrVIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR: 1A0119
SAMPLE PERIOD: ®July -December ❑January -June
COUNTY: ^ N
PHONE NO.: (704) 9f2- C!.
ff-
ADDTOLISTSERVE? ❑YES [—]NO EMAIL
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout ®Other G
OPTIONAL INFO:
Outfall No.
Date Sample
Collected �
(mm/dd/yr)
Type of Wastewater
NE, RM, MD) Z
pH
(standard)
_
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
1664 SGT-HEV
(m9✓u
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6_93.4
303,5
53
(15)6
-
-
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge' here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff
notifies you to continue monitoring.
E pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2
s TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC
02B .0224. Permittees who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, andtheDEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", -NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919) 807-6379 ._
YOU MUST SIGN THIS CERTIFIC4TION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction orsupervision 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
/submittinn alse information, including the possibility of fines and imprisonment for knowing violations."
(Signatur of Pennittee) (Date)
Permit Date: 8/1/2017-06/30/2022
Last Revised 07/27/17
Page 2 of 2
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