NCG210438_MONITORING INFO_20190830

NV\1S R-)D
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ xHISTORICAL FILE
❑'MONITORING REPORTS
DOC DATE
❑ �b� U b 3�
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
CERTIFICATE OF COVERAGE NO. NCG210438
FACILITY NAME _Pallet Express
COUNTY Randolph
Date submitted a July 2019
FCE V "D SAMPLE COLLECTION YEAR 2019
pUG 3 O 2p19 SAMPLE PERIOD ®Jan -June ❑July -Dec
PERSON COLLECTING SAMPLES Jeff Gerlock .. LFIuES
LABORATORY Meritech Lab Cert. JJ _165 ctkl" . JON
Comments on sample collection or analysis:
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
®Other_WS-V
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility sores exposed accumulations of sawdust,
wood chips, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period
Ou[fall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
-
-
120 mg/L
100 mg/L or 50 mg/L4
OF-1
6/7/19
0.41 No Flow - not sampled
NS
OF-2
6/7/19
0.41
333
109
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical 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
detection limit, reporting limit, etc. in mg/L.
Note: 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.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664(SGT-HEM(
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L°
OF-2
6/7/19
0.41
<5.0
109
Footnotes from Part A also apply to this Part B
Note: 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.
FOR PART 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 ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv 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 Discharae" revortA to
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 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: 8/1/2013-7/31/2018
8 a-1 \
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

July 2019
NCDEQ
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Ann - Central Piles
Subject: Report of Stormwater Sampling— First Half 2019
Pallet Express, Inc.
6306 Old 421 Road
Liberty, Randolph County, North Carolina
NCDEQ Certificate of Coverage #NCG210438
Ladies/Gentlemen:
Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this
submittal, please contact the undersigned at 336-382-6849.
Sincerely,
J
Jeff Gerlock, L.G.
NC Licensed Geologist 91141
Attachment — Semi-annual Stormwater Discharge Monitoring Report form (2)
Cc: Pallet Express, Inc.
7356 Belmont Drive, Trinity, NC 27370 - Phone: [phone]

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted July 2019
CERTIFICATE OF COVERAGE NO. NCG210438 SAMPLE COLLECTION YEAR 2019
FACILITY NAME _Pallet Express SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY Randolph or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Jeff Gerlock DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑RNA
LABORATORY Meritech Lab Cert. k 165 ❑Zero -flow [-]water Supply [:]SA
Comments on sample collection or analysis: ®Other_WS-V
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility sores exposed accumulations of sawdust,
wood chips, mulch, or other similar material.on site for longer than seven (7) days
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
-
- Chemical Oxygen Demand.
'Total Suspended Solids
Benchmarks ===>
-
-
- 1 120 mg/L
100 mg/L or 50 mg/L4
OF-1
- 5/7/19
0.41 - No Flow - not sampled
NS
OF-2
5/7/19
0.41
333
109
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The 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.
" See General Permit text, Table 3, identifying the especially sensitive receivingwaterclassifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection, Limit,, BDL; <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limitsi they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit; etc. in mg/L.
Note: 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.
Permit Date: 8/1/2013-7/31/2018 - SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr).
24-hour rainfall
amount,
inches3
Non -polar O&G/TPH by
EPA 1664(SGT-HEM)
Total Suspended Solids .
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/L'
OF-2
6/7/19
- 0.41
<5.0
109
Footnotes from Part A also apply to this Part B
Note: 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.
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 ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ -
REGIONAL OFFICE CONTACT NAME: .
Mail an oriainal and one copy of this Dli 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, North. Carolina 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 bestof 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 Peimittee)
Permit Date:8/1/2013-7/31/2018
1
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2