NCG210459_MONITORING INFO_20191104

F /I U 0
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
❑ b' I I y
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR Gengral Permit No. NCG210000
Date submitted ( ) /4—/ \9
CERTIFICATE OF COVERAGE NO. NCG210
FACILITYNAME -,P- W_TQ
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY I ilC iCZC Lab Cert. #
Comments on sample collection or analysis:
Imo:.
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?'
Outfall 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/L
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.
3The 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 m¢/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: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&Gby EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
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 ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one
in the case of "No Discho
of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
DMR, including all "No
to:
within 30
the lab results (or at end
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 therftlr—e—signi—fic—ampenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
o 14::A
(Date)
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
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OMICROBAC®
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9J0305
Damm Services Corporation Project Name: Stormwater
Mr. Gerardo (Jerry) Berrizbeitia Project / PO Number: GET CC
880 Technology Drive Received: 10/18/2019
Fayetteville, NC 28306 Reported: 10/25/2019
Analytical Testing Parameters
Client Sample ID: Outfall #1, Grab
Sample Matrix: Stormwater Collected By: Client
Lab Sample ID: K9J0305-01 Collection Date: 10/16/2019 8:20
Wet Chemistry Result Limit(s) MDL RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids 11.0 6.41 mg/L 10/23/19 1136 CLB
Method: SM 5220 D-2011
COD, Total 20.8 10.0 mg/L 10/21119 0940 MT
Results in bold have exceeded a limit defined for this project. Limits are provided for reference but as regulatory limits change frequently,
Microbac Laboratories, Inc. advises the recipient of this report to confirm such limits and units of concentration with the appropriate
Federal, state or local authorities before acting on the data.
Definitions
RL: Reporting Limit
Cooler Receipt Log
Cooler ID: Default Cooler
Temp: 18.70C
Cooler Inspection Checklist
Ice Present or not required?
No
Shipping containers sealed or not required?
Yes
Custody seals intact or not required?
Yes
Chain of Custody (COC) Present?
Yes
COC includes customer information?
Yes
Relinquished and received signature on COC?
Yes
Sample collector identified on COC?
Yes
Sample type identified on COC?
Yes
Correct type of Containers Received
Yes
Correct number of containers listed on COC?
Yes
Containers Intact?
Yes
COC includes requested analyses?
Yes
Enough sample volume for indicated tests received?
Yes
Sample labels match COC (Name, Date & Time?)
Yes
Samples an ived within hold lime?
Yes
Correct preservatives on COC or not required?
Yes
Chemical preservations checked or not required?
Yes
Preservation checks meet method requirements?
Yes
VOA vials have zero headspace, or not recd.?
Yes
Report Comments
Reviewed and Approved By:
C The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated Bnttany Smith
in the footnote are present and an authorized signature is included. Administration
Reported: 10/25/2019 15:24
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 2

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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-Us
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/
Facility Name: 7�lGGk ZQ t>TLQc-
County: CV vYt-L� -- [eG ,A Phone No. Cl t o 1033 Ilo>3(0
Inspector:
Date of Inspection:
Time of Inspection:
1
u/ ncM2-J
G rl
Total Event Precipitation (inches): 0. 2si
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 1
Receiving Stream:
Structure (pipe, ditch, etc.): Jai
Describe the industrial activities that occur within the outfall drainage area:
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2. Color: Describe the color of the d
(light, medium, dark) as descriptors: L
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ('lo odo!
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
l 02 3 4 5
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:
Q 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
7.
8.
9.
10.
hl 2 3 4, 5
Is there any foam in the stormwater discharge? o Yes W No.
Is there an oil sheen in the stormwater discharge? gYes ©'No.
Is there evidence of erosion or deposition at the outfall? q Yes (3S No.
Other Obvious Indicators of Stormwater Pollution:
List and describe )-lo o4w+oyt lr)cjico-iU/ of Siv^mWoly' Ponce-ho-.
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.
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