NCG030687_MONITORING INFO_20190618

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
9,MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted (a//
CERTIFICATE OF COVERAGE NO. N0003 D LR SAMPLE COLLECTION YEAR ZaI
FACILITY NAME At-;W /ooc,s--RyF5, iA-le, , SAMPLE PERIOD [D7an-June ❑ July -Dec
COUNTY Suzy or [3 Monthly' month
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW —]Trout
LABORATOR1T�Am6ee ,q /4t _ Lab Cert. fI 8 ❑Zero -flow ❑Water Supply []SA
Comments on sample collection or analysis:
®
1�ECF1N/FD ®Other CcAss (f'—
Part A: Stormwater Benchmarks and Monitoring Results
JUN 18 2019 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENJTbCA r FILES
DWR SECTION ❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24haur rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks
_
-
100 mg/L or S0 mg/L`
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
COS30
00400
01119
01051
01094
005S2
79241
001
nyl
0.1/7
.4,0
.7
AJD
tilf\
0.0(__
A)D
N4
rx�
yli_ 5
�.y7-
e m z
67
&)
aoosz'r�-
0.os2s
,,ID
lob
' 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, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/l/2019-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
'Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), i certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report_ I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
ENJflMiN (SC)FR D
Name {Print name)
Title (Print title)
Signaturf Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, cPQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "cXX mft/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 most implement Tfer 1, Tler Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?1
Outfall No.
Date Sample Collectedl
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New.Mator Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
15 mg/L
100 nWL or 50 mg/1'
Parameter Code
46529
NCOIL
00552
C0530
C- / 9
t/
777.z G,
4//_
E.
mJ
Footnotes from Part A also apply to Part B
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier Z or Trier 3 responses. See General Permit text.
Permit Date: 11/l/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

FQR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS T1ER 1 REQUIREMENTS- SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN.A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER I REQUIREMENTS. SEE PERMIT PART Il SECTION I
• 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an ori�c inaf copy of this DMR� induding of "No Discharge" reports, within 30 days of receipt of the lob results for of end of monitoring period in the
case of No Discharge' ffMrts)to:
Division of Water Quality
Attn: DWQ Central Fifes
1617 Mall 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, of
those persons directly responsible for gathering, the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature ermittee
Permit Date: 11/l/2018-05/31/2021
Date
SWU-245, last revised 11/1/2018
Page 3 of 3

6/14/2019
Annual Non-Stormwater Discharge Certification
For the annual period ending on June 14, 2019 1, Benjamin Griffin, certify that the
Stormwater outfalls (001 and 002) have been evaluated for the presence of non-
stormwater discharge and that none exists.
1 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.
_ N.- Zo 19
Benjamin riffin Date
General Manager

r ntirTV7menr al
QVC10 r
Storimwater Discharge ®utfafl (SD®)
Qualitative Monitoring Report
For guidance on,Tlling our rbia form. please ri.ur https:l/deq.nc.govlabout/divisionstenergy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NIC/(q /a / 31 o1 of D/ 01 or Certificate of Coverage No.: NICIGI I I 1 ! 1 I
Facility Name: At_,reL L4,tius
County: SvuA.9-4 Phone No. 7,
f nspector:�r yJ E�Soa _
Date of inspection: ,L2ov)
Time of Inspection:
Total Event Precipitation (inches): n-L4-1 _
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 6f Penn
1. Outfall Description:
outfall No. Structure (pipe, ditch, etc.): `CC-JA
Receiving Stream:
..,. 5FY2tW—`d --6*4Ok
Describe the industrial activities that occur within the outfall drainage area: %2ff9L rtou
Page I of 2
SW11-242, 1asj modified 06M1124)1A

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: LJLXT"-r S1LO�3r—) _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor; etc.): &3 A
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 O 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
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:
7.
8.
9.
0 2 3 4 5
is there any foam in the stormwater discharge? o Yes V No.
Is there an oil sheen in the stormwater discharge? OYes dS No.
Is there evidence of erosion or deposition at the outfall? o Yes W o.
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 06101/2018

QU&IR i
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on !lung out this form, please visit httpsa/deq.nc.gov/about/divisions/encrgy-mineral-land-resources/
n pdes-storm water-gps
Permit No.: N/C/6r10 /3 /0 /O /C)l0/ or Certificate of Coverage. No.: NICIGI 1 ! I l I !
Facility Name: A=r_j N
County: 51,&4ZR.-t Phone No. 3St.o • —7 66 --6& L -L
Inspector:
Date of inspection: L11 Zotg
Time of Inspection: � rJ3O
Total Fvent Precipitation (inches): C).4_'l
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 D£MLR
Regional Office.
13y this signature. I certify that this report is accurate and complete to the best of my knowledge:
(SignatureZf Permit(ee%6d esignee)
L Outfall Description:
OutfalI No. Z. Structure (pipe, ditch. etc.): T, R?E� _
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: f.�54,, _AAJ-D -
tit 41' u e
Page t of 2
5wu.242. 1�i mod;ried 06n)112019

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: UC-0A] "3PoL-�-M
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NAA
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
I) 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:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? o Yes Qr/No
8. Is there an oil sheen in the stormwater discharge? oYes cl� No. _
9. Is there evidence of erosion or deposition at the outfall? o 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
SWIJ-242, bast modilicd06101120k8