NCG060003_MONITORING INFO_20200128

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
In 0 3
IV C� O 00
DOC TYPE
❑`�HISTORICAL FILE
CY�MONITORING REPORTS
DOC DATE
❑ Q lC�,
YYYYMMDD

P
o STAB r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on fitting oru this Jornr, please visit: httn:lfh2o.enr.statc.nc.uslsu/1-orms_ 1)ocurnents.htni#niiscfornis
Permit No.: NICI_I_I_I_I_l_I_I or Certificate of Coverage No.: NICIGI c} lLl C- 04 l�l
Facility Name: .
--- A , Alt�e —
County: G v j Po✓, Phone No. 336, - R-1
Inspector: L -e- P4,ZY
Date of Inspection: 11117
Time of Inspection:11
'
rr
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ® Yes ❑ No}.;-rpv� Q{~]
Pleuse check your pe.rmil to ver{& rf Qualitative Monitoring must he performed during u representative
storm event (requirements vary).
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.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. a (5bO-l) Structure (pipe, ditch, etc.) Q,
Receiving Stream: KC Kv,, -O yGt_+1f L^ree fe-'-
Describe the industrial activities that occur within the outfall drainage area:
C. (4 G'wl 1, c' c:• Jy [ Pj.S 1 n
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: b iri4 1 (; h
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): n0 Z)�-,
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swu-242-1t26os

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
1 2 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:
(% 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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes Nc
IO. Other Obvious Indicators of Stormwater Pollution:
List and describe 4 %rn P
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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S W U-24 2-1 12608

03
STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted .January 22. 2020
CERTIFICATE OF COVERAGE NO. NCG06 0 0
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Lee Purdy
LABORATORY Research & Analytical Labs. Lab Cert. # 37701
RECF NED
I
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or *Monthly' December (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
■❑Other Class C
,BAN 2 S 2020 FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
CENTRAL. F1L,ES
[DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitorine Results Total event rainfall 2 0.5" or n No discharge this period3
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
PH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococcl,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
10001
5001
Parameter Code
-
C0530
00400
00340
00556
31616
61211
SRO-001
12/1712019
66.0
6.9
< 5
< 5
-
1 Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes W no
(if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L°
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Moil an original, copy of this DMR including aH "No Discharge" reports, within 30 days of receipt of the lab results (or 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
IL -Raleigh, INC 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, an complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment,fo�An g violations."
Signature of Perm
January 22, 2020
Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2019
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