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HomeMy WebLinkAboutNCG060362_MONITORING INFO_20190218STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. IV Cc, -D� 0, DOC TYPE El HISTORICAL FILE LY}, MONITORING REPORTS DOC DATE ❑ jolq D a N YYYYMMDD r r STORMWATER DISCFIARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO, NCG060000 �1;A14 LES COLLECTED DURING CALENDAR YEAR; CERTIFICATE OF COVERAGE NO, NCG06. d, 2_ _ _ � '('I'his monitortng report is due at the Division no later than 30 dAys fl om rFB $the•d to the facil[ty receives the sawplj,n�res t(s from the laboratory,) FACILITY NAME LEA /.!J �% ., "�r� COUNTY jX W PERSON COLLECTING SAAULES n i r�AFi� PHONE NO, ) ( 8 � CERTITIED LA.k30RATORY Lab # "' •�-Cr,0EL / DC Lab N PLEASE SIGN ON THE REVERSE -i Part Ar Speclne Monitoring Requirements Outfall No. Date Sample Collected, moldd/ r Benchmark 00530 Total Suspended Solids, 100 00400 . 00340 00556 PH, Chemical Oxygen Oil and Grease, Standard units I Demand, mg/L — 910 I 120 30 Note: rr you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you must imp See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than SS gallons of now motor oil per month?_ yes 11 (if yes, complete Part B) PurtB,'V@bicleMaintounneeActivitoy onitoring Requirements Outfau Date 1 00556 1 00530 00400 No, Sample Collected, I OR and Grease, I Total Suspended Solids, pH, I 30 Note: if you report a sampled value in excess of the See General Permit text. STORY! EVENT CHARACTER-ISTICS, Date / % (first event sampled) Total Event Precipitation (inches), % Ot 1 Standard units CA — o-n 31616 Fecal Coliform, Colonies per 100 ml 00 or I or-Tier-2 responses. New Motor Annual aver or outside the benchmark range for pH, you must implement Tler I or Tier 2 responses, Mull Original and one copy to; Division of Wator Quality Attn: DWQ Central Flies 1617 Mail Service Center Raleigh, North Carolina 27699.1617 Date (list oacb additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (Inches): S WU-249-102107 Page. i of 2 l "I certify, under penalty of_law, -that -this Aocumeut-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 bel98f, true, accurate, and complete. I am aware. that there are significant penalties for submitting falso information, including the possib ty of fines and Imprisonment for knowing violations," (Signature of Permittee) (Date) ►� 5WU-249.102107 Page 2 of 2 Environmental Chemists, Inc.. ]f 6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 Lab - 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 - 252.473.5702 Lab/Fax M 255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmcntalchemists.com House of Raeford Date of Report: Dec 29, 2018 Post Office Box 40 Customer PO #: Rose Mill NC 28458 Customer ID: 08100079 Attention: Joe Teachey Report #: 2018-20781 Project ID: Grain Elevator Lab ID Sample ID: Collect DatelTime Matrix Sampled by 18-52365 Site: GE1 12/17/2018 11:35 AM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/18/2018 Residue Suspended (TSS) $M 2540 0 <2.6 mg/L 12/18/2018 pH SM4500 H 8 7.14 units 12/20/2018 COD SM 52200 29 mg/L 12/24/2018 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 18-52366 Site: GE2 12/17/2018 11:42 AM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 7 mg/L 12/18/2018 Residue Suspended (TSS) SM 2540 0 <2.6 mg/L 12/18/2018 pH SM 4500 H 8 7.25 units 12/20/2018 COD SM 5220D 29 mg/L 12/24/2018 Comment: Reviewed by: ` r Report C 2018-20781 — - . _11 L 1 Analytical $ Consulling Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 20406 OFFICE: 910-392-0223 FAX 910-392-0424 Info@envlron mentalchemists-com CLIENT: .Q PROJECT NAME: , CONTACT NAME L REPORT NO: 4 J f PO NO: ADDRESS: REPORT TO: �' PHONEIFAX. COPY TO: small: Samnled Bv: SAMPLE TYPE: I = influent, E = Effluent, W d Well, ST = Stream, SO = Soil, SL C Sludge, Other: Sample Identification Collection a cd V, P a o �L° e„ 0. a !9 n oil a n m r E u p m z 7 PRESERVATION ANALYSIS REQUESTED Date Time Temp m x z° o _ ., $ _ z 0 z o o / G C P G G 2�3�b C P G G C P G G C P G G C P G G C P G G C P G G C P G G' Transfer Rell hed By; PatafTIme Recelved By: Datef irne 2. Temperature when Received: Ac opted: Delivered By: R Comments: --- Re cted: Resample Requested: celved Ely: Date: i 1 0 Time; �'�CY TUR AR UNA: l STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO, NCG060000 CERTIFICATE OF COVERAGE NO, NrCG06 n FACILITY NAME - leMAnALzz [ AIAf PERSON COLLECTING SAMPLES 4 7- %,i 22/ Q CERTIFIED LABORATORY Lab # — 7 T./J Y'1 / % Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: �?41 (This monitoring report is due at the Division no later than 30-days from the date the facility receives the s m Ij�g�resplfs from the laboratory.) R=i`IONENo. / . JUN 2 5 2018 PLEASE SIGN ON THE REVERSE 4 CENTRAL FILES OWR SECTION Outfall No. Date Sample Collected, moldd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, m Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Benchmark - 100 Within 6.0 — 9.0 120 30 1000 1 Note: I f you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes -_n�O (if yes, complete Part 13) Part B, Vehicle Maintenance Activity onitoring Requirements Outfall No, Date Sample Collected, mo/dd/ r 00556 00530 00400 Oil and Grease, m Total Suspended Solids, m pH, Standard units New Motor Oil Usage, Annual averse gallmo Benchmark 30 100 6,0-9.0 Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses, See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) � Total Event recipitation (inches); i S J Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S W U-249-102107 Page 1 of 2 "I certify, under penalty of law, that this documentandall attacbments were prepared under my -direetion 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." ture of Permittee) (Date) S WU-249-102107 Page 2 of 2 Environmental Chemists, Inc. '. • 0 6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax © 710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax M 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemismcom House of Raeford Date of Report: May 07, 2018 Post Office Box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 08100079 Attention: Chris Murray Report M 2018-06461 Project ID: Stormwater Lab 1D Sample ID: Collect Date/Time Matrix Sampled by 18-16089 Site: GE1 4/24/2018 11:15 AM Water Chris Murray Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 05/02/2018 Residue Suspended (TSS) SM 2540 D 8.1 mg/L 04/26/2018 pH SM 4500 H s 6.65 units 05/01/2018 COD SM 5220D 50 mg/L 04/27/2018 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 18-16090 Site: GE2 4/24/2018 11:23 AM Water Chris Murray Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 04/27/2018 Residue Suspended (TSS) SM 2540 D 20.4 mg1L 04/26/2018 pH SM 4500 H 8 6.32 units 05/01/2018 COD SM 5220D 48 mg/L 04/27/2018 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 18-16091 Site: New Truck Shop SW1 4/24/2018 4:20 PM Water Chris Murray Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 05/02/2018 Residue Suspended (TSS) SM 2540 D 27.7 mg/L 04/26/2018 pH SM 4500 H 8 6.62 units 05/01/2018 COD SM 5220D 27 mg/L 04127/2018 E-MAILED MAY 0 7 2018 Report #:: 201 "6461 Pagel of 2 _ � f REC51VE[) STORMWATER DISCHARGE.O.UTFALL.(SDO) CENTRAL �1oj, MONITORING REPORT GENERAL PERMIT NO, NCG060000 CERTMCATE OF COVERAGE NO, NCG064ng3(+ 2 FACILITY NAME o2yeA� PERSON COLLECTING SAMPLES CERTIFIED LABORATORY "G Part A: Specific Monitoring Requirements MOM Lab# - - Lab # VWR S SAMPLES COLLECTED DURING CALENDAR YEAR: WO (This monitoring report is due at the Division no later than 30 days from the date the facility receives the s mpl ng res Its from the laboratory.) COUNTY 1i lJ� PHONE NO. 10 gyp PLEASE SIGN ON THE REVERSE 4 Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, MWL pH, Standard units Chemical Oxygen Demand, m Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Benchmark - 100 Within 6.0 — 9.0 120 30 1000 Z9 a.0 97) ! Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Ticr•2 responses, See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes ^no (Ifyes, complete Part B) Part B. Vehicle Maintenance Activity Monitoring Requirements Outfau No. Date Sample Collected, mo/dd/ r 00556 00530 00400 Oil and Grease, m Total Suspended Solids, mWL pH, Standard units New Motor Oil Usage, Annual average gallmo Benchmark 30 100 6.0 — 9,0 - Note: 1 f you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses, See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) f� Total Event Precipitation (inches): Date (list each additional event sampled this reporting peflod, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-249-102107 Pagel of 2 9 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 Pores and imprisonment for knowing violations." (Signature of Permittee) (Date) .s. ` SWU-249-102107 Pave 2 of 2 is envy ro'chemr' Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Johnson Breeders CIO House of Raeford PO Box 40 Rose Hill NC 28458 Attention: Chris Murray Date of Report: Feb 17, 2016 Customer PO #: Customer ID: 15080011 Report #: 2016-01534 Project ID: Stormwater Lab ID Sample ID: Grain Elevator Collect Date/Time Matrix Sampled by 16-03591 Site: outfall 1 2/4/2016 9:00 AM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 02/05/2016 Residue Suspended (TSS) SM 2540 D 7.0 mg/L 02/05/2016 pH SM 4500 H s 6.59 units 02116/2016 COD sM522oD 53mg/L 02/08/2016 Lab ID Sample ID: Grain elevator Collect Date/Time Matrix Sampled by 16-03593 Site: outfall 2 2/4/2016 9.10 AM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 02/0912016 Residue Suspended (TSS) SM2540 D 14.5 mg/L 02/05/2016 pH SM 4500 H a 6.65 units 02M6/2016 COLT SM 52200 94 mg/L 02/08/2016 Comment: Reviewed by: �(�,1 ka& Report #: 2016-01534 Page 1 or 1 r -1 r—� LJ Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 910-392-4424 Enro@environmentalchemists.com Client: House of Raeford 16t% L.��!%T�/ PROJECT NAME: Stormwater REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO., PHONEIFAX: COPY TO:Chris Murrayemail: Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification collcictlon ANALYSIS REQUESTED re:lb'RMEMNIN!,05411milCOD,TSS,O&G,pH Temperature when Received:_ Accepted: Delivered By: Received By:, C'nmman4c- ad: Time: b UND: STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GEPIERAL PERMIT NO, NCG060000 CERTITICATE OF COVERAGE NO, NCG06_ Off4Z _ FACILITY NAME el6 PERSON COLLECTING SAMPLES W, CERTIFIED LABORATORY Lab # 47V— Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR; ;Zo/ Z (This monitoring report is due at the Division no later than 30 dAys from the date the facility receives the mp ng res Its from the laboratory.) JPHONE NO, AN 1 0 zo1$ PLEASE SIGN ON THE REVERSE 4 lN'FORJMA.T!�ON PROCESSING UNIT TOutfall No, Date Sample Collected, mo/dd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, m Oil and Gre6se, mg/L Fecal Coliform, Colonies per 100 ml Benchmark 100 Within 6.0 -- 9.0 120 30 1000 • Off � i r' Note; If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier-2 responses. See General Permit text, Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of now motor oil per month? _yes LTo (if yes, complete part S) Part B;. Vehicle Maintenance Activity Monitoring Requirements Outfatl No, i Date Sample Collected, mo/dd/ r 00556 00530 00400 Oil and Grease, m Total Suspended Solids, m pH, Standard units New Motor Oil Usage, Annual avers a al/mo Benchmark 30 100 6,0 — 9.0 Note: If you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses, See General Permit text. STORM EVENT CHARACTERISTICS: Date,/�/2 (first event sampled) Total Event Precipitation (inches); Date (list each additional event sampled this reporting period, and rainfall amount) Total Event precipitation (inches); Mail Original and one copy to; Division or Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-249-102107 Page 1 of 2 I " 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. Y am aware. that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ; _ (Signature of Permittee) a 3 (Hate) S W U-249.102107 Page 2of2 6602 Way i ENVIRONMENTAL CHEMISTS, _S __ I N C OFFICE 91011392-0 23_FIAX 910-392-0 24 —NCDlwNR:'DWO"CERTIFICATION # 94'NCDHHS: DI.CERTIFICATION # 37729 info@environmentalchemists.com Analytical & Consultfng Chemists COLLECTION AND CHAIN OF CUSTODY CLIENT: % �� PROJECT NAME: % _ / EPOR`f NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: /,lj% f IONEIFAJC: y COPY TO: email: Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, Sl_ = Sludge, Other: Sample Identification Collection T m E �, Y a o m p ;2 o o a 0 o �b r E " in JQ z PRESERVATION ANALYSIS REQUESTED Date Time Temp o , i o ry _ z = r O z o W o C P G G I G C P G G C P G JI -� G G C P G? C P G G C P G G G G C P G G Transfer Reii i hed By: DateTrime Received By: - DaterTime 2. c'nNUF.1LUre when Keceived: Delivered By: Comments: Act pled: /r Rejected: Resample Requested: Received By: Date: LJ--Z I 1 i Time: TURNAROUND: u :a ,;. Environmental Chemists, Inc. 0 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax r` 710 Bowserlown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax SMj 255-A Wilmington Fligliway, Jacksonville, NC 28540 • 910.347.5843 Lab/Far ANALYTICAL & CONSULTING CHEMISTS inro@hcm iroll rdelit aIchemists.corn Johnson Breeders C/O House of Raeford Date of Report: Dec 07, 2017 PO Box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 15080011 Attention: Chris Murray Report #: 2017-18202 Project ID: Big Ed Feed Mill Lab ID Sample ID: Collect DatelTime Matrix Sampled by 17-44264 Site: Outfall 1 11/22/2017 Water chris murray Test Method Results Date Analyzed Dry Dry No Flow 11/22/2017 Lab ID Sample ID: Collect DatelTime Matrix Sampled by 17-44265 Site: Outfall 2 11/22/2017 9:40 AM Water chris murray Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 12/04/2017 Residue Suspended (TSS) sM 2540 D <5.8 mg/L 11/24/2017 Reporting limit elevated due to inadequate sample volume. pH sM 4500 H B 7.20 units 11/28/2017 COD sea 5220D 204 mg/L 11/29/2017 Comment: Reviewed by: 7II da& Nov Report #:: 2017.18202 Pape 1 of 1 STORMWATER DISCHARGE OUTFALL (SDO) MONTCORING REPORT GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YE4tbaboriatory.) CERTIFICATE OF COVE��RrrAGE NO, NCGO6.V�6 (This monitoring report Is due at the Division no later m FACILITY NAME,,rzW 6NJ '9/�! �g✓i�% R ti�ed�t th t�acility receives the s resu from COUNTY r PERSON COLLECTING SAlYIP ES /l � Z017 PHONE NO. _9ewf5= CERT07IRD LABORATORY Lab # Lab # CENTRAL. FILES PLEASE SIGN ON THE REVERSE Part A: Specific Monitoring Requirements DWp, SECTION Outfall No, Date Sample Collected, mo/dd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, to Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml BenchmarkI - 100 Within 6.0 -- 9.0 120 30 1000 Z:,z yam' 42=22O / t .)X Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier-2 responses. See General Permit text, Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no (if yes, complete Part S) Part B; Vehicle Maintenance Activitv Moultorint: Requirements Outfail No. Date Sample Collected, mo/dd/ r 00556 00530 00400 Oil and Grease, m gi, Total Suspended Solids, m g& pH, Standard units New Motor Oil Usage, Annual averse al/mo Benchmark 30 100 6.0 — 9.0 . - Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date %pntrecipitation first event sampled)Total (inches); Date (list each additional event sampled this reporting period, and rainfall amount) Mail Original and one copy to; Division of Water Quality Attu: DWQ Central Piles 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Total Event Precipitation (inches): SWU-249-102107 Page I oft "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 Permittee) (Date) S W U-249- 102 ! 07 Page 2 of 2 • SEMI-ANNUAL STORMWATERCHARGE MONITORING REPORT • for North Carolina Division of -Water- Quality -General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06Q -3 L �r` SAMPLE COLLECTION YEAR / FACILITY NAME ,/�} �� S�„�«� ,sv,s r,��L FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY C}�❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES LCu; � "a V, p DISCHARGING TO SALTWATERS? ❑YES [3 LABORATORY Fx u �`y. rocjAp_ ,.� Lab Cert. # pp EeEN ASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results SEP 0 4 2015 Tota! event roinfaii 2'(. i r or ❑ No discharge this Period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units CITRa nWuR SECTICA Fj%rcl Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , o Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 e L 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. RMW �r Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (ifyes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0-9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18. 2012 Page I of 2 • • • 1. � .. 4 _. *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 DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob 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 Raleigh, NC 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 Pe Q J (Date) Additional copies of this form may be downloaded at: http://portai.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised. October IS. 2012 Paee 2 of 2 r - - - -",qql rp"' 0 Environmental Chemists, Inc. ; envirochem 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 lax © 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL 8 CONSULTING CHEMISTS info®environmentalchemists.com .Johnson Breeders C/O House of Raeford Date of Report: Aug 28, 2015 PO Box 40 Customer PO 4: Rose Hill NC 28458 Customer ID: 15080011 Attention: Report #; 2015-10607 Project ID: Stormwater Lab ID Sample 1D: Collect Date/Time Matrix Sampled by 15-25114 Site: butfall 1 8/11/2015 4:00 PM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA1684 <5 mg/L 08/21/2015 Residue Suspended (TSS) SM 2540 D 10.6 mg/L 08/13/2016 pH SM 4500 H s 6.40 units 08/1412015 COD _ SM 52200 70 mg/L 08/2512015 Lab ID Sample ID: Collect Daterrime Matrix Sampled by 15-25115 Site: outfall 2 8/11/2015 4:15 PM Water Client Test Method Results Date Analyzed Oil & Grease (0&G) EPA 1664 Residue Suspended (TSS) SM 2540 D pH SM4500H8 <5 mg/L 08/14/2015 61.3 mg/L 08/13/2015 7.02 units 08114/2015' COD SM 5220D 77 mg/L 08/25/2015 Comment: Reviewed by: Report #:: 2015-1=7 Page 1 of 1 • - ENVIRONMENTAL CHEMISTS, INC Analytical S ConsulGng.Chemists NCDENR: DWQ CERTIFICATION # 94 NCOHH$:.DLS CERTIFICATION # 37729. COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 2i1405 OFFICE: 910-392-0223 FAX 910-392-4424 lnfo@environmentalchemista.com Client: H WWSUMM��r't� PROJECT NAME: Stormwater REPORT NO: ADDRESS: CONTACT NAME: �m[J�S Lam? ".�C PO NO: / p REPORT TO: GQ[J! .fir PHONEIFAX: COPY TO:Chris Murray_email: Sampled Bv.- SAMPLE TYPE: I = Influent, E - Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection m E' 18 a I n o ` C o E O m m g z PRESERVATION ANALYSIS REQUESTED Date Time Temp w z o z x g �3 M o x 0 i o a Outfall, / C P �l X X COD,TSS,0&G,pH G G C P G G C P G G Outfall: C P 1-M X X Lj COD,TSS,O&G,pH G G C P G G C P G G C P G G C P G G C P G G:�:j Transfer Relinquished By: Datefrime Received By: Date/Time 7. 2. Temperature when Received: a • U Acc4{ted:1,,-" Delivered By: Received Comments: A TURNAROUND: