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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv U& b-1 bbC) YP
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ 3
YYYYM M DD
North Carolina Division of Water Quality -
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle Maintenance Activities Only
Date submitted /%9�/ S �
Jf
6�
CERTIFICATE OF COVERAGE NO. NCGV I f _k S SAMPLE COLLECTION YEAR ,20 / q
FACILITY NAME v.4v,* g
COUNTY r-
PERSON COLLECTING SAMPLES PLEASE REMEMBER TO SIGN ON THE REVERSE
LABORATORY Lab Cert. #
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall t or ❑ No discharge this period
Outfall No.
Sample
Collected,
mm/dd/yr
Total Suspended
Solids (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
Oil and Grease, mg/L
(if applicable)
pH, Standard units
(if applicable)
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 50
15 .
30
Within 6.0 — 9.0
-
!SC
_',V
CENTRAL FIL
=S
1 The total precipitation must be recorded using data from an on -site rain gauge. UVAIN SECTION
2 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 Il 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:
SWU-254 Vehicle Maintenance Activities DMR Last Reviecel.- ,1/4v 117, -013
Pale I of 2
Mail an original and one copy of this DMR, 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, 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."
(Signaturp,4f Permittee)
(Dale) l
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw
SWU-254 Vehicle Maintenance Activities DMR Last Revised: May 17, 2013
Page 2 of 2
North Carolina Division of Water Quality
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle Maintenance Activities Only
CERTIFICATE OF COVERAGE NO. NCGV 7 v -j2 -&(q
FACILITY NAME Q_a Ja rtrz
COUNTY
PERSON COLLECTING §AMPLES
LABORATORY Lab Cert. ##
Date submitted 12011
ECE I V ESMPLE COLLECTION YEAR;..0!RD
JUL .14 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWOJBOG
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall' or ❑ No discharge this periodZ
'outfail`No
�*, "
,.
�!
.r,`'hr,Sv:=xt9P`$Y
Sampled
CollecDed,
YtP_!4!vYe .ieW�''/1�Xiz?.:b
°= 76tal'Seq pended3��+
Y�c:�
Sollds;(TSS}, mg/
_J..Ilrtvti�^aCdY�`]Y-�..r
cN6n "Iaf O&G ; HVmM-N,
'r
(Me_thad;166'1 SGT-NEMj
-/{�3� `w�TCf"'G'�'i +-Y�` t-=;.�j,
`\••�aPplieable.+y...t�
'.i�ai
�.. � �y,...tcaeDr.: a.:�.tti'i!?+
Oil nd Grease` "mg/L�
(if apgllcable1� �� .
t - y
�c 3'R
�'M•w .!.'+r. �.�T?. _.�
� pH� Sta da d;uriits '�
i . (if:appNcal lej - _
% ,y_ 3.y, E, i WfF
r.. --�di`_'+'M1 '-"L@'i2s5^i !" �Y,�f�°V?t
..r�~��Scr�SL`..'�-..�.y:..a �.-i,...b.�
��New M4otot>OI>3Usage,
Mnuai averagea
.V-•"'a �.e�r.I�
�''}1 •+`'��:},4te�s
�ti's-i.. z, ..�4+ aMtv�1��..E
t '�'
rt ro
�y 'F.,�`,_.
e .✓. r
rai�'�
�' 4 ! '1� Y �,lr�
+'�W.�a �+*`Aff
'The total precipitation must be recorded using data from an on -site rain gauge.
z For sampling periods with no discharge at 2ny outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 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:
SWU-254 Vehicle Maintenance Activities DMR Last Revised: May 17, 2013
Page 1 of 2
Mail an original and one copy of this DMR incl din al! "No Discharge" reports, within 30 days o recei t o the lab results or at end o
monitorina 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 CERTIFIC477ON FOR ANY W FORMATION 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."
re of Permittee)
(Date)
Additional copies of this form may b6downloaded at: http://oortal.ncdenr.ore/web/wq/ws/su/nadessw
•Y
r
1
SWU-254 Vehicle Maintenance Activities DMR
Last Revised.' May 17, 2013
Page 2 of 2
roz,,
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fJ' CDENR
Noah Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
28 July 2014
Owens -Brockway Glass Container Inc.
Attn: Edisson Flores, Plant Manager
9698 Old US Highway 52
Lexington, NC 27295
Subject: Compliance Evaluation Inspection
NPDES General Stormwater Permit NCG070000
Certificate of Coverage NCG070064
Owens -Brockway Glass Container Inc.
Davidson County
Dear Mr. Flores:
John E. Scvarla, III
Secretary
RECEIVED
AUG 0 4: 2014
CENTRAL FILES
DW0/80G
Aana Taylor -Smith of the Winston-Salem Regional Office of the NC Division of Energy, Mineral, and Land
Resources (DEMLR) conducted a compliance evaluation inspection at the subject facility on 28 July 2014.
Your assistance and cooperation, as well as that of Mr. Jay Easter and Mr. Andy Stewart, were greatly
appreciated. An inspection checklist is attached for your records and the inspection findings are
summarized below.
This facility is located at 9698 Old US Highway 52 in Lexington, Davidson County, North Carolina.
Stormwater related to industrial activity is discharged from the site to Leonard Creek, which is currently
classified as Class WS-III waters, in the Yadkin -Pee Dee River Basin.
Documentation & Monitoriniz Review
The facility's Stormwater Pollution Prevention Plan (SPPP) is very thorough, up to date, and fully
implemented. The SPPP was last updated in June 2014. All documents were well organized and available
for inspection.
Qualitative monitoring has been completed as required. No discrepancies were noted. Owens -Brockway
performs limited vehicle maintenance on forklifts, but does not use more than 55 gallons of new motor
oil per month, so no analytical monitoring is required. The facility has three Stormwater Discharge
Outfalls (SDOs) that discharge stormwater related to industrial activity.
Site Review
The site is orderly and well maintained. Secondary containment is implemented as required. All outfalls
were inspected and found to be in excellent condition. Best Management Practices (BMPs) are installed
at the outfalls to reduce potential contaminant loss from the site. No evidence of erosion or instability at
the SDOs was observed. The receiving stream was free of pollution indicators in all cases.
Division of Energy, Mineral, and Land Resources
Land Quality Section • Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107 - Phone: 336-771-50001 FAX: 336-771-4631
Owens -Brockway Glass Container Inc.
07/28/2014
Page 2 of 2
We appreciate your efforts to comply with the stormwater permit and the proactive steps taken to
identify and eliminate potential sources of pollution. No additional response to this letter is required.
Should you have any questions regarding the NCG070000 permit or this inspection, please do not
hesitate to contact Ms. Taylor -Smith or me at (336) 771-5000.
Sincerely,
Matthew E. Gantt, PE
Regional Engineer
Land Quality Section
Enclosures: BIMS Inspection Checklist
cc: Central Files
WSRO/LQ
• Compliance Inspection Report
Permit: NCG070064 Effective: 06101/13 Expiration: 05/31/18 Owner: Owens -Brockway Glass Container Inc
SOC: Effective: Expiration: Facility: Owens - Brockway Glass Container Inc -Lexington
County: Davidson 9698 Old US Hwy 52
Region: Winston-Salem
Lexington NC 27295
Contact Person. Barry Matthews Title: Phone: 336-764-2900
Directions to Facility:
From Winston-Salem, take Hwy 52 South. Exit at Hickory Tree Rd (SR2952). Turn right. Facility is 1.3 miles on left, just past Midway
School Rd.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Corporate Responsible Official
On -site representative
On -site representative
Related Permits:
Inspection Date: 07/280014
Primary Inspector: Aana TaylorSmith
Secondary Inspector(s):
Edisson Flores
Jay Easter
Andy Stewart
Entry Time: 09:OOAM Exit Time: 09:45AM
Phone: 336-771-5000
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Slormwater Discharge COC
Facility Status: ® Compliant ❑ Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1
I
Permit: NCG070064 Owner - Facility: Owens - Brockway Glass Container Inc
i
Inspection Date: 07128/2014 Inspection Type.* Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Site is in compliance. Please refer to inspection letter.
Page: 2
�I
B
Permit: NCG070064 Owner-Facility:Owers -Brockway Glass Contalner Inc
Inspection Date: 07/28/2014 Inspection Type . Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA_
Does the site have a Stormwater Pollution Prevention Plan?
®
❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
ED
❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
N
❑ ❑ ❑
# Does the Pian include a detailed site map including outfalt locations and drainage areas?
EO
❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
®
❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
®❑
❑ ❑
# Does the facility provide all necessary secondary containment?
0
❑ ❑ ❑
# Does the Plan include a li summary?
®
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
go
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
®
❑ ❑ ❑
# Does tho facility provide and document Employee Training?
®
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
®❑
❑ ❑
# Is the Plan reviewed and updated annually?
❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
0
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
M
❑ ❑ ❑
Comment: SPPP is very thorough & up to date
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ®❑ ❑ ❑
Comment:
Analytical Monitorinq Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ❑ ® ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ® ❑
Comment: Facility does not use >55 aal of new motor oil Der month on average, so anaivtical monitoring is
not required.
Permit and Qutfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ® ❑ ❑ ❑
# Were all outfalls observed during the inspection? ® ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ® ❑
# Has the facility evaluated all illicit (non stormwater) discharges? - El ❑ ❑ ❑
Comment: Outfalls are in very good condition. i are in place at each outfall.
Page: 3