HomeMy WebLinkAboutNCG080284_COMPLETE FILE - HISTORICAL_20141230- STORMWATER DIVISION CODING SHEET -:
RESCISSIONS .
PERMIT NO.,
l v U�
DOC'fYPE
COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
p
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 11 - 7.-26 — i 4
CERTIFICATE OF COVERAGE NO. NCG080 -2,
FACILITY NAME T-V) c C kG • o'IT_U�4�cY���
COUNTY (r\z C�
PERSON COLLECTING SAMPLES l t rrn 16✓r
LABORATORY ?a,- L ,--k,< Lab Cert. # 7 n
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z.o 1
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly'_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout' ❑PNA
RECEIVED
❑Zero-flow ❑Water Supply ❑SA
1 V L! [Other �7�-a✓►+-, ..JGc
DEC 3 0 2014
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL. FILES
Did this facility perform Vehicle Maintenance Activities using more than 55 galloMPf4%7wfmTci0Nbil per month? _yes ✓no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
11
Outfall
No.
late
Sample Collected,
mo/dd/yr
OOS30
00400
00556
�- •.:
Total Suspended'
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPAEPA
Method 1664 (SGT-HEM), mg/L ":
'NewMotor OiI Usage,
"Annual`average gal/md*
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
Cvcq
L
Part B: Oil/water Separators'and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400,
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total.Suspended'Solids,.•: %
mg/L
`:pH .
` Stai dard-units
Permit Limit
-
15
50 or 100 see permit,
"6.0 - 9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 12--to-1 (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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.
u TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OLITFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
the case of "No Discharge" reports! to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail 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, 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."
c�
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgLws/su/np_dessw#tab-4
SWU-250
last revised April t 1, 2013
Page 2 of 2
iA74'
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: littp://portal.ticdenr.org/web/wa/wslsu/nndessw#tab-4
Permit No.: N/C/ G/�/ �/ G/ G/C�/ j / or Certificate of Coverage No.: N/C/G/�}/ �/ �? j/
Facility Name: `T`1- c _CLt—,y\cAe
County: c�-IYv, j uPhone No.
Inspector:
Date of Inspection: 17--ta 1�
Time of Inspection:
Total Event Precipitation (inches): r i -I-
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes [�N o
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
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 consedutive hours of no
precipitation.
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 DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
Y-Va - �,, 1 Z �-4 -1
(Signature of Permittee or Designee)
Page 1 of 2
sWU-242, bast modified 10/25/2012
1. Outfall Description:
Outfall No. CoT- GC-1 Structure (pipe, ditch, etc.)�-c-
Receiving Stream: C'Y<
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): v16V12
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. 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:
0 2 3 4_ 5
5. 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:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes R
9. Is there evidence of erosion or deposition at the outfall? 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
SWU-242, Last modified 10/25/2012
PAR
PROMPT -ACCURATE -RELIABLE
LABORATORIES, INC
WW\1'.PARLABS.CO\1
REPORT OF ANALYSES
Attn: TIMOTHY DARR
THE CHARLOTTE OBSERVER
FACILITY MANAGER
600 S. TRYON STREET
CHARLOTTE, NC 28202-
PROJECT NAME: DEC 14
DATE: 12/17/14
SAMPLE NUMBER-
116985
SAMPLE ID- COT-OF'01
SAMPLE MATRIX- WW
DATE SAMPLED-
12/06/14
TIME SAMPLED- 0545
DATE RECEIVED-
12/09/4
SAMPLER- TD
RECEIVED BY- DJ
TIME RECEIVED-
1050
DELIVERED BY- TD
TYPE SAMPLE- Grab
Page 1 of 1
ANALYSTS
ANALYSIS
MFTHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 4500H-B
12/09/14
1055
DJ
7.59 units
OEL & GREASE
EPA 1664
12/15/14
0240
CT
< 5 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
12/15/14
0810
DJ
9 mg/L
LABORATORY DIRECTOR
P.O. Box 411483 • Charlotte. NC 28241-1483
Phone: (704) 588-8333 • Fax: (704) 588-8335
P�
F;Z
U
PROM PT•ACCURATE • RELIABLE
LABORATORIES, INC
CHAIN OF CUSTODY
Phone (704) 588-8333
Fax(704) 588-8335
Shipping: Mailing:
2217 Graham Park Drive PO Box 411483
Charlotte, NC 28273 Charlotte, NC 28241-1483
It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North
Carnlina r]enartment of Fnvirnnmental nnfi Natural RasnHrrsac
Company Name (billing)
The Charlotte Observer
Comments/ Special Instructions
Address
600 S. Tryon Street
City, State £t zip code
Charlotte, NC 28202
Point of Contact & Telephone Number
Timothy Darr (704) 227-6365
Sample
Taken By:
SIGNATURE
PRINTED NAME Timothy Darr
ARE SAMPLES FOR STATE or EPA REPORTING? YES NO
"Sample Type: DW ww GWMW HW Soil other
Sample Temp at time of sampling: ° C Sample Temp upon receipt: 3° C
"Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No nla
Residual Chlorine checked at time of sampling (Y/N): Dechlorination Necessary (Y/N):
Client Sample I.D. Set Up Collection nalyses
(Sample Location 1 Number) Comp Grab Preserv. Datefrime Datelrime Requested
COT-OF01 X 4 -C pH, TSS
Relinquished by:
Daterrime
X I H2SO4 I; IIa�G��=rhOIL Et GREASE
Received by:
'.2 -�) 2 -,/ / o
Date/Time
' C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=hazardous Waste
IT,
Semi-annual Stormwater Discharge Monitoring Report
--lior North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted Lj— 13 — b�f
CERTIFICATE OF COVERAGE No.. NC 08D-Q- $1
FACILITY NAME rl-\Q- Qrj! 1.
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY RrtL IA-bs Lab Cert. #t
Commenis on sa'rriple collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR Ac Iq
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
V
RECEI ED ❑Zero -flow []Water Supply ❑SA
..�. [Other-s,rn. t.J�✓
APR 28`ZOt4 Y
CENTRAL FILES
DWQ180G
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
No discharge this period'
_Clutfatl �, ��
� - ;. -Date _-
-
� :�: 00530 _�-..
_�_
-. 00400
00556-
z
1. No
Sarnple:Collecied,
Total Suspended
pH,
Non -Polar Qil and:Grease/TPH,;EPA
New;Motor Oil Usage;
_
mo/dd/yr
Solids, rri /L
g
- ;,
z
Standaid units:
( EM), rft/l.
Method1664 SGT-H
Annual average gal/mo
Benchmark:
-
--
50,=or-100 see; permit ;-
"
Within =
-
cosnr---i
31z5 lti�
120,1 -
{4.41
I I. 5 ^,,t I
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Ono
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
O.titfalt =
No
: Date - =
Sainple;Collected,
-._ ::. .. _ 00556
_ _
00530
_
.00400 .
Nori Polar Oil and Grease/TPH EPA Method
= Total-Susperided Solids, :-
pH -
W
ry o/dd/yr
_
16 64 (SGT=HEM) =mg/L
_
mg/L .
W.
Standard units:
Permit limit
=' =
15 -
`- 50 or l00 see permit
6.0—'9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2
r
46
STORM EVENT CHARACTERISTICS:
Date 3t25 %%(first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" revorts, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports)to:
sion}•of-Water Quality `'• r t:. = '�' : �,`" "' "'''� , ;'
Attm DWQ Central Files
1617 Mail 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, 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 Pehn' ittee)
LfIz3114
(Date)
Additional copies of this form may be downloaded at: httg://gortal.ncdenr.orl;/web/wa/ws/su/ngdessw#tab-4
SWU-250
last revised October 25, 2011
Page 2 of 2
NCDENR
Stormwater Discharge ;Outfall {SolA.;
f I 1
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://12ortai.ncdC.nr.oi-g/web/wq/ws/su/_rrpdessw#tab-4
Permit No.: N/Cput/-M�/6/aVP
Facility Narne: `i�-tit c�,PriZlo l
County: '[he-C-Uf:Xn 6u-
Inspector: _ Mr,>L ,h� A fy1
Date of Inspection: "I\4
Time of Inspection: Le"
Total Event Precipitation (inches): . 1
or Certificate of Coverage No.:
Phone No. 91) �-- 3S�y _S
3 S"b •5�S' '
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes [�INo
Please verify whether Qualitative Monitoring must be pet formed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
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.
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 DWQ 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)
Page 1 of 2
5WU-242, Last modified to/25/2012
F
1. Outfall Description:
Outfall No. CO-T—U.0J Structure (pipe,'ditch, etc.)
Receiving Stream:' .w l+r'�..t + n Cr c.lc•
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(Light; medium? -dark) as descriptors:
- • '.1 s� .� 4.. ],-i•...i . '`.i. k. � � E "a i ',6 .,�... r'� � � ? i
3. Odor: Describe any distinct!odors.thatthe discharge may have (i.e:;�smells.strongly of oil,
weak chlorine odor, etc.):
y.
4. Clarity: Choose the number which best describes tke clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 CD 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:
(D 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:
1 �2 3 4 5
7. is there any foam in the stormwater discharge? Yes
8. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfali?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes
No
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 10/25/2012
An
PAA
PROMPT•Ar-CURATE• RELIABLE
�ABORATORIES, INC
%V %N' N4'. PA R l-A BS.(-0M
REPORT OF ANALYSES
Attn: CHUCK GRIFFITH
THE CHARLOTTE OBSERVER
FACILITY MANAGER
600 S. TRYON STREET
CHARLOTTE, NC 28202-
PROJECT NAME: MAR 14
DATE: 04/03/14
SAMPLE NUMBER- 1132.91 SAMPLE ID- OBS COT-OF01 SAMPLE MATRIX- WW
DATE SAMPLED- 03/25/14 TIME SAMPLED- 1400
GATE RECEIVED- 03/23/14 SAMPLER- TD RECEIVED BY- DJ
TIME RECEIVED- 1525 DELIVERED BY- TD TYPE SAMPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSIS METHOD DATE TIME BY RESULT UNITS
® pH VALUE SM 4500H-B 03/25/14 1530 DJ 6.91 units
OIL & GREASE EPA 1664 03/31/14 0920 CT < 5 mg/L
TOTAL SUSPENDED SOLIDS SM 2540 D 03/31/14 0840 DJ 12 mg/L
LABORATORY DIRECTOR
rl%t—CEIVED
APR 28#j z8ZLI14
Information Processing Unit
DW(71BOG
1'.0. Box 411483 • Chm-Inttr, NC 2K241-1483
1'hnnc: (704) 588-8333 • Fax: (704) 588-8335
PA
PROMPT•ACCURATE • RELIA13LE
LABORATORIES, INC
Shipping:
2217 Graham Park Drive
Charlotte, NC 28273
CHAIN OF CUSTODY
Phone (704) 588-8333
Fax (704)588-8335
Mailing:
PO Box 411483
Charlotte, NC 28241-1483
It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR laboratories, Inc. and the North
Carolina Department of Environmental and Natural Resources.
Company Name (billing) Comments/ Special Instructions
The Charlotte Observer
Address
600 S. Tryon Street
City, State i3 zip code
Charlotte, NC 28202
Point of Contact EL Telephone Number
Chuck Griffith (704) 358-5663
Sample
Taken By: SIGNATURE
PRINTED NAME
ARE SAMPLES FOR STATE or EPA REPORTING? YES NO
*Sample Type: ow ww GwMW Hw soil other
Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C
**Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No n/a
Residual Chlorine checked at time of sampling (YIN): Dechlorination Necessary (YIN):
Client Sample I.D.
(Sample Location 1 Number)
Comp
Grab
Preserv.
Set Up
Date/Time
Collection
Date/Time
Analyses
Requested
COT-OF01
X
Y%1-1110tj
pH, TSS
"
X
OIL Et GREASE
Relinquis a y' Date i Rece" d by: Date/Time
lRelinquished by: DatelFime Received by: Daterrime
M N L— %a L— I V C
C=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste See
Other Side APR , 8
Information Processing Unit
DWQIBOG