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Home My WebLink AboutNCG100133_MONITORING INFO_201903284a0 STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑HISTORICAL FILE �( MONITORING REPORTS DOC DATE ❑Q (U I 03 YYYYMMDD Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG100000 CERTIFICATE OF COVERAGE NO. NCG 10 0 1 3 3 FACILITY NAME Butler Used Auto Parts COUNTY Rutherford PERSON COLLECTING SAMPLES Brent Butler LABORATORY Testamerica Date submitted 03/12/2019 Lab Cert. #; 12028 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑■ Jan -June ❑ July -Dec _ _ or ❑ Monthly" (month) REDISCH;4Ri I1FDTOCLA55 []ORW ❑HQW ❑Trout ❑PNA MAR 2 $ 219 ❑Zero -flow [:]Water Supply [:]SA ❑■ Other c CENTRAL FILES UA!R SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Total eventroinfall5 2 or ❑ No discharge this period?6 Outfall No. Date Sample Collected, mo/dd/year pH, Standard Units Total Suspended Solids {TSS}, mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics 3, mg/L New Motor or Hydraulic Oil Usage, gal/mo Benchmark - 6.0 — 9.01 100 or 502 15 $,000 {Tiers 2 and 3} 0.075 1.0 - Parameter Code - 00400 C0530 00552 77023 01051 78141 NCOIL 001 02/21/2019 7 68 2.1 <12 0.0089 Exempt 003 02/21/2019 1 6.8 42 1 2.3 <12 0.0082 1Exempt 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 in the General Permit. 'if pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit Table 1, identifying the especially sensitive receiving waters classifications where the more protective benchmark applies. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122. 4Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. sTotal 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. 6For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018 Page 1 of 2 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used along with other requirements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan 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 all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan."}, 16- Name (Print name) C-er,O� ( Ag-�gcr _ Title (Print 'tle) /-Z--.- Signature Date Mail Original to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 Permit Date: 11/1/2018-05/31/2021 Date Form SWU-251, Last Revised 11/1/2018 Page 2 of 2 James Environmental management, ine. i April 6, 2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Butler Used Auto Parts 584 McSwain Road Forest City, NC 28043 Coverage No.: NCG100133 Certified Mail 7016 3980 0000 6674 5894 REeEIVED APR 2 4 zn CENTRAL FILES DWR SECTION! On behalf of Butler Used Auto Parts, James Environmental Management, Inc. is submitting the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the 2018 first semi-annual monitoring period. Should you have any questions or require additional information, please feel free to call. Sincerely, re R/krT Katharina Albert Environmental Specialist 512-244-3631 kal bert@iamesenvi ronmental.com Enc. 2018 15L Semi -Annual Stormwater Discharge Outfall Monitoring Report (and one copy) Cc: Rodney Butler 600 Round Rock West Drive, Suite 201 • Round Rock, Texas 78681 • (512) 244-3631 • Far: (512) 244-0853 CERTIFICATE OF COVERAGE NO. NCG1001 3 3 FACILITY NAME Butler Used Auto Parts PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Stormwater Benchmarks and Monitoring Results STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Rutherford PHONE NO. (828) 245-3686 PLEASE REMEMBER TO SIGN ON THE NEXT PAGE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 6.0 — 9.01 100/50z 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 03/06/2018 1.3 7.1 230 <2.0 <12 0.041 Exempt 002 03/06/2018 1.3 7.6 160 <1.9 <12 0.028 Exempt 003 03/06/2018 1.3 8.3 86 <1.8 14 0.014 Exempt 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 in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan 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 all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." /?,� 6,ff,,- Nam (Print name) a Title (Print title) a-(N - /o Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 or Designee) Ll-/0-/r (Date) Form SW U-251, last revised October 25, 2012 Page 2 of 2 n January 19, 2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Butler Used Auto Parts 584 McSwain Road Forest City, NC 28043 Permit Number: NCG100133 Dear Stormwater Staff, James Environmental III a11:1 gC I I Itr n t. ;IU'. Certified Mail 7017 1450 0001 6077 3490 RECEIVED FES 0 G 2018 CENTRAL, FILES DWR SECTION On behalf of Butler Used Auto Parts, James Environmental Management, Inc. is submitting the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the second semi-annual 2017 monitoring period. Should you have any questions or require additional information, please feel free to contact the JEM office at (512) 244-3631. Sincerely, r, pwrT Katharina Albert Environmental Specialist kalbert{a�jamesenvironmental.com Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy Cc: Rodney Butler 600 Round Rock West Drive, Suite 201 - Round Rock, Texas78681 - (512) 244-3631 - Fax: (512) 244-0853 CERTIFICATE OF COVERAGE NO. NCG100 13 3 FACILITY NAME Butler Used Auto Parts PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Stormwater Benchmarks and Monitoring Results STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Rutherford PHONE NO. (828) 245-3686 PLEASE REMEMBER TO SIGN ON THE NEXT PAGE 4 For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within 1" days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year 711n , 00400 00530 ---- 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics mg/L Benchmark - 6.0 — 9.01 100/50Z 15 8,000 (Tiers 2 and 3) 0.03 1.0 cal D 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 in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October 25, 2012 Pagel of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan 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 all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." �k c,&— Namr1e (Print name) y � on5 /��ov1 er Title int title) r� Signature Date Mail Original and one copy to: Division of water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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." ature of Permittee or Designee) /- 3(5- /�( (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 FACILITY NAME _Butler Used Auto Parts PERSON COLLECTING SAMPLE(S) Brent Butler CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: _2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Rutherford tPHONE NO. (_828_) 245-3686 J'N 2 "REMEMBER TO SIGN ON THE REVERSE � Part A: Stormwater Benchmarks and Monitoring Results C'E7Nt��," aw,4 ��,�Es For sampling periods with no discharge, you must submit this discharge monitor**form noting 'No Flow" or "No Discharge" within 30 days of the end of that period to comply with permit reporting requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall, inches 00400 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total Recoverable, mg/L Total Toxic Organics3, mg/L Benchmark - - 1 6.0 — 9.0 2 100/50 15 8,000 (Tiers 2 and 3) 0.03 1.0 001 05/02/2017 0.75 8.7 140 4.8 <12 0.013 Exempt 002 05/02/2017 0.75 7.3 110 4.9 <12 0.014 Exempt 003 05/02/2017 0.75 7.8 140 4.8 <12 0.0ZZ Exempt 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 in the General Permit. 1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented to demonstrate background concentrations were below the benchmark pH range of 6-9. 2 See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters. 3 For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table li of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, lost revised October 25. 2012 Page 1 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the discharger shall sign the following certification statement: Solvent Management Plan 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 all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) C)Qeu�Ser ., e� Title (Print title) Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 penal�,ies for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature ofi¢ermittee or Designee) 51� 7 (Date) Form SWU-251, last revised October 25, 2012 Page 2 of 2 E ] 0 C'7 AE-KWA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit., http f /oortal.ncdenr.org/web/lr/nodes-stormwater/ Permit No. Facility Na County: I Inspector: Date of Inspection: Time of Inspection: r4<<70 C,^'N or frertificate of Coverage No.: Total Event Precipitation (inches): 175,,, Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See i ormation below.] Yes ❑ No 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 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, 1 certify that this repot Ws accurate and complete to the best of my knowledge: [Signature of Permittee or Designee] Page 1 of 2 5WU-242, Last modified 7/31/2013 1. Outfall Description: ' f)' / Outfall No. 3 Structure (pipe, tc etc.) U Receiving Stream: S0;'wt v(4 PAS .`', �V ), C 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: 4'44f b�"4 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): !�e Wt-(4 or' / 4-F- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 0 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: 1 (9 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 0 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes N 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 is may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2of2 SWU-242, Last modified 7/31/2013 May 17, 2017 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Butler Used Auto Parts 584 McSwain Road Forest City, NC 28043 Coverage No.: NCG100133 James Environmental management, inc. Certified Mail 7017 0530 0000 0491 6302 On behalf of Butler Used Auto Parts, James Environmental Management, Inc. is submitting the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the first semi- annual 2017 monitoring period. Should you have any questions or require additional information, please feel free to call. Sincerely, Kristyn Jacher Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy cc: Rodney Butler 600 Round Rock West Drive, Suite 201 + Round Rock, Texas 78681 • (512) 244-3631 + Fax: (512) 244-0853 E r71 L.J I�J Aria NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report 1 rib 133 For guidance on filling our !Iris form, please visit: htti)://portal.ncdenr.org/web/wy/ws/su/npdessw#tab-4 Permit No.: NICI_ Facility Name: County: /t,` c Inspector: A Date of Inspection: Time of Inspection _I l_I_l, or Certificate Qf Cpverage No.. N/C/G/ 1_l_I_I I_I Total Event Precipitation (inches): 1,5 Phone No. T'zir—;?qS 36w Was this a Representative Storm Event? (See information below) 2/yes ❑ No Please check your permit to verify if Qualitative Monitoring »rust be perfortued during a representative stoma event (requirements vaq). A "Representative Storm Event" is a storm event that measures greater than 0. l 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, I certify that the report is accurate and complete to the best of my knowledge., (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. a01 Structure (pipe, ditch, etc.) dr t'1 Receiving Stream: S Describe the industrial activities that occur within the outfall drainage area: a��` �� , ✓eh �. GLC,�,'h 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 11Ah L�3-VA 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /i o,i �L Page 1 of 2 S W U-242-20120613 i 't ` 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 30 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: 1 0 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: l 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 No 9. Is there evidence of erosion or deposition at the outfall? Yes oNoo 10 10. Other Obvious Indicators of Stormwater Pollution: List and describe Ng"C: • 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-242-20120613 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the discharger shall sign the following certification statement: , Solvent Management Plan 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 all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) 7S �a lq /6 Signature Date Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 or Designee) (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 I PAT MCCRORY Governor DONALD R. VAN DER VAART Secrerart, Energy, Mineral and Land Resources ENVIRONMENTAL OUALITV TRACY DAVIS G 1.\IF:D August 9, 2016 At,44I Rodney Butler GENTPAL t-IZ_F-S Butler Used Auto Parts DWR SECTION 584 McSwain Road Forest City, NC 28043 Subject: Return of N01 Butler Used Auto Parts — NCG100133 Return #1310 Rutherford County Dear Mr. Butler, Our office received your application for coverage of your facility at 584 McSwain Road under the Stormwater NPDES general permit. After checking our records, we found that you already have permit coverage for this facility under permit number NCG100133. Rick Riddle with our central office stormwater staff spoke with you about this earlier this week and verified that the application for permit coverage was not needed. We are returning your application along with check # 2295 in the amount of $100. Please continue to implement the Stormwater requirements of your existing permit. If you have any additional questions, please feel free to contact me at (919) 807-6378 or bradley.bennett@ncdenr.gov. Cc: Central Files Stormwater Files Sincerely, Bradley Bennett Stormwater Permitting Program State of North Carolina I Environmental Quality j Energy, Mineral and Land Resources 1612 Mail Service Center 1 512 N. Salisbury St. I Raleigh, NC 27699 919 707 9200 T w ENS A�14 • DA NCDENR �.� o" ErmrwMrrcrrt wrN NMNa4l Rc�ouwc[s Division of Energy, Mineral and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCGl00000 FOR AGENCY USE ONLY Date Received Year Month Da Certificate ofCOYCra C Check N Amount Pc=it Assi d to NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under Ge NCG100000: F STORMWATER DISCHARGES associated with activities classified as: SIC (Standard Industrial Classification) 5015 Used Motor Vehicle Parts JUL 2 � 2016 SIC 5093 Automobile Wrecking for Scrap, (except as specified below) The following activities are specifically excluded from coverage under this General et�g}` & g(; pERNNTTtNG • Establishments primarily engaged in the wholesale trade of metal waste and scrap, iron and steel rap, and nonferrous metal scrap (hereafter referred to as the metal waste recycling industry) r �rZV 71ac,11& 1) For questions, please contact the DEMLR Regional Office for your area. See page 4. (Please print or type) Mailing address of ownerloperator (address to which all permit correspondence will be mailedl: Name Rodney Butler Street Address 584 McSwain Road City Forest City State NC ZIP Code 28043 Telephone No. 828 245-3686 Fax: 828 248-9984 2) Location of facility producing discharge: Facility.Name Butler Used Auto Parts Facility Contact Rodney Butler Street Address City County Telephone No. Email 584 McSwain Road Forest City Rutherford 828 245-3686 rodney@butierautoparts.net 3) Physical Location Information: State NC ZIP Code 28043 Fax: 828 248-9984 Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). At the intersection of Morrow Motor Road and McSwain Road, turn right onto McSwain Road and travel approximately 115 north and the facility is located on the left. (A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.) 4) Latitude 35' 16' 44.97" N Longitude 81° 51' 21.20" w (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: IN New or Proposed Facility Date operation is to begin ❑ Existing S W U-225-071408 Page 1 of 4 Last revised 6/24114