Loading...
HomeMy WebLinkAboutNCG100188_MONITORING INFO_20150202MRo STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑HISTORICAL FILE � MONITORING REPORTS DOC DATE p a' 0 � 5 v a Q a YYYYMMDD STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 I FACILITY,NAME A 66, : 122#9N V 'eX, tr'+ i-o ref i'S_ PERSON COLLECTING.SAMP.LE(S) .: L; P CERTIFIED.LABORATORY($) eg CC' A-rijg 1G4. St'C dief-5;'cLab # ) 2 Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES -COLLECTED DURING CALENDAR YEAR: I V/ q (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.) RECEIIfrTY �x/�� PHONE NO. (12) : 3 `I ? 7 O j i - FEB b 2 2015 CENTRAL FIAEASE REMEMBER TO SIGN ON THE REVERSE 4 °wR SECTION 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. ;,'Qutfall' ate :00400r a' '00530 - = ` 77023 F 01051.'• r 7$141' ''=No n pH, Total 5iispended b Non polar: t=thylerie Glycot,� :'Lead; Total Total Toxic Sarilple Collected, Total :' P 4 Amo/dd%year" Rainfall Standard •rS I ( S) o Ids TS �O / P �r &G T H; - t' rn / µ g L` �I Recoverable; 3 s inches Units , mg/L= ,: ., (Methbd-16fs4 mg/L ,Organics - - y mg/L �SGLHEM)mg/i� 7Fs Or s g:000' u Benchmark 4 1 fi 0- 9 0 2 r s 100/50• s 15 :2 '` t 0:03 ' a . r :.� (Tiersand3) '1:0 1 a-14 I r � ' �. r G 1_ 0 111 L 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 in the General Permit. ISee 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 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October 25, 2012 Page 1 of 2 a STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan -may request that DWQwaive 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 t6the best of rry 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) - Si • ure Date , r - I 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." .2 (Signature of Permittee"or Designee] " ' (Date) c, - Form Form SWU-251, lost revised October 25, 2012 Page 2 of 2 ,rwsre��� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: http://12ortal.ncdonr.orglweb/wg/ws/su/npdessw#tab-4 Permit No.: or Certificate of Coverage No.: NX/G/L/ D /d /1/-f/9/ Facility Name: L-&L County: . Inspector: Li Date of Inspection: Time of Inspection: Total Event Precipitation (inches): D - 9 / Phone No. -? ot,i ) 31 7y.1 Z. Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No M 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 mustlha"ve been at Idak 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 SWU-242, bast modified 10/25/2012 1. Outfall Description: Outfall No. ! Structure (pipe, ditch, etc.) g? Receiving Stream: I L' c e e \ Describe the industrial activities that occur<within the outfall,drainage area: u «d A t •! v Vim: " 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.): Y) Dh 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 (7 - 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 1 is no solids and 5 is extremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes (1 I 8. Is there an.oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes (ND 10. Other Obvious Indicators of Stormwater Pollution: List and describe . + i 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 NODE Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http:apprta.l.ncdcaL.org/web/wg/ws/su/npdcssw#tab-4 Permit No.: NX/f=/ Q/ 0/-a/ O/ D /Q/ FacilityName: Lj,, cICX, County: K cki+� wr Inspector: , L� ex, _1st Date of Inspection: S• -/ Time of Inspection: ' 3 O P�j or Certificate of Coverage No.- N/C/G/ 1 / D/ 0/L/ r/_2/ Phone No. oa - 7o 6 �4 ^� Total Event Precipitation (inches): 1 'n e- Was this a "Representative Storm Event" or "Measureable Storm Event'-asidefined by the permit? (See information below.) KFU L I V D .5� Yes ❑ No JUN 16 2014 CENTRAL FILE Please verify whether Qualitative Monitoring must he 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. f 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 measuea$le storm event must 'liaile 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 aonroval from the local DWQ Rep-ional Office. i By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. 1 Structure (pipe, ditch, etc.) Receiving Stream: C Cce K Describe the industrial activities that occur.within the outfall_drainage area: uSc-k A,-, �f &4--�5 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 1;t'- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): i7o n e 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 S 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: 11 9 � 3 4 5 b. 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 ® 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 outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe rl �. 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 5WU-242, Last modified 10/25/2012 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG1001 SAMPLES -COLLECTED DURING CALENDAR YEAR: .Z 91 U (This monitoring report shall be received by the Division no later than 30 days 44, ems Ko 4--e�-.e from the date the facility receives the sampling results from the laboratory.) FACILITY NAME DoitPl: u� ,arc �i�C-�`S COUNTY - MCGK 44n _,-'t PERSON COLLECTING.SAMPLE(S)-_-L-i e.-,-, .. �9cc,., RECEjVY ��`PHONE NO. (Zou ) g 3- CERTIFIED LABORATORY(S) fx t� _�r�i,� �C�l- ' :[�S IcLBb #- I -- 1` Lab # JUN 16 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES owa/BOG 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 pe'rio'd�td corhOly with permit reporting requirements. Outfall x Date: 100400� 1'`� Ob530- 77023 r 41051`: } .78141 Sam le Collected,- �To#al �' P H, I y�Tota! Sus ended p_ Nnn-��olar' P Eth lerie Glycol, _,, y Lead.�Total '� Total toxic; p rmo/dd/year ' 'Rainfall, 5tandard,'' Solids'(TSS); O&G/TPH mg/L. ; ' Recoverable, { �t-..inches - Units='.' lw.` mg/L<�° K l� (Method1664 `,, — kY-L1Y'�C �- ���0/Lr 6 ;Organlcs3,; t +.f` `' -. M. �ie�'t—.-. a��l t mg/` ,-M .+ '• �i . i'... ....: -�va.r SGT-HEM); mg/L `�xi • - vYt _c, c 11000 J Benchniark�. ; tx ' 6A=,9 0;i, �i ,"100%5d _ �15 `(Tiers 2 and 3) _ 0.03.' - �'1 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 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 11 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 PollutiowPrevention 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 (TfO), I certifythatt6the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater•or areas which'are exposed`fo 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." L� ems-, I Name (Print name) r Ore j en 7- 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 inquiryof.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'dr Deiignee) (Datej Form SWU-251, lost revised October25, 2012 Page 2 of 2