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Home My WebLink AboutNCG100231_MONITORING INFO_20150120STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO, DOC TYPE i ❑ HISTORICAL FILE f MONITORING REPORTS DOC DATE ❑c� D I J5 ()I D 1 YYYYMMDD m CERTIFICATE OF COVERAGE NO. NCG100 Z3_j FACILITY NAME M ilCr-LD STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT PERSON COLLECTING SAMPLE(S) r�`-�'�'r�7c ;7 MQ i CERTIFIED LABORATORY(S) Lab # Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: C 14 (This monitoring report shill be received by the Division no later 0 days from the date the facility receives the sampling results from the la atory.) 7s COUNTY ?�I Au3_3 YT PHONE NO. (7E)L4) y Z RECEL�`REMEMBER TO SIGN ON THE REVERSE 4 JAN 2 0 2015 For sampling periods with no discharge, you must submit this dischargeb noting `No Flow" or "No Discharge" within 30 days of the end of that period to comply with permlng requirements. Outfall No. Date Sample Collected, mo/dd/year Total Rainfall; I inches_ _ .. 00400. 00530 ---`- ;T „ ' "- 77023 01051 .,78141- . `pH, Standard Units Total Suspended Solids {TSS}, . - m L g/ Non -polar'. O&G/TPH (Method 1664 SGT-HEM), mg/L' Ethylene Glycol, rrfg/L. . _ Lead, Total ;' Recoverable,' mg/L Total Toxic . " 3 Organics , mg/L Benchmark - .. 6.0 = 9.01 100/502 15 _ "'000 {Tier; 2 and 3} 0.03 1.0 ' "( j I W�M�� two% LO%.. low - 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 lev•2Is 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 focal 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 ;eaters. 3For purposes of this permit the definition of Totai 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, lost revised October25, 2012 Page 1 of 2 1 t • .. I ti E1 ; ,�t� �,'e �` / ��4 � Y;,..h �� i � , �� .S �y�.F —l.et w`` �• � � - ; '� g _ � .. y ��4�K �� ar �� ! Y T .., �" � �1./i` -+�s�~ �.r,y s��Ms ��f'` � r ;w.. 1 3 i s� � � � »Ft�r%if i .� � .. .� �# x., . P' h . � ' 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), 1 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." )-e-4 -f t C� Name (Print name) i',r e Lj . a'.0, f- Title (Prin tit ej Si r 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Form SWU-251, last revised October25, 2012 Page 2 of 2 u NM 11 CERTIFICATE OF COVERAGE NO. NCG100 23 1 FACILITY NAt "E V if-t- t Wi` PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: C7 (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.) C147Z-S COUNTY t AVJ_1Z__1►41_ PHONE NO. (70�) Z ZZ _Lab # Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE -� Part A: Stormwater Benchmarks and Monitoring Results 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. -bate !; nmple:Collected, mo/dd/year �x Total Rainfall, inches -00400 boS30 - - - - 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,,, ing/l. Lead, Total Recoverable, . mg/L ' Total Toxic Organics3, mg/L Benchmark. - - 6.0 — 9.0 100/50 15 ('Tier s 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 II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Form SWU-251, last revised October25, 2012 Page 1 of 2 0 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), 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." -Tv,-:�L2 Name (Print name) 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." ttee or (Date) Form SW U-251, last revised October 25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 23 I SAMPLES COLLECTED DURING CALENDAR YEAR: Zo1 (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.) FACILITY NAME Mt-MCXQG�s a! � ' -/ COUNTY _ aT PERSON COLLECTING SAMPLE(S) _,T -0 (43c-Al2- - PHONE NO. [ O ] CERTIFIED LABORATORY(S) Lab # RECEI /�r) Lab # ! PLEASE REMEMBER TO SIGN ON THE REVERSE 4 AUC 0 4 2,014 Part A: Stormwater Benchmarks and Monitoring Results CENTRAL�nFILES For sampling periods with no discharge, you must submit this discho ge-mz) itt'oring 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 7.77023 01051 78141-: pH, Standard Units Total Suspended Solids (TSS); mg/L Non -polar O&G/TPH (Method 1654 SGT-HEM), mg/L Ethylene Glycol, mg/L Lead, Total ' Recoverable, mg/L Total Toxic 3 Organics , mg/L Benchmark' - - 1 6.0 — 9.0 2 100/50 15 8,000 (Tiers 2 and 3) 0.03 SV 1.0 . . I r7rX Le ow W NEW, 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, lost revised October25, 2012 Page 1 of 2 m ° - ` � . ` � ' .44 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) /i ��aw� 7 ` 25-1�4 xwyrfe 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." Perrriittee or Derignee) 2 re -/ �-4 Form SWU-251, lost revised October25, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT CERTIFICATE OF COVERAGE NO. NCG100 .Z31 1 FACILITY NAME MOTLD(jif—'s ef PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Stormwater Benchmarks and Monitoring Results SAMPLES COLLECTED DURING CALENDAR YEAR: (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 J� PHONE PLEASE REMEMBER TO SIGN ON THE REVERSE 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. ' a, Date Sample Collected, mo/dd/year Total Rainfall, inches 00406 00530 - - - - 77023 01051 78141 pH, Standard Units Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH (Method 1664 5GT-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 i 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." YVI Name (Print name) pr-e. S . Title (Print title) -a�-i Si a r 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." ttee or ( Date) Form SWU-251, last revised October25, 2012 Page 2 of 2