NCG140156_MONITORING INFO_20150323

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
L.0'MONITORING REPORTS
DOC DATE
❑ c� b 16 d3 j 3
YYYYMMDD

ry
STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO.
CERTIFICATE OF COVE AGE NIlO. NCG14 0 1 4
FACILITY NAME: ��j h t•i n � J-�' C ft k
PERSON COLLECTING SAMPLES _ LC j � L 4 r*►''�
CERTIFIED LABORATORY 7"S Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
- Semi -Annual MONITORING FORM
N CG 140000
SAMPLE COLLECTION YEAR: - ,� ,
SAMPLING PERIOD: July -December January -June
COUNTY /3 L)" c o- r
PHONE NO. (T]
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout
RECEIVED
MAR 2 3 2015
CE:NTP,AL FILES
QIAJR SECTION
[:]Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
PH
(Standard
Units]
TSS
(mg/L)
Event
Duration
[minutes}
Total a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
_
-
6-91
1002,3
_
-
3 I) S"
7,
I d
am- yI
0.
JAVI
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
i If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/201S Last Revised 7/13/11
Page 1 of 2

t
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)l
pH
(standard
Units)
TPH using method
I654A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling
6-92 1
152
1002,3
-
-
-
-
i K
7.5
L
a-%
'' a -
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES El NO [�
HAVE YOU CONTACTED THE REGION? YES ❑ NON
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including ail "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow") 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
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
4ZA _ 3 h-
(Signature of Per it (Da e)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCC3140000
CERTIFICATE OF COVERAGE 70. NCG 4 � � TS
FACILITY NAME: Q Q� "► �'� �c.J c ��P r, 9 /�
PERSON COLLECTING SAMPLES: Tc f LG-�]M
CERTIFIED LABORATORY: I S Lab # CJ
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION Y R: (�-� ) /
SAMPLE QU TER: lul-Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: U i„ n
PHONE NO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected 1
(mm/dd/yr)
Type of Wastewater
{VE, RiVI, MD]2
pH
[standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-NEM6 {mg/L]
Duration
{minutes}
Total Flow
{gallons/day}�
-
-
-
6-93,4
3035
53
(15)6
-
-
d-1
7. If-
a 9
L
ll
OJ
XL —
A VI- 3
,n r+
CENThAl
U (NA
1 If wastewater systems have not discharged in this quarter - report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM ), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S_U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A-
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q30 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MU5T SIGN THIS CERTIFICATION FOR ANYINFORMATION 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."
7 -3>
(Sign AUr o ' ermit ee) (Date
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2