NCG210290_DMR_20200430

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 4-50•7u0
CERTIFICATE OF COVERAGE NO.NCG21 0 Z ELL. SAMPLE couscrily YEAR 10 in
FACILITY NAME '3u .. \AAmsco; SAMPLE PERIOD BeJan-June []July-Dec
COUNTY Iirtksw,01 or ❑Monthly1 (month)
PERSON COLLECTING SAMPLES '( vt+;l %AV+ikthc DISCHARGING TO CLASS DORW ❑HQW []Trout (]PNA
LABORATORY R;}4(X,. Lab Cert.# ❑Zero-flow ❑Water Supply OSA
Comments on sample collection or analysis: ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A:Stormwater Benchmarks and Monitoring Results(Monitoring is required only if the facility stores exposed accumulations of sawdust,wood chips,
bark, mulch,or other similar material on site for longer than seven(7)days.)
C No discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collected amount,
(mo/dd/yr) Inches3 Chemical Oxygen Demand Total Suspended Solids
Benchmarks==> 120 mg/L 100 mg/L.or 50 mg/L4
1 Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here,
3The total 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.
G See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note:Results must be reported in numerical format. For example,do not report Below Detection Limit,BDL,<PQL, Non-detect, ND,or other similar non-
numerical format. When results are below the applicable limits,;they must be reported in the format,"<XX me/L",where XX is the numerical value of the
detection limit,reporting limit,etc. in mg/L.
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.
Permit Date:8/1/2013-7/31/2018 SWU-245,last revised 7/31/2013
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. 1
Pace Analytical Services,LLC
6701 Conference Drive
Face na ytica Raleigh,NC 27607
www.pacelabs.com
[phone]
Page 1 of 1
Laboratory Report
Jerry G. Williams Report Date: 04/27/2020
Jerry G. Williams&Sons Date Received: 04/22/2020
P.O. Box 2430
Smithfield, NC 27577
Project:WW TESTING 4/22
Pace Project No.:92474702
Sample: NNY TESTING Lab ID: 92474702001 Collected: 04/22/20 10:35 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 2540D-2011 Total Suspended Solids 10.9 mg/L 2.7 04/23/20 14:53
EPA 1664E Oil and Grease ND mg/L 5.0 04/27/20 10:40
SM 5220D-2011 Chemical Oxygen Demand 58.5 mg/L 25.0 04/24/20 23:01
Reviewed by: v `�
Terri Page
[phone]
[e-mail]
Pace Analytical Services Charlotte
9800 Kincey Ave.Ste 100,Huntersville,NC 28078 South Carolina Certification#:99006001
Louisiana/NELAP Certification#LA170028 Florida/NELAP Certification#:E87627
North Carolina Drinking Water Certification#:37706 Kentucky UST Certification#:84
North Carolina Field Services Certification#:5342 VirginiaNELAP Certification#:460221
North Carolina Wastewater Certification#:12
Pace Analytical Services Asheville
2225 Riverside Drive,Asheville,NC 28804 North Carolina Wastewater Certification#:40
Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001
Massachusetts Certification#:M-NC030 VirginiaNELAP Certification#:460222
North Carolina Drinking Water Certification#:37712
Pace Analytical Services Eden
205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633
North Carolina Drinking Water Certification#:37738 VirginiaNELAP Certification#:460025
x � Page 1 of 7
�d

4674 RECEI\.AFC:
NCDENR MAY 04 2020
Stonnwater Discharge Outfall (SDO) CENTRAL FILEc,
Qualitative Monitoring Report DWRSECTIOt+j
For guidance on filling out this form,please visit: http://portal.ncdenr.org/web/Ir/npdes-stormwater/
Permit No.: N/C/fz/_Z/J/. / "!/,.Q/12/ or Certificate of Coverage No.: ilC/QQ/tf J./S1/2/_4/.O/
Facility Name: G, i,Jiiti ',)r6 L.
County: 104 "foss Phone No. 001- 41tS"
Inspector: ttzh 4 a‘o,1asvis
Date of Inspection: u►t, ?
Time of Inspection: tt.•
Total Event Precipitation(inches): o ic0
Was this a"Representative Storm Event"or"Measureable Storm Event"as defined by the permit?
(See information 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,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee Or Designee)
Page 1 of 2
SW1J-242,Last modified 10/25/2012

1. Outfall Description:
Outfall No. OM Structure(pipe,ditch,etc.) V3tC Dial. OAS
Receiving Stream: QS S'E tiNra.
Describe the industrial activities that occur within the outfall drainage area:
Lod UMSV t
2. Color: Describe the color of the dischargg using basic colors(red,brown,blue,etc.)and tint
(light,medium,dark)as descriptors: %1 r I hy.M .7,a Ti)
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil,
weak chlorine odor, etc.): U1k3f_
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is
clear and 5 is very cloudy:
1 2 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 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 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 No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
.i!.. the... enc at Fnnf.. nib ci.flan e...flracier .lannncifrnn
may be indicative of pollutant exposure. These conditions warrant further investigation.
5WU-242,Last modified 10/25/2012