NCG140329_DMR_20200420

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit: http://portal.ncdenr.org/web/Ir/npdes-Stormwater/
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: IV/C/G/i./4/ 6/3/2/q/
Facility Nan}e: ��c�h�rner (Y\�c��r.rr 12c L5 ti c•
County: FtAL1 S\A-,c Phone No. 2 2 '37— 3 2 2
Inspector: LIe.n 1�`�..M c/-
Date of Inspection: 3/;-5-12-0>-0 RECF \ D
Time of Inspection: '7;ts o..�
i, APR 2 0 2020
Total Event Precipitation (inches): 1 CENTRAL FILES
DWR SECTION
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 I,
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 ure, I certify that this ort is urate and complete to the best of my knowledge:
(Signat e of Permittee or De ' ee)
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SWU-242,Last modified 7/31/2013

1. Outfall Description:
Outfall No. I Structure (pipe,ditch,etc.)
Receiving Stream: ce.\\s Creel_
Describe the industrial activities that occur within the outfall drainage area: Re M`X'I Ncr`\
SIN)?� Slco AC.17�\eS �cbv s C rYut. Si , 11/�1.i c\c. TTrp c �ry c� R- a,,.e,ti,e,.
2. Color: Describe the color of the discharge using basic colors (red,brown,blue, etc.) and tint
(light, medium, dark) as descriptors: vt/D \ ��- b to.,.l4-\.
3. Odor: Describe any distinct odors that the discharge may have (i.e.,smells strongly of oil,
weak chlorine odor,etc.): A)Alt t,
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 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:
1 C 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 Indicatorsof Stormwater Pollution:
List and describe N o t_
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.
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SWU-242,Last modified 7/31/2013

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 2 S p SAMPLE COLLECTION YEAR: 2020
FACILITY NAME: R. ��vr� Y1,..1 . 12 $ ,TPA I LA� SAMPLE QUUARTER: OJul-Sept ❑Oct-Dec elan-March ❑April-June
PERSON COLLECTING SAMPLES: ��-► �%c:3kk►•ier COUNTY: 1�4�-►�i�
CERTIFIED LABORATORY: MiCGrobAc Lab# PHONE NO. (262 ) 5'31 - °3223
Lab# ADD TO LISTSERVE? nYES LNO EMAIL:
LIMIT VIOLATIONS? YES I�NO I 1 DISCHARGING TO CLASS: ❑SA nHQW nPNA I 'Trout ( ' Ether
OPTIONAL INFO:
Part A:Wastewater Monitoring Requirements
TPH using
Date Sample Total Suspended Settleable Discharge
1 Type of Wastewater pH method 1664A Total Flow
Outfall No. Collected Solids Solids Duration 7
(mm/dd/yr) (VE,RM,MD)2 (standard) (mg/L) (mL/L) SGT-HEM6 (minutes) (gallons/day)
(mg/L)
- - - 6-93'4 303'5 53 (15)6 - -
I. 03(2; 2v VI M �MP $'.Q1-I \\g Go.\o 44•80 '736o Iqi,�5o2
'-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.
2 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.
3If 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.
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
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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 he 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 HOW waters shall obtain a Summer 7010 flow and report this information to DWQ.If the permittee cannot
obtain a Summer 7010 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 Filer,
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 ' esponsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and
complete . •are that the • . e nificant penalties for submitting false information,including the possibility of fines and imprisonment for knowing
viola
o11/eq ,74 010
(Signature o ermitt- ) (Date)
Permit"Ate:7/1/2010-06/30/2015 Last Revised n7/13/11
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