NCG030596_DMR_20200615

Appendix F
RECEIVED
JUN 2 S 2020
CENTRAL FILES
DWR SECTION
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted (1157 40
CERTIFICATE Of COVERAGE NO, NCG030 5 1 (a SAMPLE COLLECTION YEAR g070
FACILITY NAME CjDN*T(&Ls Sz%_M6k5?+ SNC SAMPLE PERIOD Q Jan-lune❑ July -Dec
COUNTY or Monthly` MJt`i fmonthl
PERSON COLLECTING SAMPLES S.1%M k1W DISCHARGING TO CLASS ❑ORW [:]HQW QTrout []PNA
LABORATORY W i435 Lab Cert. 9 24 ❑Zero -flow Qwater Supply F15A
Comments on sample collection or analysis: []Other
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
n No discharge this period?`
outfall No,
Date Sample
Collected'
rnoidd/ I
Zd-hour rainfall
emount,
Inc#+-:'
Total Suspended Solid:
pH,
Stendard unit:
Copper
Lead
Zinc
Nan -Polar o&G/ Total Petroleum
Hydrocarbon:
Total Toxic
Orpnicz'
Benchrwris =_ -
-
-
100 mg/L or 50 mgiL'
6.0-9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
5/20/�o
opS
c.
.M
G5.�1
—
20
15
7.42
4ZDL
.0`1
G
'Monthly sampling (instead of semi-anrxlal) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfail.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitonng report with a dleckmark here.
'The total precipitation must be recorded using data from an on -site rain gauge Unattended saes may be eligible for a waiver of the rail gauge requirement.
' See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more prcKecti'.•e benchmark applies.
'Total Toxic organics sampling is applicable only for those faciities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subect to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.311.
Pe•. mit Date: 11/1/2012-10/31/2M7 SWU-215. last revized 10/25/2M2
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Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived 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 electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
'Bared upon my inquiry of the person o• oe :ors directly responsillple for managing compliance with the permit monitoring requirement for total toxic organic
{TTO), 1 certify that to the best of my knowledge and W ief, no dumping of concenrated toxic organic into the stormwate- or areas which are exposed to rainfaA or
stormwater runoff has occurred since fling the iast discharge monitoring report. I further certify that this facXty is implemertmg the all the provisions of the
solvent management plan included in the Stormwate• Pollution Pr1e'vert�on P"sar
e'
Sam UL� tT0"o
r%zr a 'Pnrt z-ne l
EHS/GA TMn CAaV (Z
TrJelPrint title)�// / /i �O I i5/Aba0
Isgr:t--e C:te'
Note Results must be reported in numerical format. Do not report Below Detection Limit, SO' PQL. Non -detect, ND, or other similar non -numerical
format. When results are below the applrcabie limits, they must be reported in the format, "<XX mg[L". where sex is the numencal 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
No discharge this period r
Ou*.fall No.
Date Sample
Collected'
lmo/dd% i
24-hour rainfall
amount,
Inch,-.'
rlon-polar O&G%TPH by
EPA 1660 SGT-HEM'.
Total Suspended Solids
pH
Benchmarks=__>
-
-
15mg/L
100mg/ Lor50mg%L'
6.0-9-0SU
Footnotes from Part A also apply to this Part B
' See Gene-; Pe --nit ter Tabe 5. icert,fy ng the e>>e _ : :-ensitive receiving water ci2_=5c2tiors where the more protective bendtrnark applies.
Pe�rnit Date ll/1/2012-10/31/2017 SWU-245. last revised 10f25/2012
Page 2 of 3

Note.: tf you report a sample value in excess of the bendwwk, you must implement Tier 1, Tier 2, or Tier 3 responses. See Generof Permit text:
FOR PART AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A RO'N FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3_ HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E.XCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTEALL? YES [:] NO
IF YES, HAVE YOU CONTACTE THE D4VQ EGIONAL OFFICE? YES �rkO
REGIONALOFFICECONTACT NAME: N, A kkw,
Mail an original and one ropyof this D MR in iuding all '"No Discharge", repartswithin 30 dW 12f receip t Q j the 10� sirs for at end of monitonn pneriod
in the Case of 'No Discharge' reportsi to:
D,%,ir*n of Watt, QU a''-'r
Attn: DWQ Centn F e.
1617 Mail Service Certer
Raleigh. North Card ma 27699-1617
YOlt MUST SK.N THit CERTIFICATION FOR ANY INFORMATION REPORTED-
"I certify. under penalty of law. that this document and ail attachments were prepared urder my direction or superr:ion in amordarce with a system designed to
assure that oualified permorne; property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly resporsibie go• gathering the =nformation, the information submitted is, to the best of my knowledge and belief, true, accurate. and complete.
am aware that there are agni5cart oerakie for submitting false information, including the possibility of f;ne: and imprsonment for knowing violation:."
`� � - 15--Rojo
(Signature of Permitte el f C me I
Permit Date 11/112012-10131/2017 SWU-245, last revised 10/25/2012
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