NCG030537_DMR_20210303 (2)

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Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Datesubmitted
CERTIFICATE OF COVERAGE No. NCG03 0
FACILITYNAME DENSO M IJG,Int,-StA.tClylll2 PIGLI*
COUNTY Iredl?(I
PERSON COLLECTING SAMPLES Mctn KLL 1C ItGL.YtGL
LABORATORY Lab Cert.Nlr
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 1-0-1
SAMPLE PERIOD 0 Jan -June July -Dec
or Monthly' e%1`IA/LYLi (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑water Supply ❑SA
,Other CWS C,
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -)
k No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inchess
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
-
-
100 mg/L or 50 mg/L4
6.0 - 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
' 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 maybe eligible for a waiver of the rain gauge requirement.
4 See General Permit, Section B, Table Ito identify the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities 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 subject 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 469.31).
Permit Date: il/1/2018-05/31/2021
RECEIVED
MAR 0 8 2021
SWU-245, last revised 11/1/2018
CENTRAL FILES Page 1of3
DWR SECTION

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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:
"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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
-SOV.rn BCnt�jYn
Name (Print name)
Af',C, Pres , Jeni-
Title (Pr- t title)
7l't 3103Z 1
Sig gure Date
Note: Results must be reported in numerical format. 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 mg/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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches3
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/N
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmarks, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/1018
Page 2 of 3

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pt ' FOR PART A AND PART B MONITORING RESULTS:
f? • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
4? '• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
N ' IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
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C y REGIONAL OFFICE CONTACT NAME:
7y Mail an original copy of this DMR including all "No Discharge' reports within 30 days of receipt of the lab results (or at end of monitorina period in the
case of "No Discharge" reports) to:
W Division of Water Quality
7 Attn: DWQ Central Files
z 1617 Mail Service Center
O 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. I
am aware that there are significant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations."
Signatu of Permittee Date
iFz
Permit Date: 11/1/2018-05/31/2021
SWU-245, last revised 11/1/2018
Page 3 of 3

EF-239
CHANGE OF RECORD
#
Date
Description
1
11/6/2007
New document
2
01/27/2011
3 Year Review — No changes needed to form at this time.
3
02/10/2014
Updated form
4
02/23/2017
3 Year Review — No changes needed to form at this time.
5
04/23/2019
Updated forms to 11/1/2018 updated revised forms.
Sampler.---->S.H.E.---4EMS Rec.
Revision Date: 04/23/2019 - Revision No: 05 Retention Period: 5 years

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704 253 6542 Nov 2 2007 02:25Fm A91/002
EF-238 _
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Stormwater Discharge Outfall (SDO) ;
Qualitative Monitoring Report
Permit No.: NICI I l,Jj_j l,_/ or Certificate of Coverage No.:
Facility NaMol
D 6i - i 11.e- N G Lan - `
County: oU Phone No. 000 - 0 $' 956161
Inspector. O-4 n k+e'WINS
Date of Inspection: Oa! 041 Goal
•r
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pcrinittee or Designee)
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.) l e u
(P�p �
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
a
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint (light, medium,
dark) as descriptors: Y
i
3. Odor
Describe any 'stinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very -
cloudr.
( 1 J 2 3 4 5 6 7 8 9 10
Page 1
SWU-242-020705
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704 253 6542 Nov 2 2007 02:25pm P902/002
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stonnwater dis-charge where
1 is no solids and 16 is the surface covered with floating solids: ;
1 © 3 4 5 6 7 8 9 1.0 ••
�y
6. Suspended Solids
' L
Choose the number which best describes the amount of suspended solids in the stonnwater discharge
where 1 is no solids and 10 is extremely muddy.-
0 2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stomwater discharge? Yes No
8. Oil Sheen
N
Is there an oil sheen in the stonnwater discharge? Yes 1`Io
9. Deposition at Ontfall
Is there deposition of material (sediment; etc.) at or immediately below the outfall? Yes No
L •
10. Erosion at Outtalll ,
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of StormtivaterPollution
List and describe de Yl 1 Y V vN '
2) '�Drm CLepy 1 Vi Uj Otey
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N
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Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU•242-020705
Sampler.---->E.H.S.---->EMS Rec.
T • . T1 . 1 f% 1^ -% 1^ A 1 f• T % • . * T A A T . . T • 1

EF-238
704 253 6542 Nov 2 2007 02:25pm A61/002
EF-238 _
INA
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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NjC/ 1 or Certificate of Coverage No.:
Facility Name: PE10 . -L6ft ,y i t l e. L t o nt
County: W e d f- k( %.Our Phone No. ( 0,A) - 918- 8599
Inspector: f Ck fti "P,WS
Date of Inspection: Oa I 0 k l oZUa1
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pern ittee or Designee)
1. Oatfall Description
Outfall No. Structure (pipe, ditch, etc.) Y Uil n
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
T,
2. Color
Describe the color of the ;char using basic colors (red, brown, blue, etc) and tint (light, medium,
dark) as descriptors: t,U
. i
3. Odor
Describe any di ' ct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
J 2 3 4 5 6 7 .8 9 10
Page 1
SWU-242-020703
SamDler.---->E.H.S.----GEMS Rec.

EF-238
704 253 6542 Nov 2 2007 02:25pm P002/002
S. Floating Solids s
Choose the number which best describes tha amount of floating solids in the stonnwater discharge where
1 is no solids and 1 b is the surface covered with floating solids: ;
G 2 3 4 5 6 7 8 9 10
a
r,
6. Suspended Solids
Y
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy: ,
r
1 2 3 4 5 6 7 8 9 10
7. Foam =
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes 0N0_
9. Deposition at Outfall
Is there deposition of material (sediments etc.) at or immediately below the outfall? Yes No
10. ErosIon at OutfaU
Is there erosion at or immediately below the outfall? Yes No H
11. Other Obvioas Indicators of SiormwaterPollution
List and describe
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Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU-242•020705
Sampler.- 4E.H.S.- ­4 EMS Ree.
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