NCG030436_DMR_20201030

i
for North Carolina Division .of Energy,. M
Date subi
CERTIFICATE OF -COVERAGE No. NCG03 () --(2
FACILITY.'NAME ACtsi - r7zi. 1 n
COUNTY is Zi r
PERSON.COLLECT.INGSAMPLESrti
LABORATORY_ Pa C f%
Comments on as mplecollectionoranaly
Cert. #
Part. A: Stormwater Benchmarks and Mon)toring'Results
u•s
and Land Resources General Permit No. NCG030000
%aT a oI4 nan
SAMPLE. COLLECTION YEAR -M o2-0
SAMPLE PERIOD ❑ 1an-June: ❑ July -Dec
RECEIVED Or ©*-Monthlyl E fc-m{a-r(month)
DISCHARGING TO CLASS ❑ORW HCiW ❑Trout ❑PNA
— NOV 0 9 2020 Zero -flow ❑Water Supply [—]SA
CENTRAL FILES ❑Other
DWR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3—>
n Na rikrhnrna this narinr02
Outfall No.
Date.Sam le
P
Collected'
(mo/dd/yr)
24-hour. rainfall
amount,
Inche0
Total Suspended Solis
H
p ,
Standard units
Total Copper
Total lead
Total Zinc
NdH-PolarO&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks
_
100 mg/I. or 50 mg/I
<
6.D-9.0
0.010 mg/L
0.075'mg/L
0.126 mg/L
15 mg/L
1 mg/L
ParometerCode
-
46529
C0530
.00400
0g119
01051
01094
00552
78141
' Monthly sampling (instead of semi-annual) must begin with the secor
For sampling periods with no.discharge..at.any single outfall, you.must
'The total precipitation must be recorded using data from an bn-site rz
4 See General Permit, Section B, Table 1 to identify the especially sensit
5 Total Toxic Organics- sampling Is applica ble only for those, facilitie8. wh
electronic crystals,.or. manufacture .cathode ray tubes. For -purposes of
Effluent Guittelines for the facility.subject to the requirement to sampl(
manufacture use the definition as found in 40 CFR 469.12; for electroni
tube manufacture userthe definition found in 4.0 CFR 469.31).
consecutive benchmark exceedance_for.the same parameter at the same outfall:
i115ubrrfft.this'diwharge monitoring report with a checkmark here.
gauge. Unattended sites may be eligible for a waiver:of the. rain gauge requirement:
a receiving water classifications where the more protective. benchmark.applies.
i perforrrrmetal finishingoperations, manufacture semiconductors, manufacture
its permit the defihiti.omof Total Toxic Organics:is that definition contained irrthe'EPA
for metal finishing use the definition as found in 40 CFR 433.11,- for semiconductor
:rystal manufacture usethe definition as found in 40 CFR 469.22;,and, for cathode ray
Permit Date:11/1/2018-05/31/2021
SWU7245, last revised 13/1/2018
Page 1 of3

Facilities that incorporate a solvent management plan into'the Storm ater'Poilution Prevention Plan may so certify; and the .requirernent. for 70 monitoring
may be waived. The. solvent.rtma'nagement planshall include a list of th total toxic organic -compounds used and the. other elements IMed in the General
Permit. For those facilities eleciing .to employ.-the.TTO monitoring wai. 1pr, the dischargershall -sign th'e following certification statement:
"Based. -upon my' inquiry of the person or persons directly responsibl. ;f_or-managMg compliance with the:permit`rrionitoring requirement for total toxic organics
(TTO), I certify thatto the best of my'knoWledge and belief, no dump hg-of concentrated toxic orgarks-into the stormwater or areas which are•expo5ed to rainfall or
stormwater.runoff has'occgrred.sihce filing.the-last discharge ffonito ing report. I further certify that this -facility is . implementing. .the -all the.provisi Ions .of the
.solvent management plan iricluoed.in theStorrriilvater. •Pollution Ptev 'ration Plan."
Name (PAt name) f
Titte (Print title)
Signature.
HC- a l fh Vy1� �
Date
Note: Results must be -reported in numerical format. Do not repori B low Detection Limit, BDL, <PQL,.Non-detect, ND, or othLhr.sitnilar non -numerical
fbi mat: When results are below the applicable limits, they must -be ro orted in'the format."<XX m d L" ;whe.re XX is the numerical value -of the detection
limit, reporting limit, -etc. in rrig/L.
!Vote: If -you report, a•sarrrple value M excess of the hertchMdr.k, you
Part B:,.Vehicle Maintenance Area Mon.itoting Results:.only for
jmplement.Tier 3, Tier. 2,-or-Tier. 3 responses. Se'e .Genera! Permit text.
lities averaging?55.gal of new oil -per -Month.
F] No- discharge -this period?-'
Outfall'N4.
Date.Sample Collected=
(mo/dd/*,yr)
24-hour rainfa
'Inche
I arn6unt;
A
New Motor. Oil or
Hydraallc Oil Usage
Non -Polar o&CJ Total
Petroleum Hydrocarbons
Tota.15uspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/1.4
Paratheter Code
4652
MOIL
Od552
C0536
Footnotes from Part A also:apply to Part B
Note: !f you report a.sample value in.excess of the benehrriark, you:m st7m,0lernent*Tkr'1, 7'ler2, or-'Ve.r3 responses:
Permit Date:11/1f.Z0I8-05/1f 2021
See General'Pertnit text:
S.W_P-245, last revised :11/1/2M
.Page Z.of-3

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