NCG030530 DMR SW

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted I' Y 4. 20_ E3
TIFICATE OF COVERAGE NO. NCG03 0 1�5 - p
ILITY NAME MGM 1?)RA9,F_5
1NTYC41E1 OKEE
SON COLLECTING SAMPLES
ORATORYUM `( _�Lab Cert. # 4-0
iments on sample collection or analysis:
rt A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ;W(rj
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
i ❑Other
MAY 18 2015
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
F-1 No dischorae this nerind Pz
3utfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper Lead
Non -Polar O&G/
Zinc Total Petroleum
Hydrocarbons
Total Toxic
Organicss
:hmarks
100 mg/L or 50 mg/L
6.0-9.0
0.007 mg/L 0.033 mg/L
0.067 mg/L 15 mg/L
1 mg/L
4
041101167,
3
290 rn /L
7, o
•aZZ06 .01aRI L
-853rn4tL < 5 rrlqlL
• c23 !t_ 5 /L
04 10 1
31 L
7-1c?
.GbS
• 3
L
6.5q-
.007Z
)nthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
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.
e General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
tal Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
tronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
fent 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
iufacture 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
manufacture use the definition found in 40 CFR 469.31).
nit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

lities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
f 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
nit. 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."
�alrn ��sl�
Name (Print name)
�n1�tnS���Cy fl�r�-,►�C��.
Title (Print title)
(Signature) (Date)
Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL; Non-detect,.ND,;or other similar non -numerical
lat. 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
reporting limit, etc. in -mg/L.
e: 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.
t B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT -HEM)
Total Suspended Solids
pH
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
tnotes from Part A also apply to this Part B'
General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
lit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
�,\ r Page 2 of 3
r l

e: 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 A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
IONAL OFFICE CONTACT NAME:
REF% L,157tia2 ftrrftc 7/r4/l4 ieom L uRfl I-�� ��.
it an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
he case of "No Discharge" reports) to:
;ion of Water Quality
: DWQ Central Files
7 Mail Service Center
!igh, North Carolina 27699-1617
I MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
!rtify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
ire that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
;e persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
nature
051 i4 l
(Date)
mit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
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