HomeMy WebLinkAboutNCG030333 DMR SWSemi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03.,�* 3 3 J
FACILITY MAME 5/111 Sr, r- a Sf 1� L G Ale w Bet - &A -
COUNTY r r d' "R A-,
r
PERSON COLLECTING SAMPLE �T -e
LABORATORY Lab Ce . M
Comments an sample collection or analysk:
Part A.- Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �Q `
SAMPLE PERIOD ❑ Jan -lune [] July -Dec
or []*onthiy` month
DISCHARGING TO CLASS []ORW �[]W []Trout QPNA
Qzero-flow ❑water Supply ❑SA
other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
IWo disdtorge this periode
Outfail Ho.
Date Sample
Cotletted'
n q dd/ )
244wir rainfall
amount,
Inches!
Total Suspended Solids
pH.
Standard units Copper
J
Lead Zinc
Non -Polar O&G/Totaf
Total Petroleum
Hydrocarbons
Toxic
Organite
tierkhmarkt >
-
100 mg/L or 50 mill
6.0-9A M007 mg/L
0.033 malt 0.067 mill
is myl.
1 mgfL
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall,
i 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.
See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s 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 defmition 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 46132).
Permit Date: 11/i/2012.10/3t/2017 SWU-245.last rev;wd 10/2s/2012
PARR I of 3
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 comps ance with the permit monitoring requirement for total toxic organics
"TO), 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 at
stormwater runoff has occurred since fling the last discharge monitoring report- I further certify that this facility is imptemeaft the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
2° r -e e `e -tom
Name (Print name
Title (Print title)
Note: Results must be reported in numerical format. Do not magic Below Detection limit, BDL, <PQ1, Non -detect, NO, or other similar non -numerical
format. When results are below the applicable limits, they must be reported In the format,'<XX mrt/L'. where XX is the numerical value of the detection
limit, reporting limit, etc In mg/L . . ,
Note: if you report o sample value in excess of the benchrrtork you must implement Trer 1, Tie► 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.
-- 'M No discharge this neriod?
Outfap No.
Date Sample
Collected
(mo/ddAyr)
20 -hour rainfall
amount,
Inches
Non-potar O&G/TPH by
EPA 1664 (SGT -HEM)
Total Suspended Solids
pH
aerKhmarfts teas
_
-
is MdL
100 mj/t or So "WV
6A —9D SU
Footnotes from Part A also apply to this Part 6 _
• See General Permit text. Table 5, identifying the especralty sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: ll/l/2012.10/31/2017 SWU-245, last revised 10/25/2012
9
Page 2 of 3
I
Note. if you report a sample value In excess of the benchmark you must implement Trer 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS,
A BENCHMARK EXCEEDANCE TRIGGERS TiER i REQUIREMENTS. SEE PERMIT PART B SECTION B.
• 2 EXCEEDANCES INA ROW -FOR THE SAME PARAMtTE.{ AT.THE SAME OLITFALi- FNGER IDEit 2 REqHl;EMEkb. '6E+�PtRMIT P."T II SEC1i0N-&
" :- BIER 3: HAS YOUR FjkQtrrY MAO 4 OR MORE BENCHMARK EXCEEOEkI S FOR THESAME PAF I�IMETER AT ANYONE OUTFALL? YES []NO' NO [�
IF -YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFACE CONTACT NAME:
Mall an orfainal and one am of this DMR. indAdthQO(i `IVa tNschome moorm within 30 (dawol recela"fibe-lrob results for at and of mcitWe Ina aerfod
in the case of IVa Oischarae'rrej
Division of Water Quality
Attn: DWQ Central Files
1617 Ma Service Center
Raleigh, North Carding 27644.1617
YOU MUST SiGN THIS CERTIFICATION FOR ANY INFORMATION RE RTEO:
'I certify, under penalty of taw, 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 falle information, including the possibility of fines and Imprisonment for knowing violations,`
Date)
PermrtDate, ll/l/2012-10/31/2017 SWU•24S, la%l revised 10/2S/2012
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