NCG030245 DMR SW (10)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality Peneral Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG030245
Date Sample
Collected1
(mo/dd/yr)
SAMPLE COLLECTION YEAR 01
FACILITY NAME KABA ILCO CORP.
pH,
Standard
units
SAMPLE PERIOD • Jan -June • July -Dec
Lead
El
-gr Month/yl Apr. (month)
COUNTY FORSYTH
Benchmarks =__>
- -
PERSON COLLECTING SAMPLES
MAY 0 7 2015
DISCHARGING TO CLASS • ORW • HQW • Trout • PNA
0.007 mg/L
0.03 mg/L
Zero -flow Water Supply • SA
LABORATORY R&A LABORATORIES Lab Cert. # 34 FILES
SWR
1 mg/L
SECTION
Other
Comments on sample collection or analysis:
<5
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 =__>
Part A: Stormwater Benchmarks and Monitoring Results
• No discharge this period?2
Outfall No.
Date Sample
Collected1
(mo/dd/yr)
24-hour
rainfall
amount,
Inches3
Total Suspended
Solids
pH,
Standard
units
Copper
Lead
Zinc
Non -Polar
O&G/Total
Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks =__>
- -
-
100 mg/L or 50 mg/L4
6.0-9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
B
4/14/15
0.3
<5
7.69
0.051
<0.005
0.404
<5
N/A
iviontniy sampiing (instead of semi-annual) must Degin 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.
3 The 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.
4 See General Permit, Table 3 identifying 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 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 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."
Name (Print name) Frank Flaherty
Title (Print titM Operations pager
(Signature) (Date)6412-2101-17-
Ci
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?2
Outfall No.
Date Sample
Collectedl
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -Polar O&G/Total Petroleum
Hydrocarbons
Total Suspended Solids
pH,
Standard units
Benchmarks =__>
-
15 mg/L
100 mg/L or 50 mg/L4
6.0-9.0
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
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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.
FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES INA 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 ANYONE OUTFALL? ES NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?ES NO
REGIONAL OFFICE CONTACT NAME: Ms. Anna Taylor Smith
Mail an original 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 in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
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."
-;;; -���,,,, 2Z 9
(Signature of Permittee) (Da e)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
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