HomeMy WebLinkAboutNCG100105_DMR_20230308 STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year Z 23
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP. Q"s>eQ&
D°��-`^f 1J•I 'l�r (O L/'
Facility Name: 1 /'ov. T `S �G r t
T off°
County: OVA,0 ✓t
Phone Number: ( aq ) 2 a; Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ NoN
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
Benchmark N/A
Date Sample
Collected,
mld yy
SWU-264- Generic Annual DMR
Last revised 610112018
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 possi 11 r fines and imprisonment for knowing violations."
Signature l/\ +I -1 t /I II pp /
Date p c of l a 1 , , gCGG • 1 C o dbfi� A S a.j �Gt L(.t / f o Q)o
or questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
,�L✓�—in Solar t�
1 r ett��lle
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AS1iE lI LE REGIONAL OFFICE FAYETTEVILLE REGIODAL OFFICE MOORESVILLEjREGIONAL 0,
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
(828) 296-4500 1 Fayetteville,NC 28301-5043 (704) 663-1699
(910) 433-3300
- - -- - ---- --
t 1IEIGT ,GI01 O ICE WA5IIING �QYRFG QNAL,Q)W,TCE WILIII111,C�XON IpI�riL,QEFLCE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh, NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
(919) 791-4200 (252) 946-6481 (910) 796-7215
WINSTON-SALFIGI REGiONAE OFFICE CENTRAL OFFiC
450 Hanes Mill Rd, Suite 300 1617 Mail Service Center
Winston-Salem,NC 27105 Raleigh,NC 276994617
(336) 776-9800 (919) 807-6300
SW U-264-Generic Annual DMR
Last revised 61012018
Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No.wr
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? ySjp �j
Enough consecutive samples below benchmarks to decrease frequency ❑ sdo`ky
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑ osP<v V
6�-r
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
Benchmark N/A
Date Sample
Collected,
mVnlddiyy
Z•ti GC La Y-S.
SW U-264-Generic Annual DMR
Last revised 61012018
Additional Outfall Attachment
Outfall No. 7i 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [� �;
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ Nox
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ZA
Parameter, (units)
Total
Rainfall,
inches
Benchmark N/A
Date Sample
Collected,
mld lyy
t
SW U-264-Generic Annual DMR
Last revised 61012018
K & W Laboratories Results Report
1121 Hwy 24/27 W
Midland,North Carolina 28107
Tel(704)888-1211 Fax(704)888-1511
Client: Iron Peddlers Parts Division Date: 16-Jan-23
3504 Rocky River Rd.N Order ID: 23010503
Monroe,NC 28110
Project: Stormwater Collect Date: 1/5/2023
Location: Outfall#I Collect Time: 9:50:00 AM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE
23010503-01 Lead 0.007 mg/L EPA200.7 0.005 1/13/2023
23010503-01 Oi18Grease <9.3 mg/L EPA1664B 9.3 1/13/2023
23010503-01 SGT-HEM,TPH <9.3 mg/L EPA1664B 9.3 1/13/2023
23010503-01 TSS 91 mg/L SM2540D 8.3 1/10/2023
NC Certification: 559 SC Certification: 99051
Certified By
G. Kraska I Lab Director
Pace Analytical Services,LLC
aceAnalyticala
98D0 nceyAve. Suite 100
Huntersville,NC 28078D78
www.0actlabs.com (704)075-9092
ANALYTICAL RESULTS
Project 230105(03-05)-IP
Pace Project No.: 92645559
Sample: 23010503-IP Lab ID: 92645559001 Collected: 01105M 09:50 Received: 01/06/23 08:00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8015M Glycols in water Analytical Method:EPA 8015 Alcohol-Glycol
Pace Analytical Services-Indianapolis
Ethylene glycol ND mg/L 5.0 1 01/12/2317:16 107-21-1
Propylene glycol ND mg/L 5.0 1 01/1212317:16 57-55-6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Dale:0111312023 12:40 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 11
K & W Laboratories Results Report
1121 Hwy 24/27 W
Midland,North Carolina 28107
Tel(704)888-1211 Fax(704)888-1511
Client: Iron Peddlers Parts Division Date: 16-Jan-23
3504 Rocky River Rd.N OrderlD: 23010504
Monroe,NC 28110
Project: Stormwater Collect Date: 1/5/2023
Location: Outfall #2 Collect Time: 9:59:00 AM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE
23010504-01 Lead <0.005 mg/L EPA200.7 0.005 1/13/2023
23010504-01 Oil&Grease <9.3 mg/L EPA1664B 9.3 1/13/2023
23010504-01 SGT-HEM,TPH <9.3 mg/L EPA1664B 9.3 1/13/2023
23010504-01 TSS 14 mg/L SM2540D 4.2 1/10/2023
NC Certification: 559 SC Certification: 99051
Certified By
G. Kraska/Lab Director
Pace Analytical Services,LLC
aceAflalytical a 9800 KinceyAve. Suile 100
Huntersvllle,NC 28078
WW.Pccrleb.c=
(704)875-9092
ANALYTICAL RESULTS
Project: 230105(03-05)4P
Pace Project No.: 92645559
Sample: 23010504-IP Lab ID: 92645559002 Collected: 01/05/23 09:59 Received: 01/06/23 08:00 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual
8015M Glycols In water Analytical Method:EPA 8015 Alcohol-Glycol
Pace Analytical Services-Indianapolis
Ethylene glycol NO mg1L 5.0 1 01/12123 17:25 107-21-1
Propylene glycol NO mg/L 5.0 1 01/12/23 17:25 57-55-6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/13/2023 12:40 PM without the written consent of Pace Analytical Services,U.C. Page 5 of 11
K & W Laboratories Results Report
1121 Hwy 24/27 W
Midland,North Carolina 28107
Tel(704) 888-1211 Fax(704)888-1511
Client: Iron Peddlers Parts Division Date: 16-Jan-23
3504 Rocky River Rd.N Order ID: 23010505
Monroe,NC 28110
Project: Stormwater Collect Date: 1/5/2023
Location: Outfall #3 Collect Time: 10:05:00 AM
REPORTING ANALYSIS
SAMPLE# PARAMETER RESULT UNITS METHOD LIMIT DATE
23010505-01 Lead 0 009 mg/L EPA200.7 0.005 1/13/2023
23010505-01 Oil&Grease <11.2 mg/L EPA1664B 11.2 1/13/2023
23010505.01 SGT-HEM,TPH <11.2 mg/L EPA1664B 11.2 1/13/2023
23010505-01 TSS 75 mg/L SM2540D 6.3 1/10/2023
NC Certification: 559 SC Certification: 99051
Certified By G.e.
G.Kraska/Lab Director
Pace Analytical Services,LLC
m
aceAnalXical 9600 enter Ave. Suite 100
078
ur".pactlabxom Hunters(70ville,NC 29078
(704)675-9092
ANALYTICAL RESULTS
Project: 230105(03-05)-IP
Pace Project No.: 92645559
Sample: 2301050S4P Lab ID: 92645559003 Collected: 01/05/23 10:05 Received: 01/06/23 08:00 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Dual
8015M Glycols in water Analytical Method:EPA 8015 Alcohol-Glycol
Pace Analytical Services-Indianapolis
Ethylene glycol ND mg/L 5.0 1 01/12/23 17:34 107-21-1
Propylene glycol NO mg/L 5.0 1 01/12/23 17:34 57-55-6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/13/2023 12:40 PM without the written consent of Pace Analytical Services,L-C. Page 6 of 11
� CHAIN-OF-CUSTODY Analytical Request Document LAP '"'"r. "' -' ` "'-,'nider Number or
PaceAnalytical' W.O ®! 555
Chainof-Custody is a LEGAL DOCUMENT-Complete all relevent fields
Co PanV: Billing Information: r"
hl LoubOYa d r tAdfierl GilLy
W Z� R/7 r 826466[36
ReportTo: ZIP Email To: ••Preservative Types:(t)nlbic add,(2)sulfuric add,(3)hydmchlodca d,14)sodium hydroxide,(51 slnc acetate,
(6)methanol.P)sodium btsulftte,(a)mdlum thlomlfate,(9)hexane,( asmrbk 2dd,(a)ammonlum sulfate,
Copy To: She Collection Info/Address: (C)amm alum hydroxide,(0)TSP,(U)Unpr ed,10)Other
RIe/Une:
Customer ProJec[Name/Number. State: County/City: ?lido Zone Collected: Ana s Lab Pro sesPie Receipt oe ee:
/ I 1PT1 IMTt ICr I IET
I
ody Seale Pro9ent/Intoct Y HA
Phone: Site/Fadliry ID p: Compliance Monitoring? udy Signatures Pteeent Y RA
Email: I I Yes [ ]No es:tor'signaturo Pr9aent Y NA
Collected B lea iptaet HA
By Purchase Order OWPWSIDp: ent sattilee H HA
Quote II: DW Location Cade: eiedt Volume - R HAlee Roeriivad oa Zee H tUCollected By(signature): Turnaround Date R ulred: mme ate y a on ce:eq Beadspace Acceptable U NA
JYes [ ]No Regulatod se" S�A7les.ia Holding T1IDe 1�C
Sample Dlspotai: Rush: Fleltl Flicered(I/appRrablei: r mi clilorieo ve...e r
I 1 Dispose as appropriate I I Return [ ]Same Day I ]Next Day [ J Yes I ]NO `'.'Strips-,
1 1 Archlve: [ J Z Day [ 1 3 Day [ ]4 Day [ 15 Day 8 Lzple.px Acceptable Y.H®
I IHold: (Expedite CharsesApply) Analysis: III=Stripes
S lEide Preaonf Y N
Matrix Codes(Insert In Matrix box below):Drinking Water(OW),Ground Water(GW),Wastewater(W W), z-"d Acecta gi Stripes
Product(P),Sall/Solid(51.),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor M,Other(OT) L U911USE dsSyt
Comp/ Collected(or Res pof "saogle or,/ coeasnesi
Customer Sample lO Matrix• Grab Composite Start) Composite End a Ctrs t :/ L C
Date I Time Date Time :���
3D105'0 -' viW L3 9 3 .✓ aei?r
D1 DSOs- t S Z v' ✓ � 3-
Customer Remarks/Special Conditions/Possible Hazards: Type-oflce Used: et ,,Blue -Dry Nape SHORTHOLMPRESEf{T{!%2 hours): Y;. N/A Lab Semple Temperature Info:
Paddng Militarist Used: - labTmbklp8p Temp.Blenk teived: Y NA
alwl'e Lull;
2 7 8'6 5 6 2` cools'Temp Upon eceipL a• oC
Radchemsample(s)soeened b500cpm): 'Y . 'N NA mP,1e?reoehMd ya: Cooler l Therm Corr.rector.0 oC
FEDEX SUPS &drit Counter` ace Court, Coolerl Corrected Temp:=k!jl—ac
Relinquished by/Company:(Signature) Date/Ilme: R I by/Company'•(Signature) Date/Tlme: MPJLIAB N4 - Commems:
Relinquished b /Company:(Signature) Date/Time: Received Acanym'. -
y pang.(Signaturel Date/Tlme:
+'rAV l etu, H V� _ Prela Template:' HCTrliL Blank Received: . Y NA
, glp: HC;. L MCOH . TSP' Other
Inquished by/ any:(Signature) Date rime: Received by/Company.(Signature) Date/Time: p(y); Non Conformance(s): Page:_
pB: 'YES / NO I o&
K & W Laboratories Tel: 704-888-1211
1121 Hwy 24127 W Midland, NC 28107 Fax: 704-888-1511 Chain of Custody Record
Client/Company: Iron Peddlers Parts Division Report To: Anthony Peddler Remarks:
Address: 3504 Rocky River Rd. N anthonybroomet7a ironoeddlers.com
Monroe, NC 28110 Copy To:
Bill To:
Contact: Anthony Broome
Phone: 704-975-2196 Fax: 704-283-4067 I 1po#
T c0 Matrix Types: DW-Dn U6na Water W W- Ty"of Cont -
�`�U /-t-Q r-{ 0 Wastewater GW-Groan Water OT. P-Plastic
Project Name: �X •1 T 1 I m oluer
G-Glass
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Sampled By: 'D�'� ✓t'1• w a 'm o m
E - `o a E 24 Hour Composite Preservatives Anal sis Requested
(0 0 2 o � 0 Start End $
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Item Sam le ID: a u5 o m " c, _Plet Efl Gmb GIN ENo. oaf Carp oT z' P G 'c Date Time Date Time z i =_ _ g - Lab Lo-q#
1 Outfall#1 ww 1 P rJs/Z3y '" �SfL3 .9- ! i x Z �D503
I r l l l
2 Ww 1 P x r x
i i r
rrt
3 ww 1 G :x! x
4 ww 1 G x x
5 Outfall#2 ww 1 P �s/Z3f:55� L3 �y x I I x
r r t
6 WW 1 P x I j x
7 wW 1 G I I Ix; x
r t i l i
8 1 lww 1G x i i ! ! x
9 Outfall#3 Ww 1 P W-75 60 3�L?) 1pruf x ! ! x
- r r
11 WW 1 P x x
t r r
r r i
I
13 ww 1 G I Ixl I x
r r t r r
r
141 n ww 1 G x I I I x
Relinquished 8 . /'� Da e;/! Receiv 8 . DIs: Time: ��'-
�—/ Z Y 1175 Qq� Sample Temp: r rC
Relinquts e y ate: Time: Receive B . Dale: Time:
On Ice:d/ N