NCG030516 DMR SW

Serpi -annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
�1 C6r 6 3 ate submitted
CERTIFICATE OF COVERAGE NO. NCG03,ft 021
FACILITY NAME _ �dsc�rD ni CS 1116
COUNTY_ Wp„k,(,
PERSON COLLECTING SAMPLES _�Am(eS 1.04
LABORATORY_ oth"_� `& Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2 -01 -
SAMPLE PERIOD [] Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RPC IVEr ❑Zero -flow [:]Water Supply [:]SA
� 2015 ❑other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
I��C��;;�'; i'fll�•d F;;1�=�SPt11� �1aVli'
Part A: Stormwater Benchmarks and Monitoring Results
O
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
�J .YV
Copper Lead
lAIJ1..l Ill 1 V{
Zinc
Li JIJ r./C„VU:
Non -Polar O&G/ Total Toxic
Total Petroleum s
Hydrocarbons Organics
Benchmarks ===>
_
-
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
lot Li
IP&A L
°30A_.l
3'3®-t
.lig
L
9
(��
().Wz,
b-601
0.6
.561 L 6
1 RA_-iLI
iVIUMnly sarnpiirig Irnsteaa or semi-annuail must begin with the second consecutive benchmark exceedance forth e same parameter at the same outfall.
3 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
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.
a 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

i-aciiities tnat 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)
Title (Print title)
,Z, 2.11
(Signature) (Date)
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 me/L" where XX is the numerical value of the detection
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 thisp eriod P2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
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
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
4r I
SWU-245, last revised 10/25/2012
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