NCG030301 DMR SW (5)

0
0 0
Semi -annus
I Stormwater [5-'s' char a MonitorinRe ort
for North Carolina Division of Water Quality General Permit No. NCG03000
Date submitted �J/ s
SAMPLE COLLECTION YEAR Jul Dec
SAMPLE PERIOD []Jan -June Y- mont
CERTIFICATE OF COVE NO: I a - or ❑ Monthly'
FM
FACILITY NAME /t�"r /'Yl W Trout
COUNTY �, j DISCHARGING TO CLASS RW
p / [Zero -flow QWater Supply ❑SA
PERSON COLLIE 146 G SAMPLES L Cert. # � RECEIVED ]Other
LABORATORY lysis: on sample collection or analysis: FEB ®2 216
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results •�
[� No discharge this period?Z
Non -Polar O&G/ Total Toxic
pH,Lead Zinc Total Petroleum Organice
Copp
Date Sample 24-hour rainfall Total Suspended Solids standard units Hydrocarbons
Outfall No. Collected' amount, 15 mg/L 1 mg/L
(mo/dd/yr) Inc1es3 0 mg/Lor 50 mg/L4 6.0 — 9.0 0.007 mg/L*3
Benchmarks
0.067 mg/L
10
Benchmarks =__> - aO �� •� p .00S ©.00 S —1
3 3 1S e� p.o-S 0.a 3 p.o3o S o0
r j, o /S
0
er at et
al must begin with the second consecutive benchmark exceed erfor ort same h a Aram ark heree same outfall.
'Monthly sampling (instead of semi -annu ) ou must still submit this discharge monitoring
Z For sampling periods with no discharge at any single outfall, y e Unattended sites may be eligible for a waiver of the rain gauge requirement.
3 The total precipitation must be recorded using data from an on-site rain gang opera manufacture semiconductors, manufacture electronic
4 See General Permit, Table EPA
3 identifying the especially sensitive receiving water classifications
finishing s where the more protective benchmark app Effluent
s Total Toxic Organics sampling is applicable only for those facilities which perform met
definition r found in 40 CFR 433.11; for semiconductor ma manufacture use
ode ray tubes. For purposes of this permit the definition of sots' Toxic Organics is that definition contained in the
crystals, s manufacture cath Y
Guidelines for the facility subject to the requirement is sample (for metal finishing use t
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 man
the definition found in 40 CFR 469.31).
PERMIT 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)
Title (Print title)
(Signature)
(Date)
Dote: 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, "<)(X m9/L" where XX is the numerical value of the detection limit, reporting
limit, etc. in mg/L.
!Vote: 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,
F-1 No discharge this period?2
®ate Sample 24-hour rainfall
Outfall No. Collected' amount, Non -polar ®�� TPS b
p / y Total Suspended S®!'ads pH
(mo/ddlyr) Inche? EPA 1664 (SGT -HEM)
Benchmarks ===> - - 15 mg/L 1013 mg/L or 50 mg/L* 6.0 — 3.0 SU
Footnotes from Part A also apply to this Part B
K 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
PAGE 2OF3

Notes 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.
9 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORT ME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail are oriainal and one coram of this ®MR rrecludrna all "No Discharge" resorts within 30 dal s of receiot of the lalm results for at end of monitoring 12eriod is the
case of "No ®isCharae" renortsl too
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."
(Signature of Permittee)
PERMIT DATE: 11/1/2012-10/31/2017
(Date)
SWU-245, LAST REVISED 10/25/2012
PAGE 3OF3