NCG030333 DMR SW (6)

_ Semi-annual Stour water Discharge Monitoring Report
for North Carolina Division, of Walter Q aiity General Permit No. NCG030000
Date subiiirte-
SAMPLE COLLECTION YEAR C,; V I
CERTIFICATEOF`COVERAGE NO.
FACILITY NAME � S A $'�1 ����' f��, ��f�'� iJ ��11L � �����I�SAMPLE PERIOD 0 Jan -June F]July-Dec
COUNTY C jC° y -e a, or, 4 Monthly' (month)
PERSON COLLECTING SAMPLES e �� r i/` ya�''✓c=4� �� DISCHARGING TO CLASS []ORW ®HpwTrout ❑RIMA
LABORATORY Lab Cert. rt ®Zetvfloti�d water Supply [:]SA
Flother
�f 4 Com' f� � s'e'c•-('�i.Q
PLEASE REMEMBER TO SIGIN ON PAGES 2 AND/OR 3 3
RECEIVED
DEC 14 l L' i 5 No discharge this period??
Part A: Stormwater Cenchmalrks Lind Monitoring Results`
Uutiall oto.
Date sample
Collected'
(mo/ddjyr)
CES T
24-hour rainfall pH,DljV
Total Suspended Solids Standard units
amount,
Inches'
RAL F) Lry
)-��
CJI I lead
Zinc
Non -Polar 096/
Total Toxic
Total Petroleum organics
Hydrocarbons
Benchmarks ==>
- 104 mg/L-or 50 mg/L 6.0-9.0
0.007 mgJL 0.033 mg/l.
0.067 mpjL
15 rngf L I mg/L
m ,
' Ntanthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outrali.
'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 [;ting data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
s See General Permit, Table 3 identifyinj the especially sensitive receiving water classifications where the more protective benchmark applies.
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; far 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).
,q ;PCrrnit-Date: 1111%2412-10/31,/2017 SW(J.245, last revised 2012512012
Pape 1of3

Facilities that incorporate a solvent management plan into the Stornwsvater Pollution Prevention Pian may so certify, and the requirement for TTO monitoring
maybe waived. The solvent ntanagemeni plan shall include a list of the total toxic organic compounds t+sed and the other elements listed to the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
Rased upon my inquiry of the person or persons directly responsible for managing compliance with vie permit monitoring; requirement for total toxic organics
fT1fo), I certify that to the Crest of my knowledge and belief, no dumping of cnacentrated toxic organics into the stoirrnwatr_r or areas -which are eAposed to rilinfoll or
stormwiter runoff has occurred since filing the last discharge monitoring report_ t further certify that thk, facility fs implementing the all the pro ;cions of the
sotverot tirtin t smart plan included in the Stormwater Pollution Prevention Plan."
Name (Print na ne)
r
ez
Title (Print title)
.- C, (ltate4
Note: Results must be reported in numerical format. Do npt rrpqrt Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, thew must be re
parted in the format, "eXX meIV where XX is the numerical value of the detection
limit, reporting limit, etc. In mg/L
- a -
Note: if you report a sample value in exeess of the benchirnark, you must implement Trer 1, Fier 2, or Tier.3 responses. See General -Permit text.
part B: Vehicle Maintenance Area -Monitoring 116sul s: only for facilities averaging > 55 gal of now oil per onth.
° I Io dfschorge this p6dod?2
Date Sample
Outfall No. Collected'
(mo/dd/yr)
24-hour rainfall
amount, Rion -polar D&G/TPH b
Inches' EPA 1664 (SGT KEM)y
Total Suspended Solids
pit
ilenthmarks _s.> _
- 15 mg1L
100 mg/L or SO mg/L'
6.0 —9.l) SU
Footnotes from Part A also apply to this Part 8
See General Permit tent, Table 5, identifying the especiatly sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/112012-10/31/2C)17 SWU-245, last revisr;d 10/2512012
Page 2 of 3

i
Note, If you report a sample value in Cxtess of Ilse benchmark, you must Implement Tier I, 'Tier Z, or Fiera responses. Sao General Permit text.
FOR PART A Al -ID PARTS h10C11TORING RESULT S:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS., SEE PERMIT PART fl SECTION 8.
+ 2 EXCEEDANCES-ICJ A R0%V FOR THE SAME PARiAD. NIR hT T+IE SAME•OUT€AELTKIKER 2 REQi1IgNIElVIiS.-?SE€PER*IT PART II SECTION ll.
- • TIER 3: HA&YOUR FACILITY NAD 217011 1.16k BECdtfih ARr. EXCEEDENCES FOR THE SAME PARAMETER AT AUY ONE OUTFALL? YES NO
IF YES, NAVE YOU CONTACTED TNEDWQREGfOrlAUOFFICE? - YES [INO
REGIONAL OFFICE CONTACT -NAME:
,vra,l an oriornal and one CMof this Dl' Rincluding all "Nes Discharge "Mar. , within 30 dotes of rerelpt af_thr fab results for of end atrnvrrirarinn period
in the case of `ilio Discharge:ren to:
DWasion of Water Quality
Acro: DWQ Central files
1617 Mail Service Center
Raleigh, North Carolina 27699.1617
YOU I-AUST SIGN THIS CERTIFICATiCi FFOR APNY IN_,F @PAATI0N RFMRTrO_
"I certify, under penalty of I -.1w, that this docurnent and all attachments were prepared under my direction or supervision in accordance with a system designed to
i assure that qualified personnel properly gather and evacuate 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
G arm aware that there are significant penalties dor submitting, false Information, including the possibility of fines and imprisnrrment for Rnow,ng violations."
Permit tate: 11/112012-10!311-2017
'C�
(Date)
SWU-245, last revised 10/25/-2012
P,oa,e 3 of 3