NCG120034 DMR SW (5)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted February 1, 2016
CERTIFICATE OF COVERAGE NOS-.TfWG3X
FACILITY NAME Old Salisbury Road Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES NA
LABORATORY—Research & Analytical Laboratories, Inc._
Lab Cert. # NC #34 Comments on sample collection or
analysis: There were no days that sampling could occur due to the
timing of the rain events in January 2016.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 4 Period 1
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' January (month)
DJS a 1NG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
R❑Zero -flow ❑Water Supply OSA
201c ❑Other
FEB Q 5 U
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
SEE: 'T c L VILE
pWR SEC7i0N 171
No discharge this nerind?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks =__>
_
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L°
4
January 2016
No flow
NA
NA
NA
5
January 2016
No Flow
NA
NA
NA
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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 maybe eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note: Results must be reported in numerical format. For example, 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. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Permit Date* 11/1/2012-10/31/2017 SWU-248, 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of neve oil per month.
F-1 No dischorae this nerind?2
Outfall No. Date Sample 24-hour rainfall
Collected' amount, Non -polar O&G/TPH by
(mo/dd/yr) inches' 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
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 AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B
• 2 EXCEEDANCES IN A ROW FORTHE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER 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 ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this QM including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorina aeriod
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 infation submitted. Based on my inquiry of the person or persons who manage the system, or
n
those persons directly r le for gathen a mforma he information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that a ar enaltie su . mg false information, including the possibility of fines and imprisonment for knowing violations "
nature of Permittee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
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