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Home My WebLink AboutNCG060030 DMR SW (3) Baxter July 21, 2015 Division of Water Quality Attn: Central Files Re 1617 Mail Service Center CovED Raleigh,NC 27699-1617 JUL 2 6 2016 RE: Certificate of Coverage No. 116+ +3'° CENTRA( F Year 4(2016) -Period 1 DOM SECrioNS Stormwater Discharge Outfall Monitoring Report Baxter Healthcare Corporation Enclosed is the stormwater discharge outfall monitoring report and a copy as required by the general stormwater permit Part II, Section B. We will continue to monitor the outfalls as required. If you have any questions or require additional information,please contact Mike Pisarik at 828-756-6017. 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. Sincerel eter Jarvis 'lant Manager Enclosures: Original and one Copy for DWQ cc: Stephen Taylor Baxter Healthcare Corporation PO Box 1390 Marion,NC 28752 T 828 756 4151 - SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 1 .Sv-1 y `Lo/� CERTIFICATE OF COVERAGE NONNTGVIreA6100 SAMPLE COLLECTION YEAR 0-0/6 FACILITY NAME C is (-e,f2-- 6.eA-C orrr FACILITY ACTIVITIES INCLUDE(check all that apply): COUNTY Y`(V_ N. 0-1.1/4.3e.,(\ ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES 7- ((An— DISCHARGING TO SALTWATERS? OYES E'NO LABORATORY _6p.,-,(j ( fir Lab Cert. # Nc DO 93 5 pl�e ern 6cytcrv( dc. 6900 30 PLEASE REMEMBER TO SIGN ON THE REVERSE --> Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall z 3/8 rr or ❑ No discharge this period3 Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform', Enterococcal, mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml Benchmark - 100 or 504 Within 6.0-9.0 120 30 1000 500 "1-10 1 0 5 1(o f GM Cy.) ? 16 S. 1 STD3 " F' RECEIVED ,UL 2 -'ti1� 1 Only applies to facilities that use/process meats. ;ENTRAL FILES 2The total precipitation must be recorded using data from an on-site rain gauge JINFR SECT 3 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑yes Elino (if yes, complete Part B) Part B:Vehicle Maintenance Area Monitoring Results: only for facilities averaging>55 gal of new motor oil/month. Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage, mo/dd/yr mg/L mg/L Standard units Annual average gal/mo Benchmark - 30 ' 100 or 504 6.0-9.0 - A)k AJ 1- /WI- AU iv 4- A J 1 Only applies to facilities that use/process meats 2The total precipitation must be recorded using data from an on-site rain gauge. 3 For sampling periods with no discharge at any outfalls,you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18,2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMET E,IAT 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 DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case of"No Discharge"reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 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 - my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false informatio, , ncluding the possibility of fines and imprisonment for knowing violations." l ►_ l.3) 2_1) 16,, (Signe (Signa re of Permi'tee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18,2012 Page 2 of 2