NCG030571 DMR SW (4)

Sera-anluall Stormwater Discharge Monitoring l ep®rt -
for North Carolina Division of Water Quality General Permit No. NCG030000
., Date submitted /a-- /4,=-'. o it
CERTIFICATE OF COVERAGE NO. IVC-'��•-- :_ SAMPLE COLLECTION YEAR .2.0 /A
FACILITY NAME /for+on Doe w rel i SAMPLE-PERIOD Jan-June IR July-Det
COUNTY ;,,:,,v or E Monthly' (month)
PERSON COLLECTING SAMPLES _ '�i ,CHARGING TO CLASS ORW• ❑HQW [Trout f]PNA
LABORATORI� a y--i C.4- Lab•Cert.# /2 CENEw - • - [Zero-flow .❑Water Supply OSA
Comments oh-sample-collection or analysis • ' DEC 19 2016 - . . Other
.
CENTRAL IIy�S '. PLEASE REIVIEMRER TO SIGN ON.pAGES 2 AND/OR 3 -
.' rt. DWR SECTION , •
Part A: Sto'rmwater Benchmarks aril M'o'nit®ring Results .`' j
E No discharge this period
.+��;+ :•�eh• -�41!L'C.Ii�J%;•Y 9Yn j`F.f..J%;fs:°•§'u iwy S•yc. ".�•»x, + ,- ' iM•
.p. ;- •:r+. ';s .' :4.; c ..p r "R' ?.k'':_rv. '. -'-'- ,1: •',..47 ':i£{' .:ti'•'w.* ,.�• s' a; tiR;. '1VOn=P®lar OM
' r ®afifall'No, ' ; •D'at'e 9�mpl� •r24=�'blar:rairi�all: � i« . •� ���::�•iir..}•,•• :,+.• '"•:• ::',t,,•.�'• J
pN' Tota-.1.Toxic
• ' • .Cdllected� • • .amount, ,Total Siaspehde`d Solids: •• Copper Lead Zi�ic Total Petroleurv� i
' ,Standard units +•®vgar�icss
"i,i.e;:�',,,,,;k�3•• 'a.ii y,.. ii::, rim v. f...;:... .,--.;' 'Hydrocarbons
{F j.T'`',•Y� �m..� } . c `•ti+ r )_ 0,;,), `.as..t..r: r�-:b tt ••n.' ' tit+,t .•
i'. .r . .a.Y .:imaJad�yC� ri;!'..a� �IricFiL5;z.. �, •�;`�',:. ..�:!�wi�`-i.. �':�° a •=�. „,,,:.,::;.::::,„i:,„:,.....: y. • •
benchmarks a=a> - - 5.00.. r { '. ' :.r
mg/t:or 5o'mg/,4 -:6:27:9;c1...• . 0.007 rrlg/L 0.0a3-mg/L: 0:067 mgJL 5 rrlg/L;. •” 5 mg/L
•.51).6 —* . . _1(30=/4 ®:33 & o w..:51L 7. 3 0.0040 0 ..000 o'OOO 19.0 lit-it_ O O M fc.
' S DO -2 . //-30 —/,G 0.35 0 .oI L • 7, 4 b .60-0 ett.0 at) ®.o ma
sbID -3 //-30 - 1b ®.33 D.o �JL '7.1' 0 .00.0 0 ,600 O..00a O� lLD° Aili
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceecfance for the same parameter at the same outfall.
2 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 using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 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•ofthis 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 Dat' - X1/2012-10/3-1/2017• SWU-245,last revised 1r '2012
.�— - Page 1 of 3

. Eacilities„ ..incorpo,rate_a_salgenf_management_plan.intothe.Stormwater Po._,_.,en-Prevention-Plan may-so-certify;-and.the r-equir-err-mens-for,70-n,?I bring .
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 fast discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stopmwater Pollution Preve•ntion.Plan.”
•
Name (Print name) , .
4 • q.1 # ,
T're 'tint ti
• 1,a/d/.4.
(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 mg/L",where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
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.
n No discharge this period?2
3vOutfalf No. •
'•`Dgte_Sampl '..(24417'6•11•1'rainfall. • •' '
Collected' ...•amount,• Non-polar O&G/TPH b •
y'' Total Suspende fids H
,.... . ....M.(mo/dalyr).,. __ Inches3 .•EPA'i1064'(SGT -1EM)'. • -,:- p
Benchmarks=-_> _ _ s. •: . •, :: •�-�,
k ..,..--e, ... - .. . 15 mg/L . x.00 ing/L,or•50•mg/L* • '•6.0-0 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 SWU-245,last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera!Permit text.
FOR PARTAAND 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 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 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, 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."
•
/ 1, //(5-
(Signature of Permittee) (Date)
Permit Date ./1/2012-10/31/2017 SWU-245,last revised 1 /2012
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