HomeMy WebLinkAboutNCG030500 DMR SW (6) Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qualityeneral Permit No. NCG030000
Date submitted /2//�74
CERTIFICATE OF COVE GE NO. NCGO3 0 g CO 40 SAMPLE COLLECTION YEAR 2 O/
FACILITY NAME A6" Ljisai SAMPLE PERIOD 0 Jan-June [�Jul -
DecCOUNTY jcic c clee-ScAl
PERSON COLLECTING SAMPLES •5 eyL P or 0 Monthly' (month)
LABORATORYTer-r-,16.1-ie-. �S A IN TO CLASS DORW ❑HQW []Trout DPNH
Lab Cert.# �(!`1 ! Zero-flow []Water Supply ESA
Comments on sample collection or analysis:
DEC 1 1U16 [other C/a --C--
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -
DVVR
Part A:Stormwater Benchmarks and Monitoring Results �ECTiUN
n No discharge this period??
Outfall No. Date Sample 24-hour rainfall Non-Polar O&G/
Collected' Total Suspended Solids andTotal nToxic
its'
amount, Standard units Copper Lead Zinc Total Petroleum
(mo/dd/yr) Inches3 Organics'
Benchmarks===> Hydrocarbons
,+
--® - 100 mg/L or 50 mg/L4 6.0-9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L
PA ®3 /I/2?//4 4/ '' //ray% 7 0 ,,®O521 ,069$1
' Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance 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 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;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 Date:11/1/2012-10/31/2017
SWU-245,last revised 10/25/2012
Page 1 of 3
. 111 111
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."
Nvip
Name(Print name)
Titl- Pri t tle)
0 /2%--C/1-C
(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
Outfall No. bate Sample 24-hour rainfall
Collected) amount, Non-polar O&G/TPN by Total Suspended Solids pH
(mo/dd/yr) Inches3
EPA 1664(SGT-HEM)
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
*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 10/25/2.012
Page 2 of 3
No : 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.
• 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 [l NO E
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []NO 0
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 for 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 pe r directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I
am a re that there are significant penal 'es for submitting false information,including the possibility of fines and imprisonment for knowing violations."
,a,t-t.cm
oz.,/..__________
2*zc
(Signature of Permittee)
(Date)(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water QualityGe eral Permit No. NCG030000
Date submitted / 1/5-7/fr
CERTIFICATE OF COVERAGE NO. NCGO3 0 5 p m ���
FACILITY NAME �e.:11-0/11:j5-)74.41/1..V9 SAMPLE COLLECTION YEAR
SAMPLE PERIOD Jan-June July-Dec
COUNTY (�c,v rI'Sor [] Monthly1
PERSON COLLECTING SAMPLES 6¢-ey� F-'44 (month)TO CLASS ORW (month)
LABORATORY 7-5:5.1— ita Lab Cert.# ,��� � ❑HQW []Trout OPNA
Comments on sample collection or analysis: Zero-f1owWater Supply EISA(Other �S —C—
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -*
Part A:Stormwater Benchmarks and Monitoring Results
(l No discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collectedl Total Suspended Solids pH, Non-Polar O&G/
amount, Standard units Copper Lead Zinc Total Petroleum Total Toxic
(mo/dd/yr) Inches' Organics
-
Benchmarks=-> Hydrocarbons
/ 100 mg/L or 50 mg/L° 6.0-9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L
) A-^po�F P i1 Zell/Cp L/ " ,; -fir
�. l .Ca.pJS zDr oaz5 .!6, z.Zo 1 4,0
' Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance 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.
'The 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 re uireme
"See General Permit,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. q nt.
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 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;for electronic crystal manufacture use the definition as found in 40 CFR 469.22;and for cathode
tube manufacture use the definition found in 40 CFR 469.31). ray
Permit Date-11/1/2012-10/31/2017
SWU-245,last revised 10/25/2012
Page 1 of 3
. II . S S
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)
Pi) M 602_
itle(Pr'n title) ( fridt/
, \ c-- (2._
.),,,,,, /2/ //
(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
Outfall No. Date Sample 24-hour rainfall
Collected) amount, Non-polar O&G/TPH by Total Suspended Solids
(mo/dd/yr) inches EPA 1664(SGT-HEM) 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
*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 10/25/2.012
Page 2 of 3
7) r)
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 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 PARAMETER AT ANY ONE OUTFALL? YES 0 NO 0
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES l NO E]
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
in the case of"No Discharge"reports)to: of monitoring period
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 ns directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I
am ware th t there are significant pen les for ubmitting false information,including the possibility of fines and imprisonment for knowing violations."
.•••e..„/ ie
(Signature of Permittee)
(Date) / '�/ C
•
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
11/77)
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quali y G neral Permit No. NCG030000
Date submitted /2 i/5 4,
CERTIFICATE OF COVERAGE NO. NCGO3 D 5 0 OSAMPLE COLLECTION YEAR 2.!>/ .FACILITY NAME G L— eilA � _ SAMPLE PERIOD 0 Jan-June / July-Dec
COUNTY %/evvc�pir--e�,,./ `.1 or J Monthly'
PERSON COLLECTING SAMPLES .ice /oy / DISCHARGING TO CLASS (month)
LABORATORY �}�?:2/erl Lab Cert.# z&e? []Zero-flow�ORW ❑HQW Qr Sup []pryA
Comments on sample collection or analysis: Water Supply DA
210ther ass t-.-
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -3
Part A:Stormwater Benchmarks and Monitoring Results
0 No discharge this period?2
Outfall No. Date Sample 24-hour rainfall pH,
Non-Polar O&G/
Collected' amount, Total Suspended Solids and Total Toxic
Standard units Copper Lead Zinc Total Petroleum
(mo/dd/yr) Inches'
Organics'
Benchmarks===> - Hydrocarbons
100 mg/L or 50 mg/L4 6.0—9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L
DA-00l ///Z9/42 /a " 2641,/v 7.2 ..a .app •.N,
' Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'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 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;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 Date:11/1/2012-10/31/2017
•
SWU-245,last revised 10/25/2012
Page 1 of 3
1 . 9 9
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 er-
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."
7>'\/lD2. Mei J
Name(Print name)
Mf\-tAA-62Ti(77e) , ? 4-L.---t______._ 1
'e.,e....u,(
2k//6
(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?`
Outfall No. Date Sample 24-hour rainfall
Collected) amount, Non-polar 0&G/TPN by
(mo/dd/yr) Inches3 EPA 1664(SGT-HEM) Total Suspended Solids pH
Benchmarks=__> - - 15 mg/I100 mg/L or 50 mg/L* 6.0—9.0 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
1117)
No e: If l 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.
• 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 Ej NO El
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO El
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 pe .ns directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I
am a ,. .t there are si nificant penalti s for submitting false information,including the possibility of fines and imprisonment for knowing violations."
04_
(Signature of Permittee)
f-4_,-4,
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245,last revised 10/25/2012
Page 3 of 3