HomeMy WebLinkAboutNCG030439_MONITORING INFO_20190328STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
El HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ D /q 03,�2,?
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted �3/25/19
CERTIFICATE OF COVERAGE NO. NCG030439 SAMPLE COLLECTION YEAR 2019
FACILITY NAME NC DEPT. of PUBLIC SAFETY. SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY FRANKLIN or ®Monthly January —(month)
PERSON COLLECTING SAMPLES Lee Blackman MAR 2 8 2019 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert. # ❑Zero -flow ❑Water Supply []SA
Comments on sample collection or analysis: �'EN_ i Fif�L F, ES ®Other. C; NSW
NO FLOWlr,JR
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period?z
outfall No.
Date Sample
Collected'
(mo/dd/yr),
"24-hour rainfall
amount,
Inches3,
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
- 5
Organics
Benchmarks_===>
_
,;^ . ,-
100,mg/ L or 50 mg/L
6.0 - 9.0, ,
0.007 mg/L
0.03,mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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 5WU-245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for T'O 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 T70 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), 1 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)
Title (Print title)
(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.
(Vote: 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.
❑ No discharge this period?2
L OutfaEl No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==_>
_ <°
_
151mg/L.
l00 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
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 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 ail "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."
(Signature of Permittee)
04J
(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 Quality General Permit No. NCG030000
Date submitted �1/24/19 .
CERTIFICATE OF COVERAGE NO.`NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES Lee Blackman
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
FLOW
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly" December (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
RECEIVED ®Other C: NSW
JAN 2 $ 201WEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
® No discharge this period?'
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.00T mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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.
s 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
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 Il SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE 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."
(Signature of Permittee)
i—,z y
(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 Quality General Permit No. NCG030000
q*P1P Date submitted _12/20/18
CERTIFICATE OF COVERAGE NO. NCG030439 SAMPLE COLLECTION YEAR 2018
FACILITY NAME NC DEPT. of PUBLIC SAFETY SAMPLE PERIOD ❑ Jan -June Q July -Dec
COUNTY FRANKLIN or ® Monthly' October (month2
PERSON COLLECTING SAMPLES Lee Blackman DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
LABORATORY Lab Cert. # QPCEIVED ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: JAN 0 7 z019 ®Other C: NSW
NO FLOW
CENTRAL FILE`3 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -�
CWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics 5
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 — 9,0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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
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.
' h
R 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 SECTIONS.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE 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 DMA, including all "No Discharae" reports, within 30 days of receipt of the lob results (or at end of monitorina period
in the case of "No Discharae" 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
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
,,;; r,- g- - ae- - , ,� -� d
(Signature of Permittee) T (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 Quality General Permit No. NCG030000
Date submitted _10/15/18
CERTIFICATE OF COVERAGE NO. N00030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRAN KLI N
PERSON COLLECTING SAMPLES Lee Blackman
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
ISAMPLE PERIOD ❑Jan -June ❑July -Dec
RECEor ® Monthly' AUGUST (month]
OCT 1 6 686HARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
®Other C; NSW
4
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?'
outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics$
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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
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 it 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
{Signature of Permittee)
(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 Quality General Permit No. NCG030000
Date submitted _8/23/18
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES Lee Blackman
LABORATORY Lab Cert. #i
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' JULY (month)
DISCHARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑PNA
[]zero -flow ❑Water Supply []SA
�CEIVED ®Other C; NSW
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
AUG 2 9 Zola
C!—: T, !V).=L F'LE5
DVJs� F,L—Ci110'M
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 - 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
' 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
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z 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 ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Moil an original and one copy ot this DMR including all "No Discharge" reports, within 30 days of receipt ot the lab results Lor at end o 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."
(Signature'of Permittee)
(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 Quality General Permit No. NCG030000
Date submitted _7/09/18
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES Lee Blackman
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' JUNE (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
R�rr1X1�n ®Other. ___ C; NSW
NO FLOW
JUL 16 201E
Part A: Stormwater Benchmarks and Monitoring Results CEN-r= AL FIL.Ec,
GUIR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period:
Outfall No.
z ,
Date Sample
Collected'
(mo/dd/Yr).
24-hour rainfall
amount,
Inches3
,:
Total Susperided Solids
••
pH,
Standard units
Copper
Lead
,.
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks;===> .
-
-
100 mg/L or 50 mg/L
- G.0 — 9.0
0.007-mg/L
0.03 mg/I ."
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same Iparameter 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.
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
Note: If you rejl}ort a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
r
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 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."
(Signature of Permittee)
7-9-f
(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 Quality General Permit No. NCG030000
Date submitted 6 /11/18
CERTIFICATE OF COVERAGE NO. NCG030439 SAMPLE COLLECTION YEAR 2018
FACILITY NAME NC DEPT. of PUBLIC SAFETY SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY FRANKLIN or ®Monthlyl May (month)
'eltPERSON COLLECTING SAMPLES Lee Blackman�aISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert. # b []Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis:
—JUI� i ZQ18 ®Other C; NSW
NO FLOW CENT`1_,AL FILES
LMR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period?'
Outfall No.
Date Sample
ColEectedl
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total.Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Nan -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organ 1 5
Benchmarks =_=>
_
-
100 rng/L or 50 mg/L
6.0 - 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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 SWIJ-245, last revised 10/25/2012
Page 1 of 3
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Ver.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 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 ANYONE 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."
IV-.�.e.
(Signature of Permittee)
_//- i
(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 Quality General Permit No. NCG030000
Date submitted _4 /5/18
CERTIFICATE OF COVERAGE NO. NCG030439 SAMPLE COLLECTION YEAR 2018
FACILITY NAME NC DEPT. of PUBLIC SAFETY SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY FRANKLIN or ® Monthly) March (month)
PERSON COLLECTING SAMPLES DANNY STANLEY rD SCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
LABORATORY Lab Cert. # []Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: OR 10 201b ®Other C: NSW
NO FLOW
CENTRAL. FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
GWR SECTION'
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period?'
Outfall No.
Date Sample
Collected i
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total.Suspended Solids
pH,
Standard units
.Copper
Lead
Zinc,,
Non -Polar O&G/
, Total Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks = =>-
_
l0o mg/L.or 50 mg/L., -
6.0.=9 0
0.007 mg/L
0.03 mg/L•:
'0.067 mg/:
15 mg/L
l mg/L
1
NO FLOW
2
NO FLOW
1 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.
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.
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
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 1N 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 lob 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."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
r Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 3 /8/18
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. #
C t 1 II t•ron oI
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑July -Dec
RECEI r= or Monthly' January jmonth)
L� DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA
MAR 15 2013 ❑Zero -flow []WaterSupply [:]SA®Other C NSW
ommen s on samp a co ec r ana ysis. C`��.f}�� �IL�S
NO FLOW �V'Ir; SCCFUZ
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period?'
Outfall No..
Date Sample-
Collected'
(mo/dd/yr)
.24-hbur rainfall
amount,
Inches 3
Total Suspended Solids
pH,
Standard units
Copper
Lead'
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks =__>
_ ...
-
100 mg/L or 50 mg/L
6.0 - 9.0 ..
0.007. mg/L
0.03 mg/L
0.067 mg/L
,15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
' 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.
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.
° 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
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.
btFOR 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 ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Moil an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob 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."
ature of Perm
3-9 IR
{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 Quality General Permit No. NCG030000
Date submitted 1 /31/1S
CERTIFICATE OF COVERAGE NO. NCG030439 SAMPLE COLLECTION YEAR 2017
FACILITY NAME NC DEPT. of PUBLIC SAFETY SAMPLE PERIOD [] Jan -June ❑ July -Dec
COUNTY FRANKLIN or ® Monthly) December (month)
PERSON COLLECTING SAMPLES DANNY STANLEY DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert. ## RECEIVED ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: ®Other C; NSW
NO FLOW FEB 0 F 2018
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results QWR SECTION
® No discharge this period?2
outfall No.
Date Sample
p
1
Collected
'. (mo/dd/yr)
24-hour rainfall
amount,
inches
Total Suspended Solids.
pH,
Standard"units
Copper
�
Lead
-Zinc;
Non -Polar O&G/
Total Petroleum •
Hydrocarbons
'total Toxic
Organics a
Benchmarks ==_>
-
- `
100 mg/L or 50 nig/L
6.0 = 9.0
` 0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
1
NO FLOW
2
NO FLOW
1 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.
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.
° 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
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 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 ANYONE 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 eriod
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."
ature of Permittee
a-r-�F
(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 Quality General Permit No. NCG030000
�- Date submitted 12/21/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY
Lab Cert. # RP °'FI\1F1)
Comments on sample collection or analysis:
JAN 0 9 2018
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -.June ❑ July -Dec
or ® Monthly' NOVEMBER -month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
®Other CL NSW
1;,!10 1 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?z
Outfall No.
x;
Date Sample
1
Collected ",
(mo/dd/yr)
24-hour rainfall
amount,
Irsches;
Total Suspended Solids.
pH,
,Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons `
Total Toxic
;
Organics
Benchmarks ===>
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
1 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.
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.
" 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
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.
FORD%,SAND 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE 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."
of Permittee)
/2 --2
(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 Quality General Permit No. NCG030000
Date submitted _11/29/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
REGcctt��,, or ® Monthly' October _ (month)
15CWFEERG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
DEC 0 4 2017 ❑Zero -flow ❑Water Supply [_]SA
®Other C; NSW _
CENTRAL FILES
DVVR 38CTIONPLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?z
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
tnches3
Total Suspended Solids
pH, ;
. 'Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
�rgani 5
Benchmarks =__>
_
-
100 mg/L or.50-mg/L
6.0 — 9.0
0.007 mg1L,
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s 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
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 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."
of Permittee)
(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 Quality General Permit No. NCG030000
Date submitted 10/25/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' September (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
:t f�n ❑Zero -flow WaterSupply ❑SA
Y il..� ®Other C; NSW
OCT 2 7 2di7
CENTRAL PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DVIIR FILES
SECTION
® No discharge this period:2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour. rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Orgariics5
Benchmarks ==>
_
-
100 mg/L or 50 mg/L
6.0 -- 9.0
0.007 mg/L
0.03 mel. '
0.067 mg/L
15 mg/L
i mg/L
1
NO FLOW
2
NO FLOW
1 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.
° 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 SWIG-245, last revised 10/25/2012
Page 1 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 General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART If 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 Dischar eg "reports, within 30_days of eceipt of the lob results (or at end of monitoring period
in the case of "No Discharge" reportsl 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."
re of Perm
/D-aS-1%
(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 Quality General Permit No. NCG030000
Date submitted 8/22/17
CERTIFICATE OF COVERAGE NO. NCG030439 SAMPLE COLLECTION YEAR 2017
FACILITY NAME NC DEPT. of PUBLIC SAFETY SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY FRANKLIN RECEIN I" or ® Monthly' JULY month
PERSON COLLECTING SAMPLES DANNY STANLEY C69CHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert. # SEP 0 1 7017 ❑Zero -flow ❑Water Supply [_]SA
Comments on sample collection or analysis:
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
®Other C; NSW
.1=NTRA� FILES
- OWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?2
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hdur rainfall
amount,
Inches3 •
Total Suspended Solids
pH,
Standard units
-Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
-
Hydrocarbons "
Total Toxic
5
Organics
Benchmarks =__>
-
-
100 mg/L or So mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
1 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.
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
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 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 ❑ 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."
{Signature of Perm
(Date)
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Date submitted
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
7/19/17
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' JUNE (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
RECrt /C� ❑Zero -flow ❑Water Supply [:]SA1 V f ®Other C, NSW
JUL 2 4 2617
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CEN T R:L FILES
DWR SECTION
® No discharge this period?z
Outfall No.
Date Sample
;
Collected
(mo/dd/yr)
24-h6ur rainfall
amount,
Inches3
Total Suspended Solids `
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 -- 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L .
1
NO FLOW
2
NO FLOW
1 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.
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.
s 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 5WU-245, last revised 10/25/2012
Page 1 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 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 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 ANYONE 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."
[Signature of Perm
7- Y -17
(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 Quality General Permit No. NCGO3OOOO
Date submitted 2- 3_ ,� o r)
CERTIFICATE OF COVERAGE NO. NCGO3 b _y c
FACILITY NAME Tmk,_,s Sfced —Trio,, Pe -All- PfA—f
COUNTY _ PcDI k
PERSON COLLECTING SAMPLES 3OD jpjAw.-S
LABORATORY PACE Lab-Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR � 4 /—/
SAMPLE PERIOD ❑ Jan -June ❑ JUly-Dec
RECC�1V ` � or []-Monthly'-n-0^je- (month]
C SCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
,JUL 1 0 2017 ❑Zero -flow ❑Water Supply ❑SA
[aOtherT C
CENTRAL_ FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES Z AND/OR 3
[:;J t o discharge this period?'
Outfall No.
Date
Sample
Collected'
(mo/dd/yr)
Z4-hour rainfall
amount,
Inches'
Total Suspended
Solids
pH,
Standard
units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total
Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/0
6.0 - 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
' 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 monitaring.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
requirement.
' See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
I 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).
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)
Title (Print title
(Signat e) (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 g, Tier 7, Mr Tier 3 r espo,'oses. See uenerai Permit
text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches 3
Non -polar O&G/TPH by
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
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ R GIONAL OFFICE? YES �'NO I ``
REGIONAL OFFICE CONTACT NAME: L.a.,D. -� QAvjAS'�JJ , S qA,,- "JA
Mail an oriainal and one coav of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob 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 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."
(Signature of Permittee)
(Date)
l
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted '2- 3 - �2 017
CERTIFICATE OF COVERAGE NO. NCG03 0 � � 0 I, (� SAMPLE COLLECTION YEAR � �!
FACILITY NAME Tt r, 1Le� St ce-— � fr' ,o. Qe A V plater- SAMPLE PERIOD [) Jan -June ❑ July -Dec
- - or [.-Monthly' rnA`� ❑❑
(month)
COUNTY �� �r' CHARGING TO CLASS ORW HCI.W Trout PNA
PERSON COLLECTING SAMPLES OD ��`' RECEIVED ❑❑
[]zero -flow
LABORATORY P ce_ A•WA1 k-- Cert. t# Lab C. C Water Supply ❑SA
Comments on sample collection or analysis: JUL 10 Z017 Other
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
DWR SECTION
❑ No discharge this period?'
Outfall No.
Date
Sample
Collected'
(mo/dd/yr]
24-hour rainfall
amount,
Inches'
Total Suspended
Solids
pH,
Standard
units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total
Toxic
Organics'
Benchmarks
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
OW
5__�.3_/2
1''
0.0
,l)
,00%
D,0
-jl
1 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.
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.
' See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s 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).
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 (Prin ame)
FA- C J' i S.s r�`
Title (Print title) `
�-3-/
(Signs r (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 m 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 1, or Tier 3 responses. See General Permit
text.
j \• �� I l
t � I
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
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
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES E�J`NO
REGIONAL OFFICE CONTACT NAME: 4A JD 0,!n! DA V;bS0• J S �A+-JNA �idW re
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitorina 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."
(Signature of Nrmittee)
(Date)
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
' Date submitted 6/23/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. #
Comments on sample collection or analysis: CeNT
NO FLOW RAL FILES
°WR S-C7-10N
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
REC*� r or ® Monthly' MAY (month)
E; V E&HARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
JUN 2 9 2ol? ❑Zero -flow [:]WaterSupply ❑SA
Other C; NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ->
Z No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
1 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.
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.
° 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 103
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.
r
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 ❑ 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."
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
4,-
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No, NCG030000
Date submitted 5/19/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. # C E I VE
Comments on sample collection or analysis:
NO FLOW MAY 31 Z017
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' APRIL (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other _ C: NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 30
® No discharge this period?z
Outfall N o.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
�
Total Suspended Solids
pH;
Standard units
Copper .....
z
Lead =
.zinc
Nan -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 = 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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 SWiJ-245, last revised 10/25/2012
Page 1 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 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 ❑ 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 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 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."
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 4/20/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
NO FLOW
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' MARCH /month)
I DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
APR 2 6 2011 ®Other C; NSW
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
® No discharge this period?'
Outfall No.
Date Sample
P
Collected
(mo/dd/yr)
"'24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH'
Standard units
Copper
Lead
Zinc'
Non Polar O&G/.
Total Petroleum
Hydrocarbons
Total Tdzic
s
Organics
Benchmarks =_=>
_
-
100 mg/L or 50Tmg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
' 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.
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.
s 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
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 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 ANYONE OUTFALL? YES [:]NON
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one covv of this DMR, including all "No Discharae" reports. within 30 days of receivt of the lab results for at end of monitorina 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."
nature
(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 Quality General Permit No. NCG030000
Date submitted 3/8/17
CERTIFICATE OF COVERAGE NO. N00030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY Lab Cert. # RECEIVED
Comments on sample collection or analysis:
_ NO FLOW 4AR 13 2017
C-ENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' FEBRUARY (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow [:]WaterSupply [:]SA
®Other C; NSW _
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -->
® No discharge this period?'
Outfall'No.
Date Sample:
1
Collected
(mo/dd/yr) ':
24-hour rainfall
amount,
Inches3
Total Suspended Solids'
pH,
Standard units
Copper
Lead
Zinc
4.
Non -Polar O&G/
Total Petroleum
bons
Hydrocarbons
Total Toxic
5
Organics
Benchmarks ===>
_
-
100 mg/L or 50 mg/L
6.6 - 9.0 .
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
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.
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
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 ANYONE OUTFALL? YES [:]NON
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 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 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."
� C
re of Perm
3-6-I
(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 Quality General Permit No. NCG030000
Date submitted 02/22/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES _ A. L. HARE/DANI_EL NEWSOME
LABORATORY ENCO Lab Cert. # 591
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
4► ®Other C: NSW
FEB 27 Z�;ir
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
No discharge this period?'
Outfall No.
"
Rate Sample
Collected'.,
(mo/dd/yr)
-24-hour rainfall
amount,
Inches3
�
Total Suspended Solids
pH,
Standard units
Copper...,.
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
5
Organics
Benchmarks ===> .
_
-
100 mg/L or 50 mg/L
6.0 - 9.0
0.007 mg/L
0.03' mg/L
0.067 mg/L
15.mg/L
1 mg/L
1
01/20/17
.12
26
6.2
0.00639
<0.0031
2.41
<2.40
0.16
2
01/20/17
.12
340
7.9
0.0444
0.0317
0.59
4.74
<0.01
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 5WU-245, last revised 10/25/2012
Page 1 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 General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEE DANCE 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."
re of Permittee
Permit Date: 11/1/2012-10/31/2017
a-al--L�>
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 01/25/17
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES DANNY STANLEY
LABORATORY ENCO Lab Cert. #i 591
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly" lmonthl
RECE1 FDES:CHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
❑Zero -flow [:]WaterSupply [:]SA
JAN 31 Z017 ®Other C; NSW
G�. R FILES
f�'WR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
SE
®_No discharge this period?'
Outfall No.
Date Sample,
1
Collected
(mo/dd/yr)
24-hour"rainfall
amount,
tnches3
-:
Total Suspended Solids
pH,
Standard units
Copper
d
Zinc
-Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
5,..
Organics
Benchmarks =W=>
-
-
100 mg/L or 50 mg/L ..
6.0 — 9.0 ;
0.007.mg/L .
0.62,n bk
0.067 mg/L
15 mg/L
1 mg/L
1
NO FLOW
2
NO FLOW
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance forthe 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.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s 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
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 ❑ 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 for at end of monitoring period
in the case of "No Discharge" reports) ta:
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."
ature of Permittee)
(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 Quality General Permit No. NCG030000
Date submitted 08/04/16
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DEPT. of PUBLIC SAFETY
COUNTY FRANKLIN
PERSON COLLECTING SAMPLES A. L. HARE/DANIEL NEWSOME
LABORATORY ENCO Lab Cert. # 591
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ® Jan -June ❑ July -Dec
.,r n(month)
ORW ❑HQW ❑Trout ❑PNA
Zero -flow ❑Water Supply [:]SA
Other C: NSW
:R TO SIGN ON PAGES 2 AND/OR 3
fte this period?2
Outfall No.
Date Sample
1
Collected-
(mo/dd/yr)
24-hour rainfall
amount,
'Inches3
Total Suspended Solids
pH,
Standard units
and
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total nicss
Organics
Benchmarks =__>
-
-
100 mg/L or 50 mg/L.
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
1
06/28/16
1.28
2.7
5.6
0.00275
<0.0031
0.932
5.56
<0.01
2
06/28/16
1.28
19
7.4
0.00688
<0.0031
0.0712
<2.40
<0.01
z 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
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 ANYONE 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" report$ 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."
of Permitteej
Permit Date: 11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
STORiNI WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GE-NERAL PERMIT NO. NCG030000
C1:RTIFICATE OF COVERAGE NO. NCG030439
F:,,CII.ITY NAME NCDPS ENTERPRISE SIGN PLANT
PERSON COLLECTING SAMPLES A.L. Hare/Daniel Newsome
CITRTIFIED LABORATORY ENCO Lab # NC 591
Lab #
P:rrt A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR. 2015
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY FRANK.LIN
PHONE NO. (919)496-3095 RECEIVED
PLEASE SIGN ON THE REVERSE -->JAN 25 2016
CE i*RAL FILES
M11r, SECTION
Outfali
No.
Date
Sample Collected,
i<no/dd/yr
00530
00400
01051
00556
78141
Total Suspended Solids,
nig/L
pH,
Standard units
Lead, mg/L
Oil and Grease,
m /1.
Total Toxic Organics ,
m /L
Benchmark
-
100
Within 6.0 — 9.0
0.033
30
1
01
12/17/15
2.5
5.3
0.00310
5.15
<0.01
02
12/17/15
47
6.9
0,00427
2.40
<0.01
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(il'yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Renuirements
Outfall
No.
Date
Sample Collected,
mo/dd/vr
00556
00530
00400
Oil and Grease,
m /L
Total Suspended Solids,
m /L
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
30
100
6.0 — 9.0
-
Norte: If you report a sampled value in excess of the benchmark value; or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 12/17/15 (first event sampled)
Total Event Precipitation (inches): 0.34
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S W U-245-031308
Page 1 of 2
Semi-annual Stormwater Discharge Monitoring Report
- for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted: 12/01/2015
CERTIFICATE OF COVERAGE NO. NCG120087
FACILITY NAME: Johnston County Landfill
COUNTY: Johnston
PERSON COLLECTING SAMPLES: Kevin J. Shields
LABORATORY_ENCO Labs, Inc. Lab Cert. # 591
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR: 2015
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthlyl November (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply ❑SA
®Other: C;NSW
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?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/L4
SDO 4A-SA
11/09/15
0.2
84 mg/L
9,000 CFU/100 mL
170 mg/L
1 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.
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.
"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 me/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".
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.
❑ No discharge this period:
�* Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2
STOWNINVATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
CERTIFICATE OF COVERAGE NO. NCC030439 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME NCDPS ENTERPRISE SIGN PLANT R COUNTY FRANKLIN
PERSON COLLECTING SAMPLES A. L. Hare/Daniel NeNvsome ��/VED PHONE NO. (919) 496-3095
CERTIFIED LABORATORY ENCO Lab # NC 591 JU Lab # zdfJr PLEASE SIGN ONTHE REVERSE 4
Part A: Specific Monitoring Requirements �wR PILES
ON
Outfall
No.
Date
Sample Collected,
rno/dd/yr
00530
00400
01051
00556
78141
Total Suspended Solids,
mg/L
pH,
Standard units
Lead, mg/L
Oil and Grease,
mg/L
Total Toxic Organics',
m /L
Benchmark
-
100
Within 6.0 — 9.0
0.033
30
1
01
05/21/15
2.5
4.6
0.00310
2.40
<0.01
02
05/21/15
97
5.9
0.00656
2.40
<0.01
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH. you must implement Tier 1 or Tier 2 responses
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes \ no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Renuirements
-----Outfall- __ _
Date—_'
Sample Collected,
mo/dd/yr
.---00556J -
-----00530�_'" —
— 00400No.
Oil and Grease,
mn/L
Total Suspended Solids,
m /L
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
30
100
6.0 — 9.0
-
Nate: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-1, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 05/21/15 (first event sampled)
Total Event Precipitation (inches): 0.44
Date (list each additional event sampled this reporting period, and rainfall amount)
"Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Niles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S W U-245-03 l 308
Page I of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NCDPS ENTERPRISE SIGN PLANT
PERSON COLLECTING SAMPLES A.L. Hare / Daniel Newsome
CERTIFIED LABORATORY ENCO Lab # NC S91
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the la j
COUNTY FRANKLIN ft(�.'
PHONE NO. (919) 496-3095 PAID
PLEASE SIGN ON THE REVERSE 4 247-, ?0�-
Ip S
Outfall 1 .
No.
Date
Sample Collected,
rno/dd/vr
00530
00400
01051
00556
78141 ;
Total Suspended Solids,
rmi5/L
pH,
Standard units
Lead; mg1L
Oil and Grease,
in /L
Total Toxic Organics',
m IL -
Benchmark,
-
100
Within 6.0 — 9.0
0.033
30.
1
01
12/16/14
10
5.4
0.00423
7.70
<0,01
02
12/16/14
46
6.9
0.00210
7.52
<0.01
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier" 2 responses"
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes X no
(if yes, complete Part 13)
Part B- Vehicle Maintenance Activity Mnnitorinsy Renuirements
--Outfall—
No. ,I "
--Date- ' "`
Sample Collected,:'
mo/dd/yr .
- - "00556""
— 00530 —o- --
00400
Oil and Grease,
m /L
Total Suspended Solids,
m IL -
pH,
Standard units
I New Motor Oil Usage,
Annual average 'al/mo
Benchmark
-
30
• 100
6.0 — 9.0
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement bier 1 or Fier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 12/16/14 (first event sampled)
Total Event Precipitation (inches): 0.39
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-245-031308
Page] of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG030439
FACILITY NAME NC DPS ENTERPRISES SIGN PLANT
PERSON COLLECTING SAMPLES Danny Stanley
CERTIFIED LABORATORY Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DtfR]NC CALENDAR YEAR. 2014
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY FRANKLIN
PHONE NO. (919)496-3095
PLEASE SIGN ON THE REVERSE -->
-
-Date
" C6
ap&,V
namA
U00530"M5
1Q4W'ft;
00400W`01051
-
7814U -'
A
H
fStandarilni pz
;-3-i" jr
LCj]
"�TZ
ft--OUt6ll?
r7t .1.
tol0i
-00556
Oand Grease`
R��me
-'g�-a;in-`—iIc2-
Tetil�ToXic 0r0
fs '
,BencWrn:i1HEe"4,
.4 m
4 1 r-11 'A i74
_4� 100064,.
-M A` 9"
'Withink .0
"PF 0 10 3 3't, �1r %
-.i 10
.4 -14—1
01
NO FLOW
02
NO FLOW
I . J-
Note: If you report a sampled value in excess of the benchmark value, or outside the bej-.chmark range tor pH, you must L iniplementTier I or"l'ier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B) . I
Part R- Vehicle Maintenance Artivitv Mnnitnrina Requirements
coutf6lll
"'iro
Date
D
-.—zp-
Sam
IS iple'C- ollected...
U.
m 07d&yr
--4 005W--� 11-:V"
00530
'00400
�4s-Ofl'and Grease,
;:e; D
4
0 ep. 1
t4 in OL
—J'd
-'Total S Solid's*.k
uspen ed'
- I -'I�
—49;img
-i StNiid5rii"units'.—
oil usato"'P'�'
-,I�Ahnua 'avera i�kat/iftirA
BenZhmi'rkU..r
Uff NO
L
0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I orTier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 06/30/14 (first event sampled)
Total Event Precipitation (inches): * NO FLOW
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central File
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVE[
AUG 01 2014
CENTRAL FILES
DWQ/BOG
SWU-245-031308
Page I of 2