HomeMy WebLinkAboutNCG030576_MONITORING INFO_20181221STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
N C� O 3 0
DOC TYPE
❑HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �v � � �D2 °?'I
YYYYMMDD
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted Iz1z112o1 b
CERTIFICATE OF COVERAGE NO. NCG03 0 5 7 6
FACILITYNAME Mueller Steam Specialty � � .
COUNTY Cumberland JAN 0 2 2019
PERSON COLLECTING SAMPLES NA _
NA NA . i t'<AL FILE,5
LABORATORY Lab Cert. h ,
Comments on sample collection or analysis: `' T14P1
No flow observed at outfall 1 and 2
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June 0 July -Dec
or ❑ Monthly"_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
Other Class C, SW
PLEASE REMEMBER TO SIGN ON PAGES'2 AND/OR 3 4
❑� No discharge this period?z
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
" 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, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
'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: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3
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)
N� 0 t -4 imo
Title (Print titl Jx`�Lls_
Sign to 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 me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
F-I No discharge this period?2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches;
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L°
Parameter Code
-
46529
NCOI L
00552
C0530
Footnotes from Part A also apply to Part a
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.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 06/04/2018
CERTIFICATE OF COVERAGE NO. NCG030576
FACILITY NAME Mueller Steam 5 ecialt
COUNTY Robeson
PERSON COLLECTING SAMPLES Tom Gordon
LABORATORY TBL Lab Cert. #
Comments on sample collection or analysis: No Flow Observed at
Outfalls #1 or #2
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD Jan -June ❑ July-Dec
y.�.� or [] Monthly!. _ _ (month)
Rf C&'br S - ARGING TO CLASS ❑ ORW ❑HQW ❑Trout ❑PNA
Zvi$ Zero -flow ❑Water Supply ❑SA
Other Class C, SW
CEN + 1�AL FILES
p1�1 K SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
jj No discharge this period?'
Outfall No.
Date Sample
Collected
(05/29/2018)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
120 mg/L
100 mg/L or 50 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 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.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
!Vote: Results must be reported in numerical format. For example, do not resort 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 ms/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2
Semi-annual Stor_mwater Discharge Monitoring Report
For North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 01131L18
CERTIFICATE OF COVERAGE NO. NCG030576 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Mueller Stearn Specialty SAMPLE PERIOD ❑ Jan -June ®July -Dec
COUNTY Robeson or ❑Monthlyl(month)
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY TBL Lab Cert. # ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: No flow observed at RECEIVED ®Other Class C. SW
outfalls #1 or #2
FEB 0 6 2018 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
Part A: Stormwater Benchmarks and MonitoringResults
DWR SECTION
® No discharge this period?
Outfall No.
Date Sample
Collected'
(mv/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 =__>
12/27 -2017
.15
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
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
i 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
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)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BOL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall Na.
Date Sample
collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids-
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 -- 9.0 SU
NA
NA
NA
NA
NA
NA
Footnotes from Part A also apply to this Part B
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2of3
# 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 ANY ONE OUTFALL? YES ❑ NO ED
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 sanfi%enales for submitting false information, including the possibility of fines and imprisonment for knowing violations."
,,,,
(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 01/27/17
CERTIFICATE OF COVERAGE NO. NCG030576
FACILITY NAME Mueller Steam Specialty
COUNTY Robeson
PERSON COLLECTING SAMPLES Mark Kennard
LABORATORY Lab Cert. #
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' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other c
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-hour rainfall
amount,
IncheS3
Total Suspended Solids
pH*,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Organics Total Toxic
s
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
1
10/21/16
0.1
N/A
N/A
N/A
N/A
N/A
N/A
N/A
2
10/21/16
0.1
N/A
N/A
N/A
N/A
N/A
N/A
N/A
1 Monthly sampiine (instead of semi-annual) must beein 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 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)
(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?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
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
NA
NA
NA
NA
NA
NA
Footnotes from Part A also apply to this Part B
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
I - -
* See General Permit text, Table 5, identifying the especial) sensitive receiving water classifications where the more protective benchmark applies.
fY g Y g p Pp
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.
_ A�
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 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 ATANY 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.
am aware that the a ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3
t=
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 0`7 /2.2/r(,0
CERTIFICATE OF COVERAGE NO. NCG03 a 5 `i G
FACILITYNAME MU£.(.LF_& 5-MAW1
COUNTY fRQc F_eoW
PERSON COLLECTING SAMPLES
LABORATORY T'I3i_ Lab Cert. #
Comments on sample collection or analysis:
NQrLOW 0AsFR4y n>r -L0UT�-4a e, 411 02 ty2
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ZO[
SAMPLE PERIOD [Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw [_]watersupply [:]SA
[ZOther CUiS�C; S&,3
k C VE®
JUL 2 5 201E PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION P;T"No discharge this period:2
Outfall No.
Date Sample
1
Collected"
(mo/dd/yr)
24hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Totaf 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 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
r Y A
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)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format-"<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
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.
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 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Z"
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 ther r i nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
'�-NNQJ
IM
(Signature oUermittee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3
STORMWATER �-iRGE OUTFALL (SDO)
MON G REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03 0 S e7 (6
FACILITY NAME M k ((e r 5`1` ,,,,, S;p
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY - i ' 8 L Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: 0/
(This+monitoring report is dui* at the Division no later than 30'days from
the date the facility receives the sampling results!from the laboratory.)
COUNTY R o%�O n
-PHONE NO. (9(0)
Lab -# PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
:'. Duffel!
No
ate."
Sample C61lect,a,i
moLdd/ r'
Td,SigpeedSolids; .
;iut
"` pH,,
$ta wfad:units,m
' lead, ltgll.
Oil artd'Greasea'Cptil�oxic
:"
0irganiCe! , `
m
"'Benchmark
r ',100
1'Nithiri:`60 9�0-
_ 0.033
.30
1
AU
-AWED-=
1 2 6 lu;; '.
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 resp�r
See General Permit text. RAL FILES
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes }tno
(if yes, complete Part B)
Part 13: vehicle maintenance Activity anitoring Requirements
0' tf 11 'Date OU556, ; 00
p, , ecte O� anti Grease, Total Sas ertt�e $buds H New Motor 011 Usa e' No Sam le CoII d,
into/dti!`. r S.fandi;rd units,`';^ Annoa.v�ra'e. aiiiieo.
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 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
D ate y / i (first event sampled)
Total Event Precipitation (inehes):
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 WU-245-102107
Page 1 of 2
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI C 1 c / 31010101611 or Certificate of Coverage No.: NICIGI c' 1, I— o LS 17 l6 I
Facility Name: /e- r S'f e-.a- S c i cL�t — —
County: 20b Phone No. R IO d GS-- (a 2411
Inspector: _- T-b w_+ (�-ay-c. o►-�
Date of Inspection: -A11 5 1 _
Time of inspection. 3: Ev jf�l-!j
Total Event Precipitation (inches): - 39
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1.. Outfall Description:
Outfall No. i I Z Structure (pipe, ditch, etc.) Di �
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page t of 2
S W U-242-05 1 308
14
STORMWATER F_— '-LRGE OUTFALL (SDO)
MONV .. ,ecING REPORT .
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03 o 5 G
FACILITY NAME I"f �r f �e ✓ _S_ .�, S . y j`f`
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY 'T t5 L Lab #
Lab #
Part A: Specific Monitoring Requirements o-74 O&C �v4j e- IL 0--f
SAMPLES COLLECTED DURING CALENDAR YEAR: O J
(Fhis-rttonitoring.report is due' at the Division no later than 30'days from
.the date the facility receives the sampling,results from the laboratory.)
COUNTY R o�e_& D it
PHONE NO. (ci t j_ -S + { t
PLEASE SIGN ON THE REVERSE 4 RECEIVED
FFP 0 4 2015
No.
SarnpleCdileetedt
ntolddf ''Y
_ f
�'�a'�t(�pettl'ed��bii�s,
lti ''
?� p.$• ;
S,tantfa -d ud�ls
t /i,
Benchmarlr '`
t„ k�4 >
�ti`.a11 is Itr�O .90.,30
Note: It you report a sampled value. m 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.
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 Activitv MonitortnE Requirements
'No Samplt'•Colieentdx �lii 8nehse, T'o€al St(spt►d°Sblfds, ; per; Nevv lklotaOil;Usag�e,
Inb�,/ tti rStandnrd!untt A#tnual•.idra e,ka l{irto
Benchrtiark
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.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to -
Division -of Water Quality
Date/ _ (first event sampled) Attn: DWQ.Central Files
Total Event Precipitation•(fnebes): ^7 '+ 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
N
SWU-245-102107
Page 1 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03 0 57
r,
FACILITY NAME t--?"�(1ey- 54---,,- Sppc—i,
PERSON COLLECTING SAMPLES --7-ov"
CERTIFIED LABORATORY Lab ft
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: 20 / '"
RE I �egjtV��hetcplc igreport is due at the Division no later than 30 days from
a r Ity receives the sampling results from the laboratory.)
DEC 31 2014 COUNTY R—'o�ogs- o -f,
PHONE NO. nLo) 19 G S - S:1 ki I
CENTRAL FILES
DWR SECTION
a- - —
Part A- Specific Monitoring Requirements X", a / 0 ' ' f 0 a702 7�11
PLEASE SIGN ON THE REVERSE 4
-a � 'Q V- �' -Z-
t
4:� D�aat e
Collected,Now Sample
MZ/iyii
-0 530'---;7
4
3- 00556-l"!
78141`�
Total-SPou
mg
:
'- = pH,
add�rdtd'
units t s'
L
I OCZ�.-
itfiiiri:&O=a��
9.
30Z - - zi
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 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 1Xno
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
4outfall"
0 5 5 6
FV, 0 0 5 30
0 0 4 o
L7
ItT' s6li&'"i'
otaLS6�6 61dd i'd
L-:`�
.
`-,-Stdfi
�ar jumts—
A d
17-New Mo-t6FOil-Usagi, -
nnuahiveragelA/mb
Bed&iia'jrl�
`%W 0
1001 M
6.0= 'O_'
W7n t
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 or Tier 2 responses.
See General Pen -nit text.
STORM EVENT CHARACTERISTICS:
Date t2/;o/ (first event sampled)
Total Event Precipitation (inches):
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 I of 2
1
�• 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 4311 1; 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), 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. 1 further certify that this facility is implementing the all the provisions of the solvent management
plan included in the Stormwater Pollution Prevention Plan."
c7lM 45 C .—UYt�y.. V �.
Name (Print name)
Title (Print title)
.20 r
(Signature) (Date)
"1 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. 1 am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
ignature of Permittee)
lZLjoZd
(Date)
Swu-245-031308
Page 2 of 2
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICIj!�Io / 310+ 21 or Certificate of Coverage No.: NIC/G/O131 &/"5/ )
Facility Name: 1'lu !r-- 11 e v S1F eQ vrn
County: 4-10 � 'P_ s foe% Phone No. -
Inspector: 0 w tic �
Date of Inspection: 141
Time of Inspection: i1 : zo t9 �-,
'Dotal Event Precipitation (inches): Z 5
�r
Was this a Representative Storm Event'? (See information below) ® Yes ❑ No
Please check your permit to verify if'Qualitative Monitoring inust be performed Aring ci representative
storm event (requirements va)y).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. `1 -f Z— Structure (pipe. ditch, etc.) A
Receiving; Stream:
Describe the industrial activities that occur- within the putt,111 drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium. dark) as descriptors:
3. Odor: Describe any distinct odors that the dischau•ge may have (i.e., smells strongly of oil, weak
chlonne odor, etc.):
Page 1 of 2
Sw IJ-242-05 008
d. Clarity: Choose the number which hest describes the clarity of the discharge, where I is clear
and. 5 is very cloudy:
1 2 3 4 5
5, Floatine, Solids: Choose the nurnber which best describes the amount of floating solids in the
storrnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the storrnwater dischivoe, where 1 is no solids and 5 is extremely muddy:
l 2 3 d 5
7. Is there any foam in the storrnwater discharge? Yes No
8. is there an oil sheen in the storrnwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes No
it). Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam. oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Paoe, 2 cif 21
SWU-242-05130t
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
RECEIVED
JUL 16 2N
CENTRAL FILES
DWO/BOG
Permit No.: NICI C/ c / 3101 vl0 I C6'1 or Certificate of Coverage No.: NICIG14' l.a 1 o IS l7 16 I
Facility Name:
County: Pc_ oPhone No. f t7 CGS- 1
Inspector.
Date of Inspection:
Time of Inspection: �-1 '.c7 _ P
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) a Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred_A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that the eport is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 2. Structure (pipe, ditch, etc.) t c
Receiving Stream: e\.'Ci f-I a VC L < 5.I- a ,. Q
Describe the industrial activities
S k,_�-Flo
r -,`o 4
ithin the oout?fall drainage area:
.1-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
\S
Page I of 2
SWU-242-051308
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO.
NCG03 0 51
STORMWATER DIS&RGE OUTFALL (SDO)
MONITORING REPORT
FACILITY NAME t,' L.LG Ue,- S*ee- S u i ctt�
PERSON COLLECTING SAMPLES I
CERTIFIED LABORATORY _'7- 8 Lab #
Lab #
Part A: Specific Monitoring Requirements /.,j 0 A S' � _e_"
SAMPLES COLLECTED DURING CALENDAR YEAR: .2_471.4-f
(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 r?,-c
-PHONE NO. L�10 Qj C_ 5 __ C6 D_ 4
PLEASE SIGN ON THE REVERSE 4
_
D tfall
,No.
Date
Sainrioli Collected 4
mo/d d& y�
5
"1"1""'004 00
0105V'
7005W
',-.7814 1-.4
Total Suspended Solids,
�F r,, P
t andiiid,units-,
W2
."Oil"and,"Gi.
cS!.
Organics ':
mg
JjL'
m
:136nc ark
30
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 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 13)
Part R: Vehicle Maintenance Activity Monitoring Requirements
Odfall.".
No
D
Sarnpli�Ciiillec t
00556:
00 400'f
MWO
--,T6t0: Suspended Solids,,
g/L --. n '. � �
.11:1 -77777
. Stllfaii u
Neiv.-Mot(ir-'Oil Usage,
iI
An " nuava*ekase.ga mo
Benchmark
3 0�_
10 0
.0il .0
9 g
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 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
-7) 100,4
Date (first event sampled)
Total Event Precipitation (inches): 1, Z
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to: LU I
Division of Water Quality
Attn: DWQ Central Files
egj ILE:
OG
1617 Mail Service Center - OWojig
Raleigh, North Carolina 27699-1617
SWU-245-102107
Pagel of
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI CI c / 3/ v/ 0/ 0 I G11 or Certificate of Coverage No.:
Facility Name: f t 5'~4- -So--e- c i 't/.&
County: 20 c: o Phone No. C? (O
Inspector. To GO e-% -
Date of Inspection: _ - t w 2_0! ` j
Time of Inspection: ~1 ".3 u 0 r-,j _
Total Event Precipitation (inches): I • Z 3'
Was this a Representative Storm Event? (See information below) a Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that the.yeport is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. -2—
Receiving Stream:
Structure (pipe, ditch, etc.)
Describe the industrial activities (hat o ur ithin the utfall dralnage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc:) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
S WU-242-051308
STORMWATER Dl&_RGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCG03_0 51 C
FACILITY NAME
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY i L_ Lab
Lab #
Part A: Specific Monitoring Requirements /,j C, A S _e_11
SAMPLES COLLECTED DURING CALENDAR YEAR.;7-0/ --(
(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 Rc,�est)6n A_
-PHONE NO. (9tO)_Q,(S-YZL4(-
PLEASE SIGN ON THE REVE 4
A
Oft tf a: 11:
"No.
X.
Sa�'m'ple'C"oUe'c-t6'-d[,-'�c-*jT6til�Siiipeiidid,Sijiids:�
mo yr..:'.V v ,
•ladA
105, 30;"
Ii:`�','�`.004 00�;
01051711,0556
-`,-yi,,"P
Standardm
Lead
L"A'm
Oil d, 'eas
F.,
9 /L".
:Benchmark'
i"-;.:
:Within
11U
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 Pan B)
Part B: Vehicle Maintenance Activity Monitorine Requirements
:-Outfall,.�.
.No.
D
Sample Collected,
In
00556'r.
A0530,",'
00400"�,`
Oil and
0'
jbtaUSiii0e
m
p
un
ar d' "it
Benchmark
;
6:09 .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 or Tier 2 responses.
See General Pennit text.
STORM EVENT CHARACTERISTICS:
-7) 1011-1
Date (first event sampled)
Total Event Precipitation (inches): 1. -2-
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
SNNU-245-102107
Page I of 2