HomeMy WebLinkAboutNCG030619_MONITORING INFO_20181205STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V GCS
DOC TYPE
❑HISTORICAL FILE
t�,IVf�NITORING REPORTS
DOC DATE
❑ D'-b G X
YYYYMMDD
i-an
Mon
_ � r
for North Carolina Division of Water Qual'ty General Permit No. NCG030000
Date submitted Z /8
CERTIFICATE OF COVERAGE NO. NCG03 0 6
FACILITY NAME 9EM R r4 7EctLn/Oi oc if S _
COUNTY _& retlt w f3t,1�
PERSON COLLECTING SAMPLES _,eLrjtl MILZI-1_
LABORATORY .Jg4nzd- TrzcO Lab Cert. # SD
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ` 4)f9
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ❑Water supply [_]SA
1 [Other elasr G
EzECE v gASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
plc 01 2W
CEwRA� FILES ❑ No discharge this period?'
Outfall No.
Date Sample
Cotleded'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
D
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organlcss
Benchmarks =__>
_
G
100 mg/L or 50 mg/0
6.0 -- 9.0
0.007 mg/L
0.03 mg/L
0,067 mg/L
IS mg/L
1 mg/L
Gn tack.
i� 23 is
y n, ' C
7-7$
o 55-
. 00 8
. 9-21
6
li r3 lb
Id&&_
9 L
6.
.034
, oil
_za
' 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
Facilitiesf )hcorporate a solvent management plan into the Stormwater Pi" )on Prevention Plan may so certify, and the requirement for TTO atoring
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. 1 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)
( ture) (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 Z, 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
Outfal! 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.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note: if port a sample value in excess of the benchmark, you must iml I e nt 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 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: ed,e4k±*
Mall an original and one copy of this DMR, Including all "No Dischamee" reports, within 30 days of receipt of the lab results (or at end of monitoring period
In the case o "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."
(Date)
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3
WRIER TECH LRBS.Inc.
POST OFFICE 130X 1058 • #5 PINEWOOD PLAZA DR,
GRANITE FALLS, NORTH CAROLINA 28630
(828) 396 4444
�— SAMPLE: Reman#001 COLLECTION DATE., 11/13/2018
PERMIT* COLLECTION TIME: 11:15
ADDRESS: Rernan Technologies -Volvo RECEIVED DATE, 11/14/2018
11421 Reamer Road RECEIVED TIME: 10:00
Charlotte, NC 28269
REPORTED: 11 /29/2018
ANALYSIS
:.
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TSS
147
mg1L
11/15/18
jrg
pH ' >holding time
7.7
Ws
11/14/18
fag
Oil & Grease
<5.8
mg1L
11/16/18
jdg
Lead
0.008
mg1L
11/21/18
Zinc
0.221
mg/L
11/21/18
Copper
0.055
mg1L
11/21/18
LOG (D: 1811-181 REPORTED BY: NC CERTIFIED LAD # 50
S
Tony Gragg, Lab Supervisor
RESEAftCh NA[yi'1*CA1
LAORATORiES, INCa
Report of Analysis
11 /27/2018
+iur�rrrx+ 1.
MIN
For: Water 7'et:h Labs, Inc. .#.,.,►„IC+i
P.G. Box 1056 �»`pct► "'� 1. ahRmw
•'.,, `,.►
Granite Falls, NC 28630
to NC 034 Z* G
Attn: ,toe Gregg ,, Nctl nos
T............V 4ti
Client Sample ID: Reman *1 Lab $ample ID: 59276-01
Site: Water Tech Labs Colleetjon DaEe: 11/13J2018 11:15
ra ate Method Bjgult Unl#s R"_Lit a� iy_st Analysis C�atelTime
doppar, Total EPA 200.7 0.055 •mg/L 0,05 8K 11F21t58
Lead, otal 8PA 200.7 0,008 mg/L 01005 SK 11/21/2018
Zinc, Total EPA200.7 0.221 mg/L 0.01 SK 11/211-2018
NA = n6f analyi#d
Page 1
P.O. Box473 1UB Short Street Kerneravllle, North Carolina 27234 Tel: 336-996-2e41 Fax: 338-99ti-0326 www,randalahs.0m
r�l roe hasic_r1�!
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828) 3964444
SAMPLE: Reman #002 COLLECTION DATE: 11/13/2018
PERMIT* COLLECTION TIME: 11:15
ADDRESS: Reman Technologies -VolVo RECEIVED DATE: 11/14/2018
11421 Reames Road RECEIVED TIME: 10:00
Charlotte, NC 28269
REPORTED: 11 /29/2018
:.
ANALYSIS.
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TSS
90.0
mg/L
11115/18
jrg
PH ">holding time
6.6
Ws
11/14/18
lag
Oil & Grease
s5.6
mg/L
11/16/18
jdg
Lead
0,011
mg/L
11/21/18
Zinc
0,141
mg1L
11/21/16
Copper
0,034
mg/L
11/21/18
LOG ID: 1811-182 REPORTED BY: NC CERTIFIED LAB # 50
felll�
Tony Gragg, Lab Supervisor
RESEARCh & ANA1YTiCA1 Report of Analysis
LA ORATO Ri ES, I NC1 11/2712018
s �,I I0I jjrrljI,
ts ,pi���j�*�I
i
For: Water Tech Labs, Inc.
� �'''.••�''•�
P.O. Box 1058
„r
Granite Falls, NC 28630
«:0 NC
Atfn: Joe Gragg
z, NC tt37�o� y
Client Sample ILA: Remen #2
Lab Sample ID:
59276.02
Site, Water Tech Labs
Collectlon pato:
11/1312018 11:15
Par&M-ejqr Mj}od
esult lJn i5
Rep Llml A a s Lnsls Da e! i e
Copper, Total EPA 00-7
0.034 mg/L
0.006
SK 11/21/2018
Lead, Total EPA 200.7
0.011 mg/L
0.006
SK 1112112018
Zinc, Total EPA 2OV
0.141 mg/L
0.01
5K 11/2'1/2019
NA c not ondlAeid
i�
P.O. Sox 473 106 Shod Street Kernersvllle, North Caroling 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.ra'ndalsba.com Page 1
raUcoa _basic_v i d
_DER TE LABS' 1-
5 Pinewood Plaza Drive -- P.O. Box 1056
�-- Granite Falls, NC 28630
Phone (828) 396-4444 Fax (828) 396-5761
CLIENT: Reman Technologies PHONE NUMBER: 704-921-2293 Z (a
Volvo Parts North America TYPE SAMPLE: Storm H2O
11421 Reames Road No. LOCATIONS,
Charlotte, NC 28269 SAMPLER NAME:
Sample Collection
Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location
N
DATE
TIME
TEMP. °C
Grab/
Composite
No.
Plastic/
Glass
Discharge 1 {Front)
Grab
Plastic &
Glass
0&G, TSS, Pb, Zn, �i"
or, cu, P 14
•ems•••
�'.a'
.G�r+ar
Df S C �J De
(V A6
f
-
-
Relinquished By:
Date:
Time:
Recieved By;
Date:
Time:
Relinquished By:
Date:
Time:
Received By:
Date:
Time:
PRESERVATION:
j] Cool 4°C
j] H2SO4
j] NaOH
j] HNO3
t. j] Dechlornating Agent
j] Other
SAMPLE TEMP. @ LAB (°C)
Chlorine Residual mgll
ya,` �,, ►v
rf E TE
T 1 R. , WA BS, Inc
L 5 Pinewood Plaza Drive - P. O. Box 1056
Granite Falls, NO 28630
Phone (626) 396-4444 - Fax (820) 396-5761
CLIENT: Roman Technologies
Volvo Parts North America
11421 Reames Road
Ch
arlot
te, NC 28289 )
PHONE NUMBER: 704-921-2293 2_&
TYPE SAMPLE: Storm H2O
No. LOCATIONS/,/r, Cz
SAMPLER NAME: .
Sam le Collection
Information
TYPE
CONTAINERS
-
ANALYSIS REQUIRED
Sample Location
li Main
DATE
TIME
TEMP. °C
Grab/
Com osite
No.
Plastic/
Glass
Discharge 1 (Front)
Grab
Plastic &
Glass
' O&G, TSS, Pb, Zn, NOW,
W, Cu, P 14,
01
It �
Ili
Di cz� 5`! DIE. �J
s
Relinquished By:
Date:
ITIme,
Recleved By;
Date:
Time:
Relinquished By:
Date:
Time:
Rece
Date:
Time:
PRESERVATION:
[J Coot 4°C
[1 H2$04
[] 1VaOH-
[I HNO3
[I Dechlomating Agent
�- f 1 Other
SAMPLE TEMP. @ LAB "(°C)
Chlorine Residual rng/l
Y-1), I/ �r4'1 tL)
" - Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted q / 3 /
T
CERTIFICATE OF COVERAGE NO. N0003 0 6 1 g
FACILITYNAME J?jFiNlFr%-rEC11r40t0 r,TE5
COUNTY M ECkli pf 3v A G
PERSON COLLECTING SAMPLES KfITr1 /Nst-EM
LABORATORY WArfe ?E CH Lab Cert. # SO
Comments on sample collection or analysis:
o-ic, .P_ /2;,7c) — below l.Mrl -.SURF en CE M0122 z
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 201 P
SAMPLE PERIOD ❑ Jan -June ❑ 1 y-Dec
RECor [ Monthlyl 1a 3 ! month
E'DISHARGING TO CLASS ❑ORW DAQW ❑Trout ❑PNA
SEP 18 2018 ❑Zero -flow ❑Water Supply ❑SA
[ ther Cl—ASS e-
ZdRI R S C i iOi PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
3,
Inches
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Totat Toxic
Organicss
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
00 2.rE
S 3 tl8
Z / 0.7
7.3
Oo 3 oad
ON
21 O
.0057
L. oo S
.034
c ,S b
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
Facilities thq, incorporate a solvent management plan into the Stormwater Poh,.,ion Prevention Plan may so certify, and the requirement for TTO n.—i toring
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."
5 DA1 12N tl A Z 0
Name (Print name)
P ' Me)
{Si ure) ate)
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.
No discharge this period?z
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 so 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 yo:. , eport a sample value in excess of the benchmark, you must imp,....,ent 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 HA 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: CXAD - e*AP it
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 o "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_tbatThPre-@,re significant peer submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date: 11/1/2012-10/31/2017
91,13118
(Date
SWU-245, last revised 10/25/2012
Page 3 of 3
?T�
5 Pinewood Plaza Dn've - P.O. Box 1056
Granite Falls, NC 28630
Phone (828) 396-4444 - Fax (828) 396-5761
CLIENT: Reman Technologies
Volvo Parts North America
11421 Reames Road
Charlotte, NC 28269
/VOZ -, t e-1- rm
PHONE NUMBER: 704-921-2293 2-
TYPE SAMPLE: Storm H2O
No. LOCATIONS
SAMPLER NAME:
Sample Collection
Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location
Name--,
DATE
TIME
TEMP. OC
Grab/
Composite
No.
PIas;tIcI
Glass
t-Eacilitv-
[)(sc
Discha e I (Fr
Grab
Plastic &
Glass
O&G, TSS, Pb, Zn.
W, Cu
Qwebs&
/ID
7 7-(X-
DISC
Relinquished By:
Date:
Time:
Recieved By;
Date:
Time:
Relinquished By:
/
X a d
Date:
Time:
-1105;Fm
L
-go-
Date:
I V
Time:
I/ .5'y
PRESERVATION:
X Cool 40C
H2SO4
NaOH
NO3
Dechlornating Agent
Ott )or
SAMPLE TEMP, @ LAB (OC)
Chlorine ResidLA21 / mgll
r
t L/
N,a-- �-
��. it
�2 A)A/
WRTEROECH LIVES.lnc.
POST OFFICE BOX 1056 - #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828) 396-4444
SAMPLE. Reman #003 COLLECTION DATE: 8/3/2018
PERMIT #: COLLECTION TIME., 14:00
ADDRESS: Reman Technologies -Volvo RECEIVED DATE, 8/7/2018
11421 Rearnes Road RECEIVED TIME: 15:45
Charlotte, NC 28269
REPORTED: 8/24/2018
ANAL YSI S
ANALYSIS
RESULTS
UNITS
DATE ANALYST
TSS
260
mg/L
8/10118 irg
Oil & Grease
c5.6
mg/L
8/9/18 jdg
Lead
<0.005
mg/L
8114/18
Copper
0.005
mg/L
8114118
Zinc
0.034
mg/L
8114118
LOG ID: 1808-108 REPORTED BY: NC CERTIFIED LAB # 50
S �
Tony Gragg, .Lail Supervisor
swrERifECH LAHS./nc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828) 396-4444
SAMPLE., Reman #002
PERMIT #:
ADDRESS: Reman« Technologies -Volvo
11421 Reames Road
Charlotte, NC 28269
COLLECTION DATE:
8/3/2018
COLLECTION TIME.,
14:00
RECEIVED DATE:
8/7/2018
RECEIVED TIME.
15:45
REPORTED: 8/16/2018
fp� (10"
Tony Gragg, Lab Supervisor
Semi-annual Stormwater Alhiarge Monitoring Report
for North Carolina Division of Water Quali y eneral Permit No. NCG030000
Date submitted S l� 7
CERTIFICATE OF COVERAGE NO. NCG03 0 b ►
FACILITY NAME __9f_g ld 1EE 0 Alt Lccrte-S
COUNTY
W
PERSON COLLECTING SAMPLES &;4,
LABORATORY C✓, 47/z-i2 rFry _ Lab Cert. #;
Comments on sample collection or analysis:
� Pr 2- Syr.,,*ly Sa .,4% zn.�,=—`
E
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION EAR 018
SAMPLE PERIOD [an -June ❑ July -Dec
or [2"MonthlyF�(month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
it E IV D ❑Zero -flow ❑Water Supply ❑SA
C
MAY 1Q2018 Midt'her elors
CEN! lei., F11LES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
MIR SECTION
❑ No discharge this period?'
Out€all 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/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
oo,Z Dot'k
�ZY�S
/
17
Zf
'004.
c,00S
,0S'r
003 Ra
G
0 3
S". F,
�--
IL
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.
;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.
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
Facilities Wincorporate a solvent management plan into the Stormwater P.,on Prevention Plan may so certify, and the requirement for TTO Otoring
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)17p
,,-�Z_
l0
ure) kate)
Mote: 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?'
Outfaq 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 8
* 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 Wport a sample value in excess of the benchmark, you must imeent 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 EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES RrNO ❑
REGIONAL OFFICE CONTACT NAME: (+ f /. D &VADb✓AY-
Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of recei t o the lab results or at end of monitoring period
in the case o "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."
Permittee)
S o IS
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwat_er Di.,;harge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted � 4a z Z5e/g
CERTIFICATE OF COVERAGE NO. NC603 0 (o / y
FACILITY NAME irn e- a ri 0/0 "-
COUNTY CG 14I e--il 'e-zr
PERSON COLLECTING SAMPLES E�7 AYI/ IP�Y�.
LABORATORY l�lter Te-a Lab Cert. # 5-0
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2, 1 9
SAMPLE PERIOD ❑ Jan -June ❑ July-DecJ /
or [] Monthly' j�14-_,lit (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEII/ SD QOther C
APR 0 2 kFASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
_(AC j` r
Si<CTf�,�c
❑ 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
6.00 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
co rod
� / t 9
�
T
� dzo
4,005
e, Z
ft 4 r-
00 act
-311 / 6
33
1,3
, o/ 1
o6 3
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
. - Facilities th. ncorporate a solvent management plan into the Stormwater Poi. _,on Prevention Plan may so certify, and the requirement for TTO n Jtoring
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."
—Rd'),�'o// i !� S
Name (Print name)
loby^4�2
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 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.
❑ 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 -
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
' Note: ! 1
f yt,_ _ port a sample value in excess of the benchmark, you must imps. .2nt Tier 1, Tier 2, or firer 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 DW R GIONAL Of FICE? YES 21 0 ❑
REGIONAL OFFICE CONTACT NAME: Oa[YLJ
Mail an on final and one copy of this DMR includin all "No Dischar e" reports, within 30 days of receipt of the lab results for at end of monitoring eriod
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentraI 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."
R!22
(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 Di...zharge Monitoring; Report
for North Carolina Division of Water Quality General Permit No, NCG030000
Date submitted Jo_�, 21 W/
CERTIFICATE OF COVERAGE NO. NCG03 (9 (0 1 CI
FACILITY NAME eirA t ee:4 via/
COUNTY
PERSON COLLECTING 1 SAMPLES � m
LABORATORY_ ALeJe r f &C4 Lab Cert. # 5-0 _
C.4mments on sar9ple collection or analysis:
J le'-..S 7r7�
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR '.C)! 7
SAMPLE PERIOD ffJan-June RJuly-Dec
RECEi� or ❑ monthly' (month►
ARGING TO CLASS ❑ORW ❑HQW ❑Trout QPNA
FEB 2 7 201$ r0ther
-flow ❑Watersupply ❑SA
CiwN-f'l C FILES
DWR SECTIC)N PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -�
No discharge this period?2
Outfail No.
Sample
Collected'
[ollected'
(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
Organicss
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 mig/L
41
�` r/
��
r O1 d
op�
j �`�
t,
IV/
' 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.
3 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.
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 tl, ncorporate a solvent management plan into the Stormwater Poi. _,on Prevention Plan may so certify, and the requirement for TTO n itoring
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."
-P-dn1 Oot_ iA)S
Name (Print name)
PLA/J — AA /i—nJ 4-G MO
Title (Print title)
_ -4
(Signature) _ (Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/V 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 Trer 1, Tier 2, or Tier 3 responses See General Permit text.
Part Bc 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,
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 yo. _port a sample value in excess of the benchmark, you must imps, ent 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 EXCEEDENCE5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 9 NO ❑
IF YES, HAVE YOU CONTACTED T DW E NAL OF�ICE? YES O ❑
REGIONAL OFFICE CONTACT NAME: OC-C( r•�i1�,7
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)
Permit Date: 11/1/2012-10/31/2017
(Da e)
SWU-245, last revised 10/25/2012
-Page 3 of 3
• Semi-annual Stormwater Dl:,.:harge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted � W/ I
CERTIFICATE OF COVERAGE NO. NCG03 0 6 1 9
FACILITY NAME _ ema i -re a
COUNTY M e G/c. / e*-� h A-r 4 _
PERSON COLLECTING SAMPL S _k��. W fC to
LABORATORY In a&f T CA Lab Cert. # .5'0
Comments on sample collection or analysis:
'50-rn0fe illm I20IG K0_,4a4 /;Lh 6'12�1
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 40 i
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly) month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�a ❑Zero -flow ❑Water supply ❑SA
[tither (2-:�
�wR � F'��S PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
�CTip�
No discharge this period?Z
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/0
6.0 -- 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
Al 11
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).
OF UPPER
�eife-,r se,,d 4 /4 0 41,1ry +7 av£s; Ac rn£fkc.'WI. i64 c00y
Ir
j V r R04,n E,,J 7-4c. S?£ c t,4 cf -Cr — L t4,4J NvV f.nBr P
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
Facilities th.. ,ncorporate a solvent management plan into the Stormwater Pot. ..on Prevention Plan may so certify, and the requirement for TTO n. Jtoring
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."
-�-,70i1/ 6p[_z_1n]S
Name (Print name)
PL.rrJT1X41VA-Gr_,e
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 rer 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
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.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note. If yo, port a sample value in excess of the benchmark, you must imp). .ent 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE ON B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES FNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ RE 0NAL OFFICE? YES V NO ❑
REGIONAL OFFICE CONTACT NAME: 0,44G(r i. a_dLv�
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 o "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
- ,/x17,01y
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
r .}
Semi-annual Stormwater Dii"harge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG03 0�
LE
Date submitted copy
CERTIFICATE OF CO ERAGE NO. NCG0/3 0 io I _
FACILITY NAME eWAk) ! e Ghr��D 51 e S
COUNTY Gk•I e v, 6 kr'
PERSON COLLECTIN SAMPLE kr!i'f WV*fe PV%
LABORATORY er- 7e-C7 Lab Cert. # 60
Con)Ments on sample cpllectn or nalysis.
Kewy-,- re c-'a( 671 V j2ol
1
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 20/ I0
SAMPLE PERIOD Jan -June ❑ July -Dec
or � Monthly' (month)
DISCHARGIN/Vva
TO CLASS ❑ORW ❑HQW ❑Trout QPMA
❑Z ro-flow ❑Water supply [-]SA
her
Mot
TSEREMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
JUN 2 7 2016
Dwo_
CENTRAL
1r1LCs ❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Total Suspended Solids
pH,Non-Polar
Standard units
Copper
Lead
Zinc
O&G/Tota!
Total Petroleum
Hydrocarbons
Toxic
Organics5
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
v
1 0a5
0113V
G
N
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).
NG D,4 �wAvIA Owta W'(9i"f "xDr
cc "' ot- CD R l t4sr p v►nf�Uc�f Bkl�C,
CtV�T,- C,PD ,31wooivhy f 4,QV,kc�IX14T& SPiC,hasf �D1 70(/ - A$41 r ft4PA�
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3
�+ Facilities th, incorporate a solvent management plan into the Stormwater Poi... _,on Prevention Plan may so certify, and the requirement for iTO n. ..itoring
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
(T O), 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."
-F,w coultls
Name (Print name)
Title (Print title)
(Signature) A(E)e)
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 mg1C, 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?'
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 ===a
_
-
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-24S, last revised 10/25/2012
Page 2 of 3
Wbte: If yo, l port a sample value in excess of the benchmark, you must imps. _ent 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 SE N B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCESMR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED DWQ EG NAL OFFICE? YES VNO ❑
REGIONAL OFFICE CONTACT NAME: O 0a
Mail an oriainal and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoringperiod
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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1
(Signature of Perm€ttee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3
1
Semi-annual Stormwater Dla4har a Monitoring Report 4
® �
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted � 24i to
CERTIFICATE OF CO ERAGE NO. N0003 Q b L
FACILITY NAME n0
COUNTY e- %-
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. # .50
ComrrBnts on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Zo/ Sr
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' _ (month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED ❑Other
JAN 08 MfiASE 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,
Inchesj
Total Suspended Solids
pW,
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 m�lg/L
0.03 m/g/L
0.067m�g/L
15
1
7_
/ 3.21
/ JO 2i'l�
I fj
!OV rr.s
Z
- OZ. L-
i ��[7
:O�p 1
rmg/L
�a r
1mg/L
/V
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.
3 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.
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).
`l r icy /VC r e.��G-�. r� 4tG C r� d" cr 41/ 4W Zz. 1�1
�Im" �Lci�¢.h� �' _ �� /�oa�� ih✓r/'c'�,J�Fi S c...-�-e� d�Dt/ ZD�S�_
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
Facilities M, ncorporate a solvent management plan into the Stormwater Pot.._ An Prevention Plan may so certify, and the requirement for TTO n,itoring
may be waiv-qd. 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 fling 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."
o ` .
Name (Print name)
PI, Aov7 M .
Title (Print title)
(Signature) (Dat )
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.
❑ No discharge this period?2
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
genchmnrks =__>
_
-
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 yo. )port a sample value in excess of the benchmark, you must imps, .ent 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 It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECJION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED E DWQ RE ONAL OFFICE? YES ❑ No ❑
REGIONAL OFFICE CONTACT NAME: -a.
Mail an original and one copy of this DMR, including all "No Discharge" regPorts, within 30 days of rec&t 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
Xv
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
Semi-annual Stormwater Di�,chargeMon itoring_Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF CO RAGE NO. NC_G/03 / R
FACILITY NAME Kewnpn / G�NfaG/y�IGJ —YC7/s b _
COUNTY fifeZ
PERSON COLLECTING SAMP S , Gm
LABORATORY h%A& rG,�Z Lab Cert. # S�
Commend on sample collection or analysis
Part A: Stormwater Benchmarks and Monitoring Results
I —
SAMPLE COLLECTj!;a'�nlune
R ?fJ / 5
SAMPLE PERIOD 0 July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flow❑Water Supply ❑SA
RECEIVED ❑Other G`
MAY 2 2 2015
CENTRAL FILESPLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i
�
DWR SECTION
❑ No discharge this period? Doc
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/fatal
Total Petroleum
Hydrocarbons
Toxic
Organicss
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
"+
29.3
; /
4- e"06,
086
<S.
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).
Permit Date: 11/1/2012-10/31/2017
5WU-245, last revised 10/25/2012
Page 1 of 3
f Facilities th, ncorporate a solvent management plan into the Stormwater Poi,_ _,on Prevention Plan may so certify, and the requirement for TTO n, .,itoring
.r 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)
.� i ZQIS
(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?2
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 SWL1-245, last revised 10/25/2012
Page 2 of 3
Note: If yo, sport a sample value in excess of the benchmark, you must imps. ,ent 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 EXCEEDENC ! FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REG ONAL OFFICE? YES M NO ❑
REGIONAL OFFICE CONTACT NAME: GJ —
L"), ak [ - w o-v" , G am(s .� �,,� Ado ✓ /19 20*.
Mail on original and one copy of this DW 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 �G.� �� �G � A44"' U
Attn: DWQ Central Files ,�1
1617 Mail Service Center pSsi~ ` L"4 �ev �
Raleigh, North Carolina 27699-1617 (� ' `�"� h � _
g � ✓ l ?
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."
man C'aCcC�
(Signature of Permittee)
Permit Date: 11/1/2012.10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3of3
I
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality Ge eral Permit No. NCG030000
Date submitted
CERTIFICATE OF CO ERAGE NO. NCG03 fD I
FACILITY NAME
COUNTY A �
PERSON COLLECTING SAMPLES
LABORATORY LABORATORY ���� _ I �� Lab Cert. # __ _ S-0
Comments on sample collection o analysis.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2-0/ 7 _
SAMPLE PERIOD ❑ Jan -June July -Dec
or [i - l�lonNKw
month
RECLz1 Qe1jING TO CLASS ❑HCIW :Trout ❑PNA
yy �� ❑Zero flaw ❑Water Supply ❑SA
NOV 12 2014 ❑other I Li"
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 �
DIAIR SECTION
❑ No discharge this period?2
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 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 mgf L
1 mg/L
2
7.
o0,5
, Oro/
<S,n�
' 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 5WU-245, last revised 10/25/2012
Page 1 of 3
S
Facilities thy.. ,ncorporate a solvent management plan into the Stormwater Poi.- -,on Prevention Plan may so certify, and the requirement for TTO n...,itoring
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."
20 PJ CO u./ A/s
Name (Print name)
PI_,1r,rJ7- /f6X
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: !f 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/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note: If yo. &port a sample value in excess of the benchmark, you must imp),...ent Tier 3, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a 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 okinal and one copy of this Mg, including all Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case o "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)
Permit Date: 11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
�f
C
W ATER TECH- LAB..S,'.;,, Inch
5 Pinewood Plaza Drive P.O. Box 1056
Granite Falls, NC 28630
Phone (828) 396-4444 - Fax (828) 396-5761
CLIENT: Reman Technologies PHONE NUMBER: 704-921-2293
Volvo Parts North America
1142.1 Reames Road
Charlotte, NC 28269
TYPE SAMPLE: Storm H2O
No. LOCATIONS:
SAMPLER NAME:
Sample Collection
Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location
Eacillt Nam
DATE
TIME
TEMP. °C
Grab/
Composite
No.
Plastic/
Glass
Discharge 1 (Front)
Grab
Plastic &
Glass
O&G, TSS, Pb, Zn, r,
�, Cup
Dishchar 2 (Rear)
Grab
Plastic &
Glass
O&G, TSS, Pb, Zn,%
Cu 10
Relinquished By:
4(T 1 1 ��,�
Date:
5 ►� ,
Time:
`tea
R,iev
Date:
1
Time:
�
Relinquished By:
Date:
Time:
Rec
4ved By•
Date:
Time:
f4-GE !A 7iON:
l °
SO4
j] Na
j NO3
j] Dechlornating Agent
[] Other
SAMPLE TEMP. @ LAB (°C)
Chlorine Residual mgll
RESEARCh & ANA[yTICA1
LAh4RATQRIES, INC.
Analytical/Process Consultations
Water Tech Labs. Inc.
P.O. Box 1056
Granite Falls, NC 28630
Attn: Joe Gragg
Date Sample Collected
Date Sample Received
Date Sample Analyzed
Date of Report
Analyses Performed by
Lab Sample Number
--------------------
795115
Parameter Storet # Results
Copper,Tot (01042) 0.016 mg/1
Lead,Tot (01051) <0.005 mg/1
Zinc,Tot (01092) 0.061 mg/l
--------------------
Clients Sample Source REMAN #1
Number
Time Collected (Hrs) 0900
III ItBoo, #I
ri
` f�"' 1Ydif�r�• �
w
r �I to NO #34 Z.- C
1
.� Cr�• `CS
09/17/14
09/18/14
09/18/14
10/10/14
AA
P.O. Box 473 • 106 Short Street • KernersAle, North Carolina 27284 • 336.996-2841 • Fax 336-996-0326
www.randalabs.com
WfiTER6TECH U11F.S.Inc.
POST OFFICE BOX 1056 • n5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828) 396-4444
SAMPLE. Reman #001 COLLECTION DATE., 9/17/2014
PERMIT #: COLLECTION TIME. 09:00
ADDRESS: Reman Technologies -Volvo RECEIVED DATE: 9/18/2014
11421 Reames Road RECEIVED TIME: 09:30
Charlotte, NC 28269
REPORTED: 10/16/2014
�' r
:ANALYSIS
-,ANALYSIS'
r.--_- ..
RESULTS.
__.__.__ .._.---
.'UNITS.
__ .._...._
DA'.TE
. . ._
ANALYST
.
TSS
102
mg1L
9/19114
jrg
pH " >holding time
7.1
su's
9/18/14
jdg
metals
see attached
Oil & Grease
<5.6
mglL
9122I14
jdg
LOG ID: 1409-336 REPORTED BY. NC CERTIFIED LAB # 50
Tony Gragg, Lab Supervisor
Nov 12 2014
Nov 10, 2014 CENTRAL FILES
To Whom it may concern, DWR SECTION
I shared the water sampling results with Chad Broadway, Environmental Specialist from
Charlotte -Mecklenburg Storm Water Services during his recent visit and asked him about the copper
levels in our storm water monitoring samples being over the limit. He suggested I include a short
narrative to give more detail in this issue.
We do not do any copper processing here so the copper levels are not controllable. Is it possible to get
an exemption from this value since it seems to be not in our control, but naturally occurring?
Ron Collins
Plant Manager
Volvo Group Powertrain Production
Reman Technologies
11421 Reames Road
Charlotte, NC 28269, USA
Telephone: +1 704 9212293 x20
Mobile: +1828 280 7191
ron.collins@volvo.com
www.volvogroup.com
1
Semi-annual Stormwater Dl�,charge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted ?1 22l 20, !{
CERTIFICATE OF COVE GE NO. NCG03 0) q
FACILITY NAME AtAmd g�C Al r S V
COUNTY A4 E &t _
PERSON COLLECTING SAMPLES KErrlf ;4 ! LE vh
LABORATORY l,/Q L69 iLCri Lab Cert. #--
Comments on sample c9llection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR '-zo/ K
SAMPLE PERIOD ❑ Jan -June ❑ JulJuly-Dec
or H"Monthlyi month
DISCHARGING TO CLASS ❑OR HQW [—]Trout ❑PNA
RECEIVED
ECEIVED ❑Zero -flow, Supply ❑SA
[:]Other'�
AUG 2 5 2014
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWQ/BOG
❑ No discharge this period:
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inche53
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Mon -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
IS mg/L
1 mg/L
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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
Facilities th__ Incorporate a solvent management plan into the Stormwater Poi— -ton Prevention Plan may so certify, and the requirement for1TO n._.,itoring
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
(Tf0), 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)
PLmq; M6/�7
Title (Print title)
1/& 92, ;2_0,
(Signature) ( ate)
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 1, 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
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 8
* 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
&te: If yo, eport a sample value in excess of the benchmark, you must imp),...ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
POR 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 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 DMIt 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 Permi'ttee)
Permit Date: 11/1/2012-10/31/2017
01'2,- ZO
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3