HomeMy WebLinkAboutNCG100076_MONITORING INFO_20181211STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
V L& I 0--o
DOC TYPE
❑HISTORICAL FILE
.MONITORING REPORTS
DOC DATE
❑ A 01 q P I I
YYYYMMDD
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG100000
Date submitted 12-11-18
CERTIFICATE OF COVERAGE NO. NCG10 0 0 7 .b
FACILITY NAME S & R Auto & Tru_5 _S_alvage
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Bryant Horton or Lisa Frye
LABORATORY Par Labs Lab Cert. #► NC ert
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
RECEIVED PERIOD ❑ Jan -June X❑ July -Dec
or ❑ Monthly' (month)
DEC 14 0MARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
[]Zero -flow ❑Water supply ❑SA
'CNTRAL FILES ®Other Class C
)WR SECTlor,!
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -->
Total event rainfalls error ❑ No discharge this period?'
Date:.
pH,
Total Suspended
Non -polar
Lead, Total '
Total Toxic
New.Motor or
Outfall I
Sample
Standard
Solids (1'S5J,
O&G/TPH ..
`
Ethylene Glycol,
Recoverable,
3
Organics
Hydraulic Oil
No.
Collected,
Units
m /L
g
(Method 1664
mg/L
mg/L
mg/L
Usage,
�ff
mo/dd/year
SGT-HEM), mg/L
gal/mo
L Benchmark : I
6.0 — 9.01
100 or 50z
15
8,000
(Tiers 2 arid 3)
0.075
1.0
I
I Aorom_eterCode
-
00400
C0530
00552
77023.
01051
78141
NCOIL
1 -1 —
mg L
1 C 5. mg L
GI Gig-7L
_0700 mg L
C mg
n a I
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 in the General
Permit.
`If pH values outside this range are recorded in sampled Stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit Table 1, identifying the especially sensitive receiving waters classifications where the more protective benchmark applies.
'For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
`Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'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.
'For sampling periods with no discharge at any single outfall, you must still submit this discha{ge monitoring report with a r.heckmark here.
Permit Date: 11/1/2018-05/31/2021
Form SWU-251, Last Revised 11/1/2018
Page 1 of 2
Facilities that incorporate a solvent management, plan into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used along with other requirements #isted in the General Permit. For those facilities allowed such a waiver,
the discharger shall sign the following certification statt:menr:
Solvent Manogement Alan C.ertifrt atron 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, ro ;;limping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has o: cuned since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the 5torrrmwater Pollution Prevention Nan."
Name {Prins name)
Mile (Print title)
Signature
Mail Original to:
Division of Water Quality
Attn: Central Files
1617 Mail Service
Center
Raleiph, North Carolina 27699-1617
Date
"t 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 persor.nei properly gather and revaluate 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 cemplete.
am aware that there are siEnitie_ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signat re of Permittee Date
r errnit Date: 11/1/2Q18 0:/ '!2 2? FormSWU-251, Las: Revised 11/1/2018
Page 2 of 2
CERTIFICATE OF COVERAGE NO. NCG100 076
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
'
SAMPLES COLLECTED DURING CALENDAR YEAR: June 2018
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME S & R Auto & Truck Salvage COUNTY Mecklenburg
PERSON COLLECTING SAMPLE(S) sa rye or Bryant Hortdn PHONEWO. 041 597-1085
CERTIFIED LABORATORY(S) Lab#
Lab # -RECEIVED PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
JUL 02 2018
CENTRAL FILES
For sampling periods with no discharge, you must submit this WGlfi1§ign_W.jring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting.requirements.
Outfall::
No
+i
Date
Sample Collected,"
mo/dd/year
:: ur00AQ0=
Total :s
Rainfall
inches .
§:t
z IT
Ofl530
-ti;xih°}F
?,!',�°77023
Q1DSJ
81
YtpH
5taridard
» �l7niis ' '
Total Suspended
Solids (TSS),
mg/L
Nast-porary
O&6�TPH *�
SGT HEAD lQ
s Ethylene Glycol,at1,
�� mg/t
Total
Rec#iverable
•4{
riiiait'
-
�; .
.
.. 0
100/5fl
�� ai
:15" �
i " ' $ww,Mftnch
ers'2ansa 3)
, 0:fl3
j NO
SUREMLE RAINFALL
EVENT FOR
COLLECTION PURPOSES
-AT
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.t1. Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9.
ZSee General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table It of Chapter 40 Code of Federal Regulations (CFR) Part 122. ,
Form SWU-251, lost revised October 2S, 2012
Page 1 of 2
STORMWATEit DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWO waive monitoring of total toxic organics. 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 facilitin�; allowed such a waiver, the
discharger shall sign the following certification statement:
5olvent Management Plan Certification Stotemont
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (170), 1
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 pemon 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 thatfhl�re are significant penalties for submitting false information, including the possibility of fines and impriuonment for knowing violations."
�2K�— a2 Z - ,�-
(Signature)l6f Permittee or Designee) (Date)
Form SWU-251, fast revised October 25, 2012
Page 2 of 2
CERTIFICATE OF COVERAGE NO. NCG100 O 7 6
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: Dee 2017
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME
S & R Auto & Truck Salvage COUNTY Mecklenburg
PERSON COLLECTING SAMPLE(S) bryant HorEon or Lisa Frye PHONE NO. t_124_}
CERTIFIED LABORATORY(S) Lab # R FrFR/ED
Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE -i
JAN 10 2018
Part A: Stormwater Benchmarks and Monitoring Results
DWIR SECTION
For sampling periods with no discharge, you must subm)t1t5Q?WQIRNRW &1l�,trl1 Torm noting "Nu Flaw" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfail
Date
'It' 0 00•<
COS30
L �;
77023
01057
�
J� pH,. ;
Total Suspended
Non potarm�
Ethylene Glycol,
Lead, Total
? "fatal++%icic
No.
Sample Collected,
Total
mo/dd/year ::
Rainfafl
Standard
i
Solids (TSS) '
O&G/TPH "
y Tax t•,
mg/L
Recoverable`~-
,
.,n e
inches`
Units'
t mg/L
(Meti�od:-1664
t
~ f rr+g/Li�
SGT-HEM): mgjLf
�.
a
Y
Benchmark
-
60 r4.01
100/502
15 '`
,,r '(71ers,2�and 3)
0.03}q�
>:
s�.
NO MEASURABLE
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 in the General
Permit,
lSee if pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of,this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix,D; Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October 25, 2012
Pagel of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent manngerne rt plan snto the Stormwat.er Pollution Prevention Phn may request that 1JWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of t ne -oti.l toKJC organic comoovnds used and the other elements fisted in the General Kermit For those facilities allowed such a waiver, the
discharger shall sign the following certif.,catran s.,atemenz-
Solvent Management Plon Certificarion Statement
"Based upon my inquiry of the petrson or persons directly re:ponsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that tc the best of my knowledge and belie;, 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 all the provisions of the solvent
management plan included in t.i're Aurmwater Pollution Prevention Plan."
Name (Print name)
rile (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality '
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27G99-1617
Date
"I certiiy, under penalty of law, that ibis document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure chat 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 fur 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 or Designee)
/"g,— a /7
(Date) ^
Form SWU-251, lost revised October25, 2012
Page 2 of 2
S70RMWA7ER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 0 7 6 SAMPLES COLLECTED DURING CALENDAR YEAR: Ilune 2017
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME S & R Auto & Trucl Salvage COUNTY Mecklenburg
PERSON COLLECTING SAMPLE(S) Bryant Horton or Lisa Frye ����1� i 1 PHONE NO. ( 704) 597-1085
CERTIFIED LABORATORY(S) Lab # D
Lab # JUL D 5 ZOU PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES
DWR SECTION
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
I
Date
Sample Collected,;
mo dd/year`
/
Total
Rainfall,
inches
90400
00530
- - -
77023
01051
pH,
-Standard
Units
Total Suspended
Solids (TSS),
a mg/L
Non polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
t
Lead, Total
Recoverable,
mg/L.
TatahTaxic
�
Benchmark
-
6 079.0
100/50
15
8,000
(Tiers 2 and 31
0.03
NO MEASURABLE
Note-. if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier ? or Tier 2 responses in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122,
Form SWU-251, last revised October 25, 2012
Page 1 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a soivt�nt management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall in(Judr, �i IFs[ of the total tnxai. cornpaunds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the fotlowrrg certification staternr:)t:
Solvent MonogernPnf P.an a-erriflcatiun Staternerif
"Based upon rry inquiry of the person or oe•sons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), i
certify that to the best o; my knowledge and b0ref, no dumping of concentrated toxic, organics into the stormwater or areas which are exposed to rainfall or
storrnwater runciff has oci-urred since filing *.he last discharge nonitoring report. I further certify that this facility is implementing all the provisions of the solvent
management p.an mcluJ ed an the Aormwater Pollution Prevention plan."
Name {Print name)
title (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality
Attw Centfal Files
11)17 Mail Service Center
Raleigh, !North Carolina 27699-10)7
Date
"I certify, under penalty of taw, 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 rosponsibie for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware tha' there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations
4(S,ignt,r',',f Permittee or Caesagneeej (Date
f cry rn SWIJ-2 ;1, hrsr : r visCri Of robr°/ 25, 2012
Pai;e J of 2
STORMWATCR DISCHARGE l7UTFALL (SDO)
MONITORING REPORT
2016
0 0 75
CERTIFICATE OF -COVERAGE NO. NCG100 SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME S & R AUTO & TRUCK SALVAGE COUNTY MECKLENBURG
PERSON COLLECTING SAMPLE(S) LISA FRYE, BRYANT HORTON PHONE NO. { � ) 597-1085
CERTIFIEDLABORATORY(S) PAR LABORATORIES Lab#t RECEIVED
Lab #i� 201� PLEASE REMEMBER TO SIGN ON THE REVERSE--)
Part A. Stormwater Benchmarks and Monitoring Results CENTRAL FILES
DWR SECTION
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end or that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall, '..
inches. _`
.,5.
0040Q
00530
="''F: r'=
77023
01051
�'' H
MVP.
Standard
T;W' its
Total Suspended
Solids (TSS),
mg/L
Non polar '
O&G/TPH `w .
,r
(Method 1664r'':
SGT-HEM}'rlilgrL1ti�-
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,''
mg/L
Total Toxic ;
'.
O ranlcs3, "
tH.:
`,Benchmark
-
- ' "
0 ,s9.01
100/502
L15 . xa
Cfiers�2�and 3)
0.03
` .1 Or7f. ti
—2 —2016
.83
13 mg/L
4 6.4mg/L
L 10mg L
0.002m /L
C mg
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled Stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold.of this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations.(CFR) Part 122.
Faun SWU-251, lost revised October25, 2012
Page 3 of 2
STORMWAT£R DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the
discharger shall sign the following certification statement:
Solvenr Management Plan 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 all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1517 Mail Service Center
Raleigh, North Carolina 27699-1617
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. I
am aware that ire are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee or Desil;nee)
(Date)
I'm m SWU-25 i, hisr rcvised October 25, 2012
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
RECEIVEQMPLES COLLECTED DURING CALENDAR YEAR: DECEMBER 2015
CERTIFICATE OF COVERAGE NO. NCG7.00 � 7 6 '
(This monitoring report shall be received by the Division no later than 30 days
CENT from the date the facility receives the sampling results from the laboratory.)
FACILITY NAME S & R AUTO & TRUCK SALVAGE
OWR SECTION
PERSON COLLECTING SAMPLE(S) BRYANT HORTON OR LISA F'RYE
CERTIFIED LABORATORYIS) Lab #
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
COUNTY MECKLENBURG
PHONE NO. ( 704) 597-1085
PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ,
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
v ;;.
No
p
Date
Sample Collected;
mo/dd/year
'Totaii tF h
Rainfall t �`
,,
inches°.:Units
."
77023
a
8Outfal} 4
ipH,
$Standard
Total Suspended
Solids (TSS)
t mg/L
Non M1polar
O&6/TPH �
(Metitad 1664
SGT-HEM�,.mRli=;a
'Ethylene Glycol,
' > mg/L
a np
Lead; Total
itecoverable
mg/L`a
Total Toxic'°
n'�
Organics,
:• .,
a
_T.,
k.'. .Y�+Lrb 1
9:0;,.Benchmark
2
100/50
.3_
rub^
V 000.
(, 1lers1 nd3}
1 .Z .� ...
.
.�_ .J}ri'!l•'N/' S'
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 in the General
Permit.
ISee If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range Is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9.
See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, lost revised October 25, 2012
Page 1 of 2
STORMWATER DISCHARGE OUTFALL (SOO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan 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 MO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwate.r 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 aV the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accorciance 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_iere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signaturk of Permittee or Designee)
(Date)
Form SWU-251, lost revised October 25, 20I2
Page 2 of 2
CERTIFICATE OF COVERAGE NO. NCG100 0 7 6
S & R AUTO & TRUCK SALVAGE
FACILITY NAME
PERSON COLLECTING SAMPLES)
CERTIFIED LABORATORY(S)
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
BRYANT HORTON OR LISA
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: JUNE 2015
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY MECKLENBURG
PHONE NO. ( )
597-1085
b#
_Lab #RECEIVED PLEASE REMEMBER TO SIGN ON THE REVERSE -�
JUN 29
C N RAL FILES
For sampling periods with no discharge, you must submit thisaSEq3gQftring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall,: �',
No.`i { ` '
DatieYg , �'
Sample Collected,
mo/dd/year' f `
Total
`Rainfall
inches
, 00400
� 00530 ,..
��_
17023 i.
E 01051
' 78141=
,pH,
Standard
- `Units
Total. Suspended
Solids (TSS)
mg/L
Non. -polar
O&G/TPH
(Method 1664
5GT-HEM), mg/ L
Ethylene Glycol„ea
mg/L
Ld,'Total 'i
Recoverable,..;,
Emg/L i
Total Toxic
'' 3:
Organics
I' mg/L
Benchmark
-
1
6.0 9.0
Z
100/50.,
....
15
8 000
(Tiers 2-and 3
Qs 3
...
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled Stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this
benchmark range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be
documented to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October 25, 2012
Page 1 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. 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 allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan 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 all the provisions of the solvent
management plan included in the Stormwater Pollution prevention Plan."
Name (Print name)
l itle (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date
"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 gatheringthe information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that �*re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee or Designee)
(Date)
Farm SWU-25 Z, last revised October 25, 2012
Page 2 of 2!
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
JUN 2 9 2015
DENR -WATER RESOURCES
401 a SUFFER PERMITTING
For guidance on filling out this form, please visit. httl2://portal.ncdennorg/web11rinpdes- tormwater
Permit No.: N/C/_/_/W/�/_/_/_/ or Certificate of Coverage No.:
Facility Name: Consolidated Diesel Comganv
County: Nash Phone No. (252) 437-6611 F
Inspector: Andrew Rodak
Date of Inspection: 05121115
Time of Inspection: 1630
Total Event Precipitation (inches): 0.24
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable. storm event." However,
some permits do not have this requirement Please refer to these definitions, if applicable.
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.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signatu , I certi ha his report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SwU-242, Last modified 7/31/2013
1. Outfall Description:
Outfall No. p Structure (pipe, ditch, etc.) Pipe
Receiving Stream: Unnamed Tributary toSwift Cree
Describe the industrial activities that occur within the outfali drainage area: wastewater treatment.
Bulk storage of raw mate ials (petroleum)
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Yellowish, light tint
r
v
wa 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of aril,
weak chlorine odor, etc.): No distinc"dor
q
4. Clarity: Choose the number which hest describes the clarity of the discharge, where i is
clear and 5 is very cloudy: ,�
1 (Z 1 3 4 5
. 1 (D
S. Floating Solids: Choose the number which best describes the amount of floating solids in
-the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
O 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 (D 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes S
9. Is there evidence of erosion or deposition at the outfali? Yes G
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pH: 6.11
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.
Page 2 of 2
SWU-242, Last modified 7/31/2013
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG030000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
CERTIFICATE OF COVERAGE NO. NCG030289 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Consolidated Diesel Company COUNTY Nash
PERSON COLLECTING SAMPLES Andrew Rodak PHONE NO. ( 252) 437-6611
CERTIFIED LABORATORY Environmental Conservation Laboratories _Lab # NC 591
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample Collected,
molddl r
00400
01051
00400
01051
00556
78141
. pH,
Standard units
Copper, mg/L
Zinc, mg/L
Lead, mg/L
Oil and Grease,
mg/L
Total Toxic
Or anics' m
Benchmark
-
Within 6.0 — 9.0
0.007
0.067
0.033
30
1
A
04/30/15
NO DISCHARGE
D
04/30/15
NO DISCHARGE
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.
Outfall
No.
Date
Sample Collected,
molddl r
00530
Total Suspended Solids,
m L
Benchmark
-
100
A
04/30/15
NO DISCHARGE
D
04/30/15
NO DISCHARGE
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B) 1
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
molddl r
00556
00530
00400
Oil and Grease,
mg1L
Total Suspended Solids,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average galtmo
Benchmark
-
30
100
6.0 — 9.0
-
SWU-245-031308
Page 1 of 2
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:
Date (first event sampled)
Total Event Precipitation (inches):
Mail Original and one copy to. -
Division of Energy, Mineral and Land Resources
Attn: DEMLR Central Files
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
I Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture setniconductors, 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 433.1 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), 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 (Fri t title)
Z3 /t-S_
(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. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations."
(111-:� Cv z S 15
(Signature of Permittee) (Date)
S 1AVU-245-0313 08
Page 2 of 2
~ A
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT ?�
k
GENERAL PERMIT NO. NCG030000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
CERTIFICATE OF COVERAGE NO. NCG030289 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Consolidated Diesel Comoanv COUNTY Nash
PERSON COLLECTING SAMPLES Andrew Rodak PHONE NO. 252 437-6611
CERTIFIED LABORATORY Environmental Conservation Laboratories _Lab # NC 591
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/ddl r
00400
01051
00400
01051
00556
78141
pH,
Standard units
Copper, mg/L
Zinc, mg/L
Lead, mg/L
Oil and Grease,
m L
Total Toxic
m
Benchmark
-
Within 6.0 — 9.0
0.007
0.067
0.033
30
1
A
05/21/15
1 NO DISCHARGE
D
05/21/15
6.11
0.0392 0.520 0.0256
< 2.6
0.006
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pi-1, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Outfall
No.
Date
Sample Collected,
moldd/ r
00530-';
Total Suspended: Solids;
mg/L
Benchmark
-
100:
A
05/21/15
NO DISCHARGE
D
05/21/15
8
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(il'yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected, .
molddl r
00556
00530
00400
Oil and Grease,
m
Total Suspended Solids,
rn
pH,
Standard units
New Motor Oil Usage,
Annual averse allmo
Benchmark
-
30
100
6.0 — 9.0
-
S WU-245-031308
Page I oft
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 Energy, Mineral and Land Resources
Date 05/21/15 (first event sampled) Attn: DLMI-R Central .Files;
Total Event Precipitation (inches): 0.24 1601 Mail Service Center
Raleigh, North Carolina 27699-1601
I Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors. manufacture electronic crystals, or
manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.1 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 (:'I-'R 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for T'I'O monitoring may be waived. The
solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ
the 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 provisiims of the solvent management
plan included in the Stormwater Pollution Prevention Plan."
CALJ.>J T. 3 ace
Name (Print name)
IPL-4 r T M rJ (;
Title (Print title)
(Signature) (Date)
"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 poss' i!i of fines and imprisonment for knowing violations."
/z-
(Signature of Permittee)
(Date)
S WU-245-031 J08
Page 2 of 2. �`