HomeMy WebLinkAboutNCG060366_MONITORING INFO_20180201STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
01,HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ @ bA D A- D I
YYYYMMDD
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 0 , 6
FACILITYNAME /)%t. Cj�YY, dreA
COUNTY /
PERSON COLLECTING SAMPLES 7 .
LABORATORY 6X,"Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
FEB 01 2016
SAMPLE COLLECTION YEAR 2Q12 CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES JgNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z 2. V h or ❑ No discharge this period3
! Outfall No. -
Sample Collected,,,
mo/dd%yr
- ' .'TSS,"COO,
mg/L.. "
Standard units .
;, - . mg/L .
r .Oil"and Grease,..
;mg/L . .
Fecal Colifo�m:, i
Colonies -per 100;m1
` Enterococci•,
Colonies per 100 ml•-_
Benchmark '`
. 100 or 50 7.
-within 6.0 - 9:O� -
.120
•.30
'1000
^50D; _
< o
A/
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [A no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall`N6.
:,Semple Collected, ,
5, mo/dd/yr:
.Oil and.Gi'ease,:..:
r
�' ' mg/L
i TSS- F
` mg/L '''
,.pH, -,.r :
Standard'units
New Motor,Oil;Usege; .r.
'Annualaverage gal/rno' .
Benchmark
-
' _ 30
100 ar 50
6.0 = 9:0
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
6.71 /U rr J'..5
(ides, complete Part B)
m� /Z
SWU-249 Last Revised: October 18, 2012
Paaa t of')
*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 dys of receipt of the lab results If r_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, NC 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."
(Sig66ture ofIPermittee)
z5
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/"ws/suLngdessw#tab-4
S W U-249
Last Revised; October 18, 2012
n..--
Analytical Monitoring of Stormwater Discharge Outfalls
Instructions:Use this tableto record date(s) of monitoring as required by GeneiAPermit: Use
the propel forms for the,type of moiittonng..being completed as supplied with tl_ie•
General Permit. Note that analytical monitoringis:not required for vehicle.
maintenance activities when less,than 55 gallons of new motor o'il.are util.ized;'per a
month when averaged over the year. Refer.to the General Permit for specific
.monitoring requirements including parameters,arid frequency. of testing.
SDO
Identifier
(Refer to Site
Plan)
Date
Monitored
MM/DD/YY)
(
pH
(� 9 su)
Total
Suspended
Solids (100
m L
Oil and
Grease
30
(
mg1L}
Chemical
Oxygen
Demand
(120 m /L
g �
Chlorides
(mgL)
Total
Rainfall
(Inches)
Period 1
SDO #1
Period 2
z �i/�!%
ZLI ,S!
S O
Z 7. 0
to
SDO #1
WE
The Mt. Olive Pickle Company — Stormwater Pollution Prevention Plan
91
Page 42
I!
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06Q-3 C
FACILITY NATE Mt.
COUNTY
PERSON COLL
LABORATORY
Part A: Stormwater Benchmarks and Monitoring Results
",
SAMPLE COLLECTION YEAR Z O /�2
FACILITY ACTIVITIES INCLUDE (check all that apply):
I G
KC
e/rocess meats Eluse animal fats/byproducts
IN j•SALTWATERS? []YES Ohio
SEP 0 5 201/
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SECTopP ei vent rainfall z or ❑ No discharge this period?
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
EnterococciI,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
�G
OS �
Sz • o
G. � °7
Z�• d
� S
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 0 yes � no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
S W U-249
Last Revised: October 18, 2012
Page I of 2
Ig
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" re orts within 30 days of receipt of the lab results or at end o
monitorin period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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."
(Signat, *e of Perrhittee)
2- /
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wg/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2