HomeMy WebLinkAboutNCG080715_MONITORING INFO_20181112STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v U&o
DOC TYPE.
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑
YYYYMMDD
Semi-annual Stormwater Discharge Monitorinp, Report
for North Carolina Division of Water Qu lity General Permit No. NCGO80000
Date submitted IL
CERTIFICATE OF COVERAGE NO. NCcY 8 rJ 7 1 S SAMPLE COLLECTION YEAR
•�2a1_
FACILITY NAME 9 • SAMPLE PERIOD ❑ Jan -June [ uuly-Dec
COUNTY rU' 9 i„ or ❑ Monthly' (month)
PERSON COLLECTING SAMP4ES
LABORATORY CA V1 M CA 0 _ Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
-�7�-/ []Zero -flow ❑Water supply []SA
❑Other
NOV 2PL EASE REMEMBER TO SIGN ON THE REVERSE 4
% 2018
CEN OR ❑ No discharge this period'
DWR � FI`E�
SEt-T1p�,�
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
yes _no
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 -- 9.0
1 For sampling periods with no discharge at any single Outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised O, 'per 25, 2012
STORM EVENT CHARACTERISTICS:
Date( ! ! (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches): yq 1�%114
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.
FOR PART AND PART B MONITORING RESULTS:
0 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 [[SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDFNCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t of the lab results or at end ot 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
directl 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 e significant penalt �f?r-Tft�mitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sig nabafe�ef19rrnil`tee)
i/ - / 77 %
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wows/suLnpdessw#tab-4
.1
SWU-250 last revised October 25, 2012
D....o 7 -r')
All
n a
MCCIENR
Sto rmwate>r Discharge Outfa all (SD®)
Qualitative Monitoring ng Report
Forguidance on filling out this form, please visit. htti):..//partal.ticdenr.ors1web/wcr/ws/su/npdessw#tab-4
Permit No.: N/C/G/v/?1(916/v/ v/ or Certificate of Coverage No.: N/C/C;/v/ g/�/7 / ► /S/
Facility Nan e: C.� ��►5(�K
County: 91C-14--V% Phone No. t l0 G 2^ O dy
Inspector: Op rcx= /L
Date of Inspection: �! .
Tulle of Inspection:
/P
Total Event Precipitation (inches): _�'�� �
1
Was this a "Representative Storm Event" ' "Measureable Storm � nt'' as defined by the permit?
(See information below.)
dy(s ❑ No
Please verify whether Qualitative Monitoring must be per formed during a "representative storm
event" or "measureahle storm event" (requirements vary, depending on the permit).
Qtralitative 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 Wray 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 j
prior. The 72-11Olir storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events dtn'ing the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
B ris 'gr �ure,, rt�l.�r his report is accurate and complete to the hest of my knowledge:
Permittee or Designee)
Page 1 of 2
$WU-242, Last iziodi lied 10/25/2012
I
A. Outfall description:
Outfall No. Structure (pipe, itc , etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discha
(light, medium, dark) as descriptors:
usingbasiccolors (red, row , blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chloride odor, etc.): /00 Or 4
4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is
clear and 5 is.very cloudy:
1. `Z 3 4 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
t:Ire stormwater discharge, where I is no solids and 5 is the surface covered with Floating solids:
( I L 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where J. is no solids and 5 is extremely muddy:
( 11 2 3 4 5 .
7. Is there any foam in the stormwater discharge? Yes (0)
8. Is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes Vg
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012
Environmental Chemists, Inc.
0i02 Windinili Niav, Mlmi, gk; n, LNC 2;-1(.15 • i)10.192.022'� Lab . 911.392.442.1 Fa,\
710 BiNnad, Nlanleri, NC, 271154 . 252-473.57112 Lab/Fax
2 5 5-A Wihtiki�;hui l ii�lle� a�', Ja.:k� rlvillc', NC 7-8540 • 910.347.58.13 Lab/Fax
inliva en','irnnmentit lchciniu;.win
CR England Date of Report: Nov 18, 2018
16491 Highway 87 West Customer PO #:
Tar Heel North 28392 Customer ID: 13110021
Attention: Jorge Carrasco Report #: 2018-18758
Project ID: Storm Water- Tar Heel Facility
Lab ID Sample ID: Collect DatelTime Matrix Sampled by
18-47518 Site: Storm Water 11/12/2018 2:09 PM Water Jorge Reyes
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 With Silica Gel <5 mg/L 1111412018
Residue Suspended (TSS) SM 2540 n 50.5 mg/L 11115/2018
pH SM 4500 H B 7.01 units 11112/2018
Comment' _
Reviewed by: lkrctrl
Report 4'' 2016-18758 Page 1 of 1
Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX 910-392-4424
into@environmentalchemiste.com
Client: CR England
PROJECT NAME: Storm Water -Tar Heel Facility
REPORT NO:
�2
ADDRESS: 16491 Highway 87 West
CONTACT NAME: Jorge Carrasco
PO NO:
Tar Heel, NC 28392
REPORT TO:
PHONE/FAX:910.247.3050
COPY TO:
email: jorge.carrasco@crengland.com
Sampled By: t r F,;{3 Ecr SAMPLE TYPE: I = Influent, E. = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample identification
Collection
F
E
o
i
"o a
[
79
t E
ccPRESERVATION
w
J
zz
ANALYSIS REQUESTEDE
Time
Temp
o
N
z
aS=
zCnDate
`
Storm Water
I C
X
f
TSS, pH f' �I
G
G
C
P
X
Oil & Grease HEM with Silica Gel Clean
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Date/Time
Rece' ed By:
Date/Time
1.
�.
2.
Temperature when Received: „5. "TAccepted: ✓ Resample Requested:
Delivered By: Received By: Date: ime:
Comments: TURNAROUND:
Semi-annua9 Stormwater Discharge �/li onitorin Report
for north Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted &-A -~ 14
CERTIFICATE OF COVERAGE NO. NCG S O ,�
FACILITY NAME —
COUNTY _ 1;
PERSON COLLECTING SAMPLES
�nt✓ �' �S
LABORATORY,t.. dteyy%%,J _ Lab Cert. ?
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR {2
SAMPLE PERIOD [f]_-fafi-June ❑ July -Dec
or 0 Monthly' (month]
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ❑Water Supply [:]SA
D ❑Other
JUL 19 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 3
CENTRAL FILES
DWR SECTION
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 [SGT-HEM], mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 —9.0
15
-
'� 1
a n+ S
L
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes —no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HAM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised O, ')er 25, 2012
STORM EVENT CHARACTERISTICS:
DateS--.?-Y-lq (first event sampled) r r
Total Event Precipitation (inches): a.2/� j✓�CJll,
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier T, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 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.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including al! "'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 signlficaq�,penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
(Date)
Additional copies of this form may be downloaded at: htti)://Portal.ncdenr.org/web/wg/ws/sulnpdessw##tab-4
SWU-250
last revised October 25, 2012
Z.
SturCmwafte r D�schalirge Gutfafl �SDO�
QT1J1aHl2d ve M®]lAftoirllng Repoirt
Forguidance on filling out this form, please visit: h=..1.4p-Qrtal.iicdenr.org/web4wA/ws/sLi/n.pdesswfftab-4
Permit No.: N/C/U/�// v//mill or Certificate of Coverage No.: N/C/G/U///?/1
Facility Nam
County: �►
Inspector:.
Date of Inspection:
Time of Inspection
Oo
Phone No.
Total Event Precipitation (inches): Z--� rIZ 1h,CI`
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Qes ❑ 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
i 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 most 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 thivsjgnaturV, I )ertify that this report is accurate and complete to the best of my knowledge:
N,ggature of Permittee or Designee)
A_
Page 1 of 2
SWU-242, [,ast modified 10/25/2012
1. ' OutfalllDescription: i j
Outfall No. I— Structure (pipe, ditch, etc.)
Receiving Stream:
Describethe9 industrial ctivities that occur within the outfall drainage area: 5L vv'.'-
p C, ircx5s
2. Color: Describe the color of the discharge using basic colors {red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors
weak chlorine odor, etc.): Al L) e
t the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is,very cloudy: j
1 3 4 5
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:
1 D 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:
,w
(1,/ 2 3 4 5 .
i. Is there any foam in the stormwater discharge? Yes �!
a. Is there an oil sheen in the stormwater discharge? Yes <)0
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of StorAmwater Pollution: �
laist and describe
Note: Low clarity, high solids, and/or the presence of foams, oil sheen, or erosion/deposition
may he indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Lastmodified 10/25/2012
;._ luAnviro nmental Chemists, lime,
p g a 6602 Windmill Way, Wilmington, NC 28405 t 910.392.0223 Lab s 910.392.4424 Fax
f 710 Bowsertown Road, Manteo, NC 27954 ? 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 e 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info@ent•ironmentalcliemists.com
CR England Date of Report: Jun 01, 2018
16491 Highway 87 West Customer PO #:
Tar Heel North 28392 Customer ID: 13110021
Attention: Jorge Carrasco Report #: 2018-08187
Project ID: Storm Water- Tar Heel Facility
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
18-20519 Site: Storm water 5/24/2018 8:00 AM Water Jorge Reyes
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 with Slum Gel <5 mg/L 05/30/2018
Residue Suspended (TSS) SM25400 82.3 mg/L 05/25/2018
pH SM4500 H B 5.42 units 05/31/2018
Comment: l
Reviewed by: Nkk'ofuz
Report#:: 2018.06187 Pagel of 1
r ENVIRONMENTAL CHEMISTS, INC
f q
r NCDENR. DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
Analytical & Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392.0223 FAX 910-392-4424
Info@environmentalchemists.com
Client: CR England
PROJECT NAME: Storm Water -Tar Heel Facility
REPORT NO: r Q ! i
ADDRESS: 16491 Highway 87 West
CONTACT NAME: Jorge Carrasco
PO NO:
Tar Heel, INC 28392
REPORT TO:
PHONEIFAX:910.247.3050
COPY TO:
email: -orge.carrasco crengland.com
Sampled By: c,11 fGc) SAMPLE TYPE-. I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: I
Sample Identification
Collection
o
O
`o
V a
d
o
U
Q g
J 2
PRESERVATION
j
ANALYSIS REQUESTED
Date
Time
Temp
i
2
v
=
o'
in
=
o
2
0
i
o
w
0
StormWater
C
P
X
i
TSS, PH I
G�
C
P
X
Z-
Oil & Grease HEM with Silica Gel Clears
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
i
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: Accepted: Rejected: Resample Request
_ _ d:
Delivered By: Received By:-_-- Date'. . — 1 &ime: Comments: TURNAROUND:'
°E +"�� ENVIRONMENTAL CHEMISTS, INC
t., NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
Analytical & Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
8602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX 910-392-4424
info@environmentalchomists.com
Client: CR England
PROJECT NAME: Storm Water -Tar Heel Facility
REPORT NO: v 1
ADDRESS: 16491 Highway 87 West
CONTACT NAME: Jorge Carrasco
PO NO:
Tar Heel, NC 28392
REPORT TO:
PHONE/FAX:910.247.3050
COPY TO:
email: 'orge.carrasco crengland.corn
Sampled By: 0 r,111-uS6Z> SAMPLE TYPE. 1 = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
E
c o
S
" a
1
o f
��
a
J
PRESERVATION
ANALYSIS REQUESTED
I
Date
Time
TempU
_
Z
y
o
2
o
z
o
w
0
Storm Water
,
�i
X
[TSS,
pH
G
C
P
X
Z_
c.
Oil & Grease HEM with Silica Gel Clean
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
E
G
G
C
P
G
G
C
P
G
G
C
P
G
G
I
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
1.
2.
Temperature when Received: Accepted: Re;ected: Resample Req(uest d:
Delivered By: Received By. �, %•` Date: -5 I, 0 � mime: Lw
Comments: TURNARO ND:
µ Environmental Chemists, Inc.
g g 6602 Windmill Way, Wilmington, NC 28405 ° 910.392.0223 Lab a 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 ° 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 e 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS info@environmentalclzcmists.com
CR England Date of Report: Jun 01, 2018
16491 Highway 87 West Customer PO #'
Tar Heel North 2B392 Customer ID: 13110021
Attention: Jorge Carrasco Report M 2018-08187
Project ID: Storm Water- Tar Heel Facility
Lab lD Sample ID: Collect Date/Time Matrix Sampled by
18-20519 Site: Storm Water 5/24/2018 8:00 AM Water Jorge Reyes
Test Method Results Date Analyzed
Oil & Grease (O&G)
Residue Suspended (TSS)
EPA 1664 With Silica Gel
SM 2540 D
<5 mg/L
82.3 mg/L
05/30/2018
05/25/2018
pH SM4500 H a 5,42 units 05/31/2018
Comment:
Reviewed by: N�OL al',aA
Report if:: 2018-08187 Pape 1 of 1