NCG100078_MONITORING INFO_20150401

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& /0, D 7 S
DOC TYPE
❑HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
WYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 D ?
FACILITY NAME E;i�sTeAAI tvr►D S4,4c+ .E
PERSON COLLECTING SAMPLE(S)TDff�/ J4inl,�n.s
CERTIFIED LABORATORY(S)A-+ U Lab#S_ 9�
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: ZCl/�
(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 .440 t/ i C y f
PHONE NO. (ZW)
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Forsampling periods with no discharge, you must submit this discharge monitoring farm noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
r—�
putfall
— No
Date—
Sa pEe Collected;:
-mo/dd/year m
p_H=
Standard
STotal=Suspended _
Solids (TSS�)
E ylene�Glycol,
mg/L _ .-_^
Lead, festal gm
=Recoverable
Natal Toxic
rganics:
_Total -
R n all
n-pola
E=O&G/TPH
-
(Method_16Wi!-
v
�SGT_HEM)-mg%L---
-
-
_
_
-
-
15
— -_w
— (Tiers-2 and;3}
r0:03=—
— 10
Benchmark
i00/5
y o 201s
2.
D
CA0
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 (TfO), 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) J
Sign Lure Date
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
`a
"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 ,a
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)P'ermittee or Designee}
CO/1 ar�r
(Date)
Form SWU-251, last revised October 25, 2012
Page 2 of 2

aceAnalytical"
wwwpacelabs.com
ANALYTICAL RESULTS
Project: EAS-SW
Pace Project No.: 92244313
Pace Analytical Services, Inc.
9800 KinceyAve, Suite 100
Huntersville, NC 28078
[phone]
Sample: EAS-SW LabiD: 92244313001 Collected: 04/01115 13:00 Received: 04/07/15 16:35 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
0015M Glycols In water Analytical Method: EPA 8015 Alcohol -Glycol .
Ethylene glycol ND mg/L 5.0 1 04110/15 17:21 107-21-1
Date: 04113/2015 11:03 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Anelytica: Services, Inc..
Page 4 of 9

K & W Laboratories
1121 Hwy 24127 W Midland, NC 28107
Tel: [phone]
Fax: [phone]
Chain of Custody Record
Chent(Company: Eastern Auto Salvage
Report To: John Bowers Remarks:
salesO-eastautosalvage.com
Copy To:
Bill To:
PO #
G Mat=Types: DW-CrinitingWSW YYW- TypewCorp:
Address: 232 McCaskill Rd
Biscoe, NC 27209
Contact: John Bowers
Phone: [phone] Fax 47/0— 1-91 /2G%U
Waste Water GW-Ground Water OT- P�iastic
Project Name: Stormwater
CD
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K & W Laboratories
1121 Hwy 24/27 W
Midland, North Carolina 28107
Tel [phone] Fax [phone]
Client: Eastern Auto Salvage
232 McCaskill Rd.
Biscoe, NC 27209
Project: Stormwater
Location: Stormwater
Results Report
Date: 28-Apr-15
Order ID: 15040109
Collect Date: 4/1/2015
Collect Time: 1:00:00 PM
REPORTING
ANALYSIS
SAMPLE 4
PARAMETER
RESULT
UNITS
METHOD
LIMIT
DATE
15040109-01
Lead
<0.005
mg/L
EPA200.7
0.005
4/8/2015
15040109-01
011&Grease
<5.6
mg/L
EPA1664B
5.6
4/16/2015
15040109-01
pH
6.9
units
SM4500H+B
0.1
4/1/2015
15040109-01
TSS
<5.0
mg/L
SM2540D
2.5
4/3/2015
NC Certification: 559 SC Certification: 99051
Certified By
G. Kraska I Lab Director

K & W Laboratories
1121 Hwy 24127 W Midland, NC 28107
Client/company: Eastern Auto Salvage
Address: 232 McCaskill Rd
Biscoe, NC 27209
Contact: John Bowers
Phone: [phone] Fax
Tel: [phone]
Fax: [phone]
Chain of Custody Record
ReportTo: _ John Bowers--
salesr�eastautcsaivage- com
Copy To:
Bill To:
PO #
Remarks:- - - _ -- — -
1-77
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Matrix Types: DW-Drinking Water --- -- W W l I CaM'
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Type of
Type
Waste Water GW-Gramd Wafer OTI tia
I
Project Name: StormWater
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kFWVWA
�VCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring'Report
Forguidance on filling out this form, please visit. htW:1112ortal.ncdenrnorg/web /lr/nodes-stormwater/
Permit No.: Zy or Certificate of Coverage No.: ]y/- fj/L/W v/21 .1
Facility Name: 4:- -STr7zAt .¢v'-o S.44tf.44-S _
County: Phone No. 2LO-4i1J:— `7691
Inspector: ,76 d
Date of Inspection:
Time of Inspection
00 01,
Total Event Precipitation (inches):. X- /
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.
R G11I��'
By this signature, I certify that this report is accurate and complete to the be t f owledge:
(Signature of Permittee or Designee) NFOMMAil,rV
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description: _
Outfall No. �_ Structure (pipe, ditch, etc.) /0
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: Va 14r 64�_ 7-W" 4=
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C/ b F� T PP- -V
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _.. _NC),V iF
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
5. 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:
jP 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:
<E--) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
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 7/31/2013