HomeMy WebLinkAboutNCG100151_MONITORING INFO_20180816STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
1 C�
/v U
DOC TYPE
❑ HISTORICAL FILE
KMONITORING REPORTS
DOC DATE
❑ a D I U �P
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 15 1 SAMPLES COLLECTED DURING CALENDAR YEAR: 2 0 18
(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 _ Lifetime Audi Parts
PERSON COLLECTING SAMPLE(S) _ Mark Kuchera
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314 _�� 1 �Q18
Lab #0
CEN-t-YWl` irl S
Part A: Stormwater Benchmarks and Monitoring Results DWG SF—C-TION
COUNTY Durham
PHONE NO. (800) 945-1910
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sompling 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.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
- - - -
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/50z
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
06/26/2018
0.25
6.6
120
2.0
<12
0.038
Exempt
002
06/26/2018
0.25
6.5
54
2.0
<12
0.019
Exempt
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 Il 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 (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."
AM&
Name (Print name)
Title (Print ti
rigna tu rV1114, D A
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 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 penaltiesfor submitting false information, including the possibility of fines and imprisonment for knowing violations."
%A -
of
Perm' a or Designee) (Date)
Form SWU-251, last revised October25, 2012
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 15 1 SAMPLES COLLECTED DURING CALENDAR YEAR: 2 0 17
(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 _ Lifetime Audi Parts
PERSON COLLECTING SAMPLE(S) _ Mark Kuchera RECEIVED
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #A-9AR 2 9 2018
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES
UDWR SECTION
COUNTY Durham
PHONE NO. (800) 945-1910
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling 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.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
- - - -
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0-9.01
100/50z
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
12/20/2017
0.2
160
2.5
<12
0.049
Exempt
002
12/20/2017
0.2
40
2.4
<12
0.026
Exempt
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.
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 SW U-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)
Title (Print
-3 AA&
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 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 Permittee or Designee) (Date)
Form SWU-251, lost revised October 25, 2012
Page 2 of 2
r STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 _ 1 _ 5_ _ 1_ SAMPLES COLLECTED DURING CALENDAR YEAR: _2016
(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 _ Lifetime Audi Parts
PERSON COLLECTING SAMPLE(S) _ Mark Kuchera
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
COUNTY Durham
PHONE NO. ( 800 )945-1910
R[Er
C 6- 1VE Q V1=:MBEF TO SIGI` 1 ON THE REVERS:-4
APR 11 2011
CENTRAL FILES
For sampling periods with no discharge, you must submit this discharge n9?ffi�r�t 9joting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
- - - -
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/50Z
is
8,000
(Tiers 2 and 3)
0.03
1.0
001
05/17/2016
.07
54
<1.6
<12
0.020
Exempt
002
05/17/2016
.07
14
<1.7
<12
0.010
Exempt
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.
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, lost 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."
F ]� Y- i6l l Ci? 4 w
!Name jPrint name)
Title (Print title)
6r
ignature Da e
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service
Center
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
aa'aiiic that qualified NciS6,i"e, piGF.cr,j( gather ai7l: c:a,wate a"c iilfCrmiaa,on sub.—nitted. vaSrc.+ v1i my Inquiry 8' the jitc`rio'i or persons who Tianagc^ the Sysaci,=, 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 penal for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sign$ re of PermiKee or Designee)
V r7
(Date)
Form SWU-251, last revised October 25, 2012
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO) Alf h1to
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100
FACILITY NAME _ Lifetime Audi Parts
PERSON COLLECTING SAMPLE(S) _ Mark Kuchera
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: _201G
(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 UNTY Durham
GE \1 PHONE NO. L800 )945-1910
AEG PLEASE REMEMBER TO SIGMON
CjaECT14N
),1 S— /
THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring form noting NNd Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
----
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/50z
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
05/17/2016
.07
54
<1.6
<12
0.020
Exempt
002
05/17/2016
.07
14
<1.7
<12
0.010
Exempt
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 SW U-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."
'!A6X, ,lvtk6g -1
Name (Print name)
nW,jerL
Title (Print title)
:�� / 8 c8 C
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 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 penalt!94 for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee or Designee)
(Date)
Form SWU-251, last revised October 25, 2012
Page 2 of 2
Ak
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General.Permit No. NCG100000
Date submitted 01/02/2018
CERTIFICATE OF COVERAGE NO. NCG10 0 1 5 1
FACILITY NAME Lifetime Audi Parts
COUNTY Durham
PERSON COLLECTING SAMPLES Mark Kuchera
LABORATORY TestAmerica Pensacola Lab Cert. # 12028
Comments on sample collection or analysis:
NIA
Part A: Stormwater Benchmarks and Monitoring Results
_ SAMPLE COLLECTION YEAR 2018
�kSA,MPLEPERIOD ❑Jan -June ❑� July -Dec
or ❑ Monthly° (month)
FEe 19 26isCHARGING TO CLASS ■❑ORW ❑HQW ❑Trout ❑PNA
CENTRAL FILES ❑zero -flow ❑Water Supply ❑SA
DINER SECT10143 ❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 —)
Total eventroinfall5 0.2• or ❑ No discharge this period:6
Outfall
No.
Date
Sample
Collected,
mo/dd/year
pH,
Standard
Units
Total Suspended
SolidsTSS) ,
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
rng/L
Lead, Total
Recoverable,
mg/L
Total Toxic
3
Organics ,
mg/L
New Motor or
Hydraulic Oil
Usage,
gal/mo
Benchmark
-
6.o — 9.01
100 or 502
15
8,000
(Tiers 2 and 3)
0.075
1.0
-
Parameter Code
-
00400
C0530
00552
77023
01051
78141
NCOIL
001
12114l2018
5.8
6
1.7
<12
0.0093
Exempt
NIA
002
12114/2018
5.85
5
1.7
<12
0.012
Exempt
NIA
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.
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.
°.^.^.onthly sampling (instead of semi-annual; must begin with the second consecutive benchmark exceedance for the same parameter at the same outfaii.
sTotal 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.
6For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark 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 listed in the General Permit. For those facilities allowed such a waiver,
the discharger shall sign the following certification statement:
Solvent Management Plan Certification 5tatement
"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."
/ER,IZ A K -.1 c. I? L-rc�
Name (Print
/naarJ�e)
Title (Print titl G
ignature Da e
Mail Original 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 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 penafti far submitting false information, including the possibility of fines and imprisonment for knowing violations."
Zk/�
►e of
Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018
Page 2 of 2