HomeMy WebLinkAboutNCG100164_MONITORING INFO_20180424STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
�. MONITORING REPORTS
DOC DATE
o aeol4n� a I
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (D )1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 00 IS
Fln ividual NPDES Permit No.
rtificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility NamMM%10�d
Phone Number. (61LQ )_-Iss-
Total no. of SDOs monitored
Outiall No. i
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes[] No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes [KNo ❑
RECEIVED
APR 2 4 2018
CENTRAL FILES
DWR SECTION!
— `
-'mot Y fir_ c r - ^A `' ""sz�" z' .r ...fir " '•d" rV '
-,�A
SWU-264 - Generic Annual DMR
Last revised 5/1712013
Additional Outfall Attachment
Outfali No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No�
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes❑ NoQ%
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency
Other
Was this SDO monitored because of vehicle maintenance activities? Yes ONo ❑
Parameter, (units)
WITMMITFMAffM''
1 `.:.�'.'.4... `
.
� �• �=.- '`..- rc."i '- '� Asa (( .
i-
SWU-264 - Generic Anneal DMR
Last revised 5117)2013
Additional Outfall Attachment
Outfall No. n
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes[:] No��
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes Lj-""'No ❑
- e
T.
}
SWU-264 - Generic Annual DMR
Last revised 5/17/2013
"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 @n_d imp4sonment for knowing violations."
Signature
Fo'r questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
HE REGIO AL O
AYETTEVIL REGIONAL 4
OORES LION O
225 Green Street
610 East Center Avenue/Suite 301
2090 US Highway 70
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
(828) 296-4500
Fayetteville, NC 28301-5043
(704) 663-1699
910 433-3300
? EIGH REGIONAL
ASAIlVGTON REGIONAL O
GTON REGIO O F
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
(919) 7914200
(252) 946-6481
(910) 796-7215
STON-S M REGION OFFI y
OFRI
1617 Mail Service Center
Raleigh, NC 27699-1617
_,errhanoe
585 Waughtown Street
Winston-Salem, NC 27107
(336)771='"
5000
(919) 807-6300
SWU-264 - Generic Annual DMR
Last revised 547/2013
*K8C0614-
0MICROBAC'
3323 Gilmore fndustria161vd.
2520 Regency Rd.
2701 N. Cullen Ave., Ste. A
5309 Reidland Rd.
} NIXON,
�4)
Louisnlle. KY 40213
Lexington. KY 40503
Evansville, IN 47715
Paducah, KY 42003
I
rn
CHAIN 01= CUSTODY
502.962.6400 p
859.276.3506 p
812.464.9000 p
270.898.3637 p
Buo:�+o,.,,�, ,
t1
502.967.6411 f
859.279.5665 f
912.4.24.0667 f
270.8983666 f
606.910.0086 f
www.microbac.com
Client:
L
Due Date:
Analyses Requested
SueetAddress:
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City 1 State l 7'tp:
Phone: ( ID 4(A'5 r'i�0 F ( �1 "� �J
Email: aoc 15Dhl
Alter Iorr PO
Sampler. `� �t.ity
Site I Project Name: 5kxo
Date I Time
Sample ID 1 Description
1-
Relinquished B
Date:
/ 2i / Tme
Notes:
Received By: Date 3 %Z� / [ Tune:
9
Relinquished By, Date: / / Time:
Received By: Date: / / Time:
Relinquished By.
Date:
% Time:
To be filled out Temp. Upon Receipt M: iQ n*rmwwff
by Microbac
Samples Received on Ice? Yes No
[EY Na Bottles Recieiwxt.
Custody Seals Irnact? Yes No
Received By: Date: / Time:
Version 05.19.2015 *Standard RUSH TAT Charges: Same Day x3; Next Day x2; Three Day x1.5. Please contact us for RUSH request arrangements at 502.962.6400 Page of
(910) 488-2230 1-800-551-0954
(910) 488-5775
ED'S AUTO SERVICE
& SALVAGE, INC. #2
FOREIGN & AMERICAN AUTO SERVICE
AUTO BODY REPAIR - PAINTING SERVICE
24 HOUR
1238 SLOCOMB ROAD WRECKER SERVICE
LINDEN, NC 28356 988.8620
BASED UPON MY INQUIRY OF THE PERSON OR PERSONS
DIRECTLY RESPONSIBLE FOR MANAGING COMPLIANCE
WITH THE PERMIT MONITORING REQUIREMENT FOR
TOTAL TOXIC ORAAGICS (TTO), I CERTIFY THAT TO THE
BEST -OF MY--KNOWLEDGE--AND. BELIEF., NO LEAK, SPILL
OR DUMPING OF CONCENTRATED TOXIC ORGANICS
INTO THE STORMWATER OR ONTO AREAS WHICH ARE
'EXPOSED TO RAINFALL 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.
ED'S AUTO SERVICE
1238 SLOCOMB RD
LINDEN, NC 28356
PERMIT # NCG100164
OWNER DATE
OMICROBACO
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8CO614
Client Sample ID: Outfall #3, grab
Sample Matrix: Aqueous Collected By: Edwards
Lab Sample ID: KBC0614-03 Collection Date: 03/21/2018 11:00
Wet Chemistry
Method: EPA 1604 Rev. B
Oil & Grease (HEM)
Method: SM 2540 D•2011
Total Suspended Solids
Method: SM 4500 H+B-2011
PH at 25 °C
Metals
Method: Metals Aqueous/EPA 200.7 Rev 4.4 1994
Lead
Result RL Units Note Prepared Analyzed Analyst
8.3 5,0 mg/L
89.8 2,50 mgtL
4.8 1.0
Result RL
<0.003 0.003
PH Units H
03/27/18 0901 TAB
03/23/18 0859 MT
03/21/18 1202 JR
Units T� Note __ _....,.Prepared Analyzed Analyst
mg1L 04/021181224 04/02/18 1224 TAB
Definitions
H: Analyte was prepared and/or analyzed outside of the analytical method holding time
RL: Reporting Limit
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carollna DENR NPDES
Report Comments
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
In the footnote are present and an authorized signature is included.
Reviewed and Approved By: J
Jeanne Overstreet
Project Manager
jeanne.overstreet@microbaacom
04/03/2018 15:30
J
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Eayettevllle, NC 28306 1910.864.1920 p I www.microbac.com Page 2 of 3
(D)MICROBAC(�'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8C0614
Ed's Auto Service & Salvage, Inc. Project Name: Stormweter Sample - Semiannual
Ms. Michele Edwards Project/ PO Number: NIA
1238 Slocomb Road Received: 03/21/2018
Linden, NC 28356 Reported: 04/03/2018
Analytical Testing Parameters
W Client Sample ID: OLItSall #1, grab
Sample Matrix: Aqueous Collected By: Edwards
Lab Sample ID: K8C0614-01 Collection Date: 031211201E 11:00
Wet Chemistry
Method: EPA 1664 Rev. B
Oil R Grease (HEM)
Method: SM 2640 D-2011
Total Suspended Solids
Method, SM 4500 H+8-2011
PH at 25 °C
Metals
Method: Metals Aqueous/EPA 200.7 Rev 4.41994
Lead
Result
RL
Units
Note Prepared Analyzed
Analyst
20.2
5.0
mg1L
03/27/18 0901
TAB
11.7
2.50
mg1L
03123/18 0859
MT
5.9
1.0
pH Units
H 03/21/18 1202
JR
Result
RL
Units
Note Prepared Analyzed
Analyst
<0.003
0.003
mg1L
04/02/18 1209 04/02/18 1209
TAB
Client Sample ID: Outfall #2, grab
Sample Matrix: Aqueous Collected By: Edwards
Lab Sample ID: K8CO614-02 Collection Date: 03121/2018 11:00
Wet Chemistry
Result
RL
Units
Note Prepared Analyzed
Analyst
Method: EPA 1664 Rev. B
Oil & Grease (HEM)
14.3
5.0
mg1L
03/27/18 0901
TAB
Method: SM 2540 D-2011
Total Suspended Solids
6.67
2.50
mg1L
03/23/16 0859
MT
Method: SM 4500 H+B-2011
PH at 25 °C
5.6
1.0
pH Units
H 03121/18 1202
JR
Metals
Result
RL
Units
. Note repared Analyzed
Analyst
Method: Metals Aqueous/EPA 200.7 Rev 4.4 1994
Lead
<0.003
0.003
mg1L
04/021181212 04102/18 1212
TAB
Microbac Laboratories, Inc.
2592 Hope Mills Rd l Fayetteville, NC 28306 1 910.864.1920 p I www.mlcrobac.com Page 1 of 3
s
FORM 5 {page Iof 2J
Stormwater Discharge Outfall (SDO) Qualitative Monitoring
Report
Permit No.: N/C/ t
Facility Na� ne_: 1-
County: l�
Inspector: CY A&
Date of Inspection:
By this Signature, I certify that this report is accurate and complete to.11ie-best of my knowledge:
(Signature of Permittee or Designee)
1. Outfull Description
OutfalI Na* _� Structure (pipe, ditch, etc.) &" bw aocj o,+Id d ��
Receiving Streatti:
Describe the industrial activities that occur witliin the otitfall drainage area: r nn E
'vow" h to
2. Color
Describe the color of th d
dark) as descriptors: H
3. Odor
,using basic colors (red, brown, blue, etc.) and tint (light, InCtUuni,
Describe an distinct odors that the discharge may have (i.e,, smells strongly of oil,_ weak chlorine odor,
etc.) V\►n
d � UJ5
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear arld
10 is very cloudy:
1 2 3 (4 ,1... ,,5 6 7 8 9 10
FORM 5 (,page 2 of 2)
.i. FIoating Solids
Choose the ►tiumber which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:,.
1 2 3 4 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids,in.jhe stormwater discharge
Where 1 is no solids and 10 is extremely muddy: .
2 3 4 5 6 7 8 9• 10
7. Foam
Is there any foam in the stormwater discharge? .
Yes No
S. OiI Sheen
Is there an oil sheen in the stormwater- ischarge?:
Yes / Io
9. Deposition at,Outfall
Is there deposition of material (sediment, -etc) at or'irnmedit
tely below the outfall? Yes No
10. Erosion at OutfaIl
Is there erosion at or immediately below the outfall?
- Yes No
11. Other Obvious Indicators of.Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the.presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
FORM 5 (page 1 of,2)
z
Storinwater Discharge Outfall (SDO) Qualitative Monitoring
-Report
Permit No.: NICIU_l /Q/Q/U I UID ,I or Certificate of Coverage No.: NICIGI�I 0/0/ 1l1/4/
Facility Name: 1
County: (r m PlIone No. VA -
Inspector:
Date of Inspection:
By this signature, I certify that this report is accurate and complete to' -die best -of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description'
Outfall No. Structure (pipe, ditch, etc,)
Receiving Stream:.
Describe the industrial activities that occur within the outfall drainage area:
2. CoIor
Describe the color of th discharg'e,using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: II_CI 47_"6 WfI
v
3. Odor
Describe airy di tinct o ors that the discharge may have (i,e,, smells strongly of oil, weals chlorine odor,
etc.)
4. CIarity
Choose the slumber which best describes the clarity of the discharge where 1 is clear mid
10 is very cloudy:
1 2 p 4 5 6 ,7;. 8 9 10
FORM 5 (page z of e)
5. Floating Solids
Choose the number which best. describes the amount of floating solids in'the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:,.
1 2 3 4 5 6 7 8 9 10
6, Suspended Solids
Choose the number whicli best describes the amount of suspended solids.in,t.he stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 4 5 6 7 8 9. 10
7. Foarn .
Is there any foam in the stormwater discharge? . Yes No
B. Oil Sheen
Is there an oil sheen in the stormwater-discharge? Yes (No J
9. Deposition at'Outfali
Is there deposition of material (sediment,, etc.) at or'immediately below the outfall? Yes ONo
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of.Stoi•mwater Pollution
List and describe
Note: Low clarity, high solids, and/or the.presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
FORM 5 (Page 1 of 2)
Stormwater Discharge Outfall (SDO) Qualitative Monitoring
-Report
r I'
Permit No.. NICIiSI I
Fa
cility N�ie:.�
County:
Inspector: VWKCI1&U
Date of Inspection:
13y this signature, I certify that this report is accurate and complete to the. best of my knowledge:
(Signature of Permittee or Designee)
1. 011trall Description
Outfall Na. _a.____ Dl�W Structure (pipe, ditclt, etc,} c #fm t) rpQf,��Q �i
Receiving Stream:
Describe the industrial activities (fiat occur within the outfall drainage area:
2. Color
Describe the color of tl di har e using b sic olors (red, brown, blue, etc.) and taint (light, medium,
dark) as descriptors: a� ajnlr�oCUCA
V
3. Odor
Describe any disti ct odors that 'lie discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) ——b�1'Y111.1
4. Clarity
Choose thl, number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy:
1 2' 3 �,.. ,.5' 6 7.. 8 9 10
FORM 5 (,page z of z)
5. Floating Solids
Choose the number which best _describes the amount of floating solids in'the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:,.
1 2 3 4 5 6 7 8 9 10
6. Suspended Som s
Choose the number xvjiich best describes the amount of suspended solids.in 1lie stormwater discharge
where 1 is no solids and 10 is extremely muddy;
1 2 3 4 5 6 7 8 91 10
7. roam .
Is there any foam in the stormwater discharge? . Yes No
8. Oil Sheen
Is there an oil sheen in the storm water. discharge?: Yes No
9. D�epasitinn at 0utfn1l
Is there deposition of material (sediment,'etc.) at or'immediately below the outfall? Yes No
10. Erosion at Outfail
Is there erosion at or iiumediately below the outfall? - Yes No
11. Ol:her Obvious Indicators of. StormwaterPollution
List and describe
Note: Low clarity, high solids, and/or the.presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
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 totaltoxic 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)) �
11 leV t I It, 5,q11 a"L66
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Xg
Da e
"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 of Permittee or Designee)
_1A)i �Yi�
Date)
Form SWU-251, last revised October 25, 2012
'' Page 2 of 2