NCG030638_MONITORING INFO_20170201

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
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HISTORICAL FILE
MONITORING REPORTS
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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO NCG030638
FACILITY NAME Paladin Custom Works
COUNTY Forsyth _
PERSON COLLECTING SAMPLES Kent Hebert
LABORATORY Lab Cert # _ NIA
Comments on sample collection or analysis No samples were
collected during this time period - see 2017 Jan -June report for most
recent data
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw []Water Supply []SA
RECEIVED ®other WS-IV, CA
FEB 0 1 2017 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
❑ No discharge this period ;2
Outfall No
Date Sample
Collected'
(mo/dd/yr)
24rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Nan-Polar O&G/hour
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks ===a
_
-
100 mg/L or 50 mg/L
6 0 — 9 0
0 007 mg/L
0 03 mg/L
0 067 mg/L
15 mg/L
1 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at�t' ame outfall
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark Item
,3 The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gage requirement
a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433 11, for semiconductor
manufacture use the definition as found in 40 CFR 469 12, for electronic crystal manufacture use the definition as found in 40 CFR 469 22, and for cathode ray
tube manufacture use the definition found in 40 CFR 469 31)
Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived 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 electing to employ the TTO monitoring waiver, the discharger shall sign the following 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 the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan "
Kent Hebert
Name (Print name)
Manager
Title (Print title)
/3
(Signature) (Datej
Note Results must be reported in numerical format Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format When results are below the applicable limits, they must be reported in the format, "<Xx mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc in mg/L
(Vote if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period P2
Outfall No
Date sample
Collected11
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L"
6 0 -- 9 0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
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 ANYONE OUTFALL? YES ❑ NON
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Marl an original and one copy of this MR, including all "No Discharge" reports, within 30 days of receipt of the lab resuIts or at end of monitoring perrad
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
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
(Signature of Permittee)
(Date)
Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

-� Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO NCG030638
FACILITY NAME Paladin Custom Works
COUNTY Forsy1h
PERSON COLLECTING SAMPLES Kent Hebert
LABORATORY EMSL Lab Cert # N/A
Comments on sample collection or analysis No anal es were
detected above benchmark values
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
ZOther_ WS-IV, CA
FEB 01 2017
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
❑ No discharge this period?2
outfall No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
PH,
Standard units
Copper
Lead
Zinc
Non -Polar ©&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks
-
-
100 mg/L or 50 mg/L
6 0 — 9 0
0 007 mg/L
0 03 mg/L
0 067 mg/L
1S mg/L
1 mg/L
001
01/20/2017
as
19 mg/L
701
<0 02D mg/L
<0 010 mg/L
0 026 mg/L
<2 2 mg/L
NA
002
01/20/2017
05
12 mg/L
632
<0 020 mg/L
<0 010 mg/L
0 033 mg/L
<2 1 mg/L
NA
003
01/20/Z017
05
11 mg/L
730
<0 020 mg/L
0 012 mg/L
0 031 mg/L
<2 3 mg/L
NA
004
01/20/2017
05
26 mg/L
747
<0 020 mg/L
<0 010 mg/L
0 026 mg/L
<2 2 mg/L
NA
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
'The total 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
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433 11, for semiconductor
manufacture use the definition as found in 40 CFR 469 12, fo�rr� e�.,,_lectronic-icrystal=manufacture use the definition as found in 40 CFR 469 22, and for cathode ray
tube manufacture use the definition found in 40 CFR 469 31)�r''
Permit Date ] 9/1/2012 10/31/2017 5WU 245 last revised 10/25/2012
Page 1 of 3

Facilities that Incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waned 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 electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitnring regriIreme^* for totdi toxic organics
(TTO) I certify that to the best of my knowledge and belief nn rlum,­rg oll concl_-mraiea toxic organics into the stormwater or areas which are exposed to rainfall or
stnrm a°er r.rtufi nas occurred since filing the last discharge monitoring report I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan '
Kent Hebert
Name (Print name)
Manager
Title (Print title)
(Signature) (Date)
Note Results must be reported in numerical format Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format When results are below the applicable limits, they must be reported in the format, "<XX m L", where XX is the numerical value of the detection
limit, reporting limit, etc in mg/L
Note If you report a sample value to excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gat of new oil per month
❑ No discharge this period ;12
©eitfall No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non polar o&G/TPH by
EPA 1664 (SGT HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6 0 — 9 0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Permit Date 11/1/2012 10/31/2017 SWU 245, last revised 10/25/2012
Page 2 of 3

Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
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 ANYONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an or_ginal and one copy of this DMR, including all "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 sSnificant penalties for submitting false information including the possibility of fines and imprisonment for knowing violations "
(Signature of Permatee)
Permit Date 11/1/2012 10/31/2017
/jv
Date)
SWU 245 last revised 10/25/2012
Page 3 of 3