NCG080716_MONITORING INFO_20180713

STORMWATER DIVISION CODING•SHEET
NCG PERMITS
PERMIT N0.
/V
DOC TYPE.
❑HISTORICAL FILE
"ONITORING REPORTS
DDC DATE
❑ oli�� � 0 3
YYYYMMDD
I

APEX
July 5, 2018
Division of Water Quality
Attention: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report —.January to .June 2018
Pilot 96978
801 NC Hwy 211 E
Candor, North Carolina
Permit NCG080716
Dear Sir/Madam:
RECEIVED
JUL 13 2018
CENTH,AL FILES
DVVR SECTION
Attached is the January - .June 2018 Discharge Monitoring Report (DMR) prepared for the above
referenced site. The laboratory analytical data for this round of sampling is also attached. If you
have any questions, please feel free to contact me at [phone].
Sincerely,
Robert S. Wagner
Program Manager
Attachments
cc: Melody Mayville, Pilot Flying J
Apex Companies, LLC • 7724 Garland Circle • Roanoke, VA 24019
T 540.563.4920 • F 540.563,4921 • apexcos.com

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
CERTIFICATE OF COVERAGE NO. NCG080716
FACILITY NAME _Pilot 6978
COUNTY Montgomery
PERSON COLLECTING SAMPLES RSW
LABORATORY_SGS
Date submitted
Lab Cert. # _346
Comments on sample collection or analysis:
7/5/18
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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 A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
yes _no
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
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
O utfa I I
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
001
6/22/18
<5.4
53.8
6.91
I 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 April 11, 2013
Page I of 2

STORM EVENT CHARACTERISTICS:
Date _6/22/18 (first event sampled)
Total Event Precipitation (inches): x0.1_
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 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.
r 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 ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR,_including all "No Discharge" reports _within 30 days of receipt of the lab results for 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
7-S /,?
(Date)
Additional copies of this form may be downloaded at: http:lll2ortal.ncdenr.org/weblwqlws/su/npdesswlltab-4
S WU-250
last revised April 11. 2013
Page 2 ot'2

fed 4 � � � if �f3 � S
Dayton, NJ
6129118
The results set forth herein are provided by SGS North America hic. a-Htir copy 2.0
Automated Report
Technical Report for `
Pilot Travel Centers LLC
ACVAR: #6978, 801 North Carolina Highway 211, East Candor, NC
SGS Job Number: JC68733
Sampling Date: 06/22/18
Report to:
Apex Companies, LLC
7724 Garland Circle
Roanoke, VA 24019
[e-mail]
ATTN: Robert Wagner
Total number of pages in report: 14
Test results contained within this data package meet the requirements Nancy Cole
of the National Environmental Laboratory Accreditation Program Laboratory Director
and/or state specific certification programs as applicable.
Client Service contact: Tammy McCloskey 732-329-0200
Certifications: NJ(12129), NY(10983), CA, CT, FL, IL, IN, KS, KY, LA, MA, MD, ME, MN, NC,
Oil VAP (CL0056), AK (UST-103), AZ (AZ0786), PA, RI, SC, Tx, UT, VA, WV, DoD FLAP (ANAB L2248)
This report shall not be reproduced, except in Its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc, • 2235 Route 130 • Dayton, NJ 08810 • tel: [phone] • fax: [phone]
SCIS i} the sole authority 1-61 authorizuts edits ur ntrdiftruions to this document. Please share your ideas about ^
Unauthnrizrd moditicatinn of ihi; report is strictly prohibited, how%%e c;ut sme you better at: Su
Review standard terms aC 1aIS.US.Cn;tomeiCarcgsgs,com
1 of 14
JC68733

Sections:
Table of Contents
Section 1: Sample Summary................................................................................................... 3
Section2: Case Narrative/Conformance Summary.............................................................. 4
Section 3: Summan, of Hits ...................................................... .........
Section4: Sample Results........................................................................................................ 6
4.1: JC68733-1: OWS.......................................................................................................... 7
Section5: Misc. Forms............................................................................................................ 8
5.1: Chain of Custody........................................................................................................... 9
Section 6: General Chemistry - QC Data Summaries.......................................................... I I
6.1: Method Blank and Spike Results Summary
6.2: Duplicate Results Summary.......................................................................................... 13
6.3: Matrix Spike Results Summary..................................................................................... 14
! 2of14
_SGS
r JC68733

SGS North America Inc.
Sample Summary
Pilot Travel Centers LLC
Job No: JC68733
ACVAR: #6978, 801 North Carolina Highway 211, East Candor, NC
Sample ' Collected i Matrix Client
Number Date Time By Received Code Type Sample ID
JC68733-1 06122/l8 17:00 HC 06/26/18 AQ Water :OWS
3 of 14
JC68733

CASE NARRATIVE 1 CONFORMANCE SUMMARY
Client: Pilot Travel Centers I.[.0 Job No JC68733
Site: ACVAR: 96978, 801 North Carolina Highway 211, East Candor, N Report Date 6/29/2018 9:09:59 AM
On 06/26/2018, l Sample(s), 0 Trip Blank(s) and 0 Field Blank(s) were received at SGS North America Inc. at a maximum
corrected temperature of2.1 C. Samples were intact and chemically preserved, unless noted below. A SGS North America Inc. Job
Number of JC68733 was assigned to the project. laboratory sample ID, client sample ID and dates of sample collection are
detailed in the report's Results Summary Section.
Specified quality control criteria were achieved for this job except as noted below. For more information, please refer to the
analytical results and QC summary pages.
Compounds qualified as out of range in the continuing calibration summary report are acceptable as per method requirements when
there is a high bias but the sample result is non -detect.
General Chemistry By Method EPA 1664A
Matrix: AQ Batch ID: GP14112
■ All samples were prepared within the recommended method holding time.
■ All method blanks for this batch meet method specific criteria.
■ Sample(s) JC68733-1 MS, JC68739-1 DUP were used as the QC samples for HEM Oil and Grease.
■ RPD(s) for Duplicate for HEM Oil and Grease are outside control limits for sample GP14112-DI. High RPD due to possible
nothomogeniety between sample bottles.
j Matrix: AQ Batch ID: GP14121
■ All samples were prepared within the recommended method holding time.
■ All method blanks for this batch meet method specific criteria.
■ Sample(s) JC68733-1 MS, JC68739-1 DUP were used as the QC samples for HEM Petroleum Hydrocarbons.
■ RPD(s) for Duplicate for HEM Petroleum Hydrocarbons are outside control limits for sample GP14121-DI. High RPD due to
possible nonhomogeniety between sample bottles.
General Chemistry By Method SM2540 D-11
Matrix: AQ Batch ID: GN82021
■ All samples were analyzed within the recommended method holding time.
■ All method blanks for this batch meet method specific criteria.
■ Sample(s) JC68703-2DUP were used as the QC samples for Solids, Total Suspended.
General Chemistry By Method SM4500H+ B-11
Matrix: AQ Batch ID: R170848
■ The data for SM45001i+ B-1 I meets quality control requirements.
■ JC68733-1 for pli: Sample received out of holding time for phI analysis.
SGS North America Inc. certifies that data reported for samples received, listed on the associated custody chain or analytical task
order, were produced to specifications meeting the Quality System precision, accuracy and completeness objectives except as noted.
Estimated non-standard method measurement uncertainty data is available on request, based on quality control bias and implicit for
standard methods. Acceptable uncertainty requires tested parameter quality control data to meet method criteria.
SGS North America Inc. is not responsible for data quality assumptions if partial reports are used and recommends that this report
be used in its entirety. Data release is authorized by SGS North America Inc indicated via signature on the report cover
Friday, June 29, 2018 Page I of 1
cc 4of14
JC68733

Summary of Hits Page I of t
Job Number: JC68733
Account: Pilot Travel Centers LLC
Project: ACVAR: #6978, 801 North Carolina Highway 211, East Candor, NC
Collected: 06/22/18
.ab Sample ID Client Sample 10 Result/
,nalyte Qual RL MDL Units Method
JC68733-1 OWS
Solids, Total Suspended ' 53.8 ! 4.0 mg/l SM2540 D-11
pH a (5_97 _ su SM450011+ B-11
(a) Sample received out of holding time for pH analysis.
-SG9r 5 of 14
JC68733

SGS
�L
Vol
Sample Results
Report of Analysis
Section 4
G�r 6 °f 14
_S
JC68733

SGS North America Inc.
Report of Analysis
;lient Sample ID: OWS
,ab Sample ID: JC68733-1 Date Sampled: 06/22/18
Ratrix: AQ - Water Date Received: 06/26/18
Percent Solids: n/a
'roject: ACVAR: #6978, 801 North Carolina Highway 211, East Candor, NC
General Chemistry
Analyte Result RL Units
HEM Oil and Grease < 5.4 ? 5.4 mg/I
HEM Petroleum Hydrocarbons < 5.4 14.0
5.4 mg/I
Solids, Total Suspended ;53.8 mg/I
PH a 5.97 ! su
(a) Sample received out of holding time for pH analysis.
RL = Reporting Limit
Page 1 of 1
DF Analyzed
By
Method
1 06/28/ 18 16:00
TM
EPA 1664A
1 06/28/ 18 17:00
TM
EPA 1664A
1 06/27/18 10:55
RC
SM2540 D-1 l
l 06/26/18 13:54
SUB
SM4500H+ &1I
SGgr 7 of 14
JC68733

d gyeE 1 .
Misc. Forms..- — - - - _---- 4
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 5
CGS t 8of14
_V
JC68733

cr.
W� CHAIN OF CUSTODY
SOS Aeci W-DyMn
PAGE _1,_ OF -L
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■
F SUOU4,CRMr.Cw W3n4
JC68733: Chain of. Custody
Page 1 of 2
9of14
JC66733

SGS Sample Receipt Summary
Job Number: JC68733 Client: APEX COMPANIES, LLC
Date 1 Time Received: 6126/2018 9:20:00 AM Delivery Method:
Cooler Temps (Raw Measured) °C: Cooler 1: (2.1);
Cooler Temps (Corrected) °C: Cooler 1: (2.1);
Project: ACVAR: #6978, 801 NORTH CAROLINA HIGHW
Alrblll We:
Cooler Security Y
1. Custody Seals Present: Rd
or N
❑
Y or N
3. COC Present: %1 ❑
Sample Integrity --Documentation
1. Sample labels present on bottles:
2. CustodySeals Intact: IJ
❑
4. Smpl Dateslrime OK Fe] ❑
2. Container labeling complete:
Cooler Temperature
Y or
N
3. Sample container label I COC agree:
1. Temp criteria achieved:
R
❑
Sample Intearity - Condition
2. Cooler lamp varificatlon:
IR Gun
1. Sample raced within HT:
3. Cooler media:
Ice (Bag)
2. All containers accounted for,
4. No. Coolers:
Quality Control erftgervatlon
Y
1
or N NIA
3. Condition of sample:
1. Trip Blank present 1 cooler:
❑
,
2 ❑
Santpill_1Dttt9rlty -Instructions
1. Analysis requested is dear:
2. Trip Blank listed on COC;
❑
5J ❑
2. Bottles received for unspecified tests
3. Samples preserved property:
R
❑
3. Sufficient volume recvd for analysis:
4. VOCs headspace free:
❑
❑ R
4. Compositing instructions dear:
5. Filtering instructions clear:
Test Strip Lot #s: pH 1.12: 216017
Comments
SM089-03
Rev. 0ete 12r7117
pH 12+: 208717 Other. (Specify)
_Y or N
® © Ch
® ❑ 3
Y or N
® ❑
W ❑
Intact
Y or N N/A
R ❑
❑ W
Sd ❑
❑ ❑
❑ ❑
JC68733: Chain of Custody
Page 2 of 2
CC i 10 of 14
_..SUS
JCfi8733

SGSr
Dr
General Chemistry
QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
Section 6
_���r 11 of 14
JC63733

METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC68733
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: #6978, B01 North Carolina Highway 211, East Candor, NC
MB Spike BSP BSP QC
Analyte Batch ID RL Result Units Amount Result %Recov Limits
HEM Oil and Grease GP14112/GN62117 5.0
HEM Petroleum Hydrocarbons GP14121/GN82119 5.0
Solids, Total Suspended GN82021 4.0
Associated Samples:
Batch GN82021: JC68733-1
Batch GP141127 7C68733-1
Batch GP14121: JC68733-1
I') Outside of QC limits
D.0 — mg/l 40.3 32.1 79.7 76-114%
0.0 I mg/1 20.13 14.6 172.5 64-132%
0_0 --- mg/1
Page 1
1 12of14
SG
JC68733

DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC68733
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: 06978, 801 North Carolina Highway 211, East Candor, NC
QC Original DUP QC
Analyte Batch ID Sample Units Result Result RPD Limits
HEM Oil and Grease GP14112/GN82117 JC68739-1 mg/1
HEM Petroleum Hydrocarbons GP14121/GN82119 JC68739-1 mg/1
Solids, Total Suspended GN82021 JC68703-2 mg/1
Associated Samples:
Batch GN82421: JC68733-1
Batch GP14112: JC68733-1
Batch GP14121: JC68733-1
(-) Outside of QC limits
(a) High RPD due to possible nonhomogeniety between sample bottles.
Page 1
8.8 15.3 ' S3.9'(a) 0-188
8.5 14.0 48.9'(a) 0-34%
0.57 U 0.0 0.0 0-17%
_..SGS 1 13af34
JC68733

MATRIX SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC68733
Account: PILOTSS - Pilot Travel Centers LLC
Pro}ect: ACVAR: #6978, 801 North Carolina Highway 211, East Candor, NC
QC Original Spike M5 QC
Analyte Batch ID Sample Units Result Amount Result %Rec Limits
HEM Oil and Grease GP14112/GN82117 JC68733-1 mg/1 0.0 40.3 34.5 85.6 78-114%
HEM Petroleum Hydrocarbons GP14121/GN82119 JC66733-1 mg/1 0.0 20.13 15.6 77.5 64-132%
Associated Samples:
Batch GP14112: JC68733-1
Batch GP14121: JC68733-1
(1) Outside of QC limits
(N) Matrix Spike Rec. outside of QC limits
Page 1
1 14of14
_SGS , JC68733

0
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
�
CERTIFICATE OF COVERAGE NO. rNC_G080716
FACILITY NAME A.T. Williams Oil Co.
Pilot Travel Center - Store 6978
COUNTY Montgomery County
PERSON COLLECTING SAMPLES NA
LABORATORY ESC Lab Cert. 4 3
Comments on sample collection or analysis: �
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or El Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other Class C: NSW
iCFp PLEASE REMEMBER TO SIGN ON THE REVERSE -7
Did this facility perform Vehicle Maintenance Activities usin 55 gallons of new motor oil per month? _ yes X no
(if yes, report your analytical results in the table immediatel'FCTF�<<ESON
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Stand.ard units
Rion -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 60-9.0
15
-
Part B: Oil/water Separators"and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
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
Outfall No. 1
12/31/2016
No Sample
No Sample
No Sample
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
5WU-250
last revised April 11, 201 j
Page I of 2

STORM EVENT CHARACTERISTICS:
Date NA (first event sampled)
Total Event Precipitation (inchesj: NA
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 1, Tier Z 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 ANY ONE 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 OMR, including all "No Discharge" resorts, within 30 days of receipt of the lab results (or at end of monitoring period in
the case o "No Dischar e" 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 ar significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permitteej
2h=tt I 1-�
(Date)
Additional copies of this form may be downloaded at: htt�://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised April 11. 2013
Page 2 of 2

AIV
Semi-annual Stormwater Discharge Monitoring Report xr,00At,
40
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 05/12/16 4 rid 0
CERTIFICATE OF COVERAGE NO. NCG080716 SAMPLE COLLECTION YEAR _2016 0,0
FACILITY NAME Speedway Travel Plaza #6978 Candor SAMPLE PERIOD x Jan -June July -Dec
COUNTY Montgomery or Monthly'-- (month)
PERSON COLLECTING SAMPLES Lynne Hays DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY R&A Lab Cert #34 Comments on sample collection or ❑Zero -flow ❑Water Supply [:]SA
analysis: []Other
Part A: Vehicle Maintenance Areas Monitoring Requirements
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall '
No
{tDate
Sample Collected £
;,_�mo/dd/,yr
0_ 0530 '
s 00400 .
00S56
R
'Total Suspended'
. `'' ;_. Solitls, mg/L
pH, '
.-„` Standardunits
Non -Polar Oil and Grease/TPH EPA
,Method_ 1664 (SGT-HEM), mg/iL _
New Motor Oil Usage
Annual average gal/mo
Benchmark
`-
50or00rse_`e `ermitWithin
50
-
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? yes no x
(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
CENTRAL FILES
D1NR SEC7'!4N
Outfall
No
�.:;.
Date00556%
;Sample Collected,n
ma//,Yr
r
00530 A
..:�
00400,E
;No- nPolar Oi,l and Grea/TP EPA Methotl
;„� 1664:(SGS iT�HM}. mgl�L :.
T to aESuspFgi ceed 5'olids,
�.-... =
pH,
6� .: ,Standard units
lPe�rmit Limit
15 `4
50 or 100 see,pe
71.
SDO #1
04/12/16
<5
118
7.1
' Far sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 Iasi revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 04/12/16 (first event sampled)
Total Event Precipitation (inches):.23
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 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 ANY ONE OUTFALL? YES ❑ NO x
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 oil "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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
A4—
Lynne Hays For Speedway LLC 05 12 16
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: ht�t _//portal.ncdenr.org/web wq/ws/su/npdessw#tab-4
SWU-250 last rcviscd October 25, 2012
Paae2of2

EnviroLinc
Environmental Compliance Solutions
May 12, 2016
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Stormwater Discharge Outfall Monitoring Report
Speedway LLC
General Permit Number NCGO80000
Please find enclosed the Stormwater Discharge Outfall Monitoring Report for Speedway
LLC site located at 801 State Hwy 211, Candor, North Carolina Store 46978, if you have
any questions please contact us at [phone].
Yours truly,
b6rkL�- S
Lynne Hays
109 Gentle Pond Court 0 Winston Salem, NC 27107 • Phone: [phone] Fax: [phone]

Semi-annual Stormwater Discharge Monitoring Report ��
F . for North Carolina Division of Water Quality General Permit No. NCG080000t
6 Date submitted 07/30/15 ed .40ML
CERTIFICATE OF COVERAGE NO. NCG080716
FACILITY NAME WilcoHess Travel Plaza #205 Candor MIM104eft VM
COUNTY Montgomery AUG 0 3 2015
PERSON COLLECTING SAMPLES Lynne Hays
LABORATORY R&A Lab Cert #34 Comments on sample collection @ENTRAL FILES
analysis: DWR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD an- - SAM O J June x July Dec
or Monthly' _ (Month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout MPNA
❑Zero -flow ❑Water Supply ❑SA
[:]Other___
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
El No discharge this period'
Outfal_I
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 6.6 — 9.0
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes no x
(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-HEM), mg/L
Total Suspended Solids,
mg/L .
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
SDO #1
07/14/15
41.1
1350
7.4
' 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 rcvised Oclobcr 25, 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
19
"Date 07/14/15 (first event sampled)
Total Event Precipitation (inches):.10
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 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 ❑ NO x
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 3D 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
��
Lynne Hays For AT Williams Oil Company 07 30
15
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: h_ttp://portal.ncdenr.org/wLtb/­�w_q/­ws/su/npdessw#tab-4
SWU-250 last revised October 25.2012
Pa -Cc 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
• for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 03/23/15 +
CERTIFICATE OF COVERAGE NO. NCGO80716 SAMPLE COLLECTION YEAR 14
FACILITY NAME WilcoHess Travel Plaza #205 Candor SAMPLE PERIOD xJan-June July -Dec
COUNTY _Montgomery or Monthly' _ (month)
PERSON COLLECTING SAMPLES Lynne Hays � C y
Di5CHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY R&A Lab Cert#34 Comments on sample collection or ❑Zero -flow ❑Water Supply ❑SA
analysis: ❑Other
Part A: Vehicle Maintenance Areas Monitoring Requirements
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Ej No discharge this period'
-
Noel
F "d Date
Sample Collected,
<„
/�Yr
_� n,��-0053d"� t} �
OQ400 ' �
�? �.s 0� p556
_
Total Suspended.
Solids, mg/.� .
_ pH
Standard unit's
a ��
��Non-Polar Qil and Grease/TPH EPANUNN
Method 1664 5GT HEM m L
i �L.�x), g/�.�
New Motor Oil Llsage,
Annual a�era a al mo
g g_/
Benchmark
•., -
'
50 oe 10Q ermtt
W ithinif0 -�'9�0 �,_ .F
• ?"`�= ,�15 ,�;
�,`u
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes no x
(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 =
b= I]ate
`: - 00556 � sue.. t►
00530 I=
' _` 00-400 T
".;
Sampleoi ected
'No PolaOil and Grease/%PW_EPA M ho
; ' Total Sus�pe ded Solids ;,L
pH,
-
mo/dd/,�yr y
: . ?i64 [SGT-HEM)g/L�,�
a mg/L� r" s'
Standard units
Permit Limit:
'�`
+15
N - = s�
5D or 100 see ermtt
sue.. :
�. �K , _�
:7' P- 1
..�
z
SDO #1
02/09/15
<5
34
8.5
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 rc+,iscd October 25, 2012
Palc I of 2

STORM EVENT CHARACTERISTICS:
Date 02/09/15 (first event sampled)
Total Event Precipitation (inches):.22
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 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO x
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 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Lynne Hays For AT Williams Oil Company _ 03 23 15
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/we /wws/su/npdessw#tab-4
SWU-250 last revised October 25. 2012
Page 2 of 2

�1
et�
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000 J
Date submitted 03 23 15 �.
CERTIFICATE OF COVERAGE NO. NCG080716
FACILITY NAME WilcoHess Travel Plaza #205 Candor
COUNTY Montgomery
PERSON COLLECTING SAMPLES Lynne Hays
LABORATORY R&A Lab Cert #34 Comments on sample collection or
analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR
SAMPLE PERfOD xJan-June July -Dec
or Monthly' ---(month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall r
r No
Date`
SampleYCollected_,
dd/�y
�:;� 00530a
00400
�..
;
Total Suspended
__: Solid ,;.mg/L ';
pH, -
Standard units
Nan -Polar oil and Grease/TPH EPANevr
Method.1564 (SGT ,HEM), mg/L....::
Motor Oil Usage;
Annual average gai/.mo a
A' chmarkLL
=
50,0 100 see permit
IfVitFiin 6Y0 �9 0
Al
15
;
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes no x
(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
0. .
, sDate
<� ..
Sample Collected,`
.,
/ Xr a`
.. v
.,Non -Polar Qil and`Grease/aTFH EPAMethod
A .serif : ,+ ,: -.}�S r
° � 1'664 SGT H M m L
Total Suspend`e,d Solids,
Ed- 1? 't:
m %Ls ':
�._ .
pH,`;
i _
Standard unniit"s Y'
P.ecmitimit
''1.^AF�J9'.
e
50 or 10 s0 eel e� rmi `
i
SDO #1
02/09/15
<5
34
8.5
' 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 October 25. 2012
Page I of 2

STORM EVENT_ fCHARACTERISTICS:
Date 02/09/15 (first event sampled)
Total Event Precipitation (inches):.22
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 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 it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this OMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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
U 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Lynne Hays For AT Williams Oil Company
(Signature of Permittee)
03 23 15
(Date)
Additional copies of this form may be downloaded at: http//portal.ncdenr.org/web/wq/ws/su/­npdessw#tab-4
S W U-250
last revised October 25, 2012
Paae 2 of 2

f
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 10/27/14
CERTIFICATE OF COVERAGE NO. NCGO80716
FACILITY NAME WilcoHess Travel Plaza #205 Candor
COUNTY Mantgomery
PERSON COLLECTING SAMPLES Lynne Hays
LABORATORY R&A Lab Cert #34 Comments on sample collection or
analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR _2014
SAMPLE PERIOD Jan -June xJuly-Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water supply ❑SA
RECEIVED ❑Other
NOV 0 4 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE -->
CENTRAL FILES ❑ No discharge this period
DWR SECTION
Outfall�
pates
Y0053(}' F i
r' 004o0
00556 j'
No Nam..
xi
'Sam Ie,C61lected,
T6tal;5us ended ,
'li,
,,
Non Polar Oi! an re PH' EPA
New'Motof.OilrUsa 'e r;`
r
/yr �.,,_
=_3ol�ds; mg/L °
Standard units
Method 1664 (SGT FEEMjY; mg/L
Anrtual:aVerage
Benchmark,;.
,..
;,;.:
�0
00 p'ermit 5
h_
-
or1see_,-�ry-
r,.<:
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes no x
(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
ul
x.IMRV t _ yQ_U55r 0053U :,,00400.
-^s�a.-Qyrsrx.^.x.---•�a.SF'�( �;•:. �- _ rw�
o " Sam le Collected, olar Oi.l and Grease TPH EP'A�fVlethod3 r H� p _ Non P / 4. Total�Susp�enedalads, p ., 1664 (SG.T�HEM), mg/L Standard units — [P rm tiLimit _.:' {.,. 15•y _. _ l 50 or 100 see permit " 6:0 9.0 SDO #1 09/29/14 <5.0 15.0 7.8
' 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 October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 9/29/14 (first event sampled)
Total Event Precipitation (inches):.16
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 1, Tier 2, or Tier 3 responses. See Genera! 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 ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an originat and one copy of this DMIi, 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
10/27/14_
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
S W U-250
last revised October 25, 2012
Page 2 of 2