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HomeMy WebLinkAboutNCG080430_MONITORING INFO_20190411STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C�UFS O�3 V DOC TYPE fl HISTORICAL FILE U/MONITORING REPORTS DOC DATE ❑ 0015 N I ) YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date Submitted November 10, 2018 CERTIFICATE OF COVERAGE NO. NCG 080430 FACILITY NAME YRC, Inc, -„ COUNTY FORSYTH _ PERSON COLLECTING SAMPLES J FreiLSWSG - LABORATORY Pace Analytical Lab Cert. # 12 633 Comments on sample collection or analysis: _pH measured in field by SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June 0 July -Dec or ❑ Monthly) (month) &�C fVISCHARGING TO CLASS ❑ORW ❑HQW —Trout ❑PNA 1 ❑Zero -flow ❑Water Supply ❑SA APR El Other WS-IV Stormwater Services Group (Lab Cert #5054) CC-AfTf ' TIvK JAL S PLEASE REMEMBER TO SIGN ON THE REVERSE Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No dischorge 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 2664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 100 Within 6.0 —1.0 .. 15 - 007 05/28/18 343 6.89 < 5.0 +/-175 007 10/20/18 63.7 6.71 < 5.0 +/-19S 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 t 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 rcviscd April 11. 2013 Page 1 of 2 STORM L—NT CHARACTERISTICS: Date May 28-2018 (first event sampled) Total Event Precipitation (inches): 0.39" Date October 20, 2018 _ (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 0.11" Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Trer 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 8: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 1Z 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 lob results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR 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." I /— (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 � Semi-annual Stormwater Discharge Monitoring Re ort for North Carolina Division of Water Quality General Permit No. NCG080000 Date Submitted June 15, 2018 CERTIFICATE OF COVERAGE NO. NCG080430 FACILITY NAME YRC. Inc. _ COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY_ Pace Analytical Lab Cert. # _ 12/ 633 _ Comments on sample collection or analysis: pH measured infield by Stormwater Services Group (Lab Cert #5054) SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD 0 Jan -June ❑ July -Dec or ❑ Monthly'(month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA �SCSI V�: Dzero- IowN ❑Water supply [:]SA JUN 2 8 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Fr Did this facility perform Vehicle Maintenance Activities using more than 55 galt6ltli 'new lmv& or oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ 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 - 100 Within 6.0 — 9.0 15 - 007 05/28/18 343 6.89 < 5.0 +/-175 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 1 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 1 I, 2013 Page I of 2 STORM E4�,. f CHARACTERISTICS: Date _May 28. 2018 _ _ (first event sampled) Total Event Precipitation (inches): 4.39" 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, Trer 2, or Tier 3 responses. See General Permit text. FOR PART 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 DMR, including all "No Discharge' reports, within 30 des of receipt of the lab results or at end of monitoring period in the case of "'No Discharge" reports) to: Division of Water Resources Attn: DWR 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) (D te) Additional copies of this form may be downloaded at: httpa/portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-2-50 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date Submitted CERTIFICATE OF COVERAGE NO. N CG080430 FACILITY NAME __YRC, Inc. COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY _ Pace Analytical Lab Cert. # 12 633 Comments on sample collection or analysis: _pH measured in field by Stormwater Services Group (Lab Cert #5054) November 8, 2017 SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June [Z July -Dec or ❑ Monthly' (month] DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow []Water Supply ❑SA 0 Other WS-IV 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? ✓ yes _no (if yes, report your analytical results in the table immediately below) 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, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 100 Within 6.0 — 9.0 15 - 007 10/23/17 1 30.9 7.18 19.6 +/-195 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfal 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 1 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 E�. . i" CHARACTERISTICS: Date October 23, 2017 (first event sampled) Total Event Precipitation (inches): 1.75" 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 Ter 1, firer 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 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 recut of the lab results (or at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Resources Attn: DWR 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." (SignaturYof Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S WU-250 last revised April 11. 2013 Page 2 of 2 0 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date Submitted CERTIFICATE OF COVERAGE NO. NCG080430 FACILITY NAME YRC, Inc. COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY Pace Analytical Lab Cert. # 12/ 633 Comments on sample collection or analysis: pH measured in field by Stormwater Services Group (Lab Cert #5054) November 8, 2017 SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or []Monthly' (month' DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA 0 Other WS-IV 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? ✓ yes _no (if yes, report your analytical results in the table immediately below) 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, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 100 Within 6.0 — 9.0 15 - 007 10/23/17 30.9 7.18 19.6 +/-195 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 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 1], 2013 Page 1 of 2 STORM B. , CHARACTERISTICS: Date October 23 2017 (first event sampled) Total Event Precipitation (inches): 1.75" 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 1, or Tier 3 responses. See General Permit text. FOR PART AAND 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 El IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on final and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t of the lab results or at end of monitoring period in the case of "No Discharge" reports)- to Division of Water Resources Attn: DWR 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 //-Agpr// (Date) �7 Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last rcviscd April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date Submitted CERTIFICATE OF COVERAGE NO. N CG080430 FACILITY !NAME YRC, Inc. __..._ COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY Pace Analytical Lab Cert. # 12/ 633 Comments on sample collection or analysis: �pH measured in field by Stormwater Services Group (Lab Cert #5054) May 4, 2017 SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD 0 Jan -June ❑ July -Dec or ❑ Monthly! (month) CL E6 REP - I rid INGTOCLASS ❑ORW ❑HQW ❑Trout ❑PNA VV ❑Zero -flow ❑Water Supply ❑SA- MAY I A ZU17 1Z other WS-IV CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE -i DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) 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, Standard units . Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 100 Within 6.0 — 9.0 15 - 007 04/23/17 21.0 7.23 < 5.0 +/-165 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfal l No. Date Sample Collected, mo/dd/yr 00556 00530 00400, Non -Polar Oil ana Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, , mg/L OH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 =- 9.0 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. S W U-250 last revised April It, 2013 Page I of 2 STORM EVENT CHARACTERISTICS: A Date Aril 23 2017 (first event sampled) . Total Event Precipitation (inches): 2.62" - - , Datethis-reporting (list each additionalevent-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 Tier3 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 O IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ ' REGIONAL OFFICE CONTACT NAME: Mail an orlainal and one coon of this DMR, includina all "No Discharae" reoorts. within 30 dovs of reckoi of the lab results for at end of monitoring oeriod in the case of "No Discharae" reports) to: Division of Water Resources ` Attn: DWR Central Files 1617 Mail Service Center , Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: J "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) - (Dat Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/suLnpdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 mi-annual Stormwater Mcharge Monitoring R for North Carolina Division of Water Quality General Permit No. NCGO80000 Date Submitted August 25, 2016 CERTIFICATE OF COVERAGE NO. NCG080430 FACILITY NAME YRC, Inc. COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG _ LABORATORY Pace Analytical Lab Cert. # _. 12/ 67 Comments on sample collection or analysis: pH measured infield b_y Stormwater Services Group (Lab Cert #5054) SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June 0 July -Dec or ❑ Monthly' (month) _ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply ❑SA DEC 07 20i6 0Other WS-IV CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE � DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ 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 - 100 Within 6.0 — 9.0 15 - 007 02/03/16 63.2 7.08 5.3 +/- 145 007 1 07/31/16 84.3 6.91 < 5.0 +/-150 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 005S6 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 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 1], 2013 Page 1 of 2 STORM E r CHARACTERISTICS: Date _July 31, 2016 (first event.sampled) , Total Event Precipitation (inches): 0.84" Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you reporta' sample value_ in excess of the benchmark, you must implement Tier 1, Tier 1, 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 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE 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 0 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMR, includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina Deriod in the case of "No Discharae" reports) to: Division of Water Resources Attn: DWR 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, -/-4 (Signature of Permittee) . (Date) Additional copies of this form may be downloaded at:-http://portal.ncdenr.org/webZwq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 STORMWATER DISCHARGL JNITORING REPORT (DMR) GENERAL PERMIT NO. NCG080000 GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 CERTIFICATE OF COVERAGE NO. NCGO8 0874 (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 Raleislh Transit Operations Facility COUNTY WAKE PERSON COLLECTING SAMPLE(S) Jim Frei (SwSG) _ PHONE NO. 9(_ 19) 996-3899 CERTIFIED LABORATORY(S) Pace Labs Lab # 12/633 SWSG Lab # 5054 PLEASE SIGN ON THE REVERSE c3�' Part A: Vehicle Maintenance Activity Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ Yes No (If yes, report your analytical results in the table immediately below) Ou tfa I I No. Date Sample Collected mm/ddl r 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard Units Oil and Grease, mg/L New Motor Oil Usage, Annual average gall mo Benchmark - 100 Within 6.0-9.0 15 - 001 06/28/16 9.2 6.93 < 0.613 +1- 265 001 09/19/16 26.3 6.87 < 5.0 +/- 265 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Part B: Oil Water Separators and ondary Containment Areas at Petroleum Bulk Station and Terminals Outfall No. Date Sample Collected mm/ddl r 00556 00530 00400 Oil and Grease, mg/L Total Suspended Solids, mglL pH, Standard Units Benchmark - 30 100 Within 6.0 — 9.0 STORM EVENT CHARACTERISTICS Date -June 28, 2016_ (first event sampled) Total Event Precipitation (inches): 0.76 inches Date _Sept 19, 2016_ (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 0.63 inches RECEIVED pWRRAL FILES SECTION Form SWU-250-102107 Page 1 of 2 "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." ( �gna ure o P mittee 4 (Date) Mail Original and one copy to: Attn: Central Files NCDEQ / DWR 1617 Mail Service Center Raleigh, NC 27699-1617 Fonn SWU-250-102107 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 jzik1 Date Submitted October 20 2015 CERTIFICATE OF COVERAGE NO. NCGO80430 FACILITY NAME YRC. Inc. _ COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY Pace Analytical Lab Cert. # 121633 Comments on sample collection or analysis: _pH measured in field by Stormwater Services Group (Lab Cert #5054) SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June 0 July -Dec or ❑ Monthly! _._ !month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply ❑SA DEC 14 2015 a Other WS-Iy tir NTRAL. FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 3 ?� Pl SECTION Did this facility perform Vehicle Maintenance'Activities using more than 55 gallon 01 ew motor oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) 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, 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 - 007 03/13/15 215 6.92 6.3 +/-125 007 10/02/15 18.0 7.18 18.1 +/-135 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 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 1 of 2 STORM EVENT CHARACTERISTICS: Date March 13 2015 (first event sampled) Total Event Precipitation (inches): 0.40" Date October 2, 2015 (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 0.77" 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 0 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" re arts within 30 days of receipt of the !ab results jor at endue monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR 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) ( 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 April 11. 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted April 4, 2015 CERTIFICATE OF COVERAGE NO. NCG080430 FACILITY NAME YRC. Inc. COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/_SwSG LABORATORY_ Pace Analytical Lab Cert. # _ 12/ 67 Comments on sample collection or analysis: _pH measured in field by Stormwater Services Group (Lab Cert #5054) __,__• , SAMPLE COLLECTION YEAR 2015 0� SAMPLE PERIOD ® Jan -June ❑ July -Dec RECEN DIISCHARGING TO CLASS monthly' (month) ❑ORW ❑HQW ❑Tr ut ❑PNA DEC 14 2015 ❑Zero -flow [:]WaterSupply [:]SA ® Other WS-IV CENTRAL FILES DINR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 060 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) 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, 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 - 007 03/13/15 215 6.92 6.3 +/-125 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 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 1 of 2 STORM EVENT CHARACTERISTICS: Date March 13, 2015 (first event sampled) Total Event Precipitation (inches): 0.40" 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 0 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: DWQCeritral Files 1617 Mail Service Center Raleigh, North Carolina 2769911617 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 an 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 Permitteej (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 April 11, 2013 Page 2 of 2 a Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date Submitted October 25, 2014 CERTIFICATE OF COVERAGE NO. NCG080430 FACILITY NAME _ YRC, Inc. COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY Pace Analytical _ Lab Cert. # 12/ 67 Comments on sample collection or analysis: _pH measured in field by Stormwater Services Group (Lab Cert #5054) SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month' ��DISC}RGIA G TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [-]Watersupply ❑SA Nov 14 2014 RI Other WS-IV CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ yes _no (if yes, report your analytical results in the table immediately below) 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, 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 - 007 04/19/14 < 8.1 6.71 < 5.0 +/- 220 007 10/10/14 32.0 6.91 < 5.0 +/- 220 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 - 1s 50 or 100 see permit 6.0 - 9.0 1 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 October 10, 2014 (first event sampled) Total Event Precipitation (inches): 0.19" 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: 0 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. a 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 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 Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S WU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000"� Date Submitted February 16, 2016 CERTIFICATE OF COVERAGE NO._N00080430 SAMPLE COLLECTION YEAR 2 116 /tv FACILITY NAME YRC. Inc. COUNTY FORSYTH PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY_ Pace Analytical Lab Cert. # _12/ 67 Comments on sample collection or analysis: pH measured in field by Stormwater Services Grou Lab Cert #5054 SA' LE PERIOD IE Jan -June ❑ July -Dec -NV q yr RECE. l-u or ❑ Monthly'_ (month). DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout 4OPNAV MAR IA ] $ E3 ❑Zero -flow ❑Water Supply ®SA �C1Z Other WS-IV DWRFILES ON 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? ✓ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ 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 - 100 Within 6.0 — 9.0 15 - 007 02/03/16 63.2 7.08 5.3 +/-145 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfal 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 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] o f 2 STORM EVEN. _AARACTERISTICS: Date February 3, 2016 (first event sampled) Total Event Precipitation (inches): 1.08" 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 EXCEEDANC£S IN A ROW FOR THE SAME PARAMETER ATTHE 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 0 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REG10NALOFFICE CONTACT NAME; Mail an on final and one Copy of this DMIi includin a!1 `1 Discharge" reports, within 30 days o receipt o the lab results or at end o monitoringperiod in the case o f "'No Discharge" reports) to: Division of Water Resources Attn: DWR 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." C�2(�u -- (Signature of Permittea% (D te) Additional copies of this form may be downloaded at: http://12ortal.ncdenr.org/web/wq/wslsu/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharee Monitorine Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date Submitted April 30, 2014 _ CERTIFICATE OF COVERAGE NO. N CG080430 SAMPLE COLLECTION YEAR 2014 FACILITY NAME YRC, Inc. SAMPLE PERIOD ® Jan -June ❑ July -Dec - COUNTY FORSYTH p C � � ru Monthlyi_'' '(rnonth) PERSON COLLECTING SAMPLES J Frel/ 5w5G 1 CLASS ❑ORW ❑HQW ❑Trout ❑PIA LABORATORY Pate Analytical Lab Cert. # 12/ 40 MAY 21 2014 ❑zero=flow . ❑Water Supply ❑SA - Comments on sample collection or analysis: _pH measured in field by Ef Other WS-IV Stormwater Services Group (Lab Cert #5054) CENTRAL FILES DWQIBOG PLEASE REMEMBER TO SIGN ON THE REVERSE Did this facility perform VehiclerMaintenance Activities using more -than 55 gallons of ndWmotor oil per month?' ✓yes no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (!f applicable) ❑,No discharge this period1. 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 - 007 04/19/14 < 8.1 6.71 < 5.0 +/-220 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], mdL Total Suspended Solids, mg/L ,pH, , Standard units Permit Limit - 15 SO or 100 see permit 6.0 — 9.0 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 _ April 19, 2014 (first event sampled) Total Event Precipitation (inches): 0.43" 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, rer Z or filer. 3 responses. See Generol,Permit text. w - FOR PART A AND PART B. MONITORING RESULTS; • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION a. • 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 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cobv of this DMR, including all "No Discharge" reports, within 3D cloys of receipt of the lab results for at end of monitonner period in the case of "No Discharge" reports) to: Division of Water Quality T Attn: DWQ Central Files' 1617 Mail Service Center ` Raleigh, North Carolina 27699-1617 : t 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 property 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.".. IJAAA h di V- (Signature of Permittee) Additional copies of this form may be downloaded at: httii IP6 tal.ncdenr.orp,[web/wg/ws su/npdessw#tab-4 i SWU-250 last revised April 11, 2013 Page 2 of 2