NCG080769_MONITORING INFO_20170801

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE f1 HISTORICAL FILE
fYMONITORING REPORTS
DOC DATE
YYYYMMDD

STORMWATER DISC :GE OUTFALL (SDO)
!I
MONITORuov REPORT
GENERAL PERMIT NO NCG080000 I SAMPLES COLLECTED DURING CALENDAR YEAR
CEIUIFICATE OF COVERAGE NO NCG08 vj {This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory )
FACILITY NAME c C 1. COUNTY
PERSON COLLECTING SAMPLES cxT, ens PHONE NO
CERTIFIED LABORATORY A.Lab # 3� 53a 1
a Lab # PLEASE SIGN ON THE REVERSE 4
Part A Vehicle Maintenance Areas Monitoring Requirements
Did tlus facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X_ yes no
(if yes, report your analytical results in the ible immediately below)
t P tOutfaii y�µ
Noy ,
AF4tm�racli«<'�
� -h Date, `
Sample°Ctiallecred;'
_1 +. 00530,i�_
r 00400
r,00556 Y'-1A
_IToltallSiiipeiid9d.}Solids,,,.
in,
`iL'�>zy� -r
r""i
' :staoaa�akuni-�
r
+e
Oil and`Grea�; E "'- a
y �r_F
!N m /Li„a � I ,
New` Motor'OiL,Qsage;
_
a Anneal avert e! al/n'fo,i:
rE;, r--'
a' x r lOD ,, - z
try Within; 6a0 --49 0, rip, "s
f - Yrk � '� � 130' r� � tv
I,
L s_
d
I�
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text.
1
Part B Od/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals �� 4/ F fl
y 1} `O iltfa LL"'b%)
M- No' ti-i
f k r1w 1 �D_htel� 0'7r
Sample, Callecteil , �
'mo/dd/ r L,e
e l "iNg, ,~....f1100556-� Y z ��SI!}
%Y�'Lf�!,�.: �04530 L�?. �'✓r 4-�s�.w
�"'r2 04400
� 'A,' -`Oil and Grease, - �E f �
a ?, r - = s, f
� Wl�� � � m r !
41eTothl,Suspedded Solids,_,, r
�a, I :gym '� 1wr
! sou .� _ � �.,� .�:.
: ' r � � pH,,,
t _ a r
� w:, St zidarcl units
_30 P; w
�;_'6 0 = 9 Q - �- x
!
AUG 01 2011
cj�JVTaWR �Crpit
�S
10N
1�
STORM EVENT CHARACTERISTICS �', Mail Original and one copy to
ai Division of Water Quality
Date i. ll (first event sampled) Attn DWQ Ccntral Files
Total AeAt Precipitation (inches) 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
l
Total Event Precipitation (inches)
I
1
1
SWU-250-102107
Page I of 2

"r certify, under penalty of Iaw, that this document and all attachments were prepared under my �ltrection 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, orlthose persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete Y am aware that there are significant penalties for submitting false information, including
the possibihty of fines and imprisonment for knowing violations "
(Signature of
--� Z(P �?
(Date)
3
SWU-250-102107
Page 2 of 2

MRESEARCh & ANAiyiriC4�
r LA ®RAmRBES, PNC.
�0
For Sunway Charters
3636 N Glenn Avenue
Winston-Salem, NC
Attn J Wingerter - - --- — - -- ---- ---- - ---
Report of Analysis
7/18/2017
• J*1141e181+�f--
`=��'Lpi
J (a NC 1134
NC#37701
�.� f7PIEI)rA
Client Sample ID Outfall 1 Lab Sample ID 36755-01
Site Sunway Charters Collection Date 7/6/2017 1535
Parameter Method Result Units Rep Limit Analyst Analysis Date[Time
Hydrocarbon 0&G EPA 1664 revision B/Silica <5 mg/L 5 JF 7/17/2017
Gel
Total Suspended Solids (TSS) SM 2540 D-1997
265 mg/L 5 AA 7/7/2017
NA = not onolyzed
P O box 473 l06 Short Skreel Kernersvilie North CarolinaY27284 Tel [phone] Fax [phone] www randalabs com Page 1
ra rn b ­c �ij

RESEARCh & ANAIYACAI
LAbORATORIES ANC.
if
Analytical / Process Consultations
Phone (3361 996-2€341
CHAIN OF CUSTODY RECORD
WATER 1 WASTEWATER MiSC
COMPANY i
JOBNO
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Z' �O Jc` 0 1 ��C Z aSe�
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�t �4 r4 REQUESTED ANALYSIS
STREETADDRESS I
✓ 1i• i f
�./
PROJECT`, �!^ {�+
..� lam' 1 law""` 7 --
CITY STATE ZIP f
SAMPLER NAME (PLEASE PRINT)
CONTACT ` PHONE !}
SAMPLER SIGNATURE
SAMPLE NUMBER
(LAB USE ONLY}
DATE
TIME
L4ASP
GiL1R
TEMP
.G
RES
it !tl
ntu ,
It «uF
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cs ate
SAMPLE LOCATION 1 [ Q
xo1 -v
11481-1
C c✓ !-�c'�
RELINQUISHED BY
(R-
DATE/TIME
` l� �n
RECEIVED BY
I
REMARKS }
SAMPLE TEMPERATURE AT RECEIPT •�J I °C
RELINQUISH D BY
DATEITIME
RECEIVED BY

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR "7-" f G
CERTIFICATE OF COVERAGE NO NCG08 d 7 (v 5 (This momtormg report is due at the Division no later than 30 days from
r the date the faeihty receives the ,.amphng results from the laboratory )
FACILITY NAME ,v a Gh a ,r it COUNTY rats y Tit_ _
PERSON COLLECTING SAMPLES_I J W L PHONE NO (-33 L. 7 b l ! 51 I
CERTIFIED LABORATORY Lab # 3 7 r o (
Lab # PLEASE SIGN ON THE REVERSE 4 RECEIVED
Part A Velucle Maintenance Areas Monitoring Requirements
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month) �es _no
(if yes, report your analytical results in the table immediately below) ``
SEP 0 b CU10
CENTRAL ALES
1R SECTION
Outfall
No
Date
Sample Collected,
mo/dd/ r
00530
00400
00556
Total Suspended Solids,
MgL
pH,
Standard units
Oil and Grease,
m
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
100
Within 6 0 — 9 0
30
-
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text
Part B OdJwater Separators and Se dary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No
Date
Sample Collected,
mo/dd/ r
00556 1
00530
00400
Oil and Grease,
mgtL
Total Suspended Solids,
m
pH,
Standard units
Permit Limit
-
30
100
6 0 — 9 0
STORM EVENT CHARACTERISTICS
Date A- I I- (first event sampled)
Total Event Precipitation (inches) " $ S
Date (list each additional event sampli,d this reporting period, and rainfall amount)
Total Event Precipitation (inches)
Mail Original and one copy to
Division of Water Quality
Attn DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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. T am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations "
5 WU-250-102107
ge2of2