NCG080641_MONITORING INFO_20181022 (FIX)

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
/V C.c o f o lc¢ f
❑ HISTORICAL FILE
MONITORING REPORTS
❑
YYYYMMDD

North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
CERTIFICATE OF COVERAGE NO. NCG
FACILITY NAME Petro Travel Store #329
COUNTY Alamance
PERSON COLLECTING SAMPLES Steve Sutton
LABORATORY Pace Analytical Lab Cert. # 12
Date submitted October 12, 2018
080641 SAMPLE COLLECTION YEAR 2018
RECEjVF ;
OCT 2 2 2416 PLEASE REMEMBER TO SIGN ON THE REVERSE
CI N 1 RAL FILES
DWR SECTION
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall 10.1 or ❑ No discharge this periodz
Outfall No.
Sample
Collected,
mm/dd/yr
Total Suspended
Solids (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
Oil and Grease, mg/L
(if applicable)
pH, Standard units
(only if applicable)
New Motor Oil or
Hydraulic Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 503
15
30
Within 6.0 — 9.0
-
OutFall
09/27/18
16.8
-
6.7
6.6
Approx. 1,000
1 The total precipitation must be recorded using data from an on -site rain gauge_
z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 OUTFALLTRIGGER 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 [-I NO ❑■
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page] of 2

Mail an original and one copy 9f this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end o -
monitoring period in the case of "No Discharge" reports) to DWR Central Files:
Division of Water Resources*
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
*Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR.
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."
to -1) -I 8'
(Date)
Additional copies of this form may be downloaded at:
https://deg.nc. gov/about/divisions/energy-mineral-land-resources/npdes-stormwater-gam
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page 2 of 2

£rtv(rvnmemal
Quarify
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For, guidance on filling out (his form, please visil httpsa/dcg.nc,Lov/About/divisions/energy-mine_r_a_ l-_land-
resources/energy_mingal-land-acrmitslstormwater-permitslndgs-industrial-sw#tab-4
Permit No.: NICI_I_I_I I I_IJ or Certificaale of/Coverage No.: NLL GI_l�l_ _I 1_I 1
Facility Name: ,�J _'5�, ;,� 4 C &�i�/ _
County: OZAxP Phone No.
Inspector: DLd2fnn
Date of Inspection: 7• of %( __
Time of Inspection: &A��
Total Event Precipitation (inches); /,!Q
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature eT Permittee or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area, %)/.4
Page I of 2
SWU-242, lust modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
C, ) 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
CID
2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes a o.
8. Is there an oil sheen in the stormwater discharge? OYes
9. is there evidence of erosion or deposition at the outfall? O Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
swu-242, Last modified 07/28n017

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE NO. NCG08 0641
FACILITY NAME Petro Travel Store ##329
PERSON COLLECTING SAMPLES Salve Sutton
CERTIFIED LABORATORY_ Pace Analytical Lab # 12
_ Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(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.)
COUNTY Alamance
PHONE NO. (919 )304-7474 C-
Ck—, Cz 1 '--r
PLEASE SIGN ON THE REVERSE 4
,SUN 2 7 2018
Part A: Vehicle Maintenance Areas Monitoring Requirements
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes _no CENTRAL FI! I '
(if yes, report your analytical results in the table immediately below) DWR
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00530
00400
00556
Total Suspended Solids,
m
pH,
Standard units
Oil and Grease,
m
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
100
Within 6.0 — 9.0
30
-
1
5/2911$
6.1
6.7
3.0 J
Approx. 1,000
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: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
Oil and Grease,
m
Total Suspended Solids,
m
pH,
Standard units
Permit Limit
-
30
100
6.0 — 9.0
STORM EVENT CHARACTERISTICS:
Date 9/18 (first event sampled)
Total Event Precipitation (inches): 0.32
Date (list each additional event sampled 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 I 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."
(Signature of P 'ttee)
204r
(Date)
S WU-250-102107
Page 2 of 2

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please s isit hitr+ti:/hlco.nc,gov/pbout/divisi ii, encrt;y-mineral-land-
csources{ener -i ineral-land- rmitststormw er- erinitsl dcs-industr' I-s�v#tab4
Permit No.: NICAIXIA04?aI or Certificate of Coverage No.: NIC/QI�I I�I�IQrILI
Facility Name: 21eM 4GM_y1--/ S7162�e--A}M9
County: gfmao� Phone No. 9/ ']�%Je _
Inspector:
Date of Inspection: ,-7 -89-z
Time of Inspection: _ /a%4�5r1lJr,1/
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
1. outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page I of 2
5WU-242, last modified 0712811117

2. Color: Describe the color of the dischaf ge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ,Z; ar[ rz2t .),,,,,.,,,.,__
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):If
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 Q 4 5 ,
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
0 3 4 5
5. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? oYes S No.
9. Is there evidence of erosion or deposition at the outfall? O Yes cp No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe / / A
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further Investigation.
Page 2 of 2
5WU-242, Last modified 07020017

AECOM
AECOM tel [phone]
12420 Milestone Center Drive, Ste 150
Germantown, MD 20876
June 21, 2018
North Carolina Division of Water Quality
Attn: DWQ Central Files
1617 Mail Services Center
Raleigh, North Carolina 27699-1617
RE: Semi -Annual Stormwater Sampling
Travel Center of America #329
500 Buckhorn Road, Mebane, Orange County, North Carolina
NCDWQ/Permit No. NCGO80000
Dear Sir/Madam:
Enclosed is one copy of the Semi -Annual Stormwater Sampling Report for the Travel Center of
America (TA) 4329 located at 500 Buckhorn Road in Mebane, Orange County, North Carolina.
The stormwater sample was collected from outfall I on May 29, 2018. There were no permit
exceedances. Rain events will continue to be monitored semi-annually in 2018.
If you have any questions or would like any additional information, please do not hesitate to
contact Rob Porges of TA at 440-808-7368 or me at [phone].
Sincerely,
AECOM
Carlin Slusher
Project Manager
Enclosure
cc: Rob Porges, TravelCenters of America, 24601 Center Ridge Road, Westlake, OH 44145
(electronic)
Shane Cranford — AECOM (electronic)
Project File (electronic)