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Home My WebLink AboutNCG160034_MONITORING INFO_20190215STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. fvC� I � ��3y DOC TYPE ❑HISTORICAL FILE &-MONITORING REPORTS DOC DATE ❑ � 15 YYYYMMDD RECE Semi-annual Stormwater Discharge Monitoring Report (WR} I for North Carolina DEMLR General P rmi No. NCG160000 - Asphalt 2019 Date submitted % / CC_N(rRAL Fl jJ// D I' IF? L �" �� 4 CERTIFICATE OF COVERAGE No. NCG16,� 8 f % SAMPLE COLLECTION YEAR FACILITY NAME x�o� A14W ,Q� SAMPLE PERIOD Jan -June [] July -Dec � ss or VI Monthly' "I/ - monthl DISCHARGING TO CLASS ❑ORW ❑HQW []Trout []PNA Zero -flow Water Supply C]SA [Other COUNTY /AP,arrLk/ . PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE —) No discharge this period?z Outfall No. - Date Sample collected' (mo/dd/yr) 24-hour rainfall amount, lnches3 Total Suspended Solids Benchmarks ===> - 100 mg/L or 50 mg/0 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be re orted in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/l/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period?z Outfall Na. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches 3 Non polar O&G by EPA 1664ISGT-HEM} Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/L Footnotes from Part A also apply to this Part B 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 A AND PART B MONITORING RESULTS: A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME; Mail an on inal 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 Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: 1 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." 2 Z�---- / (Date) Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discha,ge Monitoring Report (DMRI for North Carolina DEMLR General P rmit No. NC_ G160000 - Asphalt Date submitted 4Z4,20/ CERTIFICATE OF COVERAGE NO. NCG16 0034 FACILITY NAME Blythe Construction, Inc.- N. Plant COUNTY Mecklenburg PERSON COLLECTING SAMPLES Robby Keziah LABORATORY ALS Environmental Lab Cert. # 527 Comments on sample collection or analysis: N/A Part A: Stormwater Benchmarks and Monitoring Results 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 C PLEASE REMEMBER TO SIGN ON THE REVERSE4 ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> - - 100.mg/L or 50 mg/L 001 11/09/2018 0.40" 144 mg/L 002 11/09/2018 0.40" 186 mg/L 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mdl.", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 r' Part B: Ve_ .-Ie Maintenance Area Monitoring Results: only for facilities. _eraging > 55 gal of new oil per month. ❑ No discharge this period?2 Out#all No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L NA Footnotes from Part A also apply to this Part B 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 AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 eriod 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." of %�� O (Date) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR1 for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted ? /� CERTIFICATE OF COVERAGE NO. NCG16 0034 FACILITY NAME Blythe Construction, Inc.- N. Plant COUNTY Mecklenburg PERSON COLLECTING SAMPLES Robby Keziah LABORATORY N/A Lab Cert. # N/A Comments on sample collection or analysis: N A Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ® Jan -June ❑ July -Dec or [] Monthly'_ (month) � .�DISSCHARGING TO CLASS ❑ORW []HQW [:]Trout ❑PNA C II'.. RE ❑Zero -flow [:]WaterSupply [:]SA JUL Is l NIB ®Other C CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE4 DWR SECTION No discharge this period?z Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> _ - 100 mg/L or 50 mg/L4 001 N/A N/A No discharge during operational hours 002 N/A N/A No discharge during operational hours ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m L" where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/0 NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 Resources Attm 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Pe ( ate) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted . 7_ CERTIFICATE OF COVERAGE NO. NCGi160040 FACILITY NAME Blythe Construction Inc. — East Plant COUNTY Mecklenburg PERSON COLLECTING SAMPLES Paul Helms LABORATORY N/A Lab Cert. # N/A Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ® Jan -June ❑ July-Dec P or ❑ Monthly' (month) RECEI V G DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA 2018 ❑Zero -flow ❑Water Supply []SA JUL 3 ®Other C CEN-1 RAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE4 ❑ No discharge this period: Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Benchmarks ===> _ - 100 mg/L or 50 mg/L4 001 N/A N/A No discharge during operational hours 002 N/A N/A No discharge during operational hours 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mgLLf, where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part,13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period:2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L4 N/A Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 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." (Signaturee of'Permittee)-- -_ Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMRI for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE No. NCG16 0034 FACILITY NAME Blythe Construction, Inc.- N. Plant COUNTY Mecklenburg PERSON COLLECTING SAMPLES Robby Keziah LABORATORY ALS Environmental Lab Cert. # 527 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly'^ _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water supply ❑SA ®Other C PLEASE REMEMBER TO SIGN ON THE REVERSE4 ❑ No discharge this period?Z Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L° 001 12/20/2017 0.50" 45 mg/L 002 12/20/2017 0.50" 78.5 mg/L RECEIVED FEE 0 6 201a GeNTRAL FILES DWR SECTION 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at,any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc, in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 5WU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches-' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L4 NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 dovs of receipt of the lab results for at end of monitorina 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report DMR for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 7 CERTIFICATE OF COVERAGE NO. NCG16 0034 FACILITY NAME Blythe Construction, Inc.- N. Plant COUNTY Mecklenburg PERSON COLLECTING SAMPLES Robby Keziah LABORATORY Xenco Laboratories Lab Cert. # Comments on sample collection or analysis: N/A Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water Supply [:]SA ®Other C PLEASE REMEMBER TO SIGN ON THE REVERSE-; El No discharge this period-?2 Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids Benchmarks =_-> - 100 mg/L or 50 mg/0 001 04/24/2017 1.00" 25.0 mg/L 002 04/24/2017 1.00" < 4.00 mg/L RECEIVED MAY 2 3 2017 CENTRAL FILES DWR SECTION ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, _"<XX mg L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No, Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/0 NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one carry 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 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) Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted_ — CERTIFICATE OF COVERAGE NO. NCG16 0034 FACILITY NAME Blythe Construction, Inc.- N. Plant COUNTY Mecklenburg PERSON COLLECTING SAMPLES Robby Keziah LABORATORY ALS Environmental Lab Cert. # 527 Comments on sample collection or analysis: N/A Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ® July -Dec C�+ r� or ❑ Monthly' (month) RECEIVECTO CL 61SCHARGING ASS ❑ORW ❑HQW ❑Trout ❑PNA FEB 2 8 2017 ❑Zero -flow ❑Water Supply [:]SA ®Other C CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE- ❑ No discharge this period?' Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> _ - 100 mg/L or 50 mg/L4 001 12/06 j 2016 1.00 21.5 mg/L 002 12/06/2016 1.00 < 5.0 mg/L 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfail. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inche53 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =-_> _ - 15 mg/L 100 mg/L or 50 mg/L° NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 eriod 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 6�� ZZ�� L Ze:_'� - P (Signature of Permittee) (D e) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report DMR for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICirrE OF COVERAGE NO. NCG16 0034 SAMPLE COLLECTION YEAR 2016 ®Jan -June FACILITY NAME Blythe Construction, Inc.- N. Plant SAMPLE PERIOD ,% July -Dec COUNTY Mecklenburg or ❑ Monthlylf (month) PERSON COLLECTING SAMPLES Robbv Keziah ' e �V`D DISCHARGING TO CLASS%QORW ❑HQW ❑Trout ❑PNA LABORATORY ALS Group USA, Corp Lab Cert. # 624 - 2015 ❑Zero -flow [:]Water Supply ❑SA Comments on sample collection or analysis: N A AUG I 2016 Other C CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE4 Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period:2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks 100 mg/L or 50 mg/L4 001 N/A N/A Rain Event Happened After Work Hours 002 N/A N/A Rain Event Happened After Work Hours ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be -reported in the -format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. (Vote: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. Permit Date: 10/1/2014-9/31/2019 SWLI-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L4 NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 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." (Da e) Permit Date:10/1/2014-9/31/2019 SWU-2S2, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge_ Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE No. NCG160040 FACILITY NAME Blythe Construction Inc.— East Plant COUNTY Mecklenburg PERSON COLLECTING SAMPLES Steve Nearhood LABORATORY ALS GrouR USA CorpLab Cert. # 624-2015 Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results tr, AUG 15 1016 CENTRAL DWR SECTIp1\S SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD M Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other C EASE REMEMBER TO SIGN ON THE REVERSE—) J No discharge this period?` Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks 100 mg/L or 50 mg/L° 001 N/A N/A Rain Event Took Place After Hours 002 N/A N/A Rain Event Took Place After Hours 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B:- Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hoar rainfall amount, Inche53 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L4 Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 9 /6 (Date) Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted t - Z F -Zo/(o CERTIFICATE OF COVERAGE NO. NCG16 0034 FACILITY NAME Blythe Construction, Inc.- N. Plant COUNTY Meck— lenbure PERSON COLLECTING SAMPLES Robby Keziah LABORATORY ALS Group USA, Corp Lab Cert. # 624 - 2015 Comments on sample collection or analysis: NIA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other C PLEASE REMEMBER TO SIGN ON THE REVERSE4 No discharge this period?z Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L4 001 7/9/15 0.2in. 14.6 mg/L 002 7/9/15 0.2in. 18.0 mg/L 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L° NA Footnotes from Part A also apply to this Part B 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 A AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 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." 7 ,2 A (D(ate) Permit Date: 10/1/2014-9/31/2019 SWU-2S2, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMRI for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCG16 0034 ��' ED SAMPLE COLLECTION YEAR 2015 FACILITY NAME Divine Construction, Inc.- N. Plant RV SAMPLE PERIOD ®Jan -June ❑Jul -Dec M5 COUNTY Mecklenberg PERSON COLLECTING SAMPLES Robby Keziah L FILES WR LABORATORY ALS Group USA, Corp Lab Cert. # 624 - 2015 j)S pWR SECTION Comments on sample collection or analysis: Analysis reflects results of samples collected on 7/9/2015. Previous samples collected on 6/29/2015 were invalid due to incorrect preservation and could not be analyzed for TSS. Samples taken as soon as feasible after discovery. Part A: Stormwater Benchmarks and Monitoring Results or ❑ Monthlyl month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ®Other C PLEASE REMEMBER TO SIGN ON THE REVERSE4 ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3, Total Suspended Solids Benchmarks - - 100 mg/L or 50 mg/L4 001 7/9/15 0.2 in. 14.6 mg/L 002 7/9/15 0.2in. 18.0 mg/L C=" 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier I, Tier 1, or Tier 3 responses. See General Permit text. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall .,amount, Inches3 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L4 NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copv of this DMR. includina all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitorina period 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." (Date) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMRI for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCG16 0034 FACILITY NAME Blythe Construction, Inc.- N. Plant COUNTY Mecklenbere PERSON COLLECTING SAMPLES NA LABORATORY NA Lab Cert. # NA Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® Oct -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water Supply ❑SA RECEIVED ®Other C FEB 0 9 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE4 CENTRAL FILES DWR SECTION ® No discharge this period?z Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> _ - 100 mg/L or 50 mg/L4 001 NA NA No flow 002 NA NA No flow 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L° NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No„Discharge" reports, within 30 days of rer._eipr of the lab results (or at end of monitoring period in the case o "No Discharge" re orts) 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: 9 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." /3o/s (Date) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 S'r011NiWATER DISCI IARGE 0UTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DNI11) CERTIFICATE OF COVERAGE+' NO. NCG 160034 SAMPLES COLLECTED DURING CAUNDAR YEAR: 1Nar-Auw 2014 (This monitoring report is due at the Division no later than 30 days Ironi the date the facility receives the sampling results from the laboratory.) FACILiTYNAME lilvtlreConstruction Inc.—N.I'lant PERSON COLLECTING SANI PLES CER'1'll ILD LABORATORY Monitoring Requirements Lab # Lab # COUNTY Nlecklenbur?- PHONE NO. (704) 375-8474 a. V , OCT o 7 2014 CENTRAL FILES DWR SECTION Outfall No. Date Sample Collected, molddl yr "total Rainfall, inches 00530 00400. 005'% total Suspended Solids, mg/l pll, Standard units 'total Petroleum Hydrocarbons, mgll EPA Method 1664 SG'I'-ITEM) Benchmark' - - 100 Within 6.0 -- 9.0 15 No Flow During Monitoring.period ' If a value is in excess oFthe benchmark, or outside the benchmark range (for pl-1), you must implement the `Pier I or Ticr 2 responses in the General Permit. Mail original ,nrd one copy to: Division of'Water Quality Attn: Central files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUSTSICN T111S CEfi'r1FlCA-rION FOR ANY INFORMATION REWORTED: "I certify, under penally 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, accuratc, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of lines and imprisonment for knowing violations." (Signature of Perm' ee) /a (Date) SWU-252-051409