NCG080762 DMR SW (2)

Semi-annual Stormutfater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted July 29, 2015
CERTIFICATE OF COVERAGE NO. N00080762
FACILITY NAME North Carolina & Virginia RR
COUNTY Hertford
PERSON COLLECTING SAMPLES William Ross
LABORATORY TestAmenca Lab Cert. # 269
Comments on sample collection or analysis:
Sampled Holding Tank from Maintenance Pit
2015
SAMPLE COLLECTIO YEAR
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?-_ 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
Total Suspended
Solids, mg/L
00400
pH,
Standard units
00556
Non -Polar Oil and Grease/TPH EPA New Motor Oil Usage,
Method 1664 (SGT -HEM), mg/L Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
35 -
002/003
06/3012015
23
798
66 370
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall Date 00556
No. Sample Collected, Non -Polar Oil and Grease/TPH EPA Method
mo/dd/yr 1664 (SGT -HEM), mg/L
00530
Total Suspended Solids,
mg/L
00400
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
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STORM EVENT CHARACTERISTICS:
Date ' NA (first event sampled) 'Sampled from holding tank
Total Event Precipitation (inches):
Date NA (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 AAND PART B MONITORING RES ULTS•
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B
• 2 EXCEEDANCES INA 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 copv of this DMR, includinq all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorina 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."
a, '7 - 3 -0 1 S --
(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
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