NCG050412_MONITORING INFO_20190130

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑ HISTORICAL FILE
Z5 MONITORING REPORTS
DOC DATE
❑ ap j Q p
YYYYMMDD

t
North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDOI MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
Date submitted 1/17/18
CERTIFICATE OF COVERAGE NO. IVCG N�'�r Sid . 1 SAMPLE COLLECTION YEAR 2019
FACILITY NAME Wellmark, LLC
COUNTY Randolph ° ECFI\/�D
PERSON COLLECTING SAMPLES Paul w. spangenberg PLEASE REMEMBER TO SIGN ON THE REVERSE 3
LABORATORY Prism Lab Cert. # 402
JAN 3 it 2Qt9
CENTRAL FILES
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for ffac�ilit'e us7 qWn average of > 55 gal of new motor oil per month.
Total event rainfall 1 1.87 or ❑ No discharge this period'
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
-
01
1 /3/19
19
0
N/A
N/A
60
02
1 /3/19
6.3
0
N/A
N/A
1 The total precipitation must be recorded using data from an on -site rain gauge.
2 For sampling periods with no discharge at gny 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 2 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 ❑■
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 i of 2

Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results jor at end of
monitoring period in the case of 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."
51ze19
( ignatull re o e itte (Date)
Additional copies of this form may be downloaded at:
https:Hdeg.ne.gov/about/divisions/enerjzy-mineral-land-resources/npdes-stormwater-gps
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page 2 of 2

.0.
North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
Date submitted 10/31/18
CERTIFICATE OF COVERAGE NO. NCGo o CEI\/ED
FACILITY NAME Wellmark, LLC
COUNTY Randolph
Gov 13 NIB
PERSON COLLECTING SAMPLES Paul w. spangenberg ,C Fit ES
LABORATORY Prism Lab Cert. # 402 rE� it Ylp!�1
1�JR SEC,
SAMPLE COLLECTION YEAR 2018
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Vehicle Maintenance Area [VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event roinfall � 1.a7 or ❑ No discharge this period'
Outfall'No.
Sample
Collected,
mm/dd/yr ,
Total -Suspended
Solids (TSS), mg/ L
Non -polar 0.&G/TPH, mg/L;
(Method4664 SGT-HEM)
(if applicable)
' Oil and Grease, mg/L
fif aplicable ]
pH, ',Standardiunits
(only,Ifapp. iicable)
New'Motor offor,
Hydraulic .0il'Usage,
Annual average gal/mo
;Benchmark
-
100 or 503
15
30
Within.6.0 - 9.0
-
01
10/11/18
4.3
0
NIA
N/A
60
02
10/11/18
19
1.7
NIA
N/A
1 The total precipitation must be recorded using data from an on -site rain gauge.
z For sampling periods with no discharge at a_y 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 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 0
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page I of 2

Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the tab results for at end of
monitorina period in the case o "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 far Central Files (DWR) and is NOT supposed to be DEMtR.
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 I / -T I rK
(Date)
Additional copies of this form may be downloaded at:
hops://deq.nc.gov/about/di visions/energy7m ineral-land-resources/npdes-stormwater-gps
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page 2 of 2