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Home My WebLink AboutNCG080015_MONITORING INFO_20180625STDRMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /VC� D�DOJS DOGTYPE ❑HISTORICAL FILE E6 MONITORING REPORTS DOC DATE ❑ YYYYMMDD 7 STORMWATER DISt RGE OUTFALL (SDO) MONITORING REPORT GENE!,LLTERMIT NO. NCG080000 SAMPLES COLLECTED DURING CALENDAR YEAR: 20 Ir CERTIFICATE OF COVERAGE NO. NCG08. 0 rc,6 1 (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.) FACILITYNAME VjAsk �,u��S ,tS _ COUNTY Ow PERSON COLLECTING SAMPLES Mew.+, t•-�� :... Z� PHONE NO. Cy CERTIFIED LABORATORY Cu vZ,&d ..r ± A- Lab # 32 Z t 'Llya Lab #i PLEASE SIGN ON THE REVERSE 4 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 - o (if yes, report your analytical results in the table immediately below) 7`! 7�'_d,- r Yr,�• .[� rli - 1c , v , r !L w _ >•.c . e N. �',�6„rk.-s I tof•� iJI �er � fd-��{':;. 1: TAP a'-.-�,3 •.�V�. �}._ �. '. 4 '�SrI �' ,,�ry]rl!3..�, ��S hJ 144s�,, AAr��r11,,MM��''dd%,t�ly "� �� I,LW-h ;�S.Iw'.r• {rY. �'"•"•f'. -��1,.3 J e .4._FJcilhy�'1�.,..aJtli 5 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Part B: Oillwater Se nrators and See ndary Containment Areas at Petroleum Bulk Stations and Terminals ,.L Leif trau a I -r o -�yyE1' � � �rj L.Tyff }., ;yNo r r i J I ,r �a Yi. >rf - - Gi•^.� Y 11". sr a[q ,io�lefe l iyl Y d� C;f �.. �$` I I•: Y6�i n �- 3`✓ �' (6q t Qas, r tw Yr {[?r i;" 1� 7. I:h§. 1��,,?i. 9,.� rR, � I`�t�ri FlM1i, 1 a{.+j . , Y ooa {�} I?�., t_�i:c�t d Pn s et' A@6'.. •JM A 'iV -: ,.1 -a .t.. 'k..s itn.y� 4n. ! it a io Yr� ..Slt •rn, 1.M 1 !� !r : n ,w s X. �.�1' f r. , STORM EVENT CHARACTERISTICS: Date . - . (first event sampled) Total Event it recipitation (inches): 1 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 Paee I of 2 MaLan 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 o "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Maio Service Center Raleigh, NC 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." (Signatur ermittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/ir/npdes-stormwater SWU-254 Vehicle Maintenance Activities DMR Lcist Revised: Arcgust 1 /. 2014 '- 2oi2 North Carolina Division of Energy, Mineral, and Land Resources SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR) r" Vehicle Maintenance Activities Only Date submitted 1 I' 4 13 CERTIFICATE OF COVERAGE NO. NCG,u 3 0 � I FACILITY NAME V4„A.� ( `IAJ11 1r: d) COUNTY _CsF (+Ct tl _ PERSON COLLECTING SAMPLES SAMPLE COLLECTION YEAR RECEIVED I%�is NOV 19 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE -) LABORATORY tiv Vl cf try .2 a1, _ Lab Cert. # 5 1 1 I S 14'0 CENTRAL FILES' DWR Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities u�ngTjaPKerage of > 55 gal of new motor oil per month. Total event rainfall' or ❑ No discharge this period' OiitfalhlVa +q,,�, ;- . �; `aW ` Sam' le a „Tdtal:Sus eriiied 3 . k!: .,��. �e Nan alar d&G iPli m /l L '*^fr.-,.:;:: �- to iOil and G'r`ease' in < L " ?F. i *'t H;;Standa►d:units' s'"u 41.- -+ r, r v Ma -New Motor,bdiiJsa e 'x."Is per, c r r,. r. a Collerfdd, w r,Sohds..(T551, mg/L .(Methodr 6t 5GT HEM} o r , .,(,f,applicable} �,A, . <:,:�.-_,(1f applicabrole_}-� x t; Annual:average gal/mo. •i fy n�''fY ,.}:• 't". ,rnm/dd/Vr-w: ��f'i A2 �:d t! F ,' 9 uy`y '�.{5,,„•�•>,��'�:""� ""1 � i'¢ � . k. + f*� "{if,�a plitablej s°;� y�!l7 P "C�R-f "r] N iF-S - : s.��r,,� � w,.� R.� P Z �.S _"t y,� 4 r'C'•`r' � K"�t y) K qy� M.j� � %1" E'�.e. •.�14 � yz{fj '�•� � i � �� +fl+y{yaSl..!b5 S �i .`-1 �f�l p.-�� P na"�i �.� ✓� "1 nS� � _'6 � � ` ` -rf' )i ikxq, �^ •,f:.� A' c � P,r' 1 nth iyµ �� ?< -�vr L''i � i i:P •r# �:b`;`s�4 �*„�i� ,p 4 �-rl� •j�iLi �;E -gk6ET vwl ��i. �,tg+.�c,'�'".� ,! +��. i-,�.•�.{ '�` k�fi +, �, ..r:�F�`d � ;�. � 'i', r� ` .;,�^:+'a i!7�. " :`�' :.s�. �;��• i t. �� '�''��t�,�rn Benchmark �' ' x. x 15�Hr; rx '1 R 1 r-.1 '_ _ ...;5: Withsnb Uga - t. Y.r-.MA+ <��rT J:100.ar�5U, _3"' V —7. V I The total precipitation must be recorded using data from an on -site rain gauge. 2 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 35ee General Permit text that identifies the especially sensitive receiving water classifications where the more protective T55 benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any 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 laboratory's detection limit, reporting 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. FOR MONITORING RESULTS: • A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C. • Two exceedances in a row for the same parameter at the same outfall trigger TIER 2 REQUIREMENTS. • TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall? YES ❑ NO IF YES: Have you contacted the DEMLR Regional Office? YES ❑ NO 0," REGIONAL OFFICE CONTACT NAME: SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014 Page 1 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 (or at end of monit_ring 1eriod in the case of "No Discharge" reports) to: ^ Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 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 gjVermittee) (Date)..., .,..-- Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webllr/npdes-stormwater 5WU-254 Vehicle Maintenance Activities DMR Last Revised- August 11, 2014 Page 2 of 2 Stonmwater Discharge Outfall 'charg8OmtKaUl (SDO) Qualitative Monitoring Report Time of fii-qpcclion: ~, Total Event Poc6/imion(indncs) ' Was this xRoyr se^n\lvuS/o,n F,011C? (Scniokmmutiow ho|ow) VYc' [l No /Y'us«cherk-}wu/,»cnmh/v`x/ifyff Qoafl/olivrMonitoring ,ux/ h^yegmnvccl du,h�qor�nzxo,ox/a� ---__-____--_---_---'__... ---_-.__'__.---- ---. A'�Rep/csunxoiroStorm Cveo("i,ustorm o,cn/holmcuwnes (7roxcxthan 0.}ixohcxnfmiofoD"Ind Uh"a ' � is [vrcc4cd byo| |cv» 72 houu(J days) in which o*storm u'c`o /noavorioy emokxUmo <1i ind/cs hxx HyU lc^,i[y/h l this and "rmpkxxo/the bcuo[myknowledge: L 0n0.1UDescription. OulfxUNo. �_Sw/ov,c(yipc..diukc/C.) R:coi'iuoS/nCv): _....... ...... ______........ ______`_______ � �th at hi Kv unn: ----'----'»---- --r-----'--- -----'-- 2- �ok c Dcxc/ h� �h� c*|n'o(/ho UiS*b i bi)SiC cok m ��d, hn`%Vll. Wuc. CIc) xd hor 3. Odor: Dvici-ihe am, Ji /imm odors |kal 1-11c dUsdi-ihave (ie,xne)ls mrm/,�)),u[pi[ ao,k Pv�x i o�z 4. Cl.l:'ity: C110OW OIL, nultlhc I. which lust dcscribcs [hc clarity of, the dlsch.11-C, where. 1 k Clear and 5 is vet C-IU[1dy: 2 3 =t 5 S. Moatittg Solids: C1300se the number which best describcs the amount of floating so€icis in the StormWater discharge, whcrc 1 is no solids bld 5 is the S[JrFacc covered with floating solids: I � 3 it 5 6. Suspended Solids: Choo,sc the nlrmhcr which Oc-tit dcsc+'ibes flit: amount of, Suspended Solids- in 113e .s[ormwalcr- ciischar4c, where 1 is no solids and 5 is extremely muddy.- 1 2 3 4 5 7. Is toot tiny foatrl in [he storniNva[c i. discharge? Yes a S. Js there mi nil sheen in the stOrmwatcr discharge? Yes o 9, Js [here cvictc:nc'e of erosion Or deposition al the oulftlil? Yes a 10. Otlier (Obvious Indicators of 5tor m-0-aEcr Pollution; Note: [.env clarity, high solid:;, Ilnd/nr [lie.hre.scnce. of fo.lni, oil sheen, or e.+osian/depo"Ition n[<ly be indic, live ol-pollutant c-xposmv, These conditions warrant Furtller inve.mi-ation. Pa�c 2 of 2 S W U-2-12-451,308 Emwo,mmmm % hmpo wdod P.0.,B0X•7085, 114 UAKMON-1 DRIVE GREENVILLE, N.C. 27835-7085 WASTE INDUSTRIES, INC. ATTN: MARQUIS WILLIAMS P.O. DRAWER 1388 NEWPORT ,NC 28570 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/1 Oil & Grease (HEM), mg/l PHONE (252).756-6208 FAX (252)_ 756-0633 ID#: 784 DATE COLLECTED: 11/04/15 DATE REPORTED : 11/06/15 REVIEWED BY: /�� Stormwater Analysis Method (##1, Grab) Date Analvst Code 7.0 11/04/15 CMC 4500HB-00 15 11/05/15 SDB 254OD-97 <5 11/06/15 SEJ 1664B 3nvironrnen ne. '.O. Box 708: ')akmont Dr. Greenville, Nu 27858 CHAIN OF CUSTODY RECORD Page I of nvironment I inc.com DISINFECTION CHLORINE NEUTRALIZED AT COLLECTION 'hone (252) 756-6208 •Fax (252) 75(i-Ob33 LlCH[_OEtINt: pH CHECK (LAB) MIENT: 784 Week: 32 UV CONTAINER TYPE, PIG WASTE INDUSTRIES, INC. NONE p p C ATTN: MARQUIS WILLIAMS l� P,O. DRAWER 1388 NEWPORT NC 28570 A A CHEMICAL PRESERVATION tMo E Cn A -NONE D-NAOH (252) 223-4176 Ld�' J Z U' w cn w B HNO3 E HCL 00 Lt M0LU Z x w C - H,SO, F -ZINC ACETATE/NAOH w COLLECTION m w � o < G - NATHIOSULFATE SAMPLE LOCATION DATE TIME M o -0 `�' ¢ IL Slorniwa(er (#1, Grab) 2 CLASSIFICATION: WASTEWATER (NPDES) DRINKING WATER DWGGW SOLID WASTE SECTION CHAIN OF CUSTODY (SEAL) MAINTAINED DURING PMENT/DELIVERY Y N SAMPLES COLLECTED BY: (Please Print) SAMPLES RECEIVED IN LAB AT °C PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for FORM 45 Grab sample in the blocks above for each parameter requested. No- 299069 Semi-annual Stormw_ater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted August ?0_2015__ CERTIFICATE OF COVERAGE NO. NCG08M-3s r RECEIVED SAMPLE COLLECTION YEAR 2015 FACILITY NAME Winston-Salem Hauling QE P 0 2 2015 SAMPLE PERIOD ❑X Jan -Junes ❑ July -Dec COUNTY _ Forsyth or ❑ Monthly (month) PERSON COLLECTING SAMPLES Steve Cobb Division Manager CENTRAL FILES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY FNCO Lab Cert. # 591 (TSS) an ` 4-,1..M-WN ❑Zero -flow ❑Water Supply [:]SA Comments on sample collection or analysis: Other Class C FacilitX inadvertently failed to sample during the reporting eriod. Regional Office notified on July 31, 2015. Please see the attached letter. 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 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see'permit Within 6.0-9.0 15 - SDO # 1 NA SDO #2 NA Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 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 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date NA (first event sampled) Total Event Precipitation (inches): NA Date NA (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): NA (Vote: If you report a somple 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 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 REGIONAL OFFICE CONTACT NAME: Matthew Gantt, P.E. - Please see attached letter Mail an original and one copy 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 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 sign ificanrkenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." &P- (", - 6�-), r (Signature of rmittee) (D te) Additional copies of this form may be downloaded at: http./Igortal.ncdenr.org/web/wq/`ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 W� WASTE MANAGEMENT July 31, 2015 Mr. Matthew Gantt, P.E. Regional Engineer North Carolina Department of Environment and Natural Resources Division of Energy, Mineral & Land Resources Winston-Salem Regional Office 450 West Hanes Mill Road, Suite 300 Winston-Salem, NC 27105 WASTE MANAGEMENT 3303 North Glenn Ave. Winston-Salem, NC 27105 (336) 253-0091 RE: Waste Management of Carolinas, Inc. — Winston Salem Hauling Division of Water Quality NPDES General Permit No. NCG080000 Certificate of Coverage No. NCGO80038 Notification of Tier Three Monitoring Dear Mr. Gantt: The purpose of this letter is to notify your office that the referenced facility is proceeding with Tier Three monitoring, as required under our General Pen -nit. Outfall No. l at the facility has exceeded the benchmark value for total suspended solids (TSS) on four occasions. Furthermore, recent auditing of Winston-Salem Hauling's records indicates that the facility did not properly execute the Tier One and Tier Two responses. We want to assure the Department that this issue is of great concern to Waste Management of Carolinas, Inc., and that the facility's compliance under the permit is a high priority. If you have any questions regarding this notification, please contact me at (336) 253- 0091 or by email at dmoore36 a,wm.com. Sincerely, Waste Management of Carolinas, Inc. — Winston-Salem Hauling Daniel Moore, P.G. Environmental Protection Manager cc: Ladonta Clarke, Winston-Salem StormwaterlErosion & Sed. Control Program Steve Cobb — Waste Management District Manager Site P.O.R. 5.5 _ Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted July 22, 2015 CERTIFICATE OF COVERAGE NO. NCG080018 FACILITY NAME Old DominionFreight Line, Inc. COUNTY Guilford PERSON COLLECTING SAMPLES Shannon Crotty LABORATORY TestAmerica Lab Cert. # 314 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) ��!�� jEVARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNAn V ❑Zero -flaw ®Water Supply ❑SA JUL 2 9 Z015 ❑Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 —9.0 15 - 001 07/06/15 8.4 8.6 1.3 (U) 1000 002 07/06/15 .7.8 7.6 1.3 (J) 1000 Did this 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 table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfal I No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 —9.0 I 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 October 25, 2012 Page 1 of STORM EVENT CHARACTERISTICS: Date 07/06/15 (first event sampled) Total Event Precipitation (inches): 0.25 Date (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 A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 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 cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring 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." (Signature of Permittee) 7-0 7--!�- (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 lbk STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT ' GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2,4 i S CERTIFICATE OF COVERAGE NO. NCG08 t, 0 S (This monitoring report is due at -the Division no later than 30 days from the date the facility receives the sampling resultsrom the laboratory.) FACILITY NAME LA., i S'� e 5 �; F�� S COUNTY C ,-A e t PERSON COLLECTING SAMPLES C 5 PHONE NO. (141) t'll '! (s CERTIFIED LABORATORY ty�u�`.'fUr+..c.✓=1. % l/�L Lab # % �p� i��j ; Lab # PLEASE SIGN ON THE REVERS 4 .�.. RECEIVED Part A: Vehicle Maintenance Areas Mopitoring 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) � l , titfaU� � ti JJ, �.;�.. ��'4 , , , . � Date` v � Si �-�R�{{r, .�a,� � �,��'- _ F . ;� r; 0;r! k #E � ; 3'•I t,.u.�'. �IOQ.3 r�.�r r I� F" , �� r Ii0 �,��' ; ,r { .�_ , 0ila :i�l �,,: � + � ,• �", � G3 r I. T•,i. r .t� ;005 I�n�t;., ��, \� t I � r �. � . .»,�; L , 'rfi\.�� -�. I. r � , O .rt1fL{;f�i '• s-,� Sa s[i��F�O eCt@ � �!' �4 R Le[ �� , �. i�{llds'�f`• ',e; sry u"f+ m3 • g �rix7�7:.. e.1 ;! tu��,. �j�f�Y t i\ r+� $1l:IA \ µeaS� �,',fii �, ,� 5' 't�V`ey� Il�dtar:O• >v ••N d1o,�k'L N�i7 7b _ [ r4 �7, �fy'I if - i � !l'\.Y •MS,I:\M'./f�i,,I en'� � 3:•F }�/'V� S•� xMOM— 0" 5'::I\'v: Tao .�}„x 1"� ;15r �r�1�4, 1:\,q..l��.�..l..Y.. "�i f.i f , ,Y f 'r, vi f-, "'�.,�,.: tt-.i[ :k 5rh5 i"r K' 1}. 14 [ ta#td r til#i1I: ,� J....�{r.m /i .a..,.,.1:.� 3 �',Anpualkver,'a e, al/mu,ra .5,:.-,f..l. , i� 11�Clv ,,``F�t S,'r:611 a-.-r pp 4.• ,S-`I'I M, I uyY.}�: i, 4..5., "lP, I l 'J"'L :. ., K.1 ..: 'F ,.i _•- k. i, a%l'Yk:4fT'u A 1, i �1 �yQ I 1c li .: �^[f ,2 y'CI 'I lti'r Y,[� 'h" C ie:r3-}'Ih5 5�'P;I�.:�f 'i�IF b..}H, v4.�� F' , J' IV3 -L, n.. -�� ,�Gi. �. as,!I:�I� 1.1.'��'lI 12 „Berchnia •Kiel fi 3. ffk :..4vt ;s,F. f.�.'F!l�}} -,,...:,��r.?7 ✓,•�'..kG 2 Y•. y ,,jYV�tLLlrt.lF� ,LT. ,Lll,7j3> 7h .r,:. , t p{SY 7 J, W� Jr, ,yr.. 1' 2f.Y'i�. �fl / (0 JUN 2 9 Z015 CENTRAL !MILES ^ TION J 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: OlUwater Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals 4040�l- .uE rpYl IT. f} 2ykOrl,Si� Gtease,,�rr� - / SOr' rys�;'f' ttll=ICII c1�lids,, pH ,. ,ks,J , J�{ s� � Y' 1 -i�-k• it Y -4 +Le �t C I 7 k'n fl �L ��': �I�_„r.- ��T i�' � ', '�ti�r,��i.s °+ `'� PermitL'1mli,, I ,.fe [;�`y.�•. tl s.r �,." f , �,�`'� i s r3Q r, . ,.� . �.e.: "t . 4 r... ,. , s'. , ',�I � _��k�•' . � 6 O:i 9.0.1. STORM EVENT CHARACTERISTICS: Date 6' 4 (first event sampled) 5 Total Event Precipitation (inches): 1 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 1 of 2 • t STORM EVENT CHARACTERISTICS: Date (first event sampled) Total e t Precipitation (inches): Date (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 A AND PART B 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 OUTFAI-LTRIGGERTIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE AME PARAMETER AT ANYONE OUTFALL? YES ❑ NO Lid IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO 4;, 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 monitoring Period in the case of "No Discharae" reoortsl 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 st.Pmitting fa4se information, including the possibility of fines and imprisonment for knowing violations." (Signaturefof Permi (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 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) 4 MONITOFX 1- REPORT . GENERAL PERMIT NO. NCGO80000 / SAMPLES COLLECTED DURING CALENDAR YEAR: Z cly CERTIFICATE OF COVERAGE NO. NCG08 I (This monitoring report is due at the Division no later than 30 days from ,! F� the date the facility receives t samplin results from the laboratory.) FACILITY NAME j/V ,) �yJ -JG f e. 5 I fJCw ADl` I COUNTY C:A-r e e. PERSON COLLECTING SAMPLES 241t�s.i3 _ !s �1li1tw S- , PHONE NO. (7-rZ) 2_L,%1-- ,V 7 CERTIFIED LABORATORY t,-.tf ,;, ;,,,,,.., cK�- J Lab # 5 'T�j Sa i10 Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements, Did this facility perform Vehicle Maintenance Activities using more than 53 gallons of new motor oil per month? yes no (if yes, report your analytical results in the table immediately below) :r f�,,i. .,.,�, .� •-r1:2" 4 �„'3 '1 �A��1' Y..� � .y,+' J I- riz'K `;re �. ..�_i.,Ll �r r„ ..1 ,w£d:lryyya.-{.,, $x! cor n4 '. I ItL}'', �L. =' Jr 1 ...11. m 1� Co11 ctpd ; -�ei.l..l� iL..�.�1 .T .f. . e' t_..ht� i +,r J t t• + FrYE.�fk sy,smofdd/ �aa53Vaff.rl cr.-. I I.i.7M' .k "•e k / � (.�,, ..- r Y.. .,� i` ottt1Y �n{e$a� ,,S6gda a�L :' `l'F.� «...t«, fn'.:., `FI.`rrt 3 hL C J l^'¢.�"K d ~t(,(�`�j/�(-¢IL,fryr yfr :.a -,�k° •'1•w 3r 11 r.J'1}1Z �4},ti ��I!/J +. :t , .4.� rc. �{{� �rLa^+ I 6k'^i'?'r !F:'�, J'Y 4 r-,:F .t�l, L,I 1 '71.Fl •si .,.. �I'il J 5 �'r3� •if'�J tiJEI. :I.i a ..I III J. •! ,./ 'P: � "t�l .� �^�i[ Oil sa Gr h ', r I aT •1' nr Y'tw - -�: 1S.r`1' ,,r,,tiY f.h .J•,. :•�. hl y1 r' �3++tiL r5;'9� rI F-: Y� .5{ .1Y .. "1T; S.L-1'I'. 1'.i '7 .� -ti.kf bitf Y4-..'+. �4.� � - F..rL Y��..�. t! {nwLlVtofo °4i1 �3sd I,1.-� h -,} k 'V t. 6 :1•, i ,r t n . �.An ual�°aveca e! RUIIt� :.�#�P,; ,�: ,..._ � a'k r°, �. .t',_-- ,t �+ . i o � �� ,•. � .�; Ay, •'4. f' :5ti'.,L�J:I�Wi "�, �qa.s }fr« ;r, 9F t,�.rrs .; �� ,.c ,. t,';.,_.5.kr..r • err �-,•.�.� '� s �, _,� h i ��y '. e'- E. '• .kr r.yca ,�, r�r�.�. ,I:A�I(; , {� �v,� 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 '..I�f fYY �M y�Y�.�t�,� � �;��,,r � 1f jiUate �' #r�. . sw,l i`� ,r !N �s P.�.: .r t '�� -�. ;' 1r Y� � `�i f -y :rVU••T��-w� III �� : w,;:�� c, , ,:�,, , ,� �,, f -b 4.� R � J- {.1[L..i�ai�4� ,lfiis ' i�...,I� t !1'rl. 1 �4J ; t r , r- •��YP I Oki aaQVV � ? x � c p • � , +. ,. Standitirnits: l ' ;hermit tr.J i N i N f "1 J f �� iLY Ali rl 1 i4 t `�`'�' 17 r�.•�,� .'��, 1F' � 1 V' ! ! S Y' 4�}ii' i !l r ! i i_I + C1 � u.r�.r 304" ,:.r;� � ] Y � J �r Mr,�"t h �;,} X"t� x 00�#� T �' u 1 i i 1 Y .S._: �y, k- r-j'. ' tYt n �.#. f Y6.0..:;9.11l,lr k, STORM EVENT CHARACTERISTICS: Date Ajl1 (first event sampled) " Total Event Precipitation (inches): 1 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 C : MAR 0 3 2015 CENTRAL FILES DW R SECTION SWU-250-102107 Page 1 of 2 6 STORM EVENT CHARACTERISTICS: Date O' (first event sampled) Total ve t Precipitation (inches): e Date (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 most implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B 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 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK fXCEEDENCES 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: Mail an original and one copv of this DMR. includina all "No Dischorae" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Dischorae" 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 sLomitting false information, including the possibility of fines and imprisonment for knowing violations." c (Signatur4bf Permittee) (Date) It) -14-/4,/ 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 Page 2 of 2 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report PermiL No.: Nlqi�lo /&g-/lo 5/ oi-Cci-Lilirate of(,overageNc).: N/C/Gy/0/ff/-V/C'/1 IIe-W Fiim acilityNc: 14 PvwC-j- Coll No, Til-SI)CC lor Date of 111speckoll: ------- Timu of hispullow Total Event Precipitation zj I (See information below) VYCS F-1 No Pleas(! check your permit to ver{fy rf Qualitative MroiWorbi,,,' Inus(be a rapresellfalive stern M'ellf var . I . )- A -Rc.prcsentad ve Storm is a Morin event thal 111CWIN-el" "CM110, th'Ill a. I inclics of rainfall "Ind that is preccoed by it( least 72 hours (3 [lays) In which nt),,Iorm cv(.111 measurio., 21-cater than 0,1 indles has C occurred. A singic, storm (,,v(*il( IMly COI11iIiil up To 10 COMCCUlk-C hOLIPS Of 110 IN' JI)iMli 11. By dli.,; NI.,1�1nture, I C -C17011 is acclit"ac and Comp;cw fo the best of'my knowledgc: ....... ...... (SkLmifil of T'c°rrttiitec or i.)csi,nccj 0off-ill No. etc.) ------- kcCeiviligsircilm: . ......... ....... Doscribc 1ho industrial i1clivitic" dwl occ-111- within Ibc. owrall dn'limagc 2. Color. Dcscriba tits. color ol'the di%ch-111- ' i * �C using basic colors (red, 61-ONV111 IALIC, CIC.) M)d lintwic(l (fight. imp, dart;) as decriplors:. ....... .... ... ........... ..................... 3. Odor: Describe any distinct odors 111.1f [lie dischiv-C may have. (i.c.'silleflS strongly of oil, w-CA chlorins odor, crc.): Pnoc I cif 2 1P • • 4. Clancy: cb uisc thu ntilllhe:r "Ouch hcsi describes the clarilv o€• tile; d'lsch o-C., whe-re i i, clear and 5 is very cloud}-: 1' V 3 4 5 S. Floadacy solids: Choose the number which nest describes the F11iloLllif of floatinti- solids ill the stol-Illwatei- d'iscim-ge, where I is llo solids 111d 5 iS fhC SLIT-NtCC COM-C cl With f10'WhIA SOI'[CIS.- 1 2 3 4 5 6. mspended Solids: C.haose the number which bcst describes tile amomit of -suspended solids ill ilic slonilwale:r discharge, Wherc 1 is rio solids alit€ 7 is extremely muddy- 1 0 3 4 5 7. Is there mly foam in the stor111watcr dischnr14,0 8. is there an Oil sliced in the stornmater discharge? 9. Is tlierc cvidence cif crosioli or deposition Fit the Oul f all? 19. Other Obvious Indicators elf Stor'Fliw lfcl' Pulls Noll. 1_.ist Mld dCSCI-IhC _------__-•-- .-_ -.—. __-- _ _ _------.... _ ......_:....... _... _ .._._.._..... Yes 0 Yeti CID Yes 14 Notc: Low clarity, IIio11 solid, anC€jor the. pre.sclice n f co"tm, o i I sheen, or erosion/depositiofI Iilay be imlic;Itive (11, I) IlitantC'Xposclrc. ThCSc condili01i5 wfirraIll lilrlhcr invesii(nuion. r. S W ti-2.12-0 i IOR Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality G neraI Permit No. NCG080000 �}LC�Oi�j�o1S Date submitted L� 1 CERTIFICATE OF COVERAGE N . NCGQ$ _ _ FACILITY NAME W" E DUh57 l FS COUNTY Ct�T�)�CT PERSON COLLECTING SAMPLES V1�A�C� U{ 5 W l I �) 6 M 5 LABORATORYfp_gy o0MPN�rAi 1, Tt< Lab Cert. # �3-�?) 5 '4- t 0 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2-0 ) LJ SAMPLE PERIOD EPIan-June ❑ July -Dec or ❑ Monthly' (month] RECILS �Ar Gi 70 CLASS ❑ORW ❑HQW ❑Trout ❑PNA V - ❑Zero-fl w ❑Water Supply [:)SA [�iOther 1 t N (S 10 )akc JUL 2 8 2014 6q r•x k CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE DWQIBQG Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? -L//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- Date p ' 00530 OD400 uD0556 -; - No ; : 5ample;Collected, Total S"uspended pH, ; ` Non Polar Orl @nd Grease/,TPIi EPA New Motor Or! Usage, n m' S ain d UnitS 3 ' << ,P u Meth'od1664'(SGT `HEM),°,mg/L. �:: Annual average'gal ,mo _ Benchmark «: 50_or100,see; ermrt P -., 15 bA 3o hmj y 3-7 1 L D O Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (1f applicable) Ci'utfall Date x „00556,,. �s wAD53D < f OQ40D No Sample Collected, ;Non Polar Oil and'Giease/.TPHaEPA Method Total Suspended Solids,' i 7erg '� 3 mo/dd/y�tT ]664(SG,T.-HEM)mg/L� mg/L „F.f, Standard=units Permit Limit „ . 15< SDor]0 see�perrnrt= 6 0.�='9 0:` t 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 Pabe l of 2 :r STORM EVENT CHARACTERISTICS: Date 4 30 f (first event sampled) f j Total ve t Precipitation (inches): l f Date (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 A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 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 []NOR REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMR, including all "No Discharae" 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 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." turelbf Perm r - � (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw4tab-4 S W U-250 last revised April 11, 2013 Page 2 of 2 L