HomeMy WebLinkAboutNCG080212_MONITORING INFO_20180517STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ jo) � 17 5 ) �)
YYYYMMDD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑HISTORICAL FILE
DOC DATE
❑
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 05/1711$
CERTIFICATE OF COVERAGE NO. NCGO8 0212
FACILITY NAME: Republic Services /Boone
COUNTY: Watauga
PERSON COLLECTING SAMPLES: Jeff McRee
LABORATORY: NA Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR: 2018
SAMPLE PERIOD Z Jan -June Jul Dec
A� Z�tiB or ❑ Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
c �,! w'L F i ��' ]zero Water Supply ❑SA
"` T'd []Other 13
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 x 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
N64
Date .r ,
Sample Collected,
mo/dd/yr_
00530 "
00400,
00556
Tatal,Suspehded
Solids; mg/L:;,
x pH, .°
Standardmnits
°Non Polar Qil and Grease/TPHi.&A
Method•1664 (SGT=HEM); :mg,
Ne90Motor Oil�Usag�;
Annual averagelgal/�mo
4w_..
Benchmark
-
;:..
50 or 100 see permit
Within 6 0 - 4.0
15
-
<55 gal/mo.
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal l
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar 011fand 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 — 0.0
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 April 11, 2013
Page I of 2
T- =
STORM EVENT CHARACTERISTICS:
Date: 5/17/2018 (first event sampled)
Total Event Precipitation (inches): 1.60
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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it 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 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 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 responsibl eying 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 p es for fitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qua ty G neral Permit No. NCG080000
(%b ! , Date submitted o 2-01 y
CERTIFICATE OF COV RAGE NO. NC0OGQ8 0 (9 o Q SAMPLE COLLECTION YEAR g 01-7 „
FACIUTYNAME SAMPLEPERIOD %Jan -June []July -Dec
COUNTY or ❑ Monthly' _ (month)
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW QTrout ❑PNA
LABORATORY CO Lab Cart. #
zero -flow OwaterSupply ❑SA
Comments on sample collection or analysis: ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requirements ❑ No discharge this period'
`Outfall`,:
:Date::
: 00539::::
00400`. .
: : . : ` •`-OOSSb
No
:Sample CQlletted,
iQt 11dsp. %'.
pH
Nan-Pofar:Ol! and.Grease H EPA J
Ne+x Mot6rOil Usage,=
rrlo/dd/yr
`: SoIIdS;.!ng/l . ,;
Standard units
-..Method �664' {SGT;HEMj, ra
Annual a�era a gal/n o..:
Benchiitark
: - . _ :
So' itJO see:permit.
,
'Within ,6:0 . 9.0
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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
brltfall Date 00400
Na Sarrtple.Colletited; "'Non-Polart?El:and.Grease/TPti:EPA.Method :-otaiSuspended.5olliJs, :iih!,
'1164: SGTM9M); mg/L., •mg/LStan"d0d units:-..
Permit•Limit : 50 or i00 see uermlt
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 Ocmber 25, 2012
Page i of 2
de
STORM EVENT CHARACTERISTICS:
Date � j /7 (first event sampled)
Total ve t Precipitation (inches): /Q
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 Z or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITOBINQRESULTS:
• A BFNCHMARK EXCEEDANCETRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION 9.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME UUTFALL 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 ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one-mov of thi AAA includina all "No Aischarae" reports, within 30 days of receipt of the lab results for
the case of "No Discharae" reno.
Division of Water Quality
Attn: DWQ. Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN I= 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, orthose 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 submittLng Ise information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: httn://portal,ncdenr.org/weblwglws/su/npdessw#tab-4
SWU-250
East revised October 25, 2012
Page 2 of 2
CA
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 01/11/2017
CERTIFICATE OF COVERAGE NO. N0008 0212
FACILITY NAME: Republic Services / GDS Boone
COUNTY: Watauga
PERSON COLLECTING SAMPLES: Jeff McRee
LABORATORY: NA Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR: 2017
RECF SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
MAC DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�016 ❑2ero-flow Dwater Supply []SA
CENTFCAL F►LE$ ❑0#her
DWR SEcTrON
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 x 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'
Outfal l
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/1
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
-
29.4
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
2664 (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 April 11, 2013
Page 1 of 2
-t
STORM EVENT CHARACTERISTICS:
Date: 10/23/2017 (first event sampled)
Total Event Precipitation (inches): 2.35
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 AAND 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 Il SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES 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 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 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 submittin
i
(Signature of Permittee)
information, including the possibility of fines and imprisonment for knowing violations."
(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 It, 2013
Page 2 of 2
1 Semi-annual Stormwater_Discharrge MalnitorinizReport
for North Carolina Division of Water Quality General Permit No. NCGO8OW0
Date submitted L, 11 XZ6
CERTIFICATE OF COVERAGE No. NCGO8 0 d C P SAMPLE COLLECTION YEAR 2 i
FACILriY NAME A c 0k 4 �fe- rc.r ✓i Gel Q /PO yt t- SAMPLE PERIOD ❑ Jan -June ® July -Dee
COUNTY, A"AL _ ^Lt/ fr!` i / ❑❑
) or ❑ Monthlyl lmonthl
a. ��
PERSON COLLECTING SAMP S _,,,�t�, f II/l c �-_ _ DISCHAR 1NG TO CLASS ❑ORW HQW �7rout PNA
LABORATORY_ E MC O _ Lab Cart. # j ;,� []Zero -flow QWater Supply []SA
Comments on sample collection or analysis: Q E C 19 } ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
owR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requiremetus ❑ No discharge this period'
u$Pa Ohte ;<:qA�3� tT!040Qr OD55&
Spnrpi¢4actd Tl �uspertcdN,. Nbn-Polar bil'and �reaSe�jTp�i.EPA Illaw MQ9t V8rllag,
dlddf . 34[ dinOverage iidin'
srpi3Ma 5ia ori�paee REXJnfr' Niithln,8 p :9'0 . ;,. }5.
o zolG . G •Y r
I/ z2o /;L01q--4r— 2, Lf 0
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) w
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
btt�ll
T11.
.,
Sattlple:Colld,.
rilo/dd/xr ; ,+i(5ta7
�gi,�,s�55
, �l?9539
ff
Aiorl-Polarfb, and:raase/tPIfP�A;NJathad
itENl.'m L
n/L
ply
: Sian-�ard units.
SO.oii100see-peiinit
Far 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 dctober 25, 2012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (fist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation {inches):
NMe: Ifyou report a sample value In excess of the benchmark you must Implement Tier 1, Tfer x or lier 3 responses. See General Permit text
F9gPART A ANONART B MCNITORINGRESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
■ TIER & HAS YOUR FACILrTY 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 nal and arm My ot&jInag&ilt all 2& &Lc_hg=gv Meat& wMkinLqM of tft 0 Wgft 1gr qt Eqd of m2aft2d=
the case of No Dfschame" reaortsl to. -
Division of Water Quality .�.
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
s
YOU MUST SIGN THIS_CERTfFJCATIO�OR 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 quallfted personnel pro ather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathers the mation, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. i am aware that
there are cant penalties fors mittin Ise information, Including the possibility of fines and Imprisonment for knowing violations."
r K. )a l�
(Signature of Permittee) (Date)
Additional coples of this form may be downloaded at:
SWU-250 Iasi revised October 25, 2012
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring. Report
.for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted e2E
CERTIFICATE OF COVE GE NO. NC6OS A �Q (� � 6 �� COLLECTIONyEAAFACILITYNAME c `L C PERIOD ®Jan -June ❑ July -Dec
COUNTY or ❑ Monthly' m n
PERSON COLLECTING 9AM Es t I`/LC +-� DISCKARGING TO CLASS ❑ORW ❑NQW Trout ❑PNA
LABORATORY C_O Lab Cert. # RECEIVED ❑Zero -flow ❑Water supply pSA
Comments on sample collection or analysis: ' I []Other
J V N 0 3 2 Q 16 PLEASE REMEMBER TO S16N ON THE REVERSE
Part A: Vehicle Maintenance Areas Monitoring Requirements CENTRAL FILES ❑ No discharge this period'
DWR SECTION
o�itta7f gate Ot�ssv. `ooacai.
iilk Sample r fGese 1 EA l ,fhiew 4i1, IJaS a.;.
a.
madd Solldsr:r► .L stapdard:uKlts lli7bthoil.86d[�*'C;biEM1.m ; Agnuaalr*..
Eienyfaritarl2 > t r F`ar 0 i a. i3C . ;3 lthl[K .0 - 9 5
rA '
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oll per month?_ yes _,no
(if yes, report your analytical results In the table Immediately below)
Part 9: 011/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
l+lii, °Satulpfe: llllt#gd. f�(odi-Pout Oak ed �`irehse/iPH A,Merho�'. tateI Wed Sblitfs;. pH,. ;~
b!c%dd/yr:fv -.Mi./L mg/L' Stan't.unita
Peiri4ftifjnft... :; :: i5: :5a.or.lii0sdepermit:: ':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 rrvised October 25, 2012
Page I of 2
�: --- A
K � 1
� 1
J }
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (Inches): . 2
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches}:
Note: !f you report a sample value in excess of the benchmark you must implement Tfer 1, Tier 2 or Tier 3 responses. See General Permit text
FIOMRT A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMITPART it SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART N SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALI7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []NO[]
REGIONAL OFFICE CONTACT NAME:
Mall on WOW and one eof MI RM ktagft g& AAb QW=g:=rtL wnhin X dW of recelnt-d the lab meddle tar at jMd of fflpaM2d&g Wad is
the case Uf 2 o flischarae" reports) to.
Division of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1627
YOU MUU 5ICN THISCERTIFICATION FOR ANY WWRIV161 j UPORTEO:
"I certify, under penalty of law, that thfs 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 an my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the Infonmation submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there a significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations."
ta—,— Iry r S-27 1&
(Signat of r ) (Date}
Additional copies of this form may be downloaded at: http:ibg Sel.ncdenrQru/web/wa/ws/su/,npdessw
SWU-250 last revised October 25, 2012
Page 2 of 2
Semi-annual Stormwater Discharae Monitorina Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
KCkDate submitted
CERTIFICATE OFCOVERVE No. N G08 (JQ SAMPLE COLLECTION YEAR Qryr��
FACILITY NAME k L e;vls — pn L SAMPLE PERIOD an June lzde-Dec
COUNTY k or an-June
(manthl
PERSON COLLECrIOG SA MP GAL,DISCHARGINGTO CLASS ❑ORW ❑HQW ,®Trout ❑PNA
LABORATORY_ � At Lab Cert. fi ❑Zero -flaw ❑Water Supply []SA
Comments on sampie collection or analysis: , ❑Other
Part A: Vehicle Maintenance Areas Monitoring Requirements
�� PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DEC 10
C z015 [] No dischorge this period'
DTR4/ c-,.
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 S. Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
4p839,:
;QE]a
No
Total ed
`:tqo/ddllrFt4:[S�
1HIAj;' L
m L'Jr
: Standal^d u�1ts
PeX»i€tlimit..
15
Swar. 14d4eepermit.:.
I For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 1 / (first event sampled)
Total Event 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 77er 1, Tier 2, or Tier 3 responses. See Genericl Permit text.
FQR p RT A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION S.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT TH E 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:
AM an o&[nal and one cony of fhls DMR, kgM&a a g 2jg DisdhoMeoremrb. _ with"day-of receinjgf the lak.res tb for at end of monftorFnayedod in
e"
Division of Water Quality
1617 Mai! Service Center
Raleigh, North Carolina 27699-1617
YOU MUST A10 LTHIS CERTIFICATION FOR ANY INFORMATION REPORT;
"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 thering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
thereAe significant poh lties for3ubmitting false information, including the possibility of fines and imprisonment for knowing violations."
P-wJ / _ / Z -- 1/f
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: bno-://Uortai.acdenr,ur-g/web/wQ/ws/su/npdessw#tab4
SWU-250 last revised October 25, 2012
Page 2 of 2
CERTIFICATE OF COVERAG
FACILITY NAME
COUNTY Q aN
Semi-annual Storm_water Discharge Monitoring Report
for N ZCaolrina Division of Water Quality General Permit No. NCGO80000
Date submitted l �� `ziry/,C OO I C v C�Oc �r+MPLE COLLECTION YEAR 01 '7Gs? S - /✓OOIt L SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly- _ (month)
PERSON COLLECTING SAMPLES r:Lr ffitKe e- D15GHARGING TO CLASS ❑ORW ❑HQW {Trout ❑PNA
LABORATORY &LD _ _ Lab Cert. # - e ❑Zero -flow [:]Water Supply ❑SA
Comments on sample collection or analysis: RECEIVED ❑Other
FEB 2 0 2015 PLEASE REMEMBER TO SIGN ON TI IE Itl_VF R.Sr_
Part A: Vehicle Maintenance Areas Monitoring Requirements ENTFZAI PILES ❑ No discharge this period'
IR SEC7-10k,
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
-
2
r
Y`f
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per morrth? _ 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
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
1 .z
. 7
d�.
q
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
5WU-250
last revised October 25, 2012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date /_ (first event sampled) 7�
Total Event 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 (n excess of the benchmark, you must implement Tier1, 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 If SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE 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 ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the casg o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mai(Service Center
Raleigh, North Carolina 27699-1617
YOU MU5TSIGN_Tl115 CERTIFICATION FOR ANY iNFORMATION REPORTED:
"I certify, under penalty of taw, 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 r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there arf significar ppenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
)Signature of Permittee)
Z - 13-1.S-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdeitr.o;-g/web/wg/wsZ a/npdesswfftab-4
S W U-250
last revised October 25, 2012
Pagc 2 of 2
NO
NC6o�o aj;
Semi-annual Stormwater Discharge Monitoring Report
rt a lina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVE GE NO. C Q f2
FACILITY NAME ?, [ "
COUNTY Lvmx cc
PERSON COLLECTING SAMP S
U.130RATORY EA(C 0 Lab Cert. #
Comments on sample collection or analysis:
C
Pa-t A: Vehicle Maintenance Areas Monitoring Requirements :
SAMPLE COLLECTION YEAR .2 olee
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or monthly' & r< month
DISCHARGING TO CLASS ❑ORW QW XTrout ❑❑PNA
RECC I VED ❑OtherDZero-flow Water Supply []SA
SEP 10 Z01,4 PLEASE REMEMBL-11 TO SIGN ON THE REVI-RSl; a
CENTRAL FILES ❑ No discharge this period'
DWR SECTION
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mdL
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
-
r 100 see permit
Within-6.0 — 9.0
i5
-
.y
.z
i0
xg7
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(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
yes _no
Out€all
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 r 100 see permit
6.0 — 9.0
%
!2.
r-7
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S W U-250
last revised October 25, 2012
Page I of 2
IV
STORM EVENT CHARACTERISTICS:
Date first event sampled)
Total Event Precipitation (inches): %• U�
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 I, Tier 2, or rer 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:
Mail an original and one cogy of this DMR includln ll "No Dischar e" re orts within 3D da s a recef t a the lab results or at end o monftorin eriod in
the case of "No Discharge" reports) to:
Division of Water Quality T
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN TIiIS CERTIFIC TION 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 foraring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there ar nificant pen,
en ti s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
4&1)aq,09L J-
�.
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: littp://portal.ncdeilr.org/web/,w_Zws/su/npdesswfltab-4
S WU-250
last revised October 25, 2012
Page 2 of 2
REPUBLIC
f!►� SERVICES
8/28/14
Due to the unfavorable TSS Results from the July 2014 Water Samples that were taken from Outfalls # 1
& 2, we are taking the following steps to remediate the issue:
- New Filter media will be placed on the inlet of each Outfall Drainage Pipe.
- A sediment catch basin will be created in front of the inlet of each outfall and filled with washed
stone.
- Straw bales, and silt fences will be strategically placed near each outfall inlet.
- Additional washed stone will be spread on the parking area adjacent to the Outfalls
We are also gathering the information needed for budgeting purposes to explore the possibility of
paving the Parking area in the near future.
Jeff McRee I Division Manager I Republic Services - Boone
300 Brook Hollow Rd. Boone, NC 28607
2: 828-264-3b89 I = 828-964-0132 �Y,:JMcree@republicservices.com
Focused on Safety
dZ REPUBLIC
seMIcrs
1220 Commerce St SW, Box 1
Conover, NC 28613
Phone 828.464,2414 + Fax 828.464.2433
Toll Free 866.473.7778
www.repubhcservices.com
Coo
CERTIFICATE OF l
FACILITY NAME
COUNTY f,
RECEIVED
MAY 3 0 LUA
Semi-annual Stormwater Discharge Monitoring Report
for Ngrth-Ctarolina Division of Water Quality General Permit No. NCG080000
Date submitted
;AGE � 4VGN ( Q
e1J16 i_Iveee j —
PERSON COLLECTING SAMPLES 1- � t Ns e�e &-
LABORATORY __ W C 0 _ Lab Cert. #
Comments on sample collection or analysis:
Part A. Vehicle Maintenance Areas Monitoring Requirements
CF-NTRAL PILES
DWOMOG
SAMPLE COLLECTION YEAR
SAMPLE PERIOD 6Jan-June
❑July-Dec
orMonthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW XTrout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ONTHE HE REVI-TV5F
❑ No discharge this period'
utfall
No.
;Benchmark
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
-
50 or 100 see permit
Within 6.0 - 9.0
15
-
I�-� /
m
/
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Zyes _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
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
r
.o
D
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 Odoher 25, 2012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): 0.
Date All - (list each additional even
t 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 li 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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMA Including all "No urgere arts within 30 da s o recei t o the lab results or at end o monitoringBrio in
the case of "No Discharge" reports) tD:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST 51GN 'PHIS CERTIFICATION_ FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared and er 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 thenng the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there r significant p Ities for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signattfre of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://Portal,ncdetir.org/web/wq/ws/su/npdesswtttab-4
SWU-250 last revised October 25, 2012
Page 2 of 2
for
CERTIFICATE OF
FACILITY NAME
Semi-annual Stormwater Discharge Monitoring Report
14 aralina Division of Water Quality General Permit No. NCGO80000
Date submitted
1.0—Q29
vile° f
COUNTY Wd-rAytraAn
PERSON COLLECTING SA LES NA ��<e c—
LABORATORY j r-N CCU Lair Cert. #
Comments on sample collection or analysis:
Part A, Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR
SAMPLE PERIOD Jan -June ❑July -Dec
or Monthly' _ (month)
DISCHARGING TO CLASS [:jORW E]HQW 14Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
[-]Other
PLFASf REMEMBER TO SIGN ON TH ftEV[=i?.`_iE: •--/
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
-
ly,�-Q !
3
zg
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ,W/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
Outfall
No.
Date
Sample Collected,
mo/cid/yr .
00556
0.0530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664ISGT-HEM), mg/L
. Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15.
50 or 100 see permit
5.0 — 9.0
.0
D
I For sampling periods with no discharge at any single outfa11, you must still submit this discharge monitoring report with a checkmark here.
S WU-250
last revised October 25, 2012
Page I of 2
STORM EVENT CHARACTERISTICS:
Date (first event sampled) c�
Total Event Precip►tation (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 kmchmarlf, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PARTS MONITORING RESULTS:
e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE 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 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 gqRy of this DMR Including a# "No Dischar e" reports within 30 days of receipt o the lab results for at end of monitorfn4 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 SKIN 'fl 115 CElTIFRCATIOI,INFOR 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 pthering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there r significant p Ries for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signaitdre of Permittee)
(Date)
Additional copies of this form maybe downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab 4
SWU-250
last revised October 25, 2012
Page 2 of 2