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HomeMy WebLinkAboutNCG080392_MONITORING INFO_20190109STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. 1v C&UgU39 DOC TYPE fl HISTORICAL FILE CYMONITORING REPORTS DOC DATE ❑ (��)19 OI YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG080000 CERTIFICATE OF COVERAGE NO. NCG08 0 3 9 2 FACILITY NAME Averitt Express Greensboro Service Center COUNTY Guilford PERSON COLLECTING SAMPLES Todd Mayer LABORATORY Testa -erica Lab Cert. # 387 Comments on sample collection or analysis: Date submitted SAMPLE COLLECTION YEAR 2018 SAif1�IP,LE PERIOD ❑ Jan -June ❑® July -Dec RECEN � or ❑ Monthly" _-(month) JAN � 9 ZglSCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA CENTRAL Flit ES *Other ws-iv owR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE --> 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 - - 501or.100 see permit Within 6.0 — 9.0 15 - 001 12 / 121 18 6.6 7.3 <4.0 >55 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 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 STORM EVENT CHARACTERISTICS: Date 12110118 (first event sampled) Total Event Precipitation (inches): 0.17 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 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 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 resp able for gathering the inform tion, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are n sigifi ant penalties for sc?bmiWng f4Ise information, including the possibility of fines and imprisonment for knowing violations." re of L (Date) Additional copies of this form may be downloaded at: http_Zlportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-2S0 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCGOS 0 3 9 2 FACILITY NAME Averitt Express Greensboro Service Center COUNTY Guilford PERSON COLLECTING SAMPLES Todd Mayer LABORATORY TestAmerica Lab Cert. # 387 Comments on sample collection or analysis: 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 DOther wS-iV PLEASE REMEMBER TO SIGN ON THE REVERSE --> Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?❑✓ yes Ono (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 Sarnple 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 12112118 6.6 7.3 <4.0 > 55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) O utfa l l No. Date Sample Collected, mo/dd/yr 00556 OOS30 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 f 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 April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 12/10/18 (first event sampled) Total Event Precipitation (inches): 0.17 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 1, 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: Mail an original and one copy of this DMR, including all "No in the case of "No Discharge" reports) to: Div-ision of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 oorts, within 30 do the lab results for at end of monitoring period 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 respon-bible 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 signifidant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of (Date) Additional copies of this form may be downloaded at: http:ilportal.ncdenr.org/webjw-q/yys/­suL)pdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semiannual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 0.3i �7 CERTIFICATE Of COVERAGE NO. NCG080392 RECEIVED SAMPLE COLLECTION YEAR: 2017 FACILITY NAME: Averitt Express Greensboro Service Center Nov ��7 SAMPLE PERIOD ❑ Jan -June ® July -Dec COUNTY: Guilford or ❑ Monthly' (mon-thl PERSON COLLECTING SAMPLES: Todd Mayer CENTRAL FILES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY: TestAmerica Lab Cert. #: 387 MIR SECTION ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: ®Other: WS-IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample:Collected, m mo/dd r; 00530 00400 00556 Total Suspended - Solids m L' pH, - Standard units Non -Polar Oil. and Grease/TPH EPA Method 1664 SGT-HEM mg1L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 "= 9.0 , 15 - 001 1 10/01/17 5.88 6.5 <53 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall Date 00556 00530 ,00400.' _ No. Sample Collected,.' `- Non -Polar Oil and Grease/TPH EPA Method Total Suspended.Solids, pH, mo/dd/yr _ 1664'(SGT-HEM), mg//L mg/L _ Standard units . Permit Limit - 15 50 or 100 see permit 1 6.0 —1..0 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SN U-250 last revised October 25, 2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date: 10/01/17 (first event sampled) Total Event Precipitation (inches): 0.015 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 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 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 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: 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." Permittee) la 12,0 i I (Date) Additional copies of this form may be downloaded at: http:// ortal.ncdenr.orp jweb/wq/ws/suZnpdessw#tab-4 S W U-250 .' � O+.- last revised October 25, 2012 Page 2 of 2 0-: ­r Semi-annual Stormwater Discharke Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 3 �'Z� 7 CERTIFICATE OF COVERAGE No. NCGO80392 FACILITY NAME: Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECTING SAMPLES: Todd Mayer LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR: 2017 SAMPLE PERIOD F-1 Jan -June 21 July -Dec or D Monthly' _(month) DISCHARGING TO CLASS [—]ORW [—]HCtW OTrout OPNA Elzero-flow Dwater Supply F]SA ®Other: WS-IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 F1 No discharge this periods 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? X yes _no (if yes, report your analytical results in the table immediately below) e i5- f 5 g4 A, torOl iUsage,,­ d ezo ofil Stric- ni 5 V��MetQl' HtM)�-' rage�ga n�o',7 • enc erbpitU 001 10/01/17 1 5.88 6.5 <5.5 1 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals 0 a55 6 Z: 53 OC)4 N P di r-6a—se/,TPH:EPXMet o on- o ar� i �an �G- k" 4"(sPT 6r-'I Nt" -00 ii'dedSoli d -J&W-Susoen . . . . . . . . . . . . H stondarcv ,units I I 'WW ..0 Pjerm For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SW'U-250 last revised October 25, 2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date: 10/02/17 (first event sampled) Total Event Precipitation (inches): OATS 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 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: Mail an original and one copy of this DIIAR includin all "No Dischar e" re orts within 30 days of recei t of the lab results or at end o monitorin eriod in the case of "No Discharge" reuartsj to: Division of Water Quality Attn.'DWQ Central Files 161_7Ma_il-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." - ,,..._ V-, � .,.., 10 12,0 117 �ofi ature df Permittee) - - - (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wci ws/su/npdessw#tab-4 SNN%250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for. North. Carolina Division of Water Qualit Ge eraI Permit No. NCG080000 Date submitted 7 CERTIFICATE OF COVERAGE NO. NCGO80392 FACILITY NAME:• Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECTING SAMPLES: Todd Mayer LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: 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 RECEIVED ®Other: WS-IV MAY 0 9 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE CENTRAL FILES Part A: Vehicle Maintenance Areas Monitoring Requirements DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes (if yes, report your analytical results in the table immediately below) ❑ No discharge this period' _no Outfall No Date Sarnple'Collected, , mo/dd/yr 00530 ,; 00400 00556 , r. :, Total'Suspended a ° Solids,• mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM); mg/L New,Motar Oil Usage, Ahnual average gal%mo Benchmark=' . , :; 50 or 100 5ee.permit Within 6 0 = 9 0 "' 15 - 001 03/30/17 3.75 7.1 0.8 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals " Outfall No Date ;Sample Calle""cted, :1I =: 00556 - 00530 z0040f3- Non-Polar:0il arid.Grease TPH EPA Method e ..Total Suspended Solids, pH, mo/dd/yr, .. �..-_ , �_ 'w-1664 (5GT-HE ).<<►�g/L Standard units �. Permit Limit _ < , s M 15 _ e T 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. SW11-250 last revised October 25, 2012 Page i of 2 STORM EVENT CHARACTERISTICS: Date: 03/30/17 '(first event sampled) Total Event Precipitation (inches): 0.1 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 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 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 cap of this DMR including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in yv the case o "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 directiori 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 5 1 Z— I (Date) Additional copies of this form may be downloaded at:.http-1/portal.ncdenr.org/web/­wq/ws/su/npdessw#tab-4 S WU-250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qua ity"G n eral Permit No. NCG080000 Date submitted � CERTIFICATE OF COVERAGE NO. "NCGO80392 FACILITY NAME: Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECTING SAMPLES: Todd Mayer LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR: 2016 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA iRECOVED ❑Zero -flow [:]Water Supply ❑SA f� 1 V G ®Other: WS-IV —DEC 0 5 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE -� CENTRAL FILES DWR SECTION ❑ No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) 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- 001 09/29/16 33.0 6.2 <7.0 >55 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 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 2 STORM EVENT CHARACTERISTICS: Date: 09/29/16 (first event sampled) Total Event Precipitation (inches): 0.9 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, Trer 2, or Tier 3 responses. See General Permit text. FOR PART A AND PARTS 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 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 Dischar e" reports, within 30 days of receipt of the lab results or at end of monitoring period in the case o "No Discharae" 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: "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." tk z� I (I, (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 October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality G neral Permit No. NCGO80000 Date submitted Y" I $ /G CERTIFICATE OF COVERAGE NO. NCGO80392 FACILITY NAME: Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECTING SAMPLES: Todd Mayer LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: RECE dAMPLE COLLECTION YEAR: 2016 A PERIOD ® Jan -June ❑ July -Dec JUL 2 5 2016 or ❑ Monthly month DISCHARGING TO CLASS ❑ORW ❑HCtW []Trout ❑PNA CENTRAL FILES ❑Zero -flow ❑Water Supply ❑SA DWR-SECTION ®Other: WS-IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) Outfall . No. r A - :. Date Sample Collected;, mo/dd/yr ; .. A Od530 00400 . 00556" ' Total Suspended Solid _,- s,-mg/L ;- pH, - Standard_units Non -Polar Oil Grease EPA. - � :Method 1664 [SGT-HEM),.mg/L. New'Motor Oil Usage, ;. r w - Annual average gal/mo Benchmark ,, ; : - ; 50 or 10 Within 60 9.0, 15r - 001 03/31/16 12.9 7.10 <5.26 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall Date% �00400 ��,.Sample Collected - Non -Polar Oil and Grease/TPH EPA Method " Total Suspended Solids, pH a mo/dd/Yi• -- 1664 (SGT-HEM), m8/L ='... mg/L ,Standard units . mit- ' , �..� 15 50 of 100,see "permit ."_ ...6.0`= 9.0 ; ermit Li s :'F' 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 2 STORM EVENT CHARACTERISTICS: Date: 03/31/16 (first event sampled) Total Event Precipitation (inches): 0.1 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 II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEE:DENCES 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 for at end of monitoring period in the case of "No Discharge" reportsj 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." re of r' -7M t� (Date) Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/ws/s u/npdessw#tab-4- last revised October 25, 2012 Page 2 of 2 it Semi-annual Stormwater Discha[ge Monitoring Report for North Carolina Division of Water Quapty G neral Permit No, NCG080000 Date submitted 71 /� / b - CERTIFICATE OF COVERAGE No. NCGO80392 FACILITY NAME- Averitt Express Greensboro Service Center COUNTY. Guilford PERSON COLLECTING SAMPLES- Todd Mayer LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR: 2016 SAMPLE PERIOD Jan -June E] July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS []ORW EJHQW []Trout []PNA Elzero-flow []Water Supply F]sA Mother* WS-IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 [:] No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) i=Date�'y M otal'su'i�iA6W-� s;, � I! R ,S'61!d' mg/` i­W M "N M I Uri an a W hits % 'ZI-11-11 Nonpo ar,c i�i 6/TPKEW�7k 'a-6 d �'G i i VQ Method M);-5iidLWR �F�j -New,,MotorOWUsage,,.4�. Fk,:`Annual�ave rag fER666Jmarlc� itACARM 001 03/31/16 12.9 7.10 <5.26 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals 0, , '- P, 0 -­ , ""' " ",­ ­­" --" •X. I OR' P 1 '0-11 d-G M M✓1664 (SGT "f ii e 5 y 6 I'­SU-`s-`p-e4n�d d' 'I'd An a ,Per ­6 �b i 0 -�Ic 1 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: 03/31/16 (first event sampled) Total Event Precipitation (inches): 0.1 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 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 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 oriainal and one copy of this DMR including all "No Dfscharae" reports, within 30 days of receintof the lab resents for at end oLmonitorin_g period in the case o "No Dischar e" reports) to: w 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." of A. 7 (1 )Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/`npddessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 E] Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted - t, CERTIFICATE OF COVERAGE NO. NCGO80392 FACILITY NAME: Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECTING SAMPLES: Todd Mayer LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR: 2015 PI `B SAMPLE PERIOD ❑ Jan -June ® July -Dec REV rzi V HARGING TO CLASS Monthly' ❑HQW [:]Trout th❑PNA JAN 12 2016 ❑zero -flow [:]WaterSupply ❑SA ®Other: WS-IV CENTRAL. FILES OWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 0. No discharge this period Part A: Vehicle Maintenance Areas Monitoring Requirements C-03 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) 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 6A —9.0" 15 - 001 09/30/15 35.6 6.57 <4.92 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall: _ Da#� TP _ 60,556 - :_00530 =00400 No - Sample Collected,. Non Polar Orland Grease/TPH EPA -Method -;Total Suspended Solids,-.` pH, mo/dd r /Y : - `.. 1654 (SGT-HEM), mg/L K =' s "mg/L Standard units r; `Permit Limit _ �. „s= 15 2 50 or 100,seevperrnit �. _ r 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. Lim SWU-250 last revised October 25, 2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date: 09/30/15 (first event sampled) Total Event Precipitation (inches): 0.9 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 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 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 submitting false information, including the possibility of fines and imprisonment for knowing violations." -7 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw4tab-4 "-Iw Sw 50 last revised October 25. 2012 Page 2 of 2 I . . to - Semi -annual Stormwater Dischame Monitoring Re2ort for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 1I CERTIFICATE OF COVERAGE No. NCGO80392 FACILITY NAME: Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECT1. NG *SAMPLES -.—T6-dd -Mayer LABORATORY: TbstAmerica Lab Cert. #: 387 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR: 2015 SAMPLE PERIOD E] Jan -June 0 July -Dec or EI monthly'_ (month, —DISCHARGING TO'CLASS-[]ORW—[]HQW—OTrout--[]PNA F]Zero-flow FWater Supply OSA ®Other: WS-IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 0 No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) 1, , I :,- �- -1�4��, � loutfally. 5' -No ­���.A'Ii� - ""'- - M, D a e 0­2;` �Sample'X-6116ctidj,-4 6-A.1 b 0 `k �f Qjm4, &d0S56—,Q' �a -�,TotalSus� H!j' W T N6hW15f.,:'0i and' �Grea SMMptli m n a4veragg.go(I rnp_;�� u.--,, 0 5 0 F'O 0'r permits k. I Z K2�21 '-RI" 001 09/30/15 35.6 6.57 <4.92 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals "Nautf j Date . :� — 10 Z U-1 11 1 �� - " .1 W-21- — 'r -, � � I'll 41ON-1 vwdft AR, ­-N , Non;Polar 'i,I m 9 ., ­4 4 1 It V, �tl R z c "i 0 0, RM t A A­� 0110sSample zn Z1.1 R 211� S I rF 00 tandard, unit' Perms s V-90 eg, W '�V, -Agy, 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 r)--- I -rl Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qualify General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCG080392 FACILITY NAME: Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECTING SAMPLES: Todd Mayer LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR: 2015 feOV ED SAMPLE PERIOD ® Jan -June ❑ July -Dec JUL 2Q�5 or ❑ Monthly' (month) 15 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA CENTRAL FILES ❑Zero -flow []Water Supply ❑SA DWR SECTION ®Other: WS-IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) Outfall No. -Date .... 'Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non-'Polar.0il 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 - %0 15 _ 001 03/26/15 6.63 7.81 <5.12 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals -Outfall V No. P Date:: Sample Collected;. mo/dd/yr 00556 , 00530 00400 -n . Non-PolarOil'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 October 25, 2012 Page I of 2 STORM EVENT CHARACTERISTICS: Date: 03/26/15 (first event sampled) Total Event Precipitation (inches): 0.12 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 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 copy ()f 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." -7 /111 � (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 October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring RMO- t!" for North Carolina Division of Water Quality G neral Permit No. NCG0800,001b Date submitted f �`� CERTIFICATE OF COVERAGE NO. NCGO80392 SAMPLE COLLECTION YEAR: 2014 FACILITY NAME: Averitt Express Greensboro Service Center SAMPLE PERIOD ❑ Jan -June ® July -Dec COUNTY: Guilford or ❑ Monthly' month) R����V PERSON COLLECTING SAMPLES: Todd Myers RECEIVEDDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY: TestAmerica Lab Cert. #: 387 FEB 12 2015 ❑Zero -flow ❑Water Supply ESA Comments on sample collection or analysis: ®Other: WS-IV CENTRAL FILES R SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) -Outfall Date 00530 00,40C` 00556 " No _ Sample�Collected,_, z� TotaLSuspended S .....✓. $, €� H p .': ,.'°^&" ,.-h '. - +wd.='e<i,.. 4� Non Polar Otl�and Grease%TPH EPA z ,NewrMotorOi1 Usage, ..: y...:• .. ) mo/dd/.yr .: - .`"I •:,- ... _..: :. Solids; m g/L ns«,.<:^ ty�"VF... < C.XG' !f S#andard units. Fe": ey _- e4.. Y.9•i...-,.f.:fi' .].- � ;. Method=1.664(SGT-HEM),>.mg/L _ ::;,Annualaye.rage ga.1/mo;' Benchmark;;; ",50 de,400 see per mit' 6 0,> g: L�Fg _ ..,._ ..:..:With�ri A _ , , . _ ..�.�. 001 10/02/14 4.13 7.73 <6.51 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall :. Na = Date >.- Sample;Col,lected, ;'; mo dd r /. /y w r: '-00556 00530 `: ,Nan Polar Qil"and Grease/TPH EPA Method , ,; '.. 1664 SGT FfEM..: ( )" m L' _. ,. __ g/ :....... _ TotalSus ende_d,,SolEds, p m L g/ <_ H, _, P . f Standard units:M Permit L imit _ P.. so i00 seen ermit, t E : 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 I of 2 STORM EVENT CHARACTERISTICS: Date: 10/02/14 (first event sampled) Total Event Precipitation (inches): 0.1 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 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 original and one copy ofthis DM ncluding 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 submitting false 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 ,ISWU-?50 last revised October 25, 2012 Pace 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qual'ty eneral Permit No. NCGO80000 Date submitted ,7 CERTIFICATE OF COVERAGE NO. NCGi080392 FACILITY NAME: Averitt Express Greensboro Service Center COUNTY: Guilford PERSON COLLECTING SAMPLES: Todd Myers LABORATORY: TestAmerica Lab Cert. #: 387 Comments on sample collection or analysis: RECEIVESA�MPLE COLLECTION YEAR: 2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec 3UL 16 2014 or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA CEN QlBOG 5 ❑Zero -flow [:]Water Supply ❑SA ®Other: WS-IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 No discharge this period' 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? X yes _no (if yes, report your analytical results in the table immediately below) Outfall - Date ."Sample Collected,. - mo/dd/yr 06530 00400 00556: Total Suspended ,Solids, mg/L pH, .' Standard units Non -Polar Dil:'and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage,',. Annual average gal/mo Benchmark , ��� - ; 50,ar�100 see`permit..- Within 6.0z-.9.0 - 001 03/27/14 7.80 7.63 <5.91 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall< No- ; N - W Date s _.- . Samplee£ollected s mo/dd/yr° - a .. _ 00556 • 00530 _- ., 00400 M" ., Non -Polar Oil'and Grease/TPH EPA Method - Y �.�:. 1664 [SGT-HEM),'rng/�=' r' Total Suspended Solids, �'mg/L ";- w:__ 5tandard units . Permit Limit - - : 15 - t . -- 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. 5WU-250 last revised October 25, 2012 Page I of 2 STORM EVENT CHARACTERISTICS: Date: 03/27/14 (first event sampled) Total Event Precipitation (inches): 0.1 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 Genera! 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 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 lob 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." W(L� (Date) Additional copies of this form may be downloaded at: http:ZZportal.ncdenr.org/web/wa/ws/su/npdes.sw#tab-4 SWU-250 last revised October 25, 2012 v Page 2 of 2