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HomeMy WebLinkAboutNCG080702_MONITORING INFO_20181218STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /VC�(�8'(��Ua DOC TYPE fl HISTORICAL FILE MONITORING REPORTS DOC DATE 0 00 1 K I a I O YYYYMMDD Semi -Annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCG080702 FACILITY NAME High Point City Transit (Hi-Tran) COUNTY Guilford PERSON COLLECTING SAMPLES Ari Lukas/Robbie Baker LABORATORY City of High Point Water Quality Lab Cert. # 55 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) RECEIVEEISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout DEC13 zoos ❑Zero -flow ❑Water Supply ❑Other ❑PNA ❑SA CENTRAL FILES DVJR SECTION 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 1 New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 10.0 see permit Within 6.0-9.0 15 - SDO-001 10/20/2018 29.7 7.67 5 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 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 April 11, 2013 Page l of 2 STORM EVENT CHARACTERISTICS: Date 10110/2018 (first event sampled) Total Event Precipitation (inches): 0.28 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 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 ❑ 1F 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 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 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 t re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ure of Permittee) k=')- 1,Q01g' (Dat ) Additional copies of this form may be downloaded at: http:llportal.ncdenr.org/web/wglwslsu/npdessw#tab-4 S W U-250 last revised April 11, 2013 Page 2 of 2 Kra Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this forur, please visit https:Hdeq.tic.gov/about/divisiotis/energy-m ineral-land-resotirces/ npdes-stormwater-gps Permit No.: N/CIG/018/0/0/0/0 or Certificate of Coverage No.: N/CIG/0/8/017/0/2 Facility Name: High Point Cite Transit (Uli-Tran) County: Guilford ~� Phone No. 336-883-3423 Inspector: �o6b e- 47u Date of Inspection: l b— Lb - 12 Tirne of Inspection: 3 5 n ✓ "l -?,.9 Total Event Precipitation (inches): All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site Outfall. The previous treasurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the pennittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: tul,e of Permittee or DesigrR�e) 1. Outfall Description: Outfall No. SDO-001 Structure (pipe, ditch, etc.): Pipe Outlet Receiving Stream: Richland Creel: Describe the industrial activities that occur within the outfall drainage area Page I of 2 Bus Maintenance SWU-242, Last modified 06I0112018 2. Color: Describe the color of the di; (light. medium, dark) as descriptors: —j` using basic colors (red, brown, blue; etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 1n ° 11-e- 4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear and 5 is very cloudy: 10 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 '5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 2 3 4 .5 7. Is there any foam in the stormwater discharge? o Yes ® No. 8. Is there an oil sheen in the stormwater discharge? 0Yes W No. 9. Is there evidence of erosion or deposition at the outfall? O Yes CO No. 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018 Semi -Annual Stormwater _Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted CERTIFICATE OF COVERAGE NO. N00080702 FACILITY NAME High Point City Transit Hi -Trap) COUNTY Guilford 2a�6 PERSON COLLECTING SAMPLES Anita Simpson, Kelsie Burgess LABORATORY City of High Point Water Quality Lab Cert. # 55 KpLFILES Comments on sample collection or analysis: pWR SEGT1oK SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthlyl. _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? w 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 Oiland 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-001 10/7/2016 19.6 7.04 <5 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 1 I, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Rate 10 7 20(first event sampled) ,.,. , ,16 ., ... Total Event Precipitation (inches): 0.15 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 DMld including all "No Discharge' reports within 30 days o receipt o 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." / 6 /2-77 2-6 ignature of Permittee) Make) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 5WU-250 last revised April 1 I, 2013 Page 2 of 2 Semi -Annual Stormwater Discharge_ Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCGO80702 FACILITY NAME High Point City_Transit_(Hi-Tran) COUNTY GUILFORD PERSON COLLECTING SAMPLES Kelsie Engelhard LABORATORY City of High Point Water Quality Lab Cert. # 55 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 []Zero -flow ❑Water Supply []SA ❑Other RECEIVED PLEASE REMEMBER TO SIGN ON THE REVERSE 3 NOV 01 Z016 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons c'w motor oil per month? — yes _no (if yes, report your analytical results in the table immediately below) L NTRAL FILES DWR SECTION Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' Oiatfall ' ;No , Date y Sam IeCollected p and/dd%yr,.,,:- 7 '00530 00400 00556 ,T ,- Total Suspended - Solids,;mg/L pH Standari{;.units, ^_ , ,, Y Nan Polar Oii and Grease/TPHiEPA '_ Metfi.od 1664 (SGT-HEM],'mg/L',' New M6tor.Oil Usage,, Annuafa�erage gal/mo:�,: Benchmark;; `_.,� -,� -`< < tse d:br,.160.epermit 4 Withm,6:0 L SDO-001 05/17/2016 19.8 7.18 <5 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) +Outfa�ll Date T� 1 00556 00530,- IVo r° �, Sample Collected, a ;Non Polar:Qiland Grease/T'PH'EPA'Method Total Suspended Solids; = t 4 r'- rpH, _ •°"' . 1664 i r .r� 1 � y �; mg%L y ,�.- Standarii;ia (SGT-HEM],..mg/L' nrt s Permit , 15 - '50 or 1 . 00-see 0 i9:0 - - - .. �. .... -- .-- ,- permi ��_ ,.. - . .. .. 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 1], 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 5/17 2015 (first event sampled) Total Event Precipitation (inches): 0.42 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 for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attm 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 thete,are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." nature of Permittee) 612,,-11,2016 0 (D te} 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 1 1, 20U Pa,c 2 of 2 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 XNO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: Dan Sams Mail an original and one copy of this DMfi, including oil "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." (Signature bf Permittee) 10/19/2016 (Date) Permit Date:11/1/2012-10/31/2017 SWU-24S, last revised 10/25/2012 Page 3 of 3 Semi -Annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NGGO8O7O FACILITY NAME High Point City Transit (Hi-Tran) COUNTY Guilford PERSON COLLECTING SAMPLES Robbie Baker and Kelsie Engelhard LABORATORY City of High Point Wateruali Lab Cert. # 55 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 RFr.FIVED ❑Zero -flow ❑Water Supply []SA ❑Other APR 29 2016 DWR SECTION ASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of ne�virEit� dtT i1lp� Mgnit�l ?l dyes 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 §ample Collected; ..',mo/dd/yr. 00530 — Total.Susperided' -...solids; mg/,L 00400 pH; Standard units 00556 Non -Polar 0il•an8.Grease%TP.H EP,A;: Metliod 1664 (SGT-HEM), mg/L . - b ,,New M6tbr OiI Usage, °'' Annual aver4ge.gaf/mo -. Benchmark . _ . 50-or 100 see permit Within 6.0 — 9:0 15 - T- SDO-001 4/12/16 55.1 7.34 <5 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) 1,Outfall; 1yo Date Sample Collected,`' - 00556 . 00530 "004D0' Non -Polar 0il'an&Grease/TPH EPA Method^ Tfi64'(SGT=HEM)'+rg/L Total Suspended Solids, . mg/L t° pFt; .Standard',unrts Permit it, - -15 - 50 or 100 see permit 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 STORM EVENT CHARACTERISTICS: Date 4/12/16 (first event sampled) Total Event Precipitation (inches): 0.34 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 A AND PART B MONITORING RESULTS: - • A BENCHMARK EXCEEDANCE TRIGGERS TIER Z REQUIREMENTS. SEE PERMIT PART Il 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 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 sdTr*Ritting false information, including the possibility of Ones and imprisonment for knowing violations," ure of Permittee) 01 L616 (D te) Additional copies of this form may be downloaded at: http-//portal.ncdenr.org/wellLwq/ws/`su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report P/144C444 for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCG080702 FACILITY NAME High Point City Transit (Hi-Tran) COUNTY Guilford PERSON COLLECTING SAMPLES Anita Simpson LABORATORY City of High Point Water Quality Lab Cert. # 55 Comments on sample collection or analysis: 004pik SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD [])an -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes /no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 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-001 8/18/2015 8.7 6.96 <5 50 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 1 1, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 8/18/2015 (first event sampled) Total Event Precipitation (inches): 0.45 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 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 ANYONE OUTFALL? YES [—]NOD 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 al! "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." b(n LON— (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 —mow Copy Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG( Date submitted L CERTIFICATE OF COVERAGE NO. NCG08 d - 7 o 3 FACILITY NAME: F o l� ..__ COUNTY ,j l PERSON COLLECTING SAMPLES t~ LABORATORY_(--# td4Zr Lab Cert. # Comments on sample collection or alialysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 2w .r— - .)" SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ❑Other MAR 0 $ 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL 'FILES ❑ No discharge this period' DWR SECTION r,Qutfall . r_- :.y ry Date' I -�; l r� ,.�s•. it , 00530 { _ / - is / Y5�) i,,;:; _.�-d�;4Y 00440 a } . _a>f� S _ .� rR'JS ��:.+, 'i. k n„iR�J; ....fir 26.12rX 114. s "' w ri0556,, �1.1� A rG�'-.-✓ No <,s r . r5av$ �'f{ Sa`m I'e Collected ,..t� _ t l'C� s`T vs•I,r :;5dk a. o'' �r1d9'.;� 'Sd.F .rpHk ,^" ,,i pu 0iitan'dLG�r.Iease/TPF.PA ,Iar ; fe New:Moav orraOgIeI;gUasa/greow s �..'} 'k s .��} _ ��rpn.�, tlY d/YF::r,},?,, .!I ' �e:�.c•.f k•-. 4�3J'IA{`yi �up,K, ..[/ a 1�i� yS. .,..4. '• if 3r .�p ���' g.;% St`�.ao} ramei'r.$.n( lig ,a"S , �,#SGM,/L= Annua 7 "� * - <if! .riW� 'r. '- � Ifir ��-.,,•s�'r�j '. ¢ Eau" � s-r�:r:.}..,r .:nr> 50..or�100;seerpermit ,� ��• �:s--+, "1+..; 1 . r�;YWittiin 6�0 0� r"4 �: 71" xJ' 33,s S.`ti�y" F �, fy�`.j � r-+� t;:15, ,', � ;Beinchmarki n,.W>s;�� _ 7�,�.:�,;, �9 r ,�E�.,�:. ,��. �. -- SM-oa f Ll 3. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall - pit! rYr t Date a.° "_ Sr-, -1F 'ii.)'�'i '7�'jY•. _ �' i'. y ...} :f' ),�(,^'ij 005561 L 1•h =J '.•}} v4 "�irj'1 _ C[55F�- H1- 00530r -�;- C 00400 .s - �=yfi_ f .'. No:: , S' . - :- , i ..^�: r 1:: �w 'Sam le Collected < � P •,:;1. L-•t' ",iv.-'sy,ryfu �I":1 :fVon-PolarOF1 and;:Grease TPH:EPA,M6thocl '' 5 .t S : jY,. -, C �i,<iC'- IFY 5-^*i:4I}S r r- ` Totah.5us "ended=Solids 1 Y i„ r^ -•f �_ Ei' �, .� '�� •.z „e ,.1 5, ,ram, ..�., _.�wa < �ri�x•- ,e�r,.,.��- r �,4 ` 5:a d,• ;� 1 fi,.�, f ♦ y+C_. !Y$r r I. 5Y,? � yr,7�L,:=.r.t ., z a,.:: ,.n - f :�664 SGT'HEilll rm /I5 ,w,.,,u ._ _ it -., __ !r. _ g , r., �"3�r,d:7z cva ,r'k' s' m /L ,� , , s',n;..;:. _g . &1, .. Staiiclard unitsw _-- t„ Pe" Limit f ..�' �;: ...I -Li S•, J- '1 ' t ,Lii ..kEl't%!F4 !@ •�. �[ r�: YY:�l" C.•' F2.- ~{ I G- II' 'Y '4 H:;k ,, ri',o.n 77- OliGe��erm�tf . rmrt _ :'�r.:�=Y [F ,n+:! i y1 n:7r: 5��.kS.: ift: f�fSYllS_' SFS'S� n r 5 L PY:J4 AJ.5l�io r�o aL"1 1.I. .,r6.V—.7.1i„` 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 ln-t nawk Pr'I nr•tn}wr,)S poi i STORM EVENT CHARACTERISTICS: Date Z g!/57 (first event sample 1) Total Event Precipitation (inches): • 8 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 Il SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ ND ❑ 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 receiFt of the lab results for at end of monitoring period in the case o "No Dischar e" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Serv'ce Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: k 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." -4 " Lae)I (Da e) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4 SWU-250 last revised October 25, 2012 Fft # .M Dischargi-Mon for North Carolina Division of Water QualityX rmit—N5.Nt-GO80000 Date submitted COUNTY Comments on sample collection dir' analysis: Part A:Vehicle Maintenance Areas Monitoring Requirements or F] monthly' �rnonth� ��������U ��������V������ �mru-�--F-�HQW ow [:]water--�upp|y-- SA CENTRAL FILES PLEASE REMEMBER TC)SIGN QNTHE REVERSEDWR SECTION [:] No discharge this period' efieft 7.32 Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? _ yes __no (if yes, report your analytical results in the table immediately below) PartB: Oil/water. Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Al ar Urn 0 / For sampling periods with nodischarge utany single uutfaU'you must still submit this discharge monitoring report with achmckmarkhere. SWI|'250 um,evv~an,°a`°-�� �o`� STORM EVENT CHARACTERISTICS: Date 11 G / (first event sampled) Total Event Precipitation (inches): s33 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Nate: 1f 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B. o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES [] NO [1 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 recei t of the lab results Lor 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 .#.ere are significant penalties for suknitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 124�1201e-1 (Date Additional copies of this form may be downloaded at: http://portal.ncdenr.orb[web -wq/wslsu/npdessw##tab-4 SWU-250 last revised October 25, 2012 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 � Date submitted CERTIFICATE OF COVERAGE NO. NCG08 D o _ FACILITY NAME #1 ; Poi - 6 ?lGnLe ; raII COUNTY- , PERSON COLLECTING SA M PLES �Soel Yr %Arwn LABORATORY GNP Lab Cert```���#���''SS� Comments on sample collection or nalysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 201 `/ SAMPLE PERIOD ❑ Jan -June July -Dec ,or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply ❑SA RECEIVED ❑Other JW- SEP 12 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTR,4L FILES ❑ No dischor e this period' 0wR SECTION g ample;Collected; �:f-�..tr �'_.`fiwgv^ Totalr5us.pended. r,�'. k _ �.:..«,w,... , - , w, .M-M:T�+:w.w '-r'. 2.1?-, .m..- 'wx r ,�.,. ,ti;[ it+' %ry.- . .�..�_ ...,Y, r rk•• ..n ,,, ... 4r, r•, sn„- . ��.�� .. ,r F vyNo :g I F11 .. "7il __. pH Non:Polarr(3il�and Grease/TPWEPA f .. ; :" ,R',PA i ;✓ :d':% '� New=Motor�O�I Usage, err a a. s ric a�;'L.r: ,�. mo/,dcl/yam �- Solids, rgrng/L — Standard units.Metha6fi,A;{SGTHEM),mg/L y _ Annual;average"ga!%mo Benchmark� 50„or10O seerpermitWith�nb , fi4 M , h� Ottt��v F ��. :. . Sao- col 7 �s 961 70 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 .. ��� .+t:' -L' y '� y •„R i' '- 4' "iik"'C.* ted; , 7 .'ar•rv5 Ch .. � +c 00556 -'�•'� � a 00530, a'r ,y. 00400 ^'"k�P :tl" .WiP-{qyt-;�jw _sue. ,�<:'[a�x�fm.9^kk:xY y.�.�,-„ ry• ��ar��$'..±,' Non:PolarOil and,Grease/,TPH EP;4Method mr•;i $. A $r✓^'HS H"'"F!ao iiMi^�PA�+'...ld%r "YI.E :�V-e Total Suspended�5olt6 , t,;,lrig/LtSi?CStantlard"uraits.=,.< =Permct�LIrriIt�x€._ _ �x �.. ��� �, ���� M.Y� � �A SO�or 100isee;perrrtit _�. k .:-� � s 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 STORM EVENT CHARACTERISTICS: Date /S` ! (first event sampled) 4 Total Event Precipitation (inches): .� Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): t !Vote: 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 Il 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 ATANY 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, includina 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: _ "€ 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 ar gnificant penalties for su mitting false information, including the possibility of fines and imprisonment for knowing violatio ps." of Permittee) (Date) Additional copies of this form may be downloaded at: http;Luortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 0 SWU-250 last revised October 25, 2012 It a- . i 1� ■l CDEN Stormwater Discharge Outfali (SDO)... , .Qualitative Monitoring Report Forguidance on filling out this form, please visit., http: //portal.ncdenr,orglweb/wq/ws/su/npdessw#tab-4 Permit No.: N/C/G Facility Name: h!, County: G t,'�P Inspector: oe Date oflnspectiom Time of Inspection: 0/1? I o a/ o/ r Pow+ e; i , i �, ZZ2 3V9F Certificate of Coverage No.: (//, Tr-2) _ Phone No. �(33G 3_V2 3 Total Event Precipitation (inches): -A'? Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ti [�KYes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event. However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. i i A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee i obtains approval from the local DWQ Regional Office. By this signature, I certify th report is accurate and complete to the best of my knowledge: 1 signature of Permittee or Designee) Page 1 of 2 I 4 1. Outfall Description: pp, Outfall No. _Qo 1 Structure (pipe, ditch, etc.) rlPt- Receiving Stream: R,AL_'.Q Grata Describe the 'ndustrial activities that occur within the outfall drainage area: " /170LAIje 'e—C f- 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: (>re y — lijt�- 3. Odor: Describe any disti weak chlorine odor, etc.): SG nc pdors t at theAscharge may have (i.e., smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: a) 2 .3 4 5 &. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Ye No 9. Is there evidence of erosion or deposition at the outfall? Yes No r 10. Other Obvious Indicators of Stormwater Pollution: List and describe / yDhe— Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2