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�'-.-✓
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r . r5av$ �'f{
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,..t� _ t l'C�
s`T vs•I,r
:;5dk a.
o'' �r1d9'.;�
'Sd.F
.rpHk
,^" ,,i
pu
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,Iar
;
fe
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orraOgIeI;gUasa/greow
s �..'}
'k s
.��} _ ��rpn.�,
tlY d/YF::r,},?,, .!I
' �e:�.c•.f k•-.
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a 1�i� yS. .,..4. '• if
3r
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,
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7
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��-.,,•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, ..
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_--
t„
Pe" Limit
f ..�' �;: ...I -Li S•, J-
'1 ' t ,Lii ..kEl't%!F4 !@ •�.
�[ r�: YY:�l" C.•' F2.-
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77-
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.
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