NCG080878_MONITORING INFO_20181218

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. I Iv C& O 80a-7
DOCTYPE 0 HISTORICAL FILE
N MONITORING REPORTS
DOC DATE ❑ _ o3D1$ 12 1 ? -
.�rvci
YYYYMMDD

North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
41 Date submitt
Alc_� (_, o 2 (s F7 Y
CERTIFICATE OF COVERAGE NO. NCG 0'81=0 �ECFIVEDSAMPLE COLLECTION YEAR 2018
FACILITY NAME Waste Industries H Imo(-,16a- IVE
rnt IIuTv Brunswick DEC ZQ�
PERSON COLLECTING SAMPLES William Smith
LABORATORY lot 18-47401
ed 12/11/18
DEC 18 2018
Lab Cent. # 2018-18708,P0.lT?n!lLES
DV'dR SECTION
CEI`TI-q\L, FILES PLEASE REMEMBER TO SIGN ON THE REVERSE
G1RrR SECTION .
Vehicle Maintenance Area (VMA) Starmwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor ail per month.
Total event rainfall 10.ss" or [] Na discharge this period'
Outfall No.
Sample
Collected,
mm/dd/yr
:Total Suspended
Solids (TSS), mg/L
Non -polar O&G/TPH, mg/L
� (Method 1664 SGT-HEM)
� (if applicable)
oil and Grease, mg/L
(if applicable)
pH, Standard units
(only if applicable)
New Motor Oil or
Hydraulic Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 503
!, _ 15
30
Within 6.0 — 9.4
-
11/13/2018
14.9
NIA
5
7.57
2600 - 21 fi
1 The total precipitation must be recorded using data from anon -site rain gauge.
z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
35ee General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 OUTFACE TRIGGER TIER 2 REQUIREMENTS. SEE HERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFACE? YES ❑ NO ❑■
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June I, 2018
Page] of 2

Mail an original and one copy o_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 DWR Central Files:
Division of Water Resources*
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
*Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of PermitteeJ
12/11/18
(Date)
Additional copies of this form may be downloaded at:
litt s://de .nc. Tov/about/divisions/ener -mineral-land-resources/n des-stonnwater- s
NC Stormwater Program NPDE.S Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June I, 2018
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO80000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG08- i 1 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives t1W sjmpling results from the laboratory.)
FACILITY NAME C-COUNTY >Jzu1l/,5aj( (_14—
PERSON COLLECTING SAMPLES ljIrLj_r.4-,K� s,,,t PHONE NO. [ ? 0) 2 i
CERTIFIED LABORATORY GX_VtA0C9E_M,.Lab # i4sT1 i2sZ_
Lab # PLEASE SIGN ON THE REVERSE
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? yea _no
ED
(if yes, report your analytical results in the table immediately below) MAY 14 2018
Outfall
Date
Sample C61lected,
LnU;<dd/
_�r'°,p053 -�::;
_:,0Q00'`-:...
00556'.:s-;,.
CEAfiAl I
Total;S40ended Solids,
'
' pH, ,
a�tallt�liti USllt!
Oil still Grease;
Ne►v._Mo(of 0 Ai&zC
Atinual'aver8 a a1Imb
30'
2O.O - p
".12 V iq
.S M
L
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Part B: Oillwater Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Uutfall•
:,No.
Date
Sam0le Collected, ;
-rx d/ d/yr
.00536..
:00530:..
00400
'Oil and Grease,
, Total Sh'spenAed Solids;
4
pII,
Sthndird units
Permit•Llydit
30°
r 10i)'.EE
STORM EVENT CHARACTERISTICS:
Date Ll -1 (first event sampled) of
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
'ILES
ION
SWU-250-102107

"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. 1 am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
6&�&6 5-/9zF
(Signature of Ae ttee) p te)
SWU-250-102107
Paue 2 o1'2

envrochem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392- 424 Fax �
710 Bow5ertown Road, Manteo, NC 27954 - 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28510 . 910.347.5843 Lab/ Fax
info@en��i ronrnentalchenzist.cont
Waste Industries Date of Report: May 07, 2018
2809 Galloway Rd Customer PO #:
Bolivia NC 28422 Customer ID: 11100013
Attention: William Smith Report #: 2018-06504
Project ID: Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
18-16252 Site: Stormwater 4/24/2018 12:35 PM Water Client
Test
Method
Oil & Grease (O&G) EPA 1664
Residue Suspended (TSS) sM 2540 a
pH SM 45OG H B
Comment:
Reviewed by
Results
<5 mg/L
35.7 mg/L
7.50 units
Date Analyzed
05/02/2018
04/26/2018
05/01/2018

;► ENVIRONMENTAL CHEMISTS, INC 6602
millWay
-0Wilmington,
N 24�05
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: OLS CERTIFICATION # 3T729
24
Analytical & Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
CLIENT: Waste Industries
PROJECT NAME: kj i,U t.G t-
REPORT NO: '�-" 0 Sa if
ADDRESS:LM tALLo l i0
CONTACT NAME: Lji J-Lt , t-t4-
PO NO: q IQ - 2 j 3 - ({ 1 1 -7
pL t t L
REPORT TO:
PHONE/FAX: q tO -.253 - t47I
COPY TO:
Sampled Ely: t LWejj4n 37i; t SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
a
E
E.
9
1L `o
p
0
cC7
o
o o
" `
m
[�
o �+
c 5
"
¢
aW
m
g
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
_
o
z
s
o
z
_
0
a
_
o
r
~
W
0
Storm water
{o S
C
P
X
X
TSS, H, Oil & Grease
G
G
C
P
G
G
C
P
G
G
Storm water
C
P
X
X
TSS, pH, Oil & Grease
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
NOTICE DECHLORINATION: Samples for Ammonia, TKN, Cyanide, Phenol end Bacteria must be dechlorinated (0.2 ppm or less) in the field at the time of collection. See reverse for instructions
Transfer
Relinquished By:
DatelTlme
R ceived By:
DatelTime
1.
� �
� �� � � ice• � -A•---
2.
Temperature when Received: Accepted: t/ Resample Requested:
Delivered By: `� Received By: _Date:,_`Time:

kv
a
I
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICJA/ V-L/kljO-/LIb-1 or Certificate of Coverage No.: N QGI_aI $i 0 /`ill 7/1/
FacilityName: .W 651a X_N 4Y5 Q/ ar .5
County: 6 R U &5 t.tJ I r. k � Phone No. � ~
Inspector: L &c) I - (- (A w[ _- �SrYt i r
Date of Inspection:
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permits or Designee)
1. Outfafl Description
Outfall No, j d-- Structure (pipe, etc.) JD _
Receiving Stream:
Describe the iatdus al activities that within the outfall drainage area:
_ _ - `� �- ocncur -
2. Color
Describe the color of
dark) as descriptors:
3. Odor
Describe y aistinc
etc.) IL
4. Clarity
using basic colors (rod, brown, blue, etc.) and tint (light, medium,
V i• ., h
odors that the discharge may have (i.e., srnells strongly of oil, weak chlorine odor,
Choose the number which best describes the clarity of the discharge where 1 is ctear and 10 is very
cloudy:
2 3 4 5 6 7 8 (2—
9j 10
PW 1
5 WU-242-020705

t
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface cove,-,1 with floating solids:
1 2 3 4 5 (fi J 7 8 9 14
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
I 2 3 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
8, Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes (No/
9. Deposition at Outfall
Is there deposition of material (sedirnent, etc.) at or immediately below the outfall? Yes No
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes Na
11. . Other Obvious Indicators of Stormwater Pollution
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
9
Page 2
5 WU-242-020705

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
r
GENERAL PERMIT NO. NCC080000
CERTIFICATE OF COVERAGE NO. NCG08 O.�'l?
FACILITY NAME t, � t 6 ,t 6
PERSON COLLECEDG SAMPLER ;a
CERTIFIED LABORATORY P6I7slo,ern Lab #,h- i Lief°(
' r g> e- k e urn Lab # [_§_Ld�S"ao
SAMPLES COLLECTED DURING CALENDAR YEAR: ZDZ L
(This monitoring report Is due at the Division no later than 30 days from
the date the faculty receives the sampting re silts from the laboratory.)
COUNTY u 'z
PHONE NO. (Q'ik) - l 1 "I _
PLEASE SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requirements
Did tl'tis facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ea _no
(if yes, report your analytical results in the table immediately below)
_ O
lo,
1lat;e
l9nmplaoiJectad,
0t2----
Oil anti;
=Motor011
Tatad't&sie�dd9oltds,
; #a
-Y00
® 0 0
0 22
O
Note: if you report a sampled value in excess of the benchmark value, or of taide the benchmark range for pH, you must implement Tier l or Tier 2 responses•See General Permit text.
Part B: OlVwater Separators and secondary Containment Areas at Petroleum Bulk Stations and Terminals
Dale
: 00
00 Q _
00400
TotaC 8 pe�s�l dsouls,
p.H;
.8buKtrlr�d units
30 .
1--9.0
A
STORM EVENT CHARACTERISTICS:
Date b 10 (first event sampled)Total ventPrecipitation (incises):
Date (fist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (Inches):
('8
C /0A.
RECEIVED
JUL 0BCEnrriLp ILES
WR SECTION
Mall Original and one copy to:
Division of Water Quality
Attn: OWQ Central Fides
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-250-102107
Page l of 2

• "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 penelHes for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
2 -1
(SigMie of Permittee) (Ds#
SWU-250-102107
Pau 2 of 2

S'rORMWA•TER DISCHARGE: OUTFA.LL (SILO)
MONITORING REPORT
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE NO. NCGOS 00 7_, _—
FACILITY NAME [.�)A5r1~ J�tNJ0 LU%T-0 1 CS
PERSON COLLECTING SAMPLES W i (-Li a,y Sm., TN
CERTIFIED LABORATORY ers! t) A E," Lab # JjL37&k:,
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the samp ing results from the laboratory.)
COUNTY
PHONE NO. (a+pJ 2521- V t 77_
F(LUEIVED
PLEASE SIGN ON THE REVERSE 4 '
OCT x Zil
Part A: Vehicle Maintenance Areas !Monitoring Requirements
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? , yes no CENTRAL FILES
(if yes, report your analytical results in the table immediately below) A DWR SECTI0P1
Outfall
No.
Date
SainPleCollected,
Tito/idd/ `r.
w ;k, 005X ' ai
:'.:Q0400' ..
00556,
Total,SuspeodWi l Solids,
pII,
Oil and Grease;
New.Motor Oil Usage,
Annual avers` e. allmo
Benetiniark°•.
_
s =-lOfl_ ":
"Withia`6.0'"=.9.0'
:30
O p DO
l
l3 20r'f
SO. S
0
L
Note: Ifyou report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Fier t or leer 2 responses.
See General Permit text.
Pnrt R- [lillwntPr.qPnnrntnri and SPrnntinry r nntninmrnt Arpnc nt PatrnlPnm Rtllk Ctatinnc and Terminals
' Oiitfall
..
Date
Sample;Collected,':'
. ,
trioldiilvr
00556
40530 .
00400
'Oil and Grease,
_
m
Total Sti'spended Solids,'
-
pli,
Standard units
Permit`Liinit
-
.30=
I00:. '
6.0 — 9.0
STORM EVENT CHARACTERISTICS:
Dater (first event sampled) Q�, tt
Total vc t Precipitation (inches): 3_i9�
Date 11i I fi (list each additional: event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches): _
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-250-102107
Pagc I of 2

"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 personas 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 Fermi a (Date
SWU-250-102107
Pane 2 o1-2

m �• e
ANALY"11CAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 23405 • 910.392.0223 Lab • 910,392.4,124 Fax d,
71.0 Bctwsertc-)wn lZoad, Manteo, NC 27951 • 252.473.5702 Lab/Fax
255-A Wilmingtnn Highway, Jacksonville, NC 25540 • 910-347.5843 Lab/Fax
in to cr e:rvirontnentulchemisis.carn
Waste Industries Date of Report: Oct 03, 2017
2809 Galloway Rd Customer PO #:
Bolivia NC 28422 Customer ID: 11100013
Attention: William Smith Report #: 2017-14047
Project ID: Storm Water
Lab ID Sample ID: waste industries Collect DatelTime Matrix Sampled by
17-33766 Site: Stormwater 9/13/2017 9:40 AM Water Client
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1864 7 mg/L 09/27/2017
Residue Suspended (TSS) sM 2540 D 50.5 mg/L 09/15/2017
pH sM 4500 H B 7.50 units 09/20/2017
Comment: xzz(ola
Reviewed by:
Ramrt B-- 7017_idf)d7

r�
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG08 C]�`1 SAMPLE COLLECTION YEAR _ C l�
FACILITY NAME SAMPLE PERIOD Jan -June ❑ July -Dec
COUNTY - uY15 u���� or Monthly' (month)
PERSON COLLECTING SAMPLES C9.:'\ C� �(t� rYl 15C AIZGIA O CLASS ❑ORW ❑HQW -]Trout ❑PNA
LABORATORY ��r-rye t1 —Lab Cert. # �3 , 3 �`�11 REM �I ❑Zero -flow Water Supply ❑SA
Comments on sample collection or analysis: JUL 14 2014 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWQIBOG
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
Na �
Date
Sam" le`Collected ��
00530
1fl0400`
00556�'
'� Total -Sus ended`
H
Standard units'.`�...e..
Non-P6 ar OiLand Grease TPH EPA
,Meth"" 106:
4, (SGT-MfM);! rng/L ,
New Motor OII:Usa e' .-.
g , -
.:: Annual:average`rgal/mo'
Benchmark.
.,:::.
.g.50.ar, lOO.see permit E
Wit hin'E(A . 9 0`
v.7c.�cc V "
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
-< Outfall . E.
No
;' Date-:.
Sample Collected,
.r .. 'a0556..,'.
..:. _00530..00400:
Non Polar 011 and Grease/TPH EPA Methotl
Total Suspended Solids,
pH,
mp/dd/Yr-
�:. ...:, ltsii4a(SG :�
T HEM) �mg/L :;
��..+ m`gJL �
Stan ard:uriits
zPermit.Limit
,:
s
,: Y15
e
S0 or'100 see'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 11, 2013
Page I of 2

STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): r •'cYS
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 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 AMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case gf "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral 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 signifi t 2,7
for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1� x , � Q- ` a\— ��
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/"wq/ws(sunpdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2of2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2� t>13
Individual NPDES Permit No. NCSUMLUL [3 ��l or
Certificate of Coverage (COC) No. NCG®K 76 IEEE
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County:
Phone Number: �l1)_ S3_- ��11 Total no. of SDOs. monitored a
.9
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ NoNr
1
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No '+
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? YesW No ❑
i ' �E. � i , .. � , .;, ;, i d, ._ • . . � :. � 9 _ ararrteter, units
e
T6taf
' F;Wnfgll,
,
Benchmark- N/A
SWU-264 - Generic Annual DMR
Last revised &1720 t3

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 /7 6
41
Date 1-.N • MLZ� • 13
For questions, contact your local Regional Office:
dWQ Regional Office Contact Information:
ASHEVMIE REG.IONAIL OFF'IC
AYE'I"MVIeLLEREgibNXY�0WIC
00RESMLE'REGIANAL;0FFTCA
_^ �225 Green Street
610 East Center Avenue/Sbite 301
2090 US Highway 70
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
910 433-3300
R;4.LEI.GF1:12EGI'ONAiL OM _
,WASFIINGT(}N REGIQNAL O FICI]
W.tL[17INGT N REGIONAL OF'FI_.
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27989
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
+CIN E R G1UN 1Gad ; CEr
G'EN £IAI;,.1t)FFICH
1617 Mail Service Center
Raleigh, NC 27699-1617
919 807-6300
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€ 8nd,enhan ,
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585 Waughtown Street
Winston-Salem, NC 27107
336 771-5000
SWU-264 - Generic Annual DMR
Lest revised &17/2013