NCG100008_COMPLETE FILE - HISTORICAL_20140121

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Cc � Qo C) O�
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �t7 / �'I O � "1
YYYYMMDO

Public Works
Department
Stormwater/Erosion and
Sedimentation Control Program
City of Winsion-Ucm
CO. Box 2511
Winston-Salem, NC 27102
GryLink 311 D3 6.727AW)
Fax [phone]J73
rDaereOMWArerxmarr.tom
January 21, 2014
Mr. Marty Myers
General Manager
Lewisville Motor Company
5600 Country Club Road
Winston-Salem, NC 27104
Dear Mr- Myers -
The Stormwater Division of the City of Winston-Salem would like to thank you for
your time and professional courtesy regarding the January 17, 2014 reinspection of
Lewisville Motor Company.
As per your request, a copy of the completed surface water reinspection form has
been enclosed to you. Part 2 of this report (Required Actions to be completed by
Facility) contains Annotation ##1 that Lewisville Motor Company must complete.
Please provide documentation that verifies Lewisville Motor Company's successful
completion of this corrective measure to me by July 15, 2014.
The Stormwater Division reserves the right to enter and inspect Lewisville Motor
Company as often as necessary to determine compliance with permit requirements
of NCG100008.
Thank you for your continued support and implementation of the City of Winston-
Salem's Stormwater Program. If you have any questions, please feel free to contact
me at (336) 747--6968.
Sincerely,
Andrew K. Allen
Special Projects Coordinator
Cellular Phone: [phone]
Fax:[phone]
[e-mail]
Cry Cotrncl! Mayor Allen;oinea; VMan H. Burke. Mayor lho Ternpure, Northeast Ward; Denise D. Adams, North Wood; Dan Base. Sourh� Ward; Rohm C Clark W­ Want;
Molly Leight, South Ward: Wanda Menchel. Nonhw Ward• Dcmin L Mnnrgnmc y. Em Ward; Jarrsea'!•iyla:, J,.•ISouth—:t Ward; City Manager, lac D, G�,dq
Call 311 or 336-727-6000
[e-mail]

1llllli�igl-�Pill '
Stormwater/Erosion Control Division
Surface Water Reinspection of Lewisville Motor Company (LMC)
Successfully
Completed?
Part 1 - Required Actions from the November 14, 2013 inspection Yes No Notes
1) Lewisville Motor Company (LMC) is located within the
Muddy Creek Watershed, which is impaired due to turbidity
(TSS). Is this information posted on your site map or general
✓
location ma ?
2) Is the City of Winston-Salem listed as the receiving MS4
from Drainage Basin 41 on your site ma ?
✓
3) Has the City of Winston-Salem, Stormwater Division been
added to your Spill Response Action Plan?
The primary contact for the
Stormwater Division is: Keith
Huff, Stormwater Director,
[phone].
4) Have Mr. Myers & Mr. Burris signed and dated LMC's Spill
Prevention and Response Procedures (Table 5.1 in SPPP) as an
✓
acknowledgement their res onsibilities for theplan?
5) Show the connectivity of LMC's stormwater drainage system
for Drainage Area 42 -- update the narrative description within
Section 2.1 to reflect these changes. In addition, please place an
✓
arrow at the pipe's effluent end to show the directional flow of
stormwater runoff from Drainage Area 42.
6) Has a narrative, annual re-evaluation of implemented BMPs
for pollutant removal effectiveness been performed and
✓
incorporated into the SPPP?
A DMR has been completed
and submitted to NCDWR; no
7) Have analytical and qualitative monitoring been conducted
for the 2013, Period #2 (if a measurable storm event occurred)?
NOTE: qualitative monitoring must be conducted at SDO#2 as
well as SDO #1 regardless of ROS.
✓
discharge was observed for
Stormwater Division requests Period #2 of 2013. The
analytical and qualitative
monitoring results for 2014,
Period 91 (if a measurable
storm occurs).
8) Have the following Stormwater Management Strategy SPPP
items been completed?
✓
Facility Inspection
✓
Preventative Maintenance & Good Housekeeping Inspection
✓
Employee Training
✓
SPPP Review & Update
✓
Annual BMP Effectiveness Evaluation
Non-stormwater Flow Certification
✓
Updated Significant Spills List
✓
✓
Review and Comparison of Analytical Data to Benchmark Values

9) Have standard operating procedures been implemented and
Wastewater from the
incorporated into LMC's SPPP (Sections 3.1.5 & 4.3) for the
zarnboni style° cleaning
wastewater discharge from the `Zamboni-style' cleaning
'f
machine is discharged to the
main sink, which is plumbed
machine?
into the septic tanks stern.
10) Has a spill kit been placed at the car crushing unit in the
event of oil spill/release?
Picture #1: A spill kit has been placed at the car crushing area
ST,4w 11 mil Ill tA31l
�nTEiQu
11 ;1 f
,'lit � +•.!r'l.a . : y /Z �{��'F� ,{�h �IJ �, ,ee_ A
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Part 2 - Required Actions to be completed by Facility:
1. Once completed, please submit all analytical and qualitative monitoring results for the 2014, Period #1
(if a measurable storm event occurs) to the Stormwater Division for our files.
Company Representative(s) that participated in reinspection: Mr. Marty Myers
Title(s): General Manager
Date: January 17, 2014
Time: 9:00 A.M.
Signature of Stormwater Inspector:
Title: Spccial_Proiects Coordinator
2

Pubtic Works
Department
StormwaterlEmsion and
Sedimentation Control Program
November 18, 2013
Mr. Marty Myers
General Manager
Lewisville Motor Company
5600 Country Club Road
Winston-Salem, NC 27104
Ciryd Winston-Salem
110. Box 2511
Winscon•Sakm. NC 27102
Dear Mr. Myers:
CiryUnk 311 (336.727.8000)
F.. 336.748.3173
remutttarmu+rummatr.ram
The Stormwater Division of the City of Winston-Salem would like to thank you for
your time and professional courtesy regarding the November 14, 2013 inspection of
Lewisville Motor Company.
As per your request, a copy of the completed surface water inspection form has
been enclosed to you. Section Part 4 of this report (Required Actions to be
completed by Facility) contains Annotations 41-912 that Lewisville Motor
Company must complete. Please provide documentation that verifies Lewisville
Motor Company's successful completion of the corrective measures to me by
January 17, 2014,
The Stormwater Division reserves the right to enter and inspect Lewisville Motor
Company as often as necessary to determine compliance with permit requirements
ofNCG100008.
Thank you for your continued support and implementation of the City of Winston-
Salem's Stormwater Program. if you have any questions, please feel free to contact
me at [phone].
Sincerely,
Andrew K. Allen
Special Projects Coordinator
Cellular Phone: [phone]
Fax. [phone]
[e-mail]
Cary Cnimdl, Mayor AU— Join.; Vivian H_ Hance, Mayor Pm Temporr, Nanhratr Want; Ueniw D. Ada", forth Ward; Pan Bette, South-r Ward; Raben C. Clark, Wrat Want;
Molly I.cighr. Sauth Waal: Wanda Matchd. Nord�w.r Ward: T)crwin L Mom6romcry, Fau Wald; Jamcs "rayios. Jr., Soudcrast Ward; Gry Wnaga: [.cc U. Garrity
Call 311 or 336-727-8000
citylink@cityofws. org

Kf�
Stormwater/Erosion Control Division
Surface Water inspection for Industrial Sites
General Information
A) Official Company Name: Lewisville Motor Company (LMC), Inc.
B) Physical Address: 5600 Country Club Road, Winston-Salem, NC 27104
C) Telephone Number: [phone]
D) Mailing Address, if different from above address: Same as above
E) Authorized contacts to represent company in environmental regulatory issues:
Primary contact: Marty Myers
Title: General Manager
Contact number(s): [phone]
Email address: many a lewismotorcompany.corn
Secondary contact: Darren Burris.
Title: Office Manager
Contact number(s): [phone]
Email address: [e-mail]
F) SIC Code Number of business: 5015
G) NC Stormwater NPDES Permit Number: NCG100008
Permit Category: Auto Recycling
G) Any other control authority permit(s) (air quality control, wastewater, hazardous waste) & number(s): None
H) Brief description of industrial activities that occur on -site: The We and storage of used motor vehicles parts.
Vehicles are disassembled indoors; fluids and fluid -containing parts are removed and drained within the
interior of the building. Stripped vehicle bodies are stored outside the building.
I) Ultimate Receiving Waters: Muddy Creek (via Reynolds Creek)
TMDL stream DYes ®No LMC is located in an impaired watershed, thus must be denoted on general
location map for turbidity (TSS)
Part I - Stormwater Controls
1. Best Management Practices
List the nordstructural controls employed by the tacillt :
1. The engine storage area is clean with no spillage or outdoor tracking — no floor drains within area.
2. Waste oil is recycled through vendor or burnt (via heaters) on -site for structural heating.
3. Large spill kit in dismantling area: employees have oil absorbent readily available for spills
4. A 'Zamboni-style' machine is self-contained and deployed for weekly cleaning of the facility.
5. Transmissions lines are plugged during storage in order to prevent leaks.

b. Are the BMPs reasonable & appropriate for the facility? ®Yes ❑No
Lewisville Motor Company (LMC) is proactive in performing routine preventive maintenance
and good housekeeping measures. As a result, areas with on -going, industrial activities are very
clean with minimal spillage of residual fluids.
c. Are BM.Ps installed correctly, maintained, and effective operating condition? ©Yes ❑No
2. Provide a brief description of other controls that manage/prevent/minimize stormwater runoff
(e.g., erosion and sediment controls, inlet protection/control at storm drains, diversion structures):
Lewisville Motor Company has established a twenty foot wide vegetated buffer around the western,
southern, and eastern perimeter of their facility; this buffer acts like a filtering and soil -stabilizing BMP.
Also, stormwater runoff from Drainage Basin 93 leaves the site in a dispersed manner (i.e. sheet flow).
Part 2 — Miscellaneous
l . Any evidence of discharge to receiving waters/MS4? (e.g.: stormwater runoff, dry weather discharge, co -
mingling of process wastewater): ®Yes ❑No
Comments
Stormwater runoff is discharged from the property's four main drainage basins.
Please note: Lewisville Motor Company will continue to locate and remove any floor drains
from the parts storage area (main building), which are connected to roof gutters. Due to the
massive quantity of auto parts/storage racks as well as excellent housekeeping practices, the
Stormwater Division recognizes LMC's on -going efforts to permanently resolve these
connections.
2) Do the stormwater outfalls on -site correspond with those listed on the site map and in SPPP?
NYes ❑No
Comments
Lewisville Motor Company has been granted Representative Outfall Status (ROS) by DWQ, thus
only two stormwater discharge outfalls exist on -site.
Please note: Even though LMC has been granted ROS, qualitative monitoring must be
performed at each stormwater discharge outfall during a measurable storm event.

3) Summary of Stormwater Discharge Outfalls (SDOs)
Potential Pollutants that
Latitude and
SDO Identification
Physical Location
Longitude
could be Discharged
#1
Residual automotive fluids
SW within Drainage Area #4
36 05.455 N
80 22.293 W
Residual automotive fluids
SSW within Drainage Area 94
36 05.443 N
42
80 22.289 W
Part 3 — SPPP Review
Site Overview
Yes No Notes
Is there a SPPP?
✓
Does SPPP include a certification statement by the responsible
co orate officer?
✓
Does the general map depict the facility's location on a USGS quad
map (or equivalent map) with receiving waters (or MS4) listed?
✓
List the City of Winston-Salem
as the receiving M54 forDrainage Basin #I
LMC is located within Muddy
Creek Watershed, which is
Identification of impaired waters or watershed (if applicable)?
✓
impaired for turbidity (TSS).
Place this denotation on your site
map.
Narrative Description of these Industrial Activities:
✓
✓
Storage Practices
✓
Unloading/Loading Activities
✓
Outdoor Processes
Particulate Generating/Control Processes
✓
Waste Disposal
I ✓
• Add site topography and
Does site map denote drainage items: flow direction, boundaries, %
impervious, and structures? Also includes SDOs, industrial activity
areas, and site topography?
✓
finished grade onto your site
map.
• Show the connectivity of
LMC's stormwater drainage
system for Drainage Area #2
Add the City of Winston-Salem,
A list of major spills that have occurred within the past three years
(with corrective actions to prevent future spills)?
✓
Stormwater Division to your
Spill Response Action List.
Primary contact: Keith Huff,
Stormwater Director, (336)747-
6962.
A signed, annual certification that the facility has been tested for non-
stormwater discharges from the site?

Stormwater Management Strategy
Yes No Notes
Does SPPP incorporate the nine baseline controls:
✓
✓
Feasibility Study (technical & economic review to minimize pollutant exposure)
Secondary Containment (table summary of tanks, stored materials, release records)
N/A
BMP Summary (listing of site structural/nonstructural practices)
✓
SPRP & Procedures (identified, responsible personnel wl signatures & dated)
�/
SRP - Needs to be signed and
PM & GH (inspection of material handling areas & regular cleaning schedules)
Facility Inspections (biannual inspections of facility and all Stormwater systems)
Employee Training (annual basis for staff who perform SRP and PM functions)
Responsible Party (specific position(s)-developing, implementing. & revising SPPP)
dated by Mr. Myers & Mr.
gins as acknowledgement of
duties.
✓
✓
✓
Amendment &Annual Update (of major spins, nnnsw flows, tilvtPs, sampling data
A narrative, annual re-evaluation
of implemented BMPs for
pollutant removal effectiveness
needs to be performed.
LWC was unable to locate 2012
employee training records_
Also, the following records are
due bY_12131113: Facility
Inspections, Employee Training,
Does SPPP contain completed routine inspection reports/records
regarding reportable implementation of the nine baseline controls
✓
PM & GH, Annual SPPP Review
(i.e. SPPP Implementation)?
& Update, BMP Effectiveness,
Non-stormwater Flow
Certification, Updated Major
Spills List, and Review and
Comparison of Analytical Data
to Benchmark Values.
Analytical Monitoring
Yes No Notes
Mr. Myers obtains hourly
Are samples collected within 30 minutes of measurable rain events
✓
precipitation data from
and at least 72 hours since the last storm event?
www.wtinderground.com, which
is based on the State Climate
Office.
Are sampling events 60 days apart? (I:XCF;P'rION: Tier 2 & 3 responses)
✓
Is analytical monitoring complete (including schedule) for each
• pH calibration log is complete
SDO? (EXCEPTION: ROS)
Vol
o Period #2 monitoring event
due by 12131 / 13,
2011 — TSS = 115 rng/L
Pb = 0.0312 mg/L
Any exceedences of pollutant parameters when compared against the
✓
permit benchmark values?
2012 --None
2013 — None, so far
Has Facility implemented appropriate, selected actions to reduce
pollutant concentrations, in response to benchmark exceedences (if
✓
No exceedences since 2011
applicable)?

Qualitative Monitoring
Yes No Notes
Is Qualitative monitoring being performed during measurable storm
✓
events?
Is qualitative monitoring complete (including schedule) for each
Start qualitative monitoring at
SDO?
✓
- SDO #2 during measurable
storm events.
Are monitoring events 60 days apart? (EXCEPTION: Tier 2 & 3 responses)
✓
Any observable, excessive amounts of pollutant indicators in
stormwater discharge at SDOs?
Part 4 — Required Actions to be completed by Facility:
1. Lewisville Motor Company (LMC) is located within the Muddy Creek Watershed, which is
impaired due to turbidity (TSS). Please denote this detail on your site reap or general
location map.
2. List the City of Winston-Salem as the receiving MS4 from Drainage Basin #1 on your site
map.
3. Add site topography and finished grades onto LMC's site map.
4. Add the City of Winston-Salem, Stormwater Division to your Spill Response Action Tian.
Primary contact: Keith Huff, Stormwater Director, [phone].
5. Mr. Myers & Mr. Burris need to sign and date LMC's Spill Prevention and Response
Procedures (Table 5.1 in SPPP) as an acknowledgement their responsibilities for the plan.
6. Show the connectivity of LMC's stormwater drainage system for Drainage Area #2 — update
the narrative description within Section 2.1 to reflect these changes.
7. A narrative, annual re-evaluation of implemented BMPs for pollutant removal effectiveness
needs to be performed and incorporated into the SPPP_
8. Commence qualitative monitoring at SDO #2 during measurable storm events.
9. Once completed, please submit all analytical and qualitative monitoring sampling results for
the 2013, Period #2 (if a measurable storm event occurs) to the Stormwater Division for our
files.
10. The following Stormwater Management Strategy SPPP items must be completed by
12131 /13: Facility/Preventative Maintenance & Good Housekeeping Inspections, Employee
Training, SPPP Review & Update, annual BMP Effectiveness Evaluation, Non-stormwater
Flow Certification, Updated Significant Spills List, and Review and Comparison of
Analytical Data to Benchmark Values. Once completed, please submit written verification
(e.g. reports, logs, or SPPP text) to the Stormwater Division.
11. Immediately discontinue the practice of releasing wastewater from the `Zamboni-style'
cleaning machine to the outdoors. Discharge the wastewater to another receptor of your
discretion, in accordance with all applicable federal, state, and local regulations. Once
standard operating procedures (SOPS) have been finalized and implemented, please
incorporate these measures into Lewisville Motor's SPPP (Sections 3.1.5 & 4.3).
12. Place a spill kit at the car crushing unit in the event of oil spill/release.
13. LMC will continue to locate and remove any floor drains from the parts storage area (main
building), which are connected to roof gutters.
5

Company Representative(s) that participated in inspection: Marie Myers Cluck Hoffman
Title(s): General Manager and Proiect Geology
Start of Inspection: 10:00 A.M.
Completion of Inspection: 1:50 P.M.
Date: 11/14/2013
Signature of Stormwater Inspector:
Title: Special Proiects Coordinator
n

-n.
p�L S ye
W-M
1 s
Picture 41: Pre -dismantling Staging Area for Vehicles — area is very clean and free of spilled automotive fluids
Picture #2: Door Storage Area
7

d
Picture 43: Indoor Dismantling Area — automotive fluids are captured for recycling
Picture 44: 250 gallon plastic tote for storing recovered waste oil
8

Picture #5: Salvaged motors being prepared for shipping in Gaylord Containers to Texas
NOTE: Each corrugated box is lined with 3-mil plastic for containing residual fluids
Picture #G6: Drained fuel tanks are stored outdoors with scraped ears — metal tanks are recycled
E

Picture #7: Stormwater Discharge Outfall 41
Picture #8: Storrnwater Discharge Outfall 92
10

Picture #9: Place a spill kit at the Car Crushing Area for cleaning pep hydraulic oil releases
• ��n.Xt�iy�, ' ,... � w� ,,..,+r'•-^'ram" ''`sue-
r
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�� ,�„ s .- . _-fin✓'
f t�r Jim Y d
ir!' M • b J r� ✓ .7 I
Picture # 10: Car Crushing Area — very minimal hydrocarbon staining around pad

Taylor -Smith, Aana
--
From: Andy Allen <[e-mail]>
Sent: Tuesday, January 21, 2014 3:20 PM
To: White, Sue; Taylor -Smith, Aana
Subject: Reinspection of Lewisville Motor Company
Attachments: LMC reinspection form_1.17.14.pdf
Good Afternoon Sue and Aana,
On Friday, 1/17/14, 1 conducted a reinspection of Lewisville Motor Company. As promised, I am furnishing my
completed reinspection form to you.
Everything looked good; LMC completed all Required Actions from the November 14, 2013 inspection EXCEPT for
analytical and qualitative monitoring; the Stormwater Division requested these results from LMC for Period #1, 2014,
once a measurable storm event has occurred.
If you have any questions, please feel free to ask or call me at [phone].
Thank you,
Andy Allen
Special Projects Coordinator
Stormwater Division
City of Winston Salem
Clty of Winston-Salem
ONE TEAM
Committed to Excellence
All a -mails including attachments sent to and from this address are subject to being released to the media and the public in accordance with the North Carolina
Public Records Law.

Public Works
DgmrOmnt
Stormwater/Erwion and
timentation Control i'rogmw
City of Winston-Salem
Po. Box 2511
Winerm-Sakrn. NC 27102
CityLink 311 (336.727.8000)
Fax [phone]
twnuuar""W:M rnerc Coat
January 21, 2014
Mr. Marty Myers
General Manager
Lewisville Motor Company
5600 Country Club Road
Winston-Salem, NC 27104
Dear Mr. Myers: i
The Stormwater.Division of the City of Winston-Salem would, like to thank you for
your time and professional courtesy regarding. the.Jdnuary 17,.2014 reinspection of
Lewisville Motor Company.
1
As per your request, a copy of the completed surface water reinspection form has
been enclosed to you. Part 2 of this report (Required Actions to be completed by
Facility) contains Annotation 41 that Lewisville Motor Company must complete.
Please providedocumentation that verifies Lewisville Motor Company's successful
completion of this corrective measure to.me by July 115, 2014.
The Stormwater Division reserves the right to enter and inspect Lewisville Motor
Company as often as necessary to determine compliance with permit requirements
of NCG100008.
Thank you for your.continued support and, impleme tation of the City of Winston-
Safem's Sionnwater Program. If you have any questions, please feel free to contact
me at [phone].
Sincerely,
a�04/--'
Andrew K. Allen
Special Projects Coordinator.
Cellular Phone:.[phone] }
Fax: [phone]
[e-mail]
F
i
I
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all 311 or 3 3 fi-i 27-80E)0 '`fir L igk se th W.4. �, M-s". T1wtF�sa w„a, Ikr+.in r &&Mw &1T. Los! vv, d_ jrurc Tmyr r. jr.,�Smthcw WW; C.4 aft:' � D. Garin
[e-mail]

P
V @j
,Stbrffiwater/Efbsibn'Cdritro1 Division
`gurface,Wdter keinspection of Lewisville Motor Company . ompany (LMQ
Successfully
Completed?
Part-1 - Ri quiredAcfidns from 1he.,N6v'ember­14, 2013:ihsp , e'ctiom Yes.. .,"No Notes
1) LeWisville Mot&'Com . -,(LMC) is -located ated withinAlId
I pany. . &
- .
Muddy treek. Watershed, which is impaired -due to turbidity L
(TSS). lsithit'itif6rriiatio"n.pbs10-bnyoiir,,"site map or-ieiieio
2)11s the.City.of Winston-L-Salem1isted;as the receiving:MS4
frbm.Dfaina&,Basiq #l.'b4y6ik §ite,taf
✓
3YF[as'the�Cfty.of Wihston_SAlem,..SWrrnWater DivisionbeeP
added, to -your Spill ResponseAction, Plan?
V
Theprimary contact for the
st,ormwater Division. is: Keith
Htj, Stormwater Director,
(33 6)747-6962.
4) Have-,-Mn'We rs &-Mr- Burris:signed and-datedL 'MC's, Spill
Prevention and Response P . rixedurm(Tible-5.1 in�SP PP),as an;
✓
iher -responsibilities, out hi eplafi? -acknowledgement, fair
5) Show the:cionn6ctivity -of LMC's ibrin: water drainage system
ystem
46r Drainage ArOA.42 update the nhif6tive descifiptib fi` within
Sectionl2.'I,to.refl'ect.th.es'e'eh'arigts'- ln,4ddition,please place,an.
,arrow atih �-­ ' ffl
.q-pipe s�e ue�nt.endjo show -the directiorial flow of
storm*ater runoff Win Diaih itge Area-42.
.6) Has xnakrative, annualre'--evaluation Of implemented:. BMPs
f6r pollutant remoyal., eff6cfiveness been performed and
.
incorporate�d,ifito the ,,SPPP ?
I
A,-DMR has been completed
and subririitted.to NCDWR; no
7) Have�arialytico-and=,qualitative fhonitoring. been conducted?
for the 10 0; Period42 (if a measurable. stormi event occurred)?
NOTE:- ..quaditative-m6Ait6iihk niti§t.becoriducted'at,SDO-,#2•as
:well as SI)b 41',re.gai4less..'of ROS,
V
I
dis6harge was observed for
Nri 6&W2 bf 2013. The
Siormwatet:Div'ision requests
ifialytic;al and 414alitative
Tnonitdiing results ts fof.2014,
PMod:#JL(if d`rneaktable
-st6nn2occm"
8) Have the Tolbowing'Stormwater Management St.rategySPPP
'items been --completed?
V
Facility Inspection
P'Mventatiive Maintenance & Good Housekeepin &Inspection
Employee Tiaiti*g
SPPP Revi6W & Update
Annual113&ffi-Eff'ectivertess Evaluation
✓
N6fi-stOrmwaier.'Flo'w-'Certification
✓
f
Updated Significant, Spills List
keview,and -Comp a
Comparison of An lytical Data to Benchmaik Values
ol"
✓

r
9) Have standard operating procedures been implemented and'
Wastewater from "the
incoiporated into LMC's SPPP (Sections 3.1.5 & 4.3) for the
✓
±
`Zarn .-sfyic' cleaning.
discharged
wastewater discharge from the `Zamboni=style' cleaning
!
j
machine, is to the
main sink, which is plumbed
machine?
(
into the se tic tanks stem.
10) Has a spillkit been placed at the car crushing unit in the
}
event of oil spill/release?
t
Picture #1: A spill kit has been vlace&at the.car crushing area
. IA
}
Part 2 — Re uiied Aetiofts ro� a eqr t leted_by Facili, :. I
1. .Once completed,please submit all.amdytical and-yualitative.monitoring;results for the 2014, Period#1
(if a measurable storm event occurs) -to the,Stormwater- Division -for our files.
Company Represeniative(s) that pai
Title(s): General Manager
Date: January 17, 2014
Time: 9:00 A.M.
Signature°of Stormwater Inspector:
Title: Special Projects Coordinator;
2

M
Compliance Inspection Report
Permit: NCG100008 Effective: 11/01/12 Expiration: 10/31/17 Owner: Lewisville Motor Company Inc
SOC: Effective: Expiration: Facility: Lewisville Motor Company Inc
County: Forsyth 5600 Country Club Rd
Region: Winston-Salem
Winston Salem NC 27104
Contact Person: Marty L Myers Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 01/1712014
Primary Inspector: Sue White
Secondary Inspector(s):
Certification:
Entry Time: 09:00 AM Exit Time: 10:00 AM
Phone:
Phone: [phone]
Reason for Inspection: Follow-up Inspection Type: Compliance Evaluation
Permit Inspection Type: Used Motor Vehicle Parts Stormwater Discharge COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCG100408 Owner - Facility: Lewisville Motor Company Inc
;■
Inspection Date: 01/17/2014 Inspection Type: Compliance Evaluation Reason for Visit: Follow-up
Inspection Summary:
Inspection conducted by Andy Allen with Winston-Salem local program. Please refer to Winston-Salem inspection letter
dated 01121 /2014.
Page: 2

Permit: NCG100008 Owner - Facility: Lewisville Motor Company Inc
Inspection Date: 01/17/2014 Inspection Type: Compliance Evaluation Reason for Visit: Fallow -up
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan? ■ ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfali locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment:
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment: Facility will conduct QM for the first time starting in first half of 2014.
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment: Facility will conduct AM for the first time starting in first half of 2014.
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment:
Yes No NA NE
Yes No NA NE
❑ ❑ ■ ❑
❑ ❑ ■ ❑
Yes No NA NE
Page: 3

Public Works
Department
Stormvmter/Erosion and
Sedimentation Control Program
Gtry of VFUM0a-Sakm
P.O. Ux 2511
Winuon-Sd= NC 27102
Gtylink 311 (336.727.BM)
Fax [phone]
xqVUu4VFMU14rrr1"&MC=
November 18, 2013
Mr. Marty Myers
General Manager
Lewisville Motor Company
5600 Country Club Road
Winston=Salem, NC 27104
Dear Mr. Myers:
The Stormwater Division of the City of Winston-Salem would like to thank you for
your time and professional courtesy regarding the November 14, 2013 inspection of
Lewisville Motor Company.
As per your request, a copy of the completed surface water inspection form has
been enclosed to you. Section Part 4 of this report (Required Actions to be
completed by Facility) contains Annotations #1-#12 that Lewisville Motor
Company must complete. Please provide documentation that verifies Lewisville
Motor Company's successful completion of the corrective measures to me by
January 11, 2014.
The Stormwater Division reserves the right to enter and inspect Lewisville Motor
Company as often as necessary to determine compliance with permit requirements
of NCGI O0008.
Thank you for your continued support and implementation of the City of Winston-
Salem's Stormwater Program. If you have any questions, please feel free to contact
Me at [phone].
Sincerely,
af;r,e�l 11-'a&
Andrew K. Allen
Special Projects Coordinator
Cellular Phone: [phone]
Fax: [phone]
[e-mail]
City Gsm Mr, Anal Joinat %-mto K &uka. Mayor Pro T mpom hordxm Witch Dmig D. Adamt. Kordt V 44 Dan Beat, Sauh.= Ward: Bohm C Qark. Wrat W 64
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Call 3i 1 or 336-727-8000
[e-mail]

E�J
Bf�m�m
Stormwater/Erosion Control Division
Surface. Water Inspection for Industrial Sites
General Information
A) Official Company Name: Lewisville Motor Company (LMC), Inc.
B) Physical Address: 5600 Country Club Road, Winston-Salem, NC 27104
C) Telephone Number: [phone]
D) Mailing Address, if different from above address: Same as above
E) Authorized contacts to represent company in environmental regulatory issues:
Primary contact: Marty Myers
Title: General Manager
Contact number(s): [phone]
Email address: [e-mail]
Secondary contact: Darren Burris
Title: Office Manager
Contact number(s). [phone]
Email address: darren@lewisvillemotorcompany_com
F) SIC Code Number of business. 5015
G) NC Stormwater NPDES Permit Number: NCG 100008
Permit Category: Auto Recycling
G) Any other control authority permit(s) (air quality control, wastewater, hazardous waste) & number(s): None
H) Brief description of industrial activities that occur on -site: The sale and storage of used motor vehicles parts.
Vehicles are disassembled indoors; fluids and fluid -containing parts are removed and drained within the
interior of the building. Stripped vehicle bodies are stored outside the building.
I) Ultimate Receiving Waters: Muddy Creek (via Reynolds Creek)
TMDL stream ❑Yes ®No LMC is located in an impaired watershed, thus must be denoted on general
location map for turbidity (TSS)
Part I - Stormwater Controls
1. Best Management Practices
List the nonstructural controls employed by the facili :
1. The engine storage area is clean with no spillage or outdoor tracking — no floor drains within area.
2. Waste oil is recycled through vendor or burnt (via heaters) on -site for structural heating.
3. Large spill kit in dismantling area; employees have oil absorbent readily available for spills
4. A `Zamboni-style' machine is self-contained and deployed for weekly cleaning of the facility.
5. Transmissions lines are plugged during storage in order to -prevent leaks.

b. Are the BMPs reasonable & appropriate for the facility? ®Yes ❑No
Comments
Lewisville Motor Company (LMC) is proactive in performing routine preventive maintenance
and good housekeeping measures. As a result, areas with on -going, industrial activities are very
clean with minimal spillage of residual fluids.
c. Are BMPs installed correctly, maintained, and effective operating condition? ®Yes ❑No
Comments
None
2. Provide a brief description of other controls that manage/prevent/minimize stormwater runoff
(e.g., erosion and sediment controls, inlet protection/control at storm drains, diversion structures):
Lewisville Motor Company has established a twenty foot wide vegetated buffer around the western,
southern, and eastern perimeter of their facility; this buffer acts like a filtering and soil -stabilizing BMP.
Also, stormwater runoff from Drainage Basin #3 leaves the site in a dispersed manner (i.e. sheet flow).
Part 2 _ Miscellaneous
1. Any evidence of discharge to receiving waters/MS4? (e.g.: stormwater runoff, dry weather discharge, co -
mingling of process wastewater): ®Yes ❑No
Stormwater runoff is discharged from the property's four main drainage basins.
Please tote: Lewisville Motor Company will continue to locate and remove any floor drains
from the parts storage area (main building), which are connected to roof gutters. Due to the
massive quantity of auto parts/storage racks as well as excellent housekeeping practices, the
Stormwater Division recognizes LMC's on -going efforts to permanently resolve these
connections.
2) Do the stormwater outfalls on -site correspond with those listed on the site map and in SPPP?
®Yes ❑No
Comments
Lewisville Motor Company has been granted Representative Outfall Status (ROS) by DWQ, thus
only two stormwater discharge outfalls exist on -site.
Please note: Even though LMC has been granted ROS, qualitative monitoring must be
performed at each stormwater discharge outfall during a measurable storm event.

3) Summary of Stormwater Discharge Outfalls (SDOs)
Latitude and
SDO Identification
Potential Pollutants that
physical Location
Longitude
could be Discharged
#1
Residual automotive fluids
SW within Drainage Area 04
36 05.455 N
80 22.293 W
Residual automotive fluids
SSW within Drainage Area #4
36 05A43 N
#2
80 22.289 W
Part 3 — §PPP Re iv e
Site Overview
Yes No Notes
Is there a SPPP?
✓
Does SPPP include a certification statement by'the responsible
corporate officer?
✓
Does the general map depict the facility's location on a USGS quad
map (or equivalent map) with receiving waters (or MS4) listed?
✓
List the City of Winston-Salem
as the receiving MS4 for
ptaina a Basin # 1
LMC is located within Muddy
Identification of impaired waters or watershed (if applicable)?
✓
Creek Watershed, which is
impaired for turbidity (TSS).
Place this denotation on your site
map.
Narrative Description of these Industrial Activities:
✓
✓
Storage Practices
✓
Unloading/Loading Activities
✓
Outdoor Processes
Particulate Generating/Control Processes
✓
Waste Disposal
✓
Does site map denote drainage items: flow direction, boundaries, %
impervious, and structures? Also includes SDOs, industrial activity
areas, and site topography?
✓
. Add site topography and
finished grade onto your site
map.
e Show the connectivity of
LMC's stormwater drainage
system for Drainage Area #2
Add the City of Winston-Salem,
A list of major spills that have occurred within the past three years
(with corrective actions to prevent future spills)?
Stormwater Division to your
Spill Response Action List.
Primary contact: Keith Huff,
Stormwater Diiector, (336)747-
6962.
A signed, annual certification that the facility has been tested for non-
stormwater discharges from the site?
✓

Stormwater Management Strategy
Yes No Notes
Does SPPP incorporate the nine, baseline controls:
✓
✓
Feasibility Study (technical & economic review to minimize pollutant exposure)
Secondary Containment (table summary of tanks, stoned materials, release records)
NIA
BMP Summary (listing of site structural/nonstructural practices)
✓
SPRP & Procedures (identified, responsible personnel w/ signatures & dated)
SRP - Needs to be signed and
PM & GH (inspection of material handling areas & regular cleaning schedules)
Facility Inspections (biannual inspections of facility and all stormwater systems)
Employee Training (annual basis for staff who perform SRP and PM functions)
Responsible Party (specific position(s)-developing, implementing, & revising SPPP)
dated by Mr. Myers & Mr.
Burris as acknowledgement of
duties.
✓
✓
✓
Amendment & Annual Update (of major spies, nomw flows, Wits, sampling data
A narrative, artttual re-evaluation
of implemented BMPs for
pollutant removal effectiveness
needs to be erformed,
LWC was Linable to locate 2012
employee training records.
Also, the following records are
Does SPPP contain completed routine inspection reports/records
due by 12131/13: Facility
inspections, Employee Training,
regarding reportable implementation of the nine baseline controls
✓
PM & GH, Annual SPPP Review
(i.e. SPPP Implementation)?
& Update, BMP Effectiveness,
Nan-stormwater Flow
Certification, Updated Major
Spills List, and Review and
Comparison of Analytical Data
to Benchmark values.
Analytical Monitoring
Yes No Notes
Mr. Myers obtains hourly
Are samples collected within 30 minutes of measurable rain events
precipitation data from
and at least 72 hours since the last storm event?
`tww.wunde;=round.com, which
is based on the State Climate
Office.
Are sampling events 50 days apart? (F.XCFPTION: Tier 2 & 3 responses)
✓
Is analytical monitoring complete (including schedule) for each
✓
• pH calibration log is complete
SDO? (P-XCFPTION: ROS)
& Period #2 monitoring event
due by 12131113.
2011— TSS = 115 mg/L
Pb = 0.0312 mg/L
Any exceedences of pollutant parameters when compared against the
✓
permit benchmark values?
2012 -- None
2013 — None so far
Has Facility implemented appropriate, selected actions to reduce
pollutant concentrations, in response to benchmark exceedences (if
✓
No exceedences since 2011
applicable)?

Qualitative Monitoring
Yes No Notes
Is qualitative monitoring being performed during measurable storm
✓
events?
Is qualitative monitoring complete (including schedule) for each
Startgualitative monitoring at
SDO?
✓
-SDO #2 during measurable
storm events.
Are monitoring events 60 da s apart? (1:XCEMOx: `t-ier 2 & 3 re onses)
✓
Any observable, excessive amounts of pollutant indicators in
stormwater discharge at SDOs?
Part 4 — Required Actions to be completed by Facility,
1. Lewisville Motor Company (LMC) is located within the Muddy Creek Watershed, which is
impaired due to turbidity (TSS). PIease denote this detail on your site map or general
location map.
2. List the City of Winston-Salem as the receiving MS4 from Drainage Basin 41 on your site
map.
3. Add site topography and finished grades onto LMC's site map.
4. Add the City of Winston-Salem, Stormwater Division to your Spill Response Action Plan.
Primary contact: Keith Huff, Stormwater Director, [phone].
5. Mr. Myers & Mr. Burris need to sign and date LMC's Spill Prevention and Response
Procedures (Table 5.1 in SPPP)' as an acknowledgement their responsibilities for the plan.
6. Show the connectivity of LMC's stormwater drainage system for Drainage Area #2 — update
the narrative description within Section 2.1 to reflect these changes.
7: A narrative, annual re-evaluation of implemented BMPs for pollutant removal effectiveness
needs to be performed and incorporated into the SPPP.
S. Commence qualitative monitoring at SDO #2 during measurable storm events.
9. Once completed, please submit all analytical and qualitative monitoring sampling results for
the 2013, Period #2 (if a measurable storm event occurs) to the Stormwater Division for our
files.
10. The following Stormwater Management Strategy SPPP items must be completed by
12/31/13: Facility/Preventative Maintenance & Good Housekeeping Inspections, Employee
Training, SPPP Review & Update, annual BMP Effectiveness Evaluation, Non-stormwater
Flow Certification, Updated Significant Spills List, and Review and Comparison of
Analytical Data to Benchmark Values. Once completed, please submit written verification
(e.g. reports, logs, or SPPP text) to the Stormwater Division.
11. Immediately discontinue the practice of releasing wastewater from the `Zamboni-style'
cleaning machine to the outdoors. Discharge the wastewater to another receptor of your
discretion, in accordance with all applicable federal, state, and local regulations. Once
standard operating procedures (SOPs) have been finalized and implemented, please
incorporate these measures into Lewisville Motor's SPPP (Sections 3.1.5 & 4.3).
12. Place a spill kit at the car crushing unit in the event of oil spill/release.
13. LMC will continue to locate and remove any floor drains from the parts storage area (main
building), which are connected to roof gutters.
5

Company Representative(s) that participated in inspection: Marty Myers and Chuck Hoffman
Title(s): General Manager and Project Geologist
Start of Inspection: 10:00 A.M.
Completion of Inspection: 1:50 P.M.
Date: 11 / 14/2013
Signature of Stormwater Inspector: �4G� L1 • P-�
Title: Special Pro'ects Coordinator
6

Picture #1 : Pre -dismantling Staging Area for Vehicles —area is very clean and free of spilled automotive fluids
Picture #2: Door Storage Area

2
Picture #3: Indoor Dismantling Area — automotive fluids are captured for recycling
Picture #4: 250 gallon plastic tote
recovered waste oil
j
r
8

t
- gt-t • .ems"„-10IQ
A16
416,
il.

Picture #7: Stormwater Discharge Outfall # I
Picture #8: Stormwater Discharge Outfall #2
10

Picture #9: Place a spill kit at the Car Crushing Area for cleaning up hydraulic oil releases
m
10
40
Picture#10: Car Crushing Area —very minimal hydrocarbon staining around pad
11

N.C.Dept. of ENR
MID -ATLANTIC APR 3 o 2w
A S S O C I AT E S, I N C. Winston-saiem
Re iona! Office
Engineering & Environmental Solutions
409 Rogers mien, Court/Ruleiglt/North Carolina127610
800486-7568 / 919-250-9918 / 919-250-9950 Facsimile
►vwrv.MAAonline cant
April 26, 2012
Mr. Corey Basinger
North Carolina Division of Water Quality
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
Subject: RESPONSE TO NPDES COMPLIANCE EVALUATION INSPECTION
LEWISVILLE MOTOR COMPANY, INC.
5600 COUNTRY CLUB ROAD
WINSTON-SALEM, FORSYTH COUNTY, NORTH CAROLINA
NPDES CERTIFICATE OF COVERAGE NO. NCG100008
Dear Mr. Basinger:
On behalf of Lewisville Motor Company, Inc., Mid -Atlantic Associates, Inc. appreciates the
opportunity to respond to your NPDES Compliance Evaluation Inspection and Notice of
Deficiency, dated April 4, 2012. As requested, the Stormwater Pollution and Prevention Plan
(SPPP) for the Lewisville Motor Company, Inc. will be updated to reflect the following:
The facility site map will be updated to reflect that there are currently two Stormwater
Discharge Outfalls (SDOs), which discharge directly to Tomahawk Creek;
The Spill Prevention and Response Plan will be updated to include additional emergency
contact information, as requested; and
The qualitative and quantitative monitoring requirements (Sections 9.1 and 9.2 of facility
SPPP) will be updated to identify the correct number of facility SDOs.
Mid -Atlantic appreciates the opportunity to respond to your request. We are currently in the
process of updating the above -referenced items and anticipate that the updated SPPP will be
available at the facility within the next 30 business days. If you have any questions, please do
not hesitate to contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
el, I--- aog:�_) ,
Charles B. Hoffman Darin M. McClure, P.E.
Staff Geologist Principal Engineer
cc: Mr. Marty Myers, Lewisville Motor company, Inc.

MC®ENR
North Carolina. Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Chuck Wakild, P.E. Dee Freeman
Governor Director Secretary
April 4, 2012
Lewisville Motor Company, Inc.
Attn: Marty Myers, Co -Owner
5600 County Club Road
Winston-Salem , NC 27104
Subject: Compliance Evaluation Inspection & Notice of Deficiency
NPDES General Stormwater Permit NCG100000
Certificate of Coverage NCG100008
Lewisville Motor Company, Inc., Winston-Salem
Forsyth County
Dear Mr. Myers:
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the Division)
conducted a compliance evaluation inspection (CEI) at the subject facility on April 3, 2012. Your assistance and
cooperation was greatly appreciated. An inspection checklist is attached for your records and the inspection findings are
summarized below.
The facility is located at 5600 Country Club Road, in Winston-Salem, Forsyth County, North Carolina, at
approximate coordinates 36.092761 °,-80.3705980. Stormwater related to industrial activity is discharged from the site via
two separate stormwater discharge outfalls (SDO) to receiving waters known as Tomahawk Creek, which is currently
classified as a Class C water, located in the Yadkin Pee -Dee River Basin.
Documentation & Monitoring Review
The Stormwater Pollution Prevention Plan (SP3) and monitoring activities were reviewed. The following
deficiencies were identified:
1. The SP3 currently identifies the receiving stream as Reynolds Creek. Please note that this is incorrect. The
actual receiving stream is Tomahawk Creek, the confluence of which with Reynolds Creek is actually at the far
southwest corner of your property. However, both SDOs discharge directly into Tomahawk Creek. Unfortunately,
your SP3 will need to be updated to reflect this information, including the General Location Map (GLM) and Site
Map (SM).
2. The SP3 includes a Spill Prevention and Response Plan (SPRP). The SPRP lists some emergency contacts but
lacks the following contacts, which we strongly suggest you add to the SPRP:
a. EPA National Response Center, 1-800-424-8802;
b. Division of Water Quality After Hours, 1-800-858-0368;
c. Environmental clean-up contractors you may use in the event of a spill; and
d. Local and county environmental agencies.
3. Section 9.1 of the SP3 indicates that Qualitative Monitoring (QM) should be done at all seven SDOs. Please refer
to the next item.
4. Section 9.2 of the SP3 indicates that Analytical Monitoring (AM) should be done at all seven SDOs unless
Representative Outfall Status (ROS) has been officially granted to the permittee by the Division. ROS was
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org '}►'}a,h""ly ,
An Equal Opportunity l Affirmative Action Employer �/

Lewisville Motor Company, Inc.
Attn: Marty Myers, Co -Owner
Compliance Evaluation Inspection, NCGI00008
Lewisville Motor Company, Inc., Winston-Salem
4/4/2012, Page 3 of 3
exceedences of both of these parameters on two consecutive sampling events. It is noted that, on these
occasions, you did perform a tier one response in response to the first exceedence. However, you did NOT
perform the tier two response that the permit requires upon receipt of notification of the second consecutive
exceedence of these parameters, which includes the immediate institution of monthly AM. Please bear this in
mind in the future and review in detail the tier one through tier three requirements found in Part II, Section B, of
the general permit. Failure to comply with these'requirements is a serious permit violation.
Site Review
The site was fairly clean and well maintained. The BMPs used at your site appear to be very effective. Mr.
Boone noted no deficiencies.
Other Issues
During the inspection you inquired of Mr. Boone the proper disposal method for used oil dry. Mr. Boone is still
investigating this request and will notify you as soon as he has an official response.
Please correct all deficiencies noted above as soon as practical. Please reply in writing to this letter within 30
business days of receiving it. Your written response should include proposed corrective actions along with estimated
completion dates for each of the deficiencies noted above. Please note that violations of the NCG100000 general permit
are subject to civil penalty assessments not to exceed $25,000 per day, per violation. Your written reply will be used, in
part, to determine whether any further action is necessary.
Should you have any questions regarding the permit, the inspection, or this letter, please do not hesitate to
contact Mr, Boone or me at [phone].
Sincerely,
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
2. Copy of December, 2008, Internal Division Memo Regarding ROS
cc: SW P — W S RO
Central Files
Stormwater Permitting Unit

. Compliance Inspection Report
Permit: NCG100008 Effective: 11/01/07 Expiration: 10/31/12 Owner: Lewisville Motor Company Inc
SOC: Effective: Expiration: Facility: Lewisville Motor Company Inc
County: Forsyth 5600 Country Club Rd
Region: Winston-Salem
Winston Salem NC 27104
Contact Person: Marty L Myers Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Certification: Phone:
Inspection Date: 0410312012 Entry Time: 09:00 AM Exit Time: 12:00 PM
Primary Inspector: Ron Boone J 6,, I .` Phone: [phone]
Secondary Inspector(s);
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Used Motor Vehicle Parts Stormwater Discharge COC
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

I
Permit: NCG100008 Owner -Facility: Lewisville Motor Company Inc
Inspection date: 0410312012 Inspection Type: Compliance Evaluation
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: Please refer to the attached inspection summary letter.
Qualitative Monitoring
Has the facility conducted its Oualitative Monitoring semi-annually?
Comment: Please refer to the attached inspection summary letter.
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment: Please refer to the attached inspection summary letter.
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment: Please refer to the attached inspection summary letter.
Reason for Visit: Routine
Yes No NA NE
■ n n n
■nnn
■nnn
■nnn
■ n n n
■nnn
■nnn
■ n n n
■nnn
■nnn
■ n n n
■nnn
Yes
No
NA
NE
n■nn
Yes
No
NA
NE
■nnn
nn■n
Yes
No
NA
NE
Page: 3

MEMO
Division of Water Quality
Winston-Salem Regional Office
December 4, 2008
Memorandum to: Bradley Bennett, Stormwater Permitting Unit
Through: Steve W. Tedder
WSRO Water Qu pervisor
From: Rose Pruitt dl�
Environmental Specialist rl
'Subject: Lewisville Motor Co: NCGIO0008
Representative Outfall Status request
Forsyth County
Site inspection 11/19/08. Representative Outfall Status established. Inspection
found 7 outfalls indicated on site map.. Of these, 5 outfalls were determined to actually
be sheet flow. The inspector recommends that outfalls 1,2,3,4,and 7 be eliminated as
testing sites and that former outfall 5 become the new representative outfall #1. Former
outfall 6 will become the new outfall 42 with no additional testing needed at this time
(reap attached).

Corey,
April 4, 2012
I'm on leave tomorrow (Thursday), so I'm writing you this memo about this inspection report.
We've already spoken about it but I had more thoughts about it, which are reflected in the inspection
report. The inspection report is attached, along with the file that contains all the permittee's
information, including the 12/08 internal memo and site map regarding the permittee's ROS.
In the DWQ inspection of 11/08, the inspector identified 7 SDOs but determined that five of
them were actually sheet flow. So, in reality, they're not SDOs. Therefore, the site only has two SDOs
and we've granted them representative outfall status, with SDO 001 being the representative SDO.
I've written the inspection report as such and informed the permittee that they need to update
their SP3, general location map, and site map to reflect this.
If you agree, please sign and give to Kristie and ask her to make my copies for me. If not, then
we'll revisit the issue next Monday. I appreciate it and hope you have a great weekend!
Ron
t2y-
r�
'46

MEMO
Division of Water Quality
Winston-Salem Regional Office
December 4, 2008
Memorandum to: Bradlee Bennett; Stormwater Permitting Unit
Through: Steve W. Tedder
WSRO Water Qu, ' pervisor
From: Rose Pruitt
Environmental Specialist
Subject: Lewisville Motor Co: NCC100008
Representative Outfall Status request
Forsyth County
Site inspection 11/19/08. Representative Outfall Status established.' Inspection
found 7 outfalls indicated on site map.. Of these, 5 outfalls were determined to actually
be sheet flow. The inspector recommends that outfalls 1,2,3,4,and 7 be eliminated as
testing sites and that former outfall 5 become the new representative outfall ##L Former
— outfall 6 will become the new outfall #2 with no additional testing needed at this time
(map attached).

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.r
a
57., 77' N �2 ,
"'J SUILD14C
SiREM, TAUS k WSCELLA.N_OUS PARTS
ouu
J693.•,P63. N O
4110
OUcrALL 0
3605-`'
N ' �
BO'22.2B3W' ;_ 2• .
EA,t r•mrs:n0
A%'�-.5.'
1 : E : `S r.• I
• .,s
oAEEJ•IN
I� UOSY OF SI7C CONSISTS Or WOO PACKED SOL.
Z.DRAINAGE AREAS 95% IMPERVIOUS.
O
1rR/ �
PLACE IN CE RAIruNAG
O „E
I AREA A
DRAWACE LFANES SDI AS SHEET FLOW AND
OUiWALL 0
3E05, AA3, N
^
RDWs Pm STpRM DRAWS xuA[EWT TO
W27.209• IN
COI CLUB RO.ATI.
J.DRAI+:ACE AREA 2 d5E1N1OUS i WP, ORAIWCE
n•orS INTO TWO cA7CH BASINS. THE pLTIWATE
91SCHARGE POINS OF 'MIME DRAINS IS,l
,
7 4\ !l
O ,S
. H+^,E•
•A }TflR."-
UNKNOw'N,
„ .a.y
•�•^°•'� DVRPIJ. 7
` Ya
ADRAINACE AREA 3 - 205 IMPERVIOUS. DRAIWOE
J0'O5,•25' N
V 1 i
,�• "
LEAVES StIE AT DUTFAtL L.
5.D• Nw WRG^ ♦ - AOS I•wP1+WDvs. pRA,N..OE
, t i
LEAVES SITE THROWN SE-EM ERODED
CHANNELS,
-� r•
^^•
-. '
-1
;.RUNOFF FROM S11T DTSCNARCES TO REYNOLDS
CELL ] "•
'
CREEK, RETNOLbS CREEK IS NOT uSTDp ON
TOWER r•,
N.C.'S 303(d) L$T OF IMPAPED WATERS ANp IS
NOT 4DCA G IN A WATMRED FOR -ICN A
`t .,
'' rn• ,
TNDL W BEEN ESTABJIM.
96
LEGEND
'
��
OI OUIiµL NuuDER AAKI LOubDm
�•�
DRMIML'E AREA
yI. SURFACE WATER FLOW DIRECYIDN
r - DRAINAGE AREA MADAM
-.—. ._---- STREAM/DTTCH CENTERLINE
c�a STQRM WATEP CATCH BASIN
D :27
FENCE
'^ '� �"�• STTE BOUNDARY
DATE: 202
SITE MAP 8 '
ID —ATLANTIC RIS-II MOTOR COMPANY, INC. r-17I`M em_'l-�
�SeC10 COUNTRY CLUB ROAD �` �09 I'1G: OOOR1!�a6.00
ASSOCIATES, S C I S, �^ WINSTON—SALEN, NORTH C•rRICLINA ENCInEER CHE r, J CAD P 0; -- t 9-601
�n�lneerin� � BnT�tnnmeata/Solutrans BY: J
al Frwffl Alt (N� 0''G NO; 2.1
9Y:
I REFERENCE: FORSYTH COUNTY GfS WESS17E.

A ffl�_KXA
Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Dischar-c Elimination System
REPRESENTATIVE OUTFALI_ STATUS (ROS)
REQUEST FORM
FOR AGENCY USE ONLY
[late Received
Year
Month
Day
RECEIVED
H.C, O&M. ofENR
NOV. 0 5 2008
If a facility is required to sample multiple discharge locations with very similar storn-iwater dis'cfig'rg-ds
permittee may petition the Director for Representative Outfall Status (ROS). DWO may grant
Representative Outfall Status if stormwater discharges from a single outfall are established as
representative of discharges from multiple outfalls. Approved ROS will reduce the number of outfalls
where analytical sampling requirements apply.
If Representative Outfall Status is granted, ALL. outfalls are still subject to the qualitative monitoring
requirements of the facility's permit. After ROS is granted, the facility must notify DWO in writing if any
changes to the facility or its operations take place that would affect this status. The approval letter from
DWO must be kept on -site with the facility's Stormwater Pollution Prevention Plan.
For questions, please contact the DWO Regional Office for your area (see page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
N I C I S N I C I G I j I d p-4 I O S
2) Facility Information:
Owner/Facility Name )_EW I SV I ALE MdTO(L COM PA" Y , = NC
Facility Contact M ART Y M YE KS
Street Address
City
County
Telephone No.
WINS -MN - SAL.EM State WC ZIP Code 2r7
rFbyu,yTH - _— E-mail Address r't" ezo,h
Boo 1722 - &'7 (( Fax:
3) List the representative outtall(s) information (attach additional sheets if necessary):
Outfall(s)
is representative of Outfall(s) a2—
Outfalls' drainage areas have the same or similar activities? tiles ❑ No
Outfalls' drainage areas contain the same or similar materials? H'Yes ❑ No
Outfalls have similar monitoring results?
Outfall(s)
I
is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
Outfalls' drainage areas contain the same or similar materials?
Outfalls have similar monitoring results?
Outfall(s)
is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
Outfalls' drainage areas contain the same or similar materials?
Outfalls have similar monitoring results?
❑ Yes 0 No M<o data"
❑Yes
❑No
❑ Yes
❑ No
❑ Yes
❑ No ❑ No data'
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No ❑ No data'
'Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
Page t of 3
SWU-ROS•090508 Last revised 9/5/2008

s'
Representative Outfall Status Request
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(Or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or
materials are similar.
EE A-r-Mc H EO LETTE�L
5) Certification:
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10.000).
I hereby request Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit. I must notify DWQ in writing if any changes to
the facility or its operations take place after ROS is granted that may affect this status. If ROS no longer
applies, I understand I must resume analytical monitoring of all outfalls as specified in my NPDES permit.
certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: L Mk Qu5
Title: bu-In out.
10 Lao 105c
(Signature o Applicant) (Date Signed)
Please note: This application for Representative Outfall Status is subject to approval by the
NCDENR Regional Office. The Regional Office may inspect your facility for compliance with
the conditions of the permit prior to that approval.
Final Checklist for ROS Request
This application should include the following items:
This completed form.
O Letter or narrative elaborating on the reasons why specified outfalls should be granted representative status,
unless all information can be included in question A.
E Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area.
© Summary of results from monitoring conducted at the outfalls listed in Question 3_
❑ Any other supporting documentation.
5W U-FtOS-090508
Page 2of3
Last revised 9/512008

Representative Outfall Status Request
Mail the entire package to:
NC DENR Division of Water Quality
Surface Water Prolection Section
at the appropriate Regional Office (See map and addresses below)
Notes
The submission of this document does not guarantee Representative Outfall Status (ROS) will be granted
as requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until
written approval of this request is granted by DWQ.
Non-compliance with analytical monitoring prior this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
For questions, please contact the TWO Regional Office for your area.
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778.
Washington Regional Office
943 Washington Square Mall
Phone [phone]
Washington, NC 27889
FAX [phone]
Phone [phone]
Fayetteville Regional Office
FAX [phone]
Sysiel Building,
225 Green St., Suite 714
Wilmington Regional Office
Fayetteville, NC 28301-5094
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone [phone]
FAX [phone]
Phone [phone]
FAX [phone]
Mooresville Regional Office
610 East Center Ave.
Winston-Salem Regional Office
Mooresville, NC 28115
585 Waughtown Street
Winston-Salem, NC 27107
Phone [phone]
Phone.[phone]
FAX [phone]
Water Quality Main FAX [phone]
Raleigh Regional Office
Central Office
1628 Mail Service Center
1617 Mail Service Center
Raleigh, NC 27699-1628
Raleigh, NC 27699-1617
Phone [phone]
Phone [phone]
FAX [phone]
FAX [phone]
Page 3 of 3
SWU-ROS•090508 Last revised 9/5/2008

MID -ATLANTIC
ASSOCIATES.INC.
1,11g lecrin,4 & Enviroamellial S01111ions
.101) Rogcv,v View C,,ml /Redvi,;k I:Vooh C-itwliiw 1?76)0
,S00-4P15- NiS I9)9-2?U- )vl N 1 `ll )- 210- 9Y10 llfw.+imdo
7rn'i Y.fl ltfrtr �fi iliN�.rnlll
February 22, 2008
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Stormwater and General Permits Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: REQUEST FOR REPRESENTATIVE OUTFALL STATUS
LEWISVILLE MOTOR COMPANY, INC.
5600 COUNTRY CLUB ROAD
WINSTON-SALEM, NORTH CAROLINA
MID -ATLANTIC PROJECT NO. 0001111946.00
Dear Sir:
On behalf of Lewisville Motor Company, Inc., Mid -Atlantic Associates, Inc. requests representative
outfall status for the above referenced site. The facility is permitted to discharge stormwater under
the North Carolina Department of Environment and Natural Resources, Division of Water Quality,
General Permit NCG100000, Stormwater currently discharges off site at seven outfalls (See
Attached Drawing 21). Potential pollutants associated with stormwater discharges at each outfall
include oils, greases, petroleum, vehicle fluids, metals and suspended solids. Based on our recent
evaluation of the site'and its stormwater outfalls, it appears that the stormwater discharge from
Outfall 1 is representative of discharges from each outfall at the site. It also appears that the
discharge at Outfail 1 would be the "worst -case" discharge of the seven. We appreciate your
consideration of this request. If you have any questions, please feel free to contact me at 919-250-
9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
W.Mc'Clure, PE
Principal Engineer
Attachment: Drawing
cc: . Mr. Marty Myers, Lewisville Motor Company, Inc.
1946.00/2-21-08/Request for Representative Outfall StatuslDMM/aso

H EA-P NG
AST
OTSMANI
WASTE OIL AST—
DOOR$ ---
BUMPERS -�
TIRES/RIMS
UNDERGROUND GYh.WTRY CG!!9 RY,t4p
PIPE
-- —
ce
lI^'. REAR ENDS
STAGING
AREA &
PARKING
ENGINE & PARTS STORAGE
II DOOR STORAGE IN RACKS
c UNDERGROUND
a DRAIN PIPE
DOORS, RIMS 3 MISCELLANEOUS PARTS
FRONT ENDS IN RACKS
L w•I^
� PARTS TRUCK BEDS
•L" I STORAGE
BUMPERS & MISCELLANEOUS
UNDERGROUND---
DRAIN PIPE MAIN BUILDING
t� I
TIRES, RIMS & MISCELLANEOUS PARTS
EMPTY
VEHICLE ASTs
* STORAGE
AP
r
1
\ r r r �—
OUTFALL I
36705.517' IN \ r r r r
ao'z2.346' w
`VEHICLE
1 STORA� !
1► 4doc
OUTFALL 2 _ AP ❑
36'05.477' N L_`J d
80'22.30,3' W 1
36'05.471' N ,J�
9O'22.30D' IN
410
36*05.483' N O ., ' �' r
80'22.295' W
a—
OUTFALL 5 _
36.05.455' N
NOTES: 1 %, OPERATIONSTAKEAR
1. MOST OF SITE CONSISTS OF WARD PACKED S01. 1 ' PLACE IN DRAINAGE
2, DRAINAGE AREA I b 959 IMPERVIOUS. OUTFALL 6 O I AREA 4
DRAINAGE LEAVES SITE AS SHEET FLOW AND 36'05.443' N
FLAWS INTO 'STORM DRAINS ADJACENT TO 80'22,289' W
COUNTRY CLUF3 ROAD.
3.0RA)NAGE AREA 2 +r 85% IMPERVIOUS. DRAINAGE
FLOWS INTO TWO CATCH BASINS. THE ULTIMATE `VEF{ICLE a
DISCHARGE POINT OF THESE DRAINS IS OUTFALL 7 , 3 , STORAGE
UNKNOWN, 111
4. DRAJNAGE AREA 3 w 20% IMPERVIOUS, DRAINAGE 36'05.425' N 1 I'
LEAVES SITE AT OUTFALL 1. 80'22.280' W I _
5.0RAINAGE AREA 4 a 40% IMPERVIOUS. DRAINAGE 1
LEAVES SITE THROUGH SEVERAL ERODED
CHANNELS.
6.RUNOFF FROM SITE DISCHARGES TO REYNOLDS CELL
CREEK. REYNOLDS CREEK kS NOT LISTED ON TOWERA
N,C.•S 303(d) UST OF FMPAJRED WATERS AND IS n
NOT LOCATED IN A WATERSHED FOR WWICF4 A
TMDL HAS BEEN ESTABLISHED,
LEGEND `
Ol OUTFALL NUMBER AND LOCATION � 1r
C] DRAINAGE AREA \
Il+l SURFACE WATER FLOW DIRECTION
- - - - - DRAINAGE AREA 500DARY
- -- - -- -- STREAM/DTTCH CENTERLINE
eB 'STORM WATER CATCH BASIN
t 2 C
—=—y—y-- FENCE
- - -^- SITE BOUNDARY
SCALE: 1"a 120'
RAWN
BY:
DATE: FEBRUARY 2008
f u ATLANTIC
SITE MAP
LEWISV•ILLE MOTOR COMPANY, INC.
8Y;
DRAFTING CHECK
JOB N0: OOOR1946.Q0
MASSOCIATES9 INC,
5600 COUNTRY CLllB ROAD
BY:
ENGINEER CNE
CAD
WINSTON- SALEM, NORTH GAROLINA
By; �J
# 01-194601
E'flpneering Environmental Solutions
APPROVED
BY; QZ(,
DWG NC: 2,1
REFERENCE. FORSYTH COUNTY CIS VVEeSI T L- _.. _ _.--

November 21, 2008
Mr. Marty Myers
General Manager
Lewisville Motor Company, Inc. E
5600 Country Club Road
Winston-Salem, N_C_ 27104
Dear Mr, Myers:
The Stormwater Division of the City of Winston-Salem would like to thank you for your time and
professional courtesy regarding the October 22, 2008 inspection of Lewisville Motor Company, Inc.
As per your request, a photocopy of the completed inspection form has been enclosed to you.
The Stormwater Division is requesting completion of annotations 4 1-7 that are denoted in Part 4
Reqired Actions to be completed by Facility, which is located on your surface water inspection
form.
Thank you for your continued support and implementation of the City of Winston-Salem"s
Stormwater Program.. If you have any questions, please feel free to contact me at [phone].
Sincerely,
Donald P. Donadio
Stormwater. Industrial Inspector
City of Winston-Salem
Cc: Rose Pruitt, Environmental Specialist with the North Carolina Division of Water Quality

City of Winston-Salem
Stormwater Division
Surface Water Inspection for Industrial Sites
Part 1 - General Information
A) Official Company Name: Lewisville Motor Company, Inc.
B) 1. Physical Address: 5600 Country Club Road, W-S N.G. 27104
2. Telephone Number. 336-765-2362
C) Mailing Address, if different from above address:
D) 1. Primary contact who is authorized to represent company in. official business:
Marty Myers
Title: General Manager Contact number(s): 336-722-6711
2. Secondary contact: Darren Burris
Title: Office Manager Contact number(s): 336-722-6711
E) SIC Code Number of business: 5015
F) NC Stormwater NPDES Permit Number:
Facility Type Auto Recycling
N CG 100008
G) Any other control authority permits) (ex.: air control, wastewater, hazardous waste) & number(s):
H) Brief description of manufacturing process of products produced on site:
The sale and storage of used motor vehicle parts, vehicles are disassembled inside. _
All fluids and fluid -containing parts_ are removed or drained completely in the interior of the building
and the vehicle bodies are stored outside the building.
1) Receiving Water(s)IMS4: Reynolds Creek
Storrilwat ntrols
art1� , er Co'
1. Best Management Practices
a. List the non/structural controls employed by the facility
1. Dismantling of vehicles and fluid recovery process is conducted inside of building.
2. Batteries are removed and stored in a Mastic container_ Douglas Battery recycles the spent batteries.
3. A self-contained parts washer, which has a closed loop system for solvent management, is used in the
garage. - T -
4. Fueling and defueling of tanks, is performed inside the garage and the gasoline is used in company
vehicles.
5. Drums were all sealed and stored inside with bungs in place,
6. Large amounts of oil absorbent material are readily available throughout the facility.
7. Vehicle crushing takes place on impervious surface,- vehicles are free of fluids.

b. Are the BMPs reasonable & appropriate for the facility yes no
Comments: All vehicles are drained prior to outside scrap storage or crushing.
c. Are BMPs installed correctly, maintained, and effective operating condition?
{x : yes no
Comments: Majority of outside storage is on concrete, which limits erosion in scrap yard.
2. Provide a brief description of other controls that manage/prevent/minimize stormwater runoff
(e.g., erosion and sediment controls, inlet protection/control at storm drains, diversion structures):
1. A arass veaetated buffer is maintained around perimeter of the facility.
2. Multiple outfall drainage dispersion system to Reynolds Creek.
iPart 2 Miscellaneous .
1. Any evidence of discharge to receiving waters/MS4? (e.g.: stormwater runoff, dry weather
discharge, co -mingling of process wastewater): X_.]Yes No
Comments: Stormwater runnoff from lot and buildings.
2) Do the stormwater outfalls on -site correspond with those listed on the site map and in SPPP?
FX-777--]Yes No NIA
Comments:
°re` - Part 3 = SPPP-Review (can'be completeclin office)
General NOTES
1 Is there a SPPP?
-Yes
No
2) Does SPPP identify a specific position(s) for
responsible party purposes (e.g.: overall coordination,
development, implementation, & revision
No
..,,Yes Jy_
3) Does SPPP designate facility personnel
responsible for implementing SPR?
-Yes
No
4 Does SPPP include a certification statement?
Yes y°.
No
5) Are employee training records regarding stormwater
pollution prevention topics included in SPPP?
Yes
7 7No', =
Comments: Need copies of current training records.

Site Map
NOTES
1 Is there a site map?
Yes',, _
No
2 Drainage atternsloutfalls
Yes ' `
No
3) Identification of potential pollutants likely
to be discharged from each drainage area?
No
Yes-
4) Narrative Description and locations of (check if present):
1. Storage Practices
2. Unloading/Loading activities
3. Outdoor processes
4. Particulate generating/control processes
5. Waste Disposal
Y
Y
Y
Y
Y
5 Name of receiving waters or MS4's listed?
Yes
No
6) Locations of significant materials exposed
to stormwater?
No
Yes,,','
7) Locations and descriptions of major spills occurring within the
the 3 pervious years (wl corrective actions to prevent future spills)?
No
_
Yes
Stormwater Controls
NOTES
1) Does the SPPP describe the non-structural
controls that will be used to prevent/reduce
discharge of pollutants in stormwater runoff?
No
- Yes
2) Does the SPPP describe the structural
controls that will be used to prevent/reduce
discharge of pollutants in stormwater runoff?
No
Yes
3) Does the SPPP describe other controls that
will be used to prevent/reduce off -site tracking
or blowing of sediment, dust, and raw, final,
or waste products, or other solid materials
and floatin debris?
No
Yes''_
4) Does the SPPP incorporate the 8 baseline
controls (good housekeeping, BMP summary,
feasibility study, PM, SPR procedures, facility
inspections, and comprehensive site evaluations,
employee training, secondary containment, and
sediment control?
No
Yes = :
5) Does SPPP contain completed routine inspection
reports/logs regarding reportable implementation
of the 8 baseline controls?
Yes
Complete forms in SWPPP for
facility inspections and
em to ee training forms.
t ,No. %
6) Does the SPPP describe the pollutant or activity
to be controlled by BMP's and assessed the need
of implementation through data collected?
No
s Yes :t
Non-stormwater Discharges
NOTES
1) Certification that the facility has been tested
for non-stormwater discharges from the site?
Yes
No
2) Description of testing method, drainage
points, observed results, date, and signature?
Yes
No

Monitoring
NOTES
1)' Are samples collected within 30 minutes of
measurable weather events occurring 72 hours
after previous measurable weather event?
Yes
No
2) Were samples collected and preserved in
accordance with 40 CFR 136?
'Yes
No
3) Was proper chain -of -custody procedures
followed?
Yes
No
4) Was analytical and qualitative monitoring
complete?
Any exceedences of pollutant parameters in regards
to cutoff concentrations/effluent limits?
Yes
N_o_ ';,
Until representive outfail status is granted
conduct analytical monitoring at all
outfails. Lead 0.37mg/1
TSS=519mg/I pH 9A6
No
� es
Part.4 - Required'Actions to be completed by Eacility: : .
1, Need to include a conduct dry weather screening and incorporate a non-stormwater discharge statement
in the SWPPP.
2. Need to include completed records for facillity inspections and employee spill response training into
SWPPP
3. Move bulk storage of used motor oil to the most interior area of the garage facility.
4. Until approval is granted by NCDWQ concerning your representative outfalls status, Lewisville Motors must
perform analytical monitoring at every stormwater outfall.
5. Perform qualitative monitoring at all outfalls on your site map during representive storm events.
6. Conduct semi-annual facility and stormwater systems inspections ( refer to Section 4.4, page 9 of
SWPPP) and document results. Incorporate these results into the SWPPP.
7. Conduct annual spill response training of employees.
Educational resources:
1. NC St http://h2o,enr.state,nc.us/su/PDF Files/SW Documents/SWPPP GD.PDF
Company representative(s) that participated in inspection: Marty Myers
Title: General Manager
Start of Inspection: ' 9:00 AM
Completion of Inspection: 12:00 PM
Date: 10/22/2008
Signature of City Stormwater Inspector:
Title: Stormwater Industrial Inspector

1 '
t
�\ Stormwater Inspection (SP3 Checklist)
• • ! • ■ • ■ ■ # ■ • { ■ ■ ■ A ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • • ■ ■ ■ ■ ■ ■ i ■ ■ ■ ■
Facility Name ��3
V:2
Permit Number N C(2) _1
d Q 0 _ Activity
Facility Address
County
Industrial Activity
SIC Code
Size of Facility
# Employees
Facility Contact
Title
Telephone Number
Inspection Date /
_ Time
Entry Time gigi
�� Exit Time
0
' �
�
Inspector(s)
Facility Representative(s)
Other Agencies
Representatives

==PartMonitoring, Controls and Limitations for Permitted Discharge
Section A: Stormwater Pollution Prevention Plan.
I. Site Plan —shall provide a description of the physical facility and the potential pollutant sources which may be
expected to contribute to contamination of stormwater dischar es. The site plan shall contain the following:
a. General Location Ma — USGS quadrangle map orequivalent showing:
Facility location in relation to transportation routes and surface waters.
1 The name of the receiving water(s) to which the stormwater outfall(s) discharges:
OR if the discharge is to a municipal separate storm sewer system, the name of the municipality and the
ultimate receiving waters:
II Accurate latitude and longitude of the point(s) of discharge. I
b. Narrative description of:
Storage practices (raw materials, fuels, intermediate products, byproducts. waste materials, finished
products)
V
Loading and unloading activities.
Outdoor process areas (types of processes and equipment used).
Dust or particulate generating or control processes (crushing, mixing, burning, drying operations).
Waste disposal operations (solids, liquids, residuals/sludges).
c. Site map drawn to scale with distance legend indicating:
Location of industrial activities (including storage of materials, disposal areas, process areas, loading and
unloading areas
Drainage structures (outfalls, stormwater conveyance system, retention ponds, diversion structures,
ditches, culverts, swales, porus pavement, sediment traps, erosion control, storm drain inlets).
Y
Drainage areas for each outfall (flow pattern).
Activities occurring in the drainage area.
Building locations.
✓
Existing BMP's and impervious surfaces.
U
% of each drainage area that is impervious.
For each outfall; a narrative description of potential pollutants which could be expected to be present.
Location of exposed significant materials.
Location of past spills and leaks.
N
Fueling stations.
N
Vehicle and equipment maintenance.
Vehicle and equipment washing.
r.�
Loading and unloading areas.
Above ground liquid storage tanks.
Industrial waste management areas and outside manufacturing.
Outside storage of raw materials, by-products or finished products.

d. Lest of significant spills or leaks of pollutants that have occurred at the facility during the 3
previous ears:
List of significant spills or leaks (includes hazardous substances in excess of reportable quantities reported
NN6
to National Response Center/ Appendix H).
Corrective actions to mitigate spill impacts.
e. Certification that the stormwater outfalls have been evaluated for the presence of non-
stormwater discharges.
Certification statement signed in accordance with Part 111, Standard Conditions, Section B, Paragraph 5.
Discharge tested (dye tracing, chemical analyses) for presence of non-stormwater discharge (process water,
vehicle/equipment wash water, sanitary waste, etc). Idisconnect or applyfor NI'DESpermit].
2. Stormwater Management Plan. The stormwater management plan shall contain a narrative description of
the materials management practices employed which control or minimize the exposure of significant materials to
stormwater, including structural and non-structural measures. The stormwater management plan, at a minimum,
shall incorporate the following:
a. Feasibility study. A review of the technical and economic feasibility of changing the methods of operations
and/or storage practices to eliminate or reduce exposure of materials and processes to stormwater. Wherever
ractical the permittee shall;
revent exposure of all storage areas. (roof, enclose, drainage diversion, move materials inside, pallets)
Material handling operations.
Manufacturing operations.
Fueling operations.
Loading and unloading areas. (roof, berms, grading)
Outdoor process areas. ( street sweeping, structural devices)
Dust or particulate control.
Waste disposal practices. (lids, roof)
b. Secondary Containment Schedule. for bulk storage of liquid materials, storage of Section 313 of Title 11I
of the SARA water priority chemicals (appendix 1), or storage of hazardous substances to prevent leaks and spills
from co taminating stormwater runoff.
Secondary Containment - spill containment for the contents of the single largest tank within the
containment structure plus sufficient freeboard to allow for 25 yr, 24 hr storm event 5-6 in .
Bulk storage of liquids (single above ground container with capacity greater than 660 gallons or Multiple
containers in close proximity with combined storage capacity greater than 1,320 gallons). Iex. More than
24, 55 gallon drums]
Manually activated valves w/ locks- If secondary containment devices are connected directly to stormwater
conveyance systems, connection must be controlled by manually activated valves or similar devices [which shall
be secured with locking devices]
Records documenting stormwater release from secondary containment (5 years) — any stormwater that
accumulates in the containment area shall be at a minimum visually observed for color, foam, outfall staining,
visible sheens and dry weather flow, prior to release of the accumulated stormwater. Accumulated stormwater
shall be released if found to be uncontaminated by the material stored within the containment area. Records
documenting the individual making the observation, the description of the accumulated stormwater and the date
and time of the release shall be ke t fora period of five years.
c. BMP.Summary.
A narrative description shall be provided of BMP's to be considered such as, but not limited to, oil and grease
separation, debris control, vegetative filter strips, infiltration and stormwater detention or retention, where
necessary. The need for structural BMP's shall be based on the assessment of potential sources to contribute
significant quantities of pollutants to stormwater discharges and data collected through monitoring of stormwater
discharges.

d. lnsnection Schedule
/ Schedules for inspection of stormwater conveyances, controls, and measures to be taken to limit or prevent
erosion associated with the stormwater systems.
3. Spill Prevention and Response Plan. The Spill Prevention and Response Plan (SPRP) shall incorporate
an assessment of potential pollutant sources based on a materials inventory of the facility.
Materials Inventory
✓
Facility personnel (or team) responsible for implementing the SPRP identified.
A responsible person — shall be on site at all times during facility operations that might have the potential to
contaminate stormwater runoff through spills or exposure of material associated with the facility operations.
SPRP must be site stormwater specific. SPCC may be a component of SPRP.
Areas where spills can occur and their discharge points.
1✓
Spill response team
Spill response equipment an locations.
t/
Spill containment, diversion, iso , and cleanup.
Reporting procedures along with names and numbers. N
Material handling and storage procedures.
Safety measures.
4. Preventative Maintenance and Good Housekeeping Program. A preventative maintenance program
shall he develo ed. The program shall document:
/
Schedules of inspections of stormwater control systems.
✓
Schedules of maintenance activities of stormwater control systems.
Schedules of inspections and maintenance of plant equipment and systems.
Inspection of material handling areas.
Regular cleaning schedules of material handling areas.
5. Employee Training. Training schedules shall be developed and training provided at a minimum of an
annual basis on proper spill response and cleanup procedures and preventative maintenance activities for all
personnel involved in any of the facility's operations that have the potential to contaminate stormwater runoff.
✓
Facility personnel (or team) responsible for implementing the training identified. N4 W
Training schedules developed.
Annual training provided on spill response and cleanup.
6. Responsible Party. The SPPP shall identify a specific position(s) responsible for the overall coordination,
development, implementation, and revision to the Plan. Responsibilities for all components of the Plan shall be
documented and position assignments provided. ,
Position identified. 1Wq C-(
Responsibilities assigned and documented.
7. Plan Amendment. The permittee shall amend the plan whenever there is a change in design, construction,
operation, or maintenance which has a significant effect on the potential for the discharge of pollutants to surface
waters.
II I Plan is current. (design, operation, construction, maintenance) ��
SWPP reviewed and updated on an annual basis.

8. Facility Inspections. Inspections of the facility and all stormwater systems shall occur at a minimum on a
semi-annual schedule; 5 ears
Fall Inspection (September -November)
Spring Inspection (April -June)
Maintenance activities documented. (date and time of inspection, individual making the inspection, and a
narrative description of the facility's stormwater controls stems,_plant equipment and systems).
Inspection records incorporated into SPPP
9. Implementation. Implementation of the plan shall include documentation of all monitoring, measurements,
inspections and maintenance activities taken to implement BMP's associated with the industrial activities, including
vehicle maintenance activities. Such documentation shall be kept on -site for a period of five years and made
available to the Director or his authorized representative immediately u on request.
Monitoring
Inspections
Maintenance activities
Documentation (5 years)
Additional Comments:

Compliance Inspection Report
Permit: NCG100008 Effective: 11/01/07 Expiration: 10/31/12 Owner: Lewisville Motor Company Inc
SOC: Effective: Expiration: Facility: Lewisville Motor Company Inc
County: Forsyth 5600 Country Club Rd
Region: Winston-Salem
Contact Person: Marty L Myers
Directions to Facility:
System classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s)-
Related Permits:
Inspection Date: 11/1912008
Primary Inspector: Rose Pruitt
Secondary Inspector(s):
Title:
Entry Time: 02:00 PM
Winston Salem NC 27104
Phone: [phone]
Certification:
Exit Time: 03:00 PM
Phone:
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Used Motor Vehicle Parts Stdrmwater Discharge CQC
Facility Status: 0 Compliant 0 Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1

Permit: NGGI00008 Owner - Facility: Lewisville Motor Company Inc
Inspection Date: 11/19/2008 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
Representative Outfall Status established 11/192008. Reduce 7 outfalts indicated to 2 outfalls because they are actually
sheet flow. Outfall #1 will be representative outfall.
Sp3 examined. Hand washing sink plumbed to outside removed.
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Ran?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
^- - # Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment
Page: 2

l
Nov 19, 2008 037 Nov 19, 2008 038 Nov 19 2008 039 Nov 19, 2008 040 Nov 19, 2008 041
Nov 19. 2008 042 Nov 19, 2008 043 Nov 19, 2008 044 Nov 19 2008 045 Nov 19 2008 046
Nov 19, 2008 047 Nov 19, 2008 048 Nov 19, 2008 049 Nov 19, 2008 050 Nov 19, 2008 051
h.
Nov 19, 2008 052 Nov 19, 2008 053 Nov 19, 2008 054 Nov 19. 2008 055 Nov 19. 2008 056
:i
Nov 19, 2008 057 Nov 19, 2008 058 Nov 19, 2008 059 Nov 19, 2008 060 Nov 19, 2008 061
mum
Nov 19, 2008 062 Nov 19, 2008 063 Nov 19, 2008 064 vov 19 2008 065
Nov 19, 2008 067 Nov 19, 2008 068

Results
,
A0
Subject: Results
From: "Darin McClure" <[e-mail]>
Date: Wed, 12 Nov 2008 09:28:01 -0500
To: <rose.pruitt a ncmail.net>
Attached is the report for the sampling event conducted by Marty. The copy he submitted should have
been signed and have the rainfall amount entered. Let me know if you need anything else.
Darin
Darin M. McClure, P.E.
Vice President, Principal Engineer
Mid -Atlantic Associates, Inc.
409 Rogers View Court
Raleigh, NC 27610
919-250-9916
919-250-9950 Facsimile
919-272-7913 (Mobile)
www,MAAonline.com
SCAN8056_000.pdf Content -Type: application/pff
Content -Encoding: base64
I of 1 11/12/2008 10:59 AM

MID -ATLANTIC
ASSOCIATES, INC.
Engineering & Em,irpiffFl L'ntai salations
409 Rakers View Coon / Raleigh Mardi Can liaa 127610
800-486-75681919-250-99181919-250-9950 facsiiaile
inviem(ma iliiee. Mrr
September 10, 2008
NCDENRIDWQ
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: STORMWATER SAMPLING RESULTS
LEWISVILLE MOTOR COMPANY, INC.
5600 COUNTRY CLUB ROAD
WINSTON-SALEM, FORSYTH COUNTY, NORTH CAROLINA
PERMIT NCGl00008
MID -ATLANTIC JOB NO. 0O0131945.00
To Whom It May Concern:
Attached please find the Stormwater Discharge Monitoring Report and analytical report for
the sampling conducted at the above -referenced site. A stormwater sample was collected
from Outfall 001 on August 25, 2008 and analyzed for total suspended solids (TSS),' pH,
total recoverable lead, oil and grease and ethylene glycol. The analytical results reported pH,
total recoverable lead, arid- TSS exceeding the respected benchmark values or outside their
benchmark range. Ethylene glycol and oil and grease were reported below the respected
benchmark values. It is our understanding that the.permittee has implemented a Tier One
response as outlined in the permit. If you have any questions or need additional information,
please contact me at 919-250-9918.
Sincerely,
MIPIA-TLANTI,p ASSOCIATES, INC.
4 f4
Dann M. McClure, P.E.
Principal Engineer
Attachments: Stormwater Discharge Monitoring Report
Laboratory Analytical Report
DMR Cover lettersldmm

STORMWATER DISCHARGE OUTIiALL (SDO)
MONTTORING REPORT
GENERAL PERMIT NO. NCG100000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2008
CERTMCATE OF COVERAGE NO. NCGIO0008 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Lewisville Motor Company, Winston-Salem, NC COUNTY Forsyth
PERSON COLLECTING SAMPLES Marty Myers PHONE NO. (_800} 722-6711
CERTIFIED LABORATORY Pace Analytical Lab # 12
Lab # PLEASE SIGN ON THE REVERSE
Specific Monitoring Requirements:
Outfall
No.
Date
Sample Collected,`
mo/dd/yr
00530
00400
01051
00556
78141
77023
Total Suspended
Solids,
m
pH,
Standard units
Lead, Total
Recoverable,
mg/L
Oil and Grease,
mg/L
Total Toxic
Organics',
m /I,
Ethylene Glycol,
mg/L
Benchmark
-
100
Within 6.0--9.0
0.03 _
30
1
14
- 1
8/25108
510
9.16
0.37
<5
NA
<10
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses_
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date _8/25/2008 (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original find one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-251-031308
Pain 1 nr7

For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 1€ of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Facilities that incorporate a solvent management plan into the Stormwatdf Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived, The
solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those Facilities electing to employ th
TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), 1
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. 1 further certify that this Facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
'rI 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 Permittee)
(Date)
S W U-251-031308
Ll., ..., I .. F I

aceAnalyfical
wmxpamlabs =r;
September 08, 2008
Pace Project Manager
Pace Charlotte
9800 Kincey Ave.
Suite 100
Huntersville, NC 28078
RE: Project: Mid Atlantic/ 9226600
Pace Project No.: 5018288
Pace Analyticaf Services, Inc.
7726 Moller Road
lndlanapolis, IN 45269
[phone]
Gear Pace Manager:
Enclosed are the"analytical results for sample(s) received by the laboratory on August 29, 2008_ The
results relate only to the samples included in this report. Results reported herein conform to the
most current NELAC standards, where applicable, unless_ otherwise narrated in the body of the
report..
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Z'-� �m'e'a—
Kelly Jones
[e-mail]
Project Manager
llfinoislNELAC Certification Number: 100418
Indiana Certification Number. C-49-06
Kansas Cedificatian Number. E-10247
Kentucky Certification Number. 0042
Qhio VAR CL0055
Pennsylvania: 68-00791
West Virginlo Certification Number. 330
Enclosures
REPORT of LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical services, Inc„
neIa6
Page 1 of 6

lac'eAnalytical
tnrir,pa[ela6W cam
Project:
Mid A1lanlie/ 9226600
Pace Project Na.;
5018288
Lab ID
Sample ID
501B288001
Cutfall'I
SAMPLE SUMMARY
Matrix Date Collected Date Received
Wale[ 0812510810:10 11812910810:25
REPORT OF LABORATORY ANALYSIS
This report shall not be repmduced, except in full,
withoul the wrilten ❑ensenl of Pace Analylical Services. Int..
.aoe.o
2, elact
Paco Analytical Services, Inc.
7726 Moller Road
Indianapolis, IN 45268
(317)B75.5894
Page 2 of 8

FaceAnalytical
wmvpaculabscam
__ .. SAMPLE ANALYTE COUNT
Project: Mid Atlantid 9226600
Pace Project No-: 5018288
Lab In Sample to mathad
5018298001 Outfall 1 EPA 8015 Modified
REPORT OF LABORATORY ANALYSIS
This repon shall not he repruduced, except in full,
without the wrillen consent of Pace Analytical Services, Inc..
•[gyp,
�'nelac
Pace Analytical Services, Inc.
7726 Moller Road
Indianapolis, IN 46268
t3111875-5894
Anaiytos
Analysts R©portod
FRW 1
Page 3 or

_ ace Analytical
ww�vaacalab:zrtm
ANALYTICAL RESULTS
Project: Mid Allanlic19226600
Pace Project No.: 501828EI
Pate Analytical Servlcos, Inc.
7726 Moller Road
Indianapolis, IN 46258
[phone]
sample: ©utfall 1 Lab Id: 5018288001 Collected: 08125/08 10:10 Received: 08129/08 10:25 Matrix: Water
Parameters Resutts Units Report Limit QF Prepared Analyzed CAS No. ❑ual
B015M Alcohols Analytical Method: EPA 8015 Modified
Ethylene glycol NC mg11, 10.0 1 09105/08 11145 107-21-1
,Date: 09108/2008 12:10 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in gull,
without the written consent of Pace Analytical Services, tnc„
� - elac
Page 4 of 8

o
acaAnaVicaf
' wmvpacolahacsm
Project: Mid Alianlid 9226600
Pace Project No.: 50113288
QC Batch: 1NET13501
CC Batch Method: EPA 8015 Modified
Associaied Lab Samples: 5018288001
METHOD BLANK: 205016
Associated Lab Samples: 5018268001
Parameter Units
Ethylene glycol mglL
LABORATORY CONTROL SAMPLE: 205017
Parameter Units
^Ethylene glycol mg1L
QUALITY CONTROL DATA
Analysis Method:
Analysis Description
Matrix: Water
EPA 8015 Modified
EPA 8015 Modified
Paco- Analytical Services, Inc.
7726 Moller Road
Indianapolis, TN 46268
(317)B75.5BB4
Blank Reporting
Result Limit Analyzed Qualifiers
N❑ 10.0 0910510811:23
Spike LCS LCS % Rec
Conc. Result % Rec Limits OuaMers
276 270 98 _ 64-128
MATRIX SPIKE 8 MATR13t SPIKE DUPLICATE: 205018 205019
MS MSD
5018288001 Spike Spike MS MSD MS MS❑ °Ica Rec Max
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits, RPD RFD Qua!
Ethylene glycol m911- NQ 276 276 257 256 92 95 51-135 4 20
j -Dale. 09105/2008 12:10 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be repmduced, except In full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 6

�;aceAnalytical
rnnv.parsla�scam
QUALIFIERS
Project: Mld Atlantic/ 9225600
Pace Project No-: 5018288
DEFINITIONS
Pace AnalytfcaI Sarvlces, Inc.
7726 Moller Road'
IndiErapalis, IN 4626E
(317)875-51394
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture conlenl,
ND - Not ❑elected at or above adjusted reporling Ilmit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
M❑L - Adjusted Method DelecSion Limit.
s - surrogate
1.2-❑ipheny1hydrazine (8270 listed analyle) decomposes to Azobenzene.
Consistent with EPA guldelineS, unrounded data are displayed and have been used 10 calculate % recovery and RPfO values.
LCS(❑) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix spike (Duplicate)
DUP -Sample Duplicate
RPD - Relative PerCenl Difference
NC - Not Calculable.
Pace Analytical Is NELAP accredited. Contact your Pace PAIL for the currenl list of anr:rediled analyles.
-Dale: 091081200E 12:10 PM REPORT OF LABORATORY ANALYSIS . Page 6 of 6
This repart shall not he reproduced, except in full,
withoLI the written mnsenl of Pace Analytical Services, Inc.,
•Csp
�nelac"

?aceAna lytteal Services, Inc. Paca Analytical Services, Inc.
ceAnaVical 2225 Riverside Dr. 9000 Kinsey Ave. Suite 100
wir5v.paoylatls.cam
Asheville, NC 28804 Huntersville, NC 28078
(8261254-7175 (7041875-9092
September 09, 2008
Darin McClure
Mid Atlantic ASS062teS, P.A.
409 Rogers View Ct.
Raleigh, NC 27610
RE: Project: LEWISVILLE MOTOR CO-WINSTON
Pace Project No.: 9226600
Dear Darin McClure:
Enclosed are the analytical results for sample(s) received by the laboratory on August 28, 2008. The
results relate only to the samples included in this report. Results reported herein conform to the
most current NELAC standards, where applicable, unless otherwise narrated in the body of the
report.
inorganic Wet Chemistry and -Metals analyses were performed at our Pace Asheville laboratory and
Organic testing was performed at our Pace Huntersville laboratory unless otherwise footnoted. All
Microbiological analyses were performed at the laboratory where the samples were received.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Kevin Herring
[e-mail]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYS[5
This report shall nol be reproduced, except in full,
without the writlerl consent of Pace Analytical Services, Inc..
e act-.
Page 1 of 9

:- '5)
aceAnalytical
�swwpacEJaDsmio
Project: LEWISVILLE MOTOR CO-WINSTON
Pace Project No.: 9226600
Charlotte Cartificatfon IDS
Connecticut Cerir)=Iciri Number. PH•0104
Pennsylvania Certification Number; 68-00784
West Virginia Certification Number: 357
Virginia Certification Number-, 00Z13
Tennessee Certification Number. 04010
South Carolina 9i❑assay Certification Number: 990060003
South Carolina Certifrcalion Number- 990050001
Ashevitte Certiilcatlon lDs
ConnecticutCerliftation Number: PH-0106
Massachusetts Certification Number. M-NCO30
West Vrginia Certification Number, 356
Virginia Certification Number. 00072
Tennessee Cerlificaiion Number: 2980
South Carolina Bioassay Certification Number: 99030002
South Carolina Certification Number: 99030001
Eden Certification 10s
Virginia Drinking Water Certification Number. 00424
North Carolina Wastewater Certification Number. 633
Pare Analytical 5ervicas, Inc.
2225 Riverside Dr.
Asheville. NC 28604
[phone]
CERTIFICATIONS
Paco Analytical Services, Inc.
9800 KlnteyAve. Suite 100
Huntersville, NC 2807a
North Carolina Field Services Cerllfiaalion Number 5342
North Carolina WastewaterCerlificalion Number. 12
North Carolina Drinking Water Certification Number. 37706
LouisianalLELAP Certification Number. 04034
Kentucky UST Certification Number: 84
New Jersey Certification Number. NCO12
FloridalNELAP Certification Number, E87627
Pennsylvania Certification Number. 58.03578
North Carolina Bioassay Certification Number 9
North Carolina Wastewater Certification Number: 40
North Carolina Drinking Water Certification Number. 37712
New Jersey Certification Number NC011
LolllslanalLELAP Certification Number. 03095
FluddWNELAP Certification Number E87648
North Carolina Drinking Water Certification Number: 37738
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
without the written consent of Pate Analyli=l Services, Inc..
L lac
[phone]
Page 2of9

aceAnalytic aI
ImwPowaimcm
Project; LEWISVILLE MOTOR CO-WINSTON
Pace Project No.. 9226600
Pace Analytical Services, Inc-
2225 Riverside Dr.
Asheville, NC 28804
(8z8)254.7175
SAMPLE ANALYTE COUNT
Paco Analytical Servicos, Inc.
9800 Kineey Ave, Suite too
Huntersville, NC 28078
f 704)875.9[192
Analylas
Lab ID Sample ID Method
Analysts
Reported
Lebaratory
92266110001 OUTFALL 9 EPA 1864A
DNP
1
PASI•C
EPA 6010
EWS
1
PAS] -A,
SM 2540❑
SAJ
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wrillen consent of Pace Analytical Services, Inc..
r,xielaC,:
Page 3 of 9

I
faceAnalytieal
' � rnnvFaceloCsaom
Pace Analytical Servfcas, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Sorvicos, Inc.
9800 Kincey Ave. Suile 100
Huntersville, NC 2807a
[phone]
Project: LEWISVILLE MOTOR CO-WINSTON
Pace Project No.: 9226600
Sample: OUTFALL 1 LabID: 92266000a1 Collected: 08125/08 1 C:10 Received: DS/28108 09:30 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed GAS No, Ouai
NEVI, Oil and Grease Analytical Method: EPA 1664A
Oil and Grease NO mg1L 5.0 1 08/29108 12:02
6010 MET ICP Analytical Method; CPA 6010 Preparation Melhod: EPA 3010
Lead 370 ug1L 5.0 1 0910310EI 15:27 09104/08 15:57 7439-92-1
25400 Total Suspended Solids Analytical Method: 5M 25400
Total Suspended Solids 510 mg1L 20.0 1 08129108 10:16
Date: D910912DOB 08:29 AM REPORT OF LABORATORY ANALYSIS
This report shelf not be reproduced, except in full.
without the wr€twn consent of Pace Analytical Servicrs, Inc,.
.:r_ielacti:
Page 4 0f 9

laceAnalyfical 61
' tr4nv.parnla6s.rnm
Project: LEWiSVILLE MOTOR CO-WINSTON
Pace Project No.: 9226600
QC Balch: WET15245
QC Batch Melhod; SM 25400
Associated Lab Samples: 9226600001
METHOD BLANK: 160240
Associated Lab Samples: 9226600001
Parameter Units
Total Suspender[ Solids mg1L
LABORATORY CONTROL SAMPLE: 160241
Parameter Units
Total Suspended Solids moll.
SAMPLE DUPLICATE: 180242
Parameter Units
Total Suspended Solids mg1L
Dale: 09109/2008 08:29 AM
Pace Analytical Sorvices, Inc.
2225 Riverside Dr.
Asheville, NC 2E804
[phone]
QUALITY CONTROL DATA
Analysis Method: SM 2540D
Analysis Description: 2540D Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 1.0 08129108 09:57
Spike LCS
Cenc. Result
250 256
9225446001 Dup
Resull Result
N❑ ND
Paco Analytical Services, Inc.
9800 KinceyAve. Suite 1o0
Hunlersville, NC 2a07a
(704)E75.9092
LCS % Rec
°% Rec Limits Qualifiers
102 50-120
RP() Qualifiers
29
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
, -nelac
Page 5 of 9

7PaceAnalyfical
' tnnvpace1a05.tom
Project: LEWISVILEE MOTOR CO-WINSTON
Pace Project No.: 9225600
Paco Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
IB28)254-7176
QUALITY CONTROL DATA
OC Batch: GCSVM87 Analysis Method: EPA 1664A
OC Balch Method: EPA 1664A Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 9226600031
METHOD BLANK: 16065e Matrix: Waler
Associated Lab Samples: 9226600001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg1L NO 6.0 08129108 11:51
Paco Analytical Services, Inc.
9800KinceyAve, &0eloo
Huntersville, NC 2807E
[phone]
LABORATORY CONTROL SAMPLE: 160657
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Oil and Grease mg1L 40 32.2 80 78-114
MATRIX SPIKE SAMPLE: 16065E
9226555001 Spike MS MS % Rec
Parameter Units Result Conc. Result % Rec Limits Qualifiers
Oil and Grease mg1L NO 40 29.2 70 78-114
=Date: 09/0912008 08:29 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc.,
t]e ac.;
Page 6 of 9

_ laceAnalytical"
�nnv.pacsla8s.com
Project: LEWISVILLE MOTOR CO-WINSTON
Pace Project No.: 9226500
Pace Analytical Services, Inc.
2225 riverside Dr.
Asheville, NG 28804
[phone]
QUALITY CONTROL DATA
QC Balch: lv1PRP12951 Analysis Method: . EPA 6010
QC Batch Melhod: EPA 3010 Analysis Description: 6010 MET
Associated Lab Samples: 9226600001
METHOD BLANK: 162009
Associated Lab Samples: 922F500001
Parameter Units
Lead
ug1L
LABORATORY CONTROL SAMPLE:
Parameter
162010
Units
Lead
ug1L
MATRIX SPIKE SAMPLE:
Parameter
152011
Units
Lead
uglL
SAMPLE DUPLICATE: 162012
Parameter
Units
Lead
uglL
Date: 0910912008 08:29 AM
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 0910410815:34
Paco Anelytleal Services, Inc.
9600 Kincey Ave. Suite 100
Hunlersville, NC 25078
[phone]
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
500 502 100 80-120
9226585003 Spike MS MS % Rec
Result Conc, Result % Rec Limits Qualifiers
5.2 500 470 93 75-125
0226439002 Dup
Result Result
389 386
RPD Qualifiers
.9
REPORT OF LABORATORY ANALYSIS
This report shall not be mpmduced, except in full,
without the written consent of pace Analytical Services, Inc..
°Celtic"
Page 7 of 9

Inc -Paco Analytical Services, Inc. Paco Analytical Services,
Analytical 2ZZ5 Riverside Of. 9809 Kincey Ave. Suite 100
*WW-P bsw l Asheville, NC 28804 Huntersville, NC 20078
[phone] [phone]
QUALIFIERS
Project: LEWISVILLE MOTOR CO-WINSTON
Pace Project No.: S2ZHOO
DEFINITIONS
DF - Dilulion Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
NO - Not Detected at or above adjusted reporting limit_
J - Estimated concentration above the adjusted method detection limit and below the adjusted reparting limit.
MDL -Adjusted Method Detection Limit.
S - S u rrog ale
1,2-Diphenylhydrazine (8270 listed analyie) decomposes In Azohenzene.
Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate) '
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
Pace Analytical is NELAP accredited, Contact your Pace PM for the current list of accredited analytes.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
Date- 0910912008 08:29AM REPORT OF LABORATORY ANALYSIS Page 8 of 9
This report shall not be reproduced, except in full,
wilhout the wriIlen consent of Pace Analytical Services, Inc„
��.cca
aca

v Pace Analytical Services, Inc.
' �c3AndIXleal 2225 Riverside Dr.
/ www.pscatilhacom Asheville, NC 2"04
(828}254-7176
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: LEWISVILLE MOTOR CO-WINSTON
Pace Project No.: 9226500
Pace Anaiytltal Sarvlces, Inc.
9800 KinceyAve. Suite 100
Nunlersville, NC 2807B
(7 04 )B75-9092
Lab 10
Samplo ID
QC Batch Method
QC Batch Analytical Method
9226600001
OUTFALL 1
SM 25400
WET15245
9226600001
❑t1TFALL 1
EPA 1664A
GCSVI3567
922660000i
OUTFALL 1
EPA 3010
MIPRPl2951 EPA 6010
Date: 09/0912003 08.29 AM
REPORT OF LABORATORY ANALYSIS
This repart shall not be reproduced. except in full,
wlthcut the will [an consent of Pace Analytical Services, Inc..
"relac
Analytical
Batch
ICPf2769
Page 9 of

•r 2c AYal ical •
CHAIN•OF-CUSTuDY { Analytical Request Document
The Chaln-cf•Gustody fs a LEGAL pflCUMENT. All relevant Celds must be completed accvralety.
PaOel of
Section A Section S Sactlon C
Roquirod Client, Information: Required Projact Information: tnvolco Information:
Compe Report Td: A1Sen1
1176695
Address:
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�� P�ro}Due}',Dace S t�1A_:
Custody Seal on Gaalerleox Present: ❑yes i'"-"" Seals i�❑ yes ❑ no • •-" ;:� . r-:�<<� �::,-- � ; �=
rP.roj Name's ,� i r NiA -
Packing Material; [] Bubble Wrap [3ffbbte Bags ❑ hlone ❑Other
Thermometer Used TO50 Type of ice: We Blue None mples on ice, cooling process has bicMn
Cooler Tem erature
Biological Tissue is Frozen: Yes No N1A
Date and lritltd pe n a�rbiiig
' Q
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contents:
Temp should be above freezing to 6'C
Comments:
Chairs of Custody Present:
t Nu
❑NIA
1,
Chain of Custody Filled Out:
es
❑No
ONIA
2.
Chain of Custody Relinquished:
Is
0No
DNIA
3,
Sampler Name 8 Signature: on COC:
es
❑No
❑NIA
4.
Samples Arrived within Hold Time:
es
ON
❑NIA
5,
Short Hold Time Analysis (<72hr):
C1Yes
No
❑NfA
6,
Rush Turn Around Time Requested:
❑Yes
C,d a
❑NIA
7.
Sufficient Volume:
Yes
❑No
❑NIA
8.
Correct Containers Used: .
es
❑No
❑NrA
9,
-Pace Containers Used:
fy-;;
ONO-
❑NIA
Containers Intact:
Je e.
❑No
❑NIA
10, ,
Fillered volume received for Dissolved tests
❑Yes
❑rla
NIA
11.
Sample Labels match COC:
❑Yes
ONO,
❑NIA
12,
-includes daleltirnellDlAnalysis Matrix
All containers needing preservation have been checked..
Yes
❑No
❑NIA
13.
All conlainers needing preservation are found to be in
es ❑No
❑NIA
compliance with EPA recommertdatiori.
excepfians: VOA, colliorrn, TOG, O&G, VA-URO (waled
Dyes
❑No
laillal when completed
Samples'checked for dechlorination.­
❑Ycs
QNn
14.
Headspace in VOA Vials ( >6mm):
Dyes
ONO
15.
Trip Blank Present.'
Dyes
©No • Q
16.
Trip Blank Custody Seals Present
❑Yes
DNo
NIA
Pace Trip Blank Lot # (if purchased): NIA
Client Notification! Resolution -
Person Contacted:
Comments! Resolution:
Protect Manager Review:
DateMme:
Field Data Required? Y I N I NIA ,
Date: 9
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina t3QHNR
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