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NCG060080_MONITORING INFO_20190122
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V C& DOC TYPE ❑HISTORICAL FILE Q-"WIONITORING REPORTS DOC DATE ❑ aUI9DI aka YYYYMMDD STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted 1/10/2019 CERTIFICATE OF COVERAGE NO. NCG0606080 FACILITY NAME _RJR Tobacco Company - Whitaker Park COUNTY Forsyth PERSON COLLECTING SAMPLES Glenn Price LABORATORY R&A LABS Lab Cert. # 34 RECEIVED ,BAN 2 2 2019 CEN fi-<Al, FILE S DV'JR SEECT101A Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June 0 July -Dec or ❑ Monthly' - month DISCHARGING TO CLASS ❑ORW ❑ HQW []Trout ❑PNA []Zero -flow ©Other C []Water Supply ❑SA FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE 4 0.26 Total event rainfall z In• or ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Enterococci, Colonies per 100 ml Benchmark - 100 or 501 Within 6.0 — 9.0 120 30 10001 500, Parameter Code - C0530 00400 00340 00556 31616 61211 SD08 12/14/2018 <5 6.19 <5 <5 Not Applicable Not Applicable 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ®no Permit Date:11/1/2018-05/31/2021 (if ves, complete Part B) SWU-249, Last Revised 11/5/2018 Page 1 of 2 Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/O Parameter Code - 46529 NCOIL 00552 C0530 Footnotes from Part A also apply to Part B *FOR PART A AND PART B MONITORING RESULTS: , • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑x IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an od inal copy of this DMR, including off "No Discharge" reports, within 30 days of receiut of the lob results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN T141S CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. A am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." =I, Signature of Permittee Permit Date: 11/1/2018-05/31/2021 l /o a 5 Date SWU-249, Last Revised 11/5/2018 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted —7 / [4 / ;Zo/8 CERTIFICATE OF COVERAGE NO. NCG060080 RECEIV FACILITY NAME _RJR Tobacco Co. — Whitaker Park COUNTY Forsyth PERSON COLLECTING SAMPLES Glenn Price LABORATORY_R&A Labs Lab Cert. # _34 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2018 FACILITY ACTIVITIES INCLUDE (check all that apply). �� S 201$ ❑ use/process meats ❑ use animal fatR-'kyjMiL PLE1z DISCHARGING TO SALTWATERS? []YES ]NOWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall z 2.1 in. or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml Enterococcii, Colonies per 100 ml Benchmark - 100 or 501 ,Within 6.0 — 9.0 120 30 1000 500 SDO 008 06/21/18 <5.0 7.29 14 <5 Not Applicable Not Applicable Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [i no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30, 100 or 504 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page] of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with 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) -7 i o QLa (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orp,/web/wci/wslsu/npdessw#tab-4 S WU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG060080 SAMPLE COLLECTION YEAR _2017 FACILITY NAME _RJR Tobacco Co. — Whitaker Park .. �FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY _ Forsyth _ R �° .�I11�� ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Glenn Price JAN 10 2 ISCHARGING TO SALTWATERS? ❑YES X[]NO LABORATORY_R&A Labs Lab Cert. # 34 UN. SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 (,'FORMATION PROCESSING UNIT Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' 0.40 in. or ❑ No discharge this perio& Outfall?No. 'Sample Collected, mo/dd/yr TSS, rrig/L pH, Standard'units COD, ing/L Oil and'Grease, _ mg/L': Fecal Coliform ;. Colonies per 160 ml Enterococci1; Colonies per 100 mi _ Benchmark - 100'or 501 Within 6.0-9.0 120 30' 1000 500 SDO 008 12/05/2017 15.6 6.87 22 <5 Not Applicable Not Applicable ' Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 5,:1 no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/.yr_ Oil and Grease, mg/L ' °- TSS, mg/,L pH, Standard units New Motor.Oil Usage, Annual average gal/,mo Benchmark T- 30t 1i J00 or 504 6.0 — 9.0 - ' Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (ifye complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, INC 27699-1617 ji YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." {Signature of Perm I! a as �- (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/`su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No, NCG060000 Date submitted O b 24 - Zo IF CERTIFICATE OF COVERAGE NO. NCG060080 FACILITY NAME _RJR Tobacco Co. - Whitaker Park COUNTY Fo PERSON COLLECTING SAMPLES LABORATORY_R&A Labs Glenn Price Lab Cert. # -34 Part A: Stormwater Benchmarks and Monitoring Results RECOVER JUN 2 6 2017 SAMPLE COLLECTION YEAR _2017 CENTRAL FILE FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? [-]YES [X]NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall' 5.58 or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or,504 Within 6.0 - 9.0 120 30 1000 500 SDO 008 05/23/2017 17.0 7.08 16.0 <5 Not Applicable Not Applicable 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. ' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes N no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 - 9.0 - 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at D_ny outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if y_tS complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copV of this DMR including all "No Discharge" reports, within 30 days of receipt of the fah results for at end o monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center LL Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Perm 0,6 - z�- l� (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S WU-244 Last Revised: October I S. 2012 Page 2 of 2 F SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT Y for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted f l - Z 3 --16 CERTIFICATE OF COVERAGE NO. NCG060080 SAMPLE COLLECTION YEAR _2015 FACILITY NAME _R1 Reynolds Tobacco Co — Whitaker Park FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Forsyth ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Glenn Price DISCHARGING TO SALTWATERS? ❑YES /NO LABORATORY�R&A Labs Lab Cert. # 34 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1 1.12 in or ❑ No discharge this period" Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform1, Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 500 SD01 10/28/15 6.2 6.92 9 <5 NA NA 15 1 Only applies to facilities that use/process meats. CENTRAL FILES 2The total precipitation must be recorded using data from an on -site rain gauge. DWR r 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge SEC onit9hi g report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ✓ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies r �7 C, C= (if yescomplete Part B) SWU-249 Last Revised: October 18. 2012 Page I of 2 fir+ � +�S €a � r rr,, r �, ` r, 1 ��� -*FOR TART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ✓ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No DischaLgee" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of P rmittee) /l Z 3 --/S (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2 _ SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 0--3 —1S CERTIFICATE OF COVERAGE NO. NCG060080 FACILITY NAME �RJ Reynolds Tobacco Co — Whitaker Park COUNTY Forsyth PERSON COLLECTING SAMPLES Glenn Price LABORATORY_R&A Labs Lab Cert. # 34 Part A: Stormwater Benchmarks and Monitoring Results RECEIVED AUG 0 6 2015 SAMPLE COLLECTION YEAR _2015 'CENTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply): tMAIR SECTION ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? ❑YES ✓NO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 0.12 in_ or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 50" Within 6.0 — 9.0 120 30 1000 S00 SD01 06/19/15 5.2 6.62 26 <5 NA NA 1 Only applies to facilities that use/process meats. z The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ✓ no Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - F Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. a For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. (if yes, complete Part S) °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. CM SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ✓ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." e (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/sulnpdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 oF2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Qua ity General Permit No. NCG060000 JUL 11 2014 Date submitted 0 / CENTRAL FILES CERTIFICATE OF COVERAGE NO. NCG060080 SAMPLE COLLECTION YEAR _2014 DWO/BOG FACILITY NAME —RJR Tobacco Co. — Whitaker Park FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY . Forsyth ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Glenn Price DISCHARGING TO SALTWATERS? DYES [gNO LABORATORY-R&A Labs Lab Cert. # _34 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall Z 1.77 or [:]No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml Enterococci1, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 500 SDO 001 5/15/2014 38 6.79 47 <5 Not Applicable Not Applicable 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 'M no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. ZThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if y_e_s, complete Part B) S WU-249 Last Revised: October 18, 2012 Page I of 2 r "FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports), to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." '��. (Signatu of Permittee) (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wp/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 of 2