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Home My WebLink AboutNCG080188_MONITORING INFO_20170227STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑HISTORICAL FILE AMONITORING REPORTS DOC DATE 0 (501! UaaI YYYYMMDD � 4r Semi-annual Stormwater Discharge Monitoring Report RECEIVED for North Carolina Division of Water Quality General Permit No. NCG080000 FEB 2 7 Z017 Date submitted: 2/22/17 CENTRAL FILES DINR SECTION CERTIFICATE OF COVERAGE NO. NCG08080188 SAMPLE COLLECTION YEAR 2016 FACILITY NAME Superior Carriers High Point SAMPLE PERIOD Jan -June X July -Dec COUNTY Randolph or Monthlyi(month) PERSON COLLECTING SAMPLES Winne Hays DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY R&A Lab Cert. # 34 Comments on sample collection or ❑Zero -flow xWater Supply ❑SA analysis: ❑Other Part A: Vehicle Maintenance Areas Monitoring Requirements PLEASE REMEMBER TO SIGN ON THE REVERSE -i No discharge this period' Outfall ' No. Date Sample Collected, , mo/dd/yr 00530 ' '00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664.(SdT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - _ 50 or 100 see permit Within 6.0 — 9.0 15 , - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals yes _no Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L TotafSuspended Solids, _y - mg/I: pH, Standard units Permit Limit - 15 Y.50 or.100 see permit 6,0 — 9.0 SDO #1 11/29/2016 <5.0 9.6 7.8 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25.2012 Page I of 2 STORM EVENT CHARACTERISTICS: Date 11/29/16 (first event sampled) Total Event Precipitation (inches):.30 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 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, includin all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorin eriod in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Lynne Ha s for Superior Carriers Inc _2 �2 17 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://pgrtal ncdenr.org/web/wg/ws su npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of' 2 Semi-annual Stormwater Discharge Monitoring Re for North Carolina Division of Water Quality General Permit No. NC'0�80000 Date submitted: � he S b (no' 03/31/16 ecW', CERTIFICATE OF COVERAGE NO. NCGO8080188 FACILITY NAME Superior Carriers High Point COUNTY Randolph PERSON COLLECTING SAMPLES Winne Hays LABORATORY R&A Lab Cert. # 34 Comments o pL� V iiooln or analysis: CENTRAL FILES Part A: Vehicle Maintenance Areas Monitoring';A1quiF`eitirents SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD X Jan -June July -Dec or Monthly" _ _(month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑Zero -flow xWater Supply ,FcF—NE� [:]Other ❑PNA []SA PLEASE REMEMBER TO SIGN ON THE REVERSE 4 No discharge this period' e ,Air -r -� .C►utfall No • r.s �-�"",.- - Dated. Sample Collected, P -... , 4D0. -v 556 ' bx r .=. - m >r' ` s ; ,Total Suspended Solids;riig%L,,,�Y ='°� pH,y Standardtunits �8, Non=Polar Oil and Grease%TPH EPA - Method1664 (SGTF HE,M), mg/,L ;. ' N4-_-_Q r.0il Usage ; <Annual a�erage;gal/bmo; Benchmark: "`: 50,or100jseespermt a; Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals yes _no Outfall`A Y Date Sample Collected, mo/dd/,Y Y` fl0556 - - fl0530 ,� 00400 - $Y Non -Polar Oil,and Grease/TPH-EPAMethodk =i`664.1(SGT HEM}, mg/.L ' Total Sus endedi5ol ds r p - x ig%LR H Y p , JStan dard units Permit Ltmit -, 15 a506or 100`seeLL;p�Pimit SDO #1 03/19/2016 <5.0 198 8.6 ' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 Pace I of 2 STORM EVENT CHARACTERISTICS: Date 03/19/16 (first event sampled) Total Event Precipitation (inches):.10 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 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, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Lynne Hays for Superior Car.�riers In03 31 16 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: hnttp://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report "-m for North Carolina Division of Water Quality General Permit No. NCG080000 } � r9ate submitted: 90 f �U( 11/19/15 ron CERTIFICATE OF COVERAGE NO. NCG08080188 FACILITY NAME Superior Carriers High Point COUNTY Randolph PERSON COLLECTING SAMPLES Winne Hays LABORATORY R&A Lab Cert. # 34 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD Jan -June July -Dec .00 or Monthly' October {month r-94 i' (DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA RECEIVED ❑Zero -flaw xWater Supply [:]SA NOV 2 3 2015 ❑other CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE � DWR SECTION ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease%TPH EPA Method 1664 (SGT-HEM), mg/L , New Motor Oil Usage,. Annual average gal/mo".. Benchmark. - 50 or 100 see permit . Within 6.0 = 9.0 _ . 15 - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample. Collected;. mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method :1664 (SGT-HEM), mg/L T_otal,Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 SDO #1 10/10/2015 <5.0 <5 8.3 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 2S, 2012 Page I of 2 STORDA EVEf9T CHARACTERISTICS: Date 10/10/15 (first event sampled) Total Event Precipitation (inches):.31 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO x IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copes this DMR, including all "No Discharge" reports, within 30 days of receipt 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, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPO "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." Lynne Hays for Superior Carriers, Inc 44 11/19 15 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr,org/web/wq/vr5/su/npdessw#tab-4 SWU-250 last revised Oclobcr 25, 2012 Palle 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date -submitted R1 t Y"1V� 1Qj1z/15 t5 0�� 16 20 CERTIFICATE OF COVERAGE NO., FACILITY NAME Superior Carriers High Point COUNTY Randolph PERSON COLLECTING SAMPLES Lynne Hays LABORATORY R&A Lab Cert. # 34 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION d YEAR 2015 CENTRAL FILESSAMPLE PERIOD Jan -June July -Dec DNjR SECT10 or Monthly' September (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow xWater Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L- pH, Standard units Non -Polar Oil and Grease/TPH_EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 90 15 - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ____ yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method - 1664 (SGT.-HEM), mg/L Total Suspended Solids, mg/l. pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 SDO #1 September No Discharge/Inability to Collect Sample No Discharge/Inability to Collect Sample No Discharge/Inability to Collect Sample For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25.. 2012 higc 1 01 2 STORM EVENT CHARACTERISTICS: Date July (first event sampled) . Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 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 (ar at end of monitoring period in the case of "No Discharge" reports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." h4 Lynne Hays for Superior Carriers, Inc (Signature of Permittee) 14 12 15 (Date) Additional copies of this form may be downloaded at: http://pgrtal.ncdenr.org/web wq/ws su/npdesswtttab-4 SWU-250 last revised October 25. 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report p for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted: ,^ n0-U6o r 6 0 08/31/15 CERTIFICATE OF COVERAGE No. NN000808018j8 FACILITY NAME Superior Carriers High High Point COUNTY Rangy PERSON COLLECTING SAMPLES Lynne Hays LABORATORY R&A Lab Cert. # 34 Comments on sample collection or analysis: RECEIVED SEP 0 3 2015 Part A: Vehicle Maintenance Areas Monitoring Requirements CENTRAL FILES IDWR SECTION COPY SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD Jan -June July -Dec or Monthly" August (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow xWater Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 El No discharge this period' Outfa l l No. Date Sample'Collected, rno/cid/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-ITEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark = 50 or 100 see permit: Within 6.0.— 9.0 15 - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, .mo/dd/yr 00556. 00530 00400 Non -Polar Oil and Grease/TPH EPA Method. 1664 (SGT-HEM); mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit_ - 15 50 or 100 see permit 6.0 — 9.0 SDO #1 08/18/2015 <5.0 12.6 7.4 F- I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 Page I of 2 3TCIPZ rA EVENT CHARACTERISTICS: Date 08/18/15 (first event sampled) Total Event Precipitation (inches):.17 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 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, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Al�- Lynne Hays for Superior Carriers Inc 08/31/15 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq ws/su/npdessw#tab-4 SWU-250 last revised October 2 .2012 Pat,e 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGOS0000 Date submitted:Aflilk J 07/29/15 O {� UU ! V CUP ® pp+ CERTIFICATE OF COVERAGE NO. NCG08080I85 r�1�VI—E i VP— SAMPLE COLLECTION YEAR 2015 FACILITY NAME Superior Carriers High Point AUG 0 3 2015 SAMPLE PERIOD Jan -June July -Dec COUNTY Randolph or Monthly' JUly ^_(month PERSON COLLECTING SAMPLES Lynne Hays CENTRAL FILES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY R&A Lab Cert. # 34 Comments on sample colle �io RSECTIQN ❑Zero -flow xWater Supply []SA analysis: ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements No discharge this period' Outfall No. Date Sample Collected, mo/.dd/yr 1 00530 00400 00556, Total Suspended Solids, riig/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, mo/dd/yr OD556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9:0 SDO #1 JULY No Discharge/Inability to Collect Sample No Discharge/Inability to Collect Sample No Discharge/Inability to Collect Sample For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25.2012 Paoe I of 2 STORM E►; ENT CHARACTERISTICS: Date July (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PFRMIT 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 DM& including all "No Discharge" reports, within 30 days of receipt of the lab results (ar at end of monitoring_ period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." L nne Ha s for Su erior Carriers Inc U7 Z9 15 Y Y P _� (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/qpdessw#tab-4 SWU-250 last revised Qclober 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharee Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted: 06/15/15 CERTIFICATE OF COVERAGE NO. NCGO8080188 Rtetive-1) FACILITY NAME Superior Carriers High Point �1JN j COUNTY Randolph7 2015 PERSON COLLECTING SAMPLES Lynne Hays CENTFRgL LABORATORY R&A Lab Cert. # 34 Comments on sample collectio'rVaSeCF1L�1LES analysis: TION Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD Jan -June July -Dec or Monthly' JUNE (month) DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA ❑Zero -flow xWater Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE --) No discharge this period' Outfall No.' Date Sample•Collected, mo/dd/yr _ 00530. 00400 00556,,. Total Suspended: Solids; mg/L• pH, Standard units Non -Polar Oil•a,id-Grease%TPH EPA Method 1664,(SGT-HEM), mg/L. New Motor Oil Usage, Annual -average gal/mo .Benchiriark� - 50 6r100 see permit Within 6.0 - 9.0=: 15 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals .".Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non-Pola_rOil and Grease/TPH'EPA Method :-1664 (5GT-HEM), nig/L Total Suspended -"Solids, • , mg/L pH, standard units Permit Limit - ; , 15 a 50 or 100 see permit 6.0- 9.0 , SDO #1 06/02/2015 <5.0 <5 7.1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. co�j SWU-250 last revised October 25. 2012 Page I of 2 `STORM EVENT CHARACTERISTICS: Date 06/02/15 (first event sampled) Total Event Precipitation (inches):.15 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEF 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 0f this DMR, including all "No Discharge" reports, within 30 days of receipt 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, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Lynne Hays for Superior Carriers, Inc 06 15 15 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http //portal.ncdenr.or /web wy /ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharee Monitorine Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted: O 04/21/15 CERTIFICATE OF COVERAGE NO. NCGO8080188 SAMPLE COLLECTION YEAR `2024 �I FACILITY NAME Superior Carriers High Point SAMPLE PERIOD x Jan -June July -Dec ; COUNTY Randolph or Monthlyl _(month) PERSON COLLECTING SAMPLES Lynne Hays DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY R&A Lab Cert. # 34 Comments on sample collection or R-°'v�� ❑Zero -flow xWa#er Supply ❑SA analysis: ❑Other APR 2 3 2015 Part A: Vehicle Maintenance Areas Monitoring Requirements PLEASE REMEMBER TO SIGN ON THE REVERSE -) CENTRAL FILES DWR SECTION ❑ No discharge this period' Outfalll]ate00530r -f�. 1 cr�.6S' u .. ..-. v '—`d'aKK.-..✓_. _i ••u"+ 5• •jib r't�400." .. •. :; 0055fi �- T � � -.. a w '> - .No..Sample Collected,Toyctalr5uspended' =pH, .Yi". _ , r Non-Polar0iltand Grease/TPH EPA"." New Motor Oil.Usage, ' - y "- �- ;5 C i'i( '-• /dd/y,r $ .,'7 Solicls;;mg/L ,5.� 4,.W-. Standard units yu %�R�l K 1664 (SGli-#iEMj, mg/L •t Annual average ; _. ._ w LA �x ;;. .,,Method gal/m ;Benchmark ,a . 50„0 00!�ee` permR Within 6 0� 9 0 4 % - = . 77, Did this facility perform Vehicle Maintenance Activities using more than.55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals - Ctutfall N 'i5alIlect ' D to e S dNiin_Polar0iiandGrease/TPHEPA�Meth z,/. `' y00556x .�-t.:-::?- 1.'\..�'}A_-..- .i..LTK-.r. dTotaktu"Ls"In%�Ii -- m - L�.� �,y.`�- xy:..1664 (SGTHEM},'mg/t��L ::4 "'e 00530:; A e �edla'. .i..» ;e 1'«,�, - . mg/L'+ 004�00 pH`.S Standard units Permit+Limit - IF 1,5 50 or�100 see,Perm�it f 6A — 9.0 :a, y SDO #1 03/27/2015 <5.0 158 8.7 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 Page 1 42 • STDRM; eVENT CHARACTERISTICS: Date 03/27/15 (first event sampled) Total Event Precipitation (inches):.27 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCFFDENCFS 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 Dischar ea "reports to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Lvnne Hays for Sunerior Carriers. Inc 04 21 15 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web wq ws su npdessw#tab-4 SWU-250 last revised October 25, 2012 Pagc 2 of 2 oe Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality.General Permit No. NCG080000 Date submitted: 12/22/14 CERTIFICATE OF COVERAGE No. NCGO8080188 FACILITY NAME Superior Carriers High Point COUNTY Randolph PERSON COLLECTING SAMPLES Lynne Hays LABORATORY R&A Lab Cert. # 34 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements RECEI, IrSAMp PLE COLLECTION YEAR 2014 V fSSANIPLE PERIOD 'Jan -June X July -Dec DEC 2 3 29% or Monthly' July (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA CENTRAL FILES ❑Zero -flaw xWater Supply ❑SA DVVR SECTION ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE � ❑ No discharge this period' Outfall _` wt tNo Date ' s Sample Collected, ..-.. I r. .. - 14. ,� = Imo/dd/yr -.,1 00530� y 00400 t +S 3 -`- 0Q5S6 ✓.� i'"'�sAU'...,... �¢-. .. r - Total5uspended C ..:.. ,..t aY'"i =Solids m L y= - g/. . i ..- t :" H p . 7r-* ,y `Standard;units - _ ., ._ la`r ..il and Grease' Npm o O /,TPH El'A -'R-.: i�y.'}l'�w..�w.f �'djn =�'a•• r Qp.. G' �Method1664• SGT=HEM ;fm r L ._.. .. .. t�\ ... _ . b/ ., Ndw M"t oeOIPU a el.�s a �lof FF g , ':"h • .. _''-iR ap p Annuala_ve�ra e; al mo b I7 .._/c_._ _ Benchmark 50 0� 100 see permit `'Wit i i6.0 .9.0, Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Ou#fall t '�:� ri Date` •' r�,:R.a 1. am 1e Collected z''fVon F�;..,/2 r -'OOa00s ._ .� .� _1[,�..-_l+,Y.'C,, i :.i4{: _.4 ."'h Polai OilandGrease ;TPHEPA Method ,as �� ' C _ ;1664(SG7 HEM S,mg/L �-kK'..n'.9 n+E�-8F' 1:K_�'.. '' ►Tatal Sus endedSolids5 ` P e ne ;' i�. m /L,,r e{k �'L't' �....ang, �Stanclard�uni, +no/dd/ k'fF`�V:_ i#F '-y".+�'l-i.Tyi§-:`£-?Jl1' ...`.:.} g _ 15, ..,. 3 .... 'SAS +^xN9mw ♦ -i: 1' :. �., _ 50 or 100�se'�`e" jiyerrnit.:r�.:. &i'1y{ z� i �y. �:. y�:v SDO #1 12/06/2014 <5.0 1,650 7.9 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised October 25, 2012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 12/06/14 (first event sampled) Total Event Precipitation (inches):.10 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RES • 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 x IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail on original and one copy of this DMI? including all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 property 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." Lynne Hays for Superior Carriers, Inc 12 22 14 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 EnviroLinc Environmental Compliance Solutions June 3, 2014 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subiect: Stormwater Discharge Outfall Monitoring Report Superior Carriers, Inc General Permit Number NCG080000 Please find enclosed the Stormwater Discharge Outfall Monitoring Report for Superior Carriers, Inc site located at 2831 Uhwarrie Road in High Point, North Carolina. If you have any questions please contact us at (336) 687-2256. Yours truly, bpjj--��' 11�o Lynne Hays Ys z 3>� t oC �r M�r U3 M. Z =� 1 i 6 C z 109 Gentle Pond Court • Winston Salem, NC 27107 • Phone: (336) 687-2256 0 Fax: (336) 5054794 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 6/4/14 CERTIFICATE OF COVERAGE NO. NCGO8080188 FACILITY NAME Superior Carriers High Point_ COUNTY Randolph PERSON COLLECTING SAMPLES Lynne Hays LABORATORY R&ALab Cert. # 34 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR _2014 SAMPLE PERIOD x Jan -June ❑ July -Dec or ❑ Monthly" (month) DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout❑PNA ❑Zero -flow ❑Water Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes x no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' Oiitfall -'' ='No ,;{ '.r- b:wt �� z ate,_` TrSample'Collected, 3_';.�s rrio/dd%yrs. h .-Solidsmg/L L 00530;° '' Total�Suspended ° ° -.:.,db-.�,� _ ; fO64- ySn �p�H, ; _c y 5tandardunrts� _" 00556 Non Polar Oil and Grease/gTPH,EPA , ,.[... 'n jir.:.fsi:`,p.�.'.�i+ F _•r.:.F-. ML , MetFiod 1664�(SGTHEM)m L- ,, ';Annual3averageigal/mo g/ a ;: Nevv=MotorOilaUsage,,, .. - '»'R5±' - Bericli'markSee perm Withm,6�090 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) -Outfall '?" No. A „ Date Sam le Collected p mo/Rdd/,yr W z.:s c «. 3 00556� ' = : 00530 Non -Polar= iLand Grease/TPHgEPA Method 1664,[SGT-HEMj m /L hTotal Suspended Solids, �-,; mg/�� ,t pH, SIXStandard units IPermit�Liniit '� �SDO ' 15 ` ' 50 or 100 ee erm t 6 OAx R #1 5/15/14 <5.0 12.0 7.5 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 -STORM EVENT CHARACTERISTICS: Date 5 15 14 (first event sampled) Total Event Precipitation (inches): 1.85 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): _ Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 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 o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ;1 L nne Hays for Superior Carriers b 4 14 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.or�/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality. General Permit No. NCGO80000 Date submitted 6/4/14 CERTIFICATE OF COVERAGE No. NCGO8080188 FACILITY NAME Superior Carriers High Point COUNTY Randolph PERSON COLLECTING SAMPLES Lynne Hays LABORATORY R&ALab Cert. # 34 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD x Jan -June E] July -Dec or E] Monthly' (month) DISCHARGING TO CLASS DORW [:]HQW [:]Trout [:]PNA oZero-flow ElWater Supply EISA ElOther PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance.Activities using more than 55 gallons of new motor oil per month?_ yes xno (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) [:] No discharge this period' * jay.riektleRe" Aiv, ic 00 Y .Total Su"pen ended 1SOlIds,AVII H rn pA,� lFeiio8TQ64 Standard .,W N �6nPolanqil anrease QPH r�CT M. ,1M W 04 otlK61sa_MV 171Ait MWrlg911a /m7- t-6-Z IT kf ,perm j" J1 hgihI�6 L, --O Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) ' - "No Sa on F6 I'a rld I k�W`effi"ocd -C 7 _ N" r-AF(SPTA! M M 'pu K-L)T- g/ ota speedemg/Ld Q Stancla T WMETY Y TRE L WARIPAIMIN _5]Kj@2jMNWj= NNW5-07pr �10O ��'eTpermit 10100 NOW T SDO #1 5/15/14 <5.0 12.0 7.5 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page I of 2 C� S*CiRM EVENT CHARACTERISTICS: Date 5 15 14 (first event sampled) Total Event Precipitation (inches): 1.85 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2.EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 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, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 4 Lynne Hays for Superior Carrier 5 4 14 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http:/Zportal,ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 I 1, ob, r 11"g— "4V tO r V C) r; % 0 wp �29 Ail v 4f' .15 IF cck f VQ1 > Z,4-111 T • A � , �'� L�``� "��~-. l C�,�1 � i / �lfr, �p��4_� A ,� ••'�5� ��;-..;'•�.• �( /y `� •�l �'\} , •,1 � � . �gft�i. �y ��J.) 55' aolo- If 1W 4 �kO 'dqnha I AI 6ri �i' 10 ``,14,�`�'.� //;/��%, �� .1,;��,�'�,;.�'��, I6,6 � ;:fij;:lj�---��- 1 ' cC��:11� 1 ��, � .11, wm k. 3974 il -f�l',. ��? �� - _v.� i i`�J '�j+ ��,e .�,',' . '•I ;I �{, `'�� '\,'��'j1 i£12 � !':'1 � �� f �iC . �i NN Cali ��\-��— Ir '973 13 X11 z Q d; v 3972 A� 4F -�- fiR V 1,C), 1! 7 el I ��• 11N -7 F7v 0) 11 7 2'3 0 1587 588 0 0 INTERIOR -GEOLOGICAL SURVEY, RESTON, VIRGINIA-187—35'52'30" , 589 S90000,E. 80 00 MILE ROAD CLASSIFICATION FACILITY s C t—p47IZAL 7 wws D2 ' tw c . COUNT NPDES �jcC �8o I S 8 MAP �1 6 AJE DSN FLOW SUB BASIN o 9 LATTITUDE, 5¢� 3o LONGITUDE woc 30 RECEIVING STREAM 19S - STREAM CLASS Lt V/V 47Y&-b -77tl )K-q7-A,z dim l-lwi�i4 :x X R,rzrE DISCHARGE CLASS C rzm wAi2l U� E MRAMN DATE 00 - 5