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HomeMy WebLinkAboutNCG160192_MONITORING INFO_20190108- STORMWATER DIVISION CODING SHEET RESCISSIONS . PERMIT NO. �[CC,1LUIy,� DOC TYPE ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ �OC�I M YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted IN 712- [ 9 CERTIFICATE OF COVERAGE No. NCG160192 FACILITY NAME Rogers Group, Inc. Burnsville Asphalt COUNTY Yancey PERSON COLLECTING SAMPLES Joe Conley LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) RECEIVED ING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA JAN 0 8 2019 ❑other CENTRAL PILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION] ® No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Benchmarks =__> _ - 100 mg/L or 50 mg/1.4 001 No Flow 002 No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/O Not Applicable Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 Resources Attn: DWR 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) W/Zolq ( de) Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 IA Semi-annual Stormwater Discharge Monitoring Report DMR for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 7/2.0/1S CERTIFICATE OF COVERAGE NO. NCG160192 FACILITY NAME Rogers Group, Inc. Burnsville Asphalt COUNTY Yancey PERSON COLLECTING SAMPLES Joe Conley LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ® Jan -June ❑ July -Dec RECEIVED or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA JUL 24 2018 ❑Zero -flow ❑Water Supply [:]SA CENTRAL FILES ❑Other DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ® No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids Benchmarks =__> _ - 100 mg/L or 50 mg/O 001 No Flow 002 No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported -in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part g: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G by EPA 1664 (5GT-HEM) Total Suspended Solids Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/O Not Applicable Footnotes from Part A also apply to this part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 Resources Attn: DWR 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." _ [ &dk _ (Signature of Permittee) S 7/2 a (Date) Permit Date- 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 7/201y I CERTIFICATE OF COVERAGE NO. NCG 160150 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Rogers Group Inc. Hendersonville Asphalt SAMPLE PERIOD ® Jan -June [] July -Dec COUNTY Henderson or ❑ Monthly' (month) PERSON COLLECTING SAMPLES Robert Maxwell DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Pace Analytical _ Lab Cert. # 40 ❑Zero -flow [:]WaterSupply ❑SA Comments on sample collection or analysis: ❑Other Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period?2 outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L° 001 4/21/18 0.5 106 mg/L 002 4/21/18 0.5 20.2 mg/L ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. Nate: 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L° Not Applicable Footnotes from Part A also apply to this Part B 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 AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO JD IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 o#the lab results (ar at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:10/1/2014-9/31/2019 7 ;w rx ( ate SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted VIV19 CERTIFICATE OF COVERAGE No. NCG 16214 FACILITY NAME _Rogers Group, Inc. Henrietta Asphalt COUNTY Rutherford PERSON COLLECTING SAMPLES Joe Conley LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2018 SAMPLE PERIOD ® 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 No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Total Suspended Solids Benchmarks =__> _ - 100 mg/t or SO mg/O 001 No Flow 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> _ - 15 mg/L 100 mg/L or SO mg/L4 Not Applicable Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) — Permit Date: 10/1/2014-9/31/2019 1201 g (Date} SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report DMR for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCG160192 FACILITY NAME Viers Group, Inc. Burnsville Asphalt COUNTY Yancey PERSON COLLECTING SAMPLES Joe Conley LABORATORY Pace Analylical Lab Cert. # 40 Comments on sample collection or analysis: _Monitoring Period 2 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) �I/FD SCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA IAA, r � ❑Zero -flow ❑Water Supply ❑SA ZG,3 ❑Other D I�`FOR �ari f � ECT1o,�i r7rFSsr!k1 ,, IlTil' PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period?' Outfall No. Date Sample. .,,Collected) {mo/dd/yrj 24-hour rainfall amount; ' Inches3 Total Suspended Solids Benchmarks ==_> _ - 100 mg/L or 50 mg/L° 001 No Flow 002 No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-2S2, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) _ Total Suspended Solids Benchmarks 1S mg/L 100 mg/L or 50.mg/L4 Not Applicable Footnotes from Part A-also'apply to this Part B- 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR 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. 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) Permit Date: 10/1/2014-9/31/2019 SWU-2S2, last revised 9/17/2014 Page 2of2 „Semi-annual Stormwater Discharge Monitoring Report DMR ,for North Carolina DEMLR General Pe nit No. NCG160000 - Asphalt Date submitted 717,G C jr CERTIFICATE OF COVERAGE NO. NCG160192 FACILITY NAME Rogers Group, Inc. Burnsville Asphalt COUNTY Yancey PERSON COLLECTING SAMPLES Cody Woodby LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Sample Number 6 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ® 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 No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids Benchmarks =__> _ 100 mg/L or 50 mg/O 001 05/01/17 0.3 3.3 mg/L 002 No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3,,The total precipitation must be recorded using data from an on -site rain gauge. ,Unattended sites may be eligible for a waiver of the rain gauge requirement. Q1See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below betect'io;n Limit; BDL, <pQL, Nan -detect, ND, or other similar non - numerical format. When results are below the;applicable limits, they must be reported in the format, "<XX mg/L”, where XX is the numerical value of the i I i i detection limit, reporting limit, quantitatian limit, etc. in mg/L. , Note: !f 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. Permit Date: 10/1/2014t9/31/2019 I i SWU-252, last revised 9/17/2014 Page I of 2 ' h Ii Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L" Not Applicable Footnotes from Part A also apply to this Part B -IN, - - . - - 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within_30 des of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR 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." Permitteej Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCG160192 FACILITY NAME Rogers Group, Inc. Burnsville Asphalt COUNTY Yancey PERSON COLLECTING SAMPLES Joe Conley LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: _Monitoring Period 2_ Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA _ ❑Zero -flow ❑Water Supply ❑SA t:. ® ❑Other JUL 2 4 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES DINR SECTION No discharge this period?' Outfalf No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L4 001 04/15/15 0.5 57 mg/L aa2 No Flow Irl" �m rmxm r�o 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended Sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L°, where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. + 1 n No discharge this period:2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inche53 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/La Not Applicable Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy ofthis 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 Resources Attn: DWR 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." ;r1JP-f11,4v- Orate) Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring, Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCG160192 FACILITY NAME Rogers Group, Inc. — Hendersonville Asphalt COUNTY Henderson PERSON COLLECTING SAMPLES Joe Conley LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply ❑SA JAN 1-9 2016 ❑Other CENTRAL FILESPLEASE REMEMBER TO SIGN ON THE REVERSE DWR SECTION No discharge this period?' outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L° 001 12/14/15 0.5 12.9 002 12/14/15 0.5 14 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mig/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/O NA Footnotes from Part A also apply to this Part B 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [:]NON IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 lob results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR 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 (Signature of Frerm r Ie zo ,51 (D te) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report DMR for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCGi60192 FACILITY NAME Rogers Group, Inc. — Burnsville Asphalt COUNTY Ya__ ncey PERSON COLLECTING SAMPLES Joe Conley LABORATORYPace Analytical _ Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED❑Zero-flow ❑Water Supply ❑SA []Other PLEASE REMEMBER TO SIGN ON THE REVERSE CENTRAL FILES DWR SECTION ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L° 001 11/18/15 0.5 57 002 No Flow 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/O NA Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony 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 Resources Attn: DWR 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." re of P Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 STORMWATER DIVISION CODINGSHEET RESCISSIONS. PERMIT NO. DOC TYPE ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ aOI 9 O I OO YYYYMMDD FEDEX OVERNIGHT DELIVERY January 7, 2019 Attn: DWR Central Files Division of Water Resources 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Rogers Group Inc. — Annual Summary DMR Burnsville Asphalt — NCG160192 Hendersonville Asphalt — NCG160150 Henrietta Asphalt — NCG160214 To Whom It May Concern: RGI is submitting an original and one copy of the Annual Summary Data Monitoring Reports as required by Section E,2 of permit NCG160000 for the above referenced facilities. While this annual summary was originally submitted on October 19, 2018, RGi is submitting an updated summary to certify that no changes to the original occurred after the October submittal date. If you have any questions concerning this correspondence, please contact me alisa.hatmaker(a)_rogers.grouiinc.com or by phone at (865) 333-0689. Sincerely, Aiisa Hatmaker Environmental Manager Rogers Group Inc. Attachments 421 Great Circle Road phone 615 242 0585 Nashville, TN 37228 ragersgroupinc.coen STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018 Revised 911712014 General Permit No. NCG160000 Certificate of Coverage No. NCG16® 1❑ 9❑ 2❑❑ This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of each year. Facility Name: Burnsville Asphalt County: Yancey Phone Number: (828 ) B82-4422 Total no. of SDOs monitored 2 Part A. Outfall No. 001 (use multiple sheets for multiple outfalls) Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Q Was this ouffall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑✓ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ 00530 Total Rainfall, Outfall 001 inches T55, mglL Benchmark N/A 501100 Date Sample Collected, moldd/yr No Flow Page I 1 Part B. On -Site Vehicle Maintenance Outfall No. NA Is this outfail currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ Outfall Total Rainfall, inches 00530 00556 TSS, mglL Non -polar Oil & Grease, mglL Benchmark IY/A 501100 15 Date Sample Collected, molddlyr Yes ❑ No ❑ Yes ❑ No ❑ Page 12 STORMWATER DISCHARGE OUTFALL (SDO) ° ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018 Revised 911712014 General Permit No. NCG160000 Certificate of Coverage No. NCG 16 0❑ 1❑ 9❑ 2❑❑ This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of each year. Facility Name: _ County: Yancey Phone Number: Bumsville Asphalt 828 ) 682-4422 Total no. of SDOs monitored 2 Part A. Outfall No. 002 (use multiple sheets for multiple outfalls) Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Q Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑✓ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ 00530 Total Rainfall Tot Outfall 002 inches TSS, mgiL Benchmark N/A 501100 Date Sample Collected, molddlyr No Flow Page I 1 Part B. On -Site Vehicle Maintenance Outfall No. NA Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ Outfall Total Rainfall, inches 00530 00556 TSSmlL ,g Non -polar Oil & Grease, mg/L Benchmark N/A 501100 15 Date Sample Collected, molddlyr Yes ❑ No ❑ Yes ❑ No ❑ Page 12 "Lcertify, 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 L1ZL.U(tA -M Date iIq i Mail Annual DMR Summary Reports to: DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE 225 Green Street 610 East Center Avenue/Suite 301 2090 US Highway 70 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON_REGIONAL OFFICE WILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-SALEM REGIONAL OFFICE 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 Page 13 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018 Revised 911712014 General Permit No. NCG160000 Certificate of Coverage No. NCG16© 1❑®2❑❑ OCT 2018 CENTRAL FILES This monitoring report summary is due to the DEMLR Regional Office no later�than, November 9 of each year. Facility Name: Burnsville Asphalt County: Yancey Phone Number: (828 ) 682-4422 Total no. of SDOs monitored 2 Part A. Outfall No. 001 (use multiple sheets for multiple outfalls) Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑✓ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑✓ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other 00530 Total Rainfall, Tot Outfall 001 inches TS$, mglL Benchmark N/A 501100 Date Sample Collected, molddiyr No Flow Page Part B. On -Site Vehicle Maintenance Outfall No. NA Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other El Outfall Total Rainfall, inches 00530 00556 TSSmglL , Non -polar Oil & Grease, mglL Benchmark N/A 501100 15 Date Sample Collected, molddlyr Page 12 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018 Revised 911712014 General Permit No, NCG160000 Certificate of Coverage No. NCG16911❑ 9❑ E] This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of each year. Facility Name. Burnsville Asphalt County: Yancey Phone Number: (828 ) 6s2-4422 Total no. of SDOs monitored 2 Part A. Outfall No. 002 (use multiple sheets for multiple outfalls) Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑✓ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No❑✓ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ 00530 Outfall 002 Total Rainfall, inches TSS, mg1L Benchmark N/A 501100 Date Sample Collected, molddlyr No Flow Page I 1 Part B. On -Site Vehicle Maintenance Outfall No. NA Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ Outfall Total Rainfall, inches 00530 00556 TSS, mg/L Non -polar Oil & Grease, mg/L Benchmark N/A 501100 15 Date Sample Collected, molddlyr Page 12 "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 Wjgskqa�`kt,-,� Date EY1 a/l 6 Mail Annual DMR Summary Reports to: DEMLR Regional Office Contact Information: Asheville Office ...... (828) 2964500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE 610 East Center Avenue/Suite 301 2090 US Highway 70 225 Green Street Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-SALEM REGIONAL _OFFICE 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 Page 13