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Home My WebLink AboutNCG160109_MONITORING INFO_20190118STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. l DOC TYPE ❑ HISTORICAL FILE O'MONITORING REPORTS DOC DATE ❑ I YYYYM M D D STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018 Revised 9/17/2014 General Permit No. NCG160000 Certificate of Coverage No. NCG16 0❑ 1❑ 0❑ 9❑❑ This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of each year. Facility Name: Fred Smith Company - Westgate Asphalt Plant County: Wake Phone Number: (919 ) 783-5700 Total no. of SDOs monitored 4 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 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 00i Tot al Rainfall,inches 00530 TSS, mglL Benchmark N/A 501100 Date Sample Collected, molddlyr = M 01/29/2018 1.89 54.0 11/13/2018 2.46 35.0 RECEIVED JAN 18 2019 CENTRAL FILES D41/13 SECTION Page I I L Part B. On -Site Vehicle Maintenance Outfall No. 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 TSS, mg/L Non-polar Oil & Grease, mglL Benchmark N/A 501100 15 Date Sample Collected, moldd/yr 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❑ 0❑ 9❑❑ This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of each year. Facility Name: Fred Smith Company -Westgate Asphalt Plant County: Wake Phone Number: (919 ) 783-5700 Total no. of SDOs monitored 4 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[:] NoQ 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 002 Total Rainfall, inches 00530 TSS, mg/L Benchmark N/A 501100 Date Sample Collected, mo/ddlyr 01/29/2018 1.89 69.3 10/26/2018 1.01 65.0 Page I 1 Part B. On -Site Vehicle Maintenance Outfall No. 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 TSS, mglL Non-polar Oil & Grease, mg/L Benchmark N/A 501100 15 Date Sample Collected, molddlyr Yes No� Yes No Pagc12 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018 Revised 911712014 General Permit No. NCG160000 Certificate of Coverage No. NCG16 0❑ 1❑ 0❑ 9❑❑ This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of each year. Facility Name: Fred Smith Company - Westgate Asphalt Plant County: Wake Phone Number: (919 ) 783-5700 Total no. of SDOs monitored 4 Part A. Outfall No. 003 (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 ❑ outfall 003 Total Rainfall, Tot inches 00530 TSS, mglL Benchmark N/A 501100 Date Sample Collected, molddlyr � M 01/29/2018 1.89 40.8 10/26/2018 1.01 5.11 Page I I Part B. On -Site Vehicle Maintenance Outfall No. 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 TSS, mglL Non-polar Oil & Grease, mg/L Benchmark N/A 501100 15 Date Sample Collected, molddlyr Yes No Yes NoF] Page 12 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year 2018 Revised 9/172014 General Permit No. NCG160000 Certificate of Coverage No. NCG 16 0❑ 1❑ 0❑ 9❑❑ This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of each year. Facility Name: Fred Smith Company - Westgate Asphalt Plant County: Wake Phone Number: (919 ) 783-5700 Total no. of SDOs monitored 4 Part A. Outfall No. 004 (use multiple sheets for multiple outfalls) Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 0✓ 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 004 Total Rainfall, Tot inches 00530 TSS, mg/L Benchmark N/A 501100 Date Sample Collected, molddlyr = M 01 /29/2018 1.89 16.3 10/26/2018 1.01 24.1 Page I I Part B. On -Site Vehicle Maintenance Outfall No. 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 TSS, mglL Non-polar Oil & Grease, mglL Benchmark N/A 501100 15 Date Sample Collected, molddlyr Yes No� Yes ❑ No Page 12 i1 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Per it o. NCG160000 -Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCG16 0 1 0 9 FACILITY NAME Fred Smith Company -Westgate Asphalt Plant COUNTY Wake PERSON COLLECTING SAMPLES Austin Pote LABORATORY ESC Lab Sciences Lab Cert. # ENV375 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 5 Period t SAMPLE PERIOD ❑ Jan -June ■❑ July -Dec or -❑.Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA C �° de `�® ❑Zero -flow [—]WaterSupply ❑SA REC� V FEOther Class B:NSW JAN 18 Z019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CI NTRAL FILES D\NR SECT6N ❑ No discharge this period?2 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 No Flow 002 10/26/2018 1.01 65.0 003 10/26/2018 1.01 5.11 004 10/26/2018 1.01 24.1 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 ma/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 Parf,S 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 50 mg/0 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 ❑ NO Q 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) 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 09/30/16 CERTIFICATE OF COVERAGE NO. NCG16 00109 _ FACILITY NAME Fred Smith - Westgate Asphalt Plant COUNTY Wake PERSON COLLECTING SAMPLES Matt James LABORATORY ESC Lab Sciences Lab Cert. # ENV375 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 3 Period 1 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' September (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑X Other B NSW PLEASE REMEMBER TO SIGN ON THE REVERSE -i n No discharge this period?' Outfall No. - Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Benchmarks =__> - - -100mg/L or 50 mg/L 001 09/19/16 1.30 93.8 002 09/19/16 1.30 16.6 003 09/19/16 1.30 78.0 004 09/19/16 1.30 45.5 ' 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 mR/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--24-hourrainfalF Collected (mo/dd/y�)_. -- amount, __Inches3----1664(SGT-HEM)---- -------'—_-- Non -polar O&G by EPA �— - Total_Suspended Solids_ - Benchmarks =__> - _ - 15 mg/L 100 mg/L or 50 mg/L 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 DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO N 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 dire responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I a/aw6 that er/are /significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." O bclf ��o cl�C 9/30/16 (S gna re of Permittee) (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 01/05 620� CERTIFICATE OF COVERAGE NO. NCG16 0 1 0 9 FACILITY NAME Fred Smith Company - Westgate Asphalt Plant COUNTY -Wake PERSON COLLECTING SAMPLES Austin Pole LABORATORY ESC Lab Sciences Lab Cert. # ENv375 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 5 Period 1 SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply ❑SA *Other class 8: NSW PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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 11/13/2018 2.46 35.0 002 10/26/2018 1.01 65.0 003 10/26/2018 1.01 5.11 004 10/26/2018 1.01 24.1 No discharge this period?z RECEIVED 3AN 15 mg CFNTRAI, f1LES (^,Wj,- SEC_nOil 1 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 mQ/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 Paris.;: 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, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> - - - 15 mg/L - - - 100 mg/L or SO mg/L 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 ATANY ONE OUTFALL? YES ❑ NO ❑■ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO 0 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. 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) 0 I /C> j (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 Pe mit No. NCG160000 -Asphalt Date submitted 1 CERTIFICATE OF COVERAGE NO. NCG16 0 1 0 9 FACILITY NAME Fred Smith Company - Westgate Asphalt Plant COUNTY Wake PERSON COLLECTING SAMPLES Austin Pate LABORATORY ESC Lab Sciences Lab Cert. # ENV375 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 5 Period 2 SAMPLE_ PERIOD_* Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply ❑SA JAN 2 3 2019 *Other class e; NSW CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION No discharge this period?2 Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inchess Total Suspended Solids Benchmarks ===> - - 100 mg/L or 50 mg/L 001 01/04/2019 0.72 72 002 01/04/2019 0.72 120 003 01/04/2019 0.72 41 004 01/04/2019 0.72 5.1 ' 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. '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 B: 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, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids. Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L 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 []NOW 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 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." (Date) Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 t�3 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: tt ://portal.ncdefr,oriz/web/Ir/nodes-sLormvater/- Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G/ 1 /6 /0 / 1 /0 /9 / Facility Name: Fred Smith Company -Westgate Asphalt Plant County: wake Phone No. 919-783-5700 Inspector: Austin Pote - WithersRavenel Inc. Date of Inspection: 10/26/2018 Time of Inspection: 1150 Total Event Precipitation (inches): 1_01 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Q Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than l 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no i precipitation. j A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter i interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 002 Structure (pipe, ditch, etc.) Retention Pond with Overflow Discharge Receiving Stream: Sycamore Creek (Big Lake); Class B; NSW Describe the industrial activities that occur within the outfall drainage area: Asphalt Plant operations and 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Medium Tan 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 10 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: Ol 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 7 [1 9. 10 3 Is there any foam in the stormwater discharge? 4 5 Yes Is there an oil sheen in the stormwater discharge? Yes Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe None Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: httR//norta1.ncdenr.ore/web/Ir/npdes-stormwater/ Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G/ 1 / 6 /0 / 1 /0 / 9 / Facility Name: Fred Smith Company - Westgate Asphalt Plant County: Wake Phone No. 919-783-5700 Inspector: Austin Pate- WithersRavenel Inc. Date of Inspection: 10/26/2018 Time of Inspection: 1145 Total Event Precipitation (inches): 1_01 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑■ Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). performed during a "representative Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be 1 p g p storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter 1 interval is representative for local storm events during the sampling period, and the permittee f obtains approval from the local DWQ Regional Office. i By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 003 Structure (pipe, ditch, etc.) Retention Pond with Overflow Discharge Receiving Stream: sycamore creek (Big Lake); class B; NSW Describe the industrial activities that occur within the outfall drainage area: Asphalt Plant operations and Recycled Asphalt Storage 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: very Light Tint of Brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: l0 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: l0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe None Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 Tt Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out th isform, please visit: http://portal.ncdenr.org/web/Ir/nudes-stormwater/ Permit No.: LV/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: Facility Name: Fred Smith Company -Westgate Asphalt Plant County: Wake Phone No. 919-783-5700 Inspector: Austin Pate - WithersRavenel Inc. Date of Inspection: 10/26/2018 Time of Inspection: 1�30 Total Event Precipitation (inches): 1_01 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑■ Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring'to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 004 Structure (pipe, ditch, etc.) Retention Pond with Overflow Discharge Receiving Stream: Sycamore Creek (Big Lake); Class B; NSW Describe the industrial activities that occur within the outfall drainage area: Asphalt Plant operations and Recycled Asphalt Storage 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light Brown 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids: O 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe None Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 02/22/2018 CERTIFICATE OF COVERAGE NO. NCG16 0 1 0 9 FACILITY NAME Fred Smith Company -Westgate Asphalt Plant COUNTY -Wake PERSON COLLECTINGSAMPLES Martin Richmond LABORATORY ESC Lab Sciences Lab Cert. fJ ENv375 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 4 Period 2 SAMPLE PERIOD ❑■ Jan -June ❑ July -Dec or_❑ Monthly'__ _ _- (monthl DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA *Other Class B; NSW PLEASE REMEMBER TO SIGN ON THE REVERSE a 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 01/29/2018 1.89 54.0 002 01/29/2018 1.89 69.3 003 01/29/2018 1.89 40.8 004 1 /29/2018 1.89 16.3 No discharge this period?2 RECEIVED JUN 20 Z018 CENTRAL FILES DWR SECTION 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 nrl 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 1, 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 =__> _ - 1S mg/L 100 mg/L or 50 mg/L 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 Q 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 inf rmation, 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 s tting false information, including the possibility of fines and imprisonment for knowing violations." 02/2212018 t9ignature of Permittttlee) (Date) Permit Date: 10/1/2A14-9/31/2019 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 OFCOVERAGENO. NCG16-00109- FACILITY NAME Fred Smith - Westgate Asphalt Plant —COUNTY--Wake- PERSON COLLECTING SAMPLES Matt James LABORATORY ESC Lab Sciences Lab Cert. # ENV375 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results 09/22/2017 SAMPLE COLLECTION YEAR YEAR 4 PERIOD 1 SAMPLE PERIOD._❑Jan-June—®July-Dec- - - - or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]Watersupply [:]SA ❑X Other B NSW PLEASE REMEMBER TO SIGN ON THE REVERSE 4 No discharge this period?Z 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 No Flow 002 No Flow 003 08/08/17 0.30 44.4 004 08/08/17 0.30 14.4 ' 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. 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 1, 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?z Outfall No. --"- "--- Date Sample -Collected - - -Collected' - (mo/dd/yr) 24-hour rainfall amount, - inches ----ub GbyEP— Non -polar O&G by EPA 1664 (SGT-HEM) _ -------- ----- Total Suspended Solids -Benchmarks===> —" _ — _ — — - 15 mg/L 300 mg/L or SO mg/L 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 oriainal 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 "I certify, under penalty of law, that this document and attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified ersonnel properly gather a9d evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dir o Bible for Bathe g tthe information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that e e sip ificant pe ies for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) 09/22/17 (Date) SWU-252, last revised 9/17/2014 Page 2 of 2 Permit Date:10/1/2014-9/31/2019 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 04/06/2017 CERTIFICATE OF COVERAGE NO. NCG16 00109- _ FACILITY NAME Fred Smith - Westgate Asphalt Plant COUNTY Wake PERSON COLLECTING SAMPLES Matt James LABORATORY ESC Lab Sciences Lab Cert. if ENV375 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 3 Period 2 SAMPLE PERIOD ® Jan -June []July -Dec or []Monthly' March (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [-]Watersupply ❑SA RECEIVED ❑Xother BNSW APR 1 0 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE CENTRAL FILES DWR SECTION No discharge this period?z 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 No Flow 002 03/14/17 0.72 34.5 003 03/14/17 0.72 47.5 004 02/15/17 0.34 17.2 ' 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. 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 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 I, 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?Z Outfall No. --------'—^— Date Sample i ---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 �— T 100 mg/L or SOmg%L 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 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 tt,Waye significant penalties for submittog-false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date:10/1/2014-9/31/2019 04/06/17 (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. NCG16 00109 FACILITY NAME Fred Smith - Westgate Asphalt Plant COUNTY Wake _ PERSON COLLECTING SAMPLES Matt James LABORATORY ESC Lab Sciences Lab Cert. q ENV375 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results 04/06/2017 SAMPLE COLLECTION YEAR Year 3. Period 2 SAMPLE PERIOD ® Jan -June ❑July -Dec or ❑ Monthly' February (month) DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA ❑Zero -flow ❑Water Supply [:]SA EROther B NSW PLEASE REMEMBER TO SIGN ON THE REVERSE a ❑ No discharge this period?Z 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 No Flow 002 No Flow 003 No Flow 004 02/15/17 0.34 17.2 ' 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 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 B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period?Z Outfall----- -" ---- - Date Sample 1--" "--Collected (mo/dd/yr) 24-hour rainfall - - - — amount, 3 Inches -- -- Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids -Benchmarks 15 mg/L 100 mg/L or 50 mg/L 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 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 gatheri g the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware fjiOthere are significant p ies for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 04/06/17 (Date) SWU-252, last revised 9/17/2014 Page 2 of 2 Permit Date:10/1/2014-9/31/2019 Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 05/31/16 CERTIFICATE OF COVERAGE NO. NCG16 0109 _ FACILITY NAME Fred Smith Company - Westgate Plant COUNTY Wake PERSON COLLECTING SAMPLES Matthew James LABORATORY ESC Lab Sciences Lab Cert. q ENV375 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 2 Period 2 SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ Monthly' (month) ��Ipl,';GHA GINGTOCLASS ❑ORW ❑HQW [:]Trout❑PNA K ��JJ T� ❑Zero -flow ❑Water Supply ❑SA JUN 0 6 2016 [x]Other B; NSW CENTRAL FILES 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/L 001 NO FLOW 002 05/06/16 0.68 36.0 003 05/06/16 0.68 54.7 004 05/03/16 0.44 29.5 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 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. n No discharge this period?Z Outfall-No. Date Sample i Collected (mo/ddfyr) __ 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/L4 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 [XI NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REOUIRED BY THE PERMIT? YES [X] NO ❑ REGIONAL OFFICE CONTACT NAME: John Holly Mail an oriainal 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 ar4ignificant penalties fo> itting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of 11114 (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 01/26/15 CERTIFICATE OF COVERAGE NO. NCG16.0109 _ FACILITY NAME Fred Smith Company - Westgate Plant COUNTY Wake PERSON COLLECTING SAMPLES Matthew .lames LABORATORY ESC Lab Sciences Lab Cert. a ENV375 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Year 1 Period 1 SAMPLE PERIOD .❑ Jan -June [X] July -Dec or ❑ Monthlyl (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA []Zero -flow ❑Water Supply ❑SA [x]Other B; NSW PLEASE REMEMBER TO SIGN ON THE REVERSE 4 A.•, '`.� r .-:r ExDate'SaRmpler,�, '��`+�(mo/dd/Yr) {,rr5 '�hourramfall c-. Inchesr t, t � Mr asfi r� ��:-4*" ar^i res#', otal Suspended Solids Benchmarks > N001 .._ ;may y'41 `1�3 '100 mg/Lzor SO mg/L�,� _; NO FLOW 002 NO FLOW 003 12-22-14 0.40 52.0 004 11-17-14 0.22 7.1 No discharge this period?2 RECEIVED FEB 2 5 20,15 CENTRAL FILES CWR SECTION 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceed ance forth e 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 ma/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 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. n No discharge this oenod?z -- --� 4-F "Date Sample»- -�24 hour rainfall 4: —�--- ��-^s'¢? u-�-r,:".'�,- ��i Outfall No Collected' ' amount -�` 3 I Non pola-'O&G by EPA' a ; �;;1664! SGTHEIVI �( rTotal Suspended Sohdssa Sblid ches3? .?'< ) � rHrended , Benchmarks.," � � ...? it is �z''t'> r :,yA��,y ; �* ° r n.L"'cir 'k!ggy15rmg/Ln��(.]�'�y�a.3I �GfYin:-..fro /rMI.S SSi�ijV -'.i 100 mg/L arr50 mg/L 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 PARTA 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 [XI 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 perso directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aw��t here are significan>�lties for submitting false information, including the possibility of fines and imprisonment for knowing violations." i Permittee) Permit Date: 10/1/2014-9/31/2019 -3//4r- (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 09-14-2015 CERTIFICATE OF COVERAGE NO. NCG16 0109 SAMPLE COLLECTION YEAR Year 2 Period 1 FACILITY NAME Fred Smith -Company Westgate Plant SAMPLE PERIOD ❑ Jan=June M July -Dec COUNTY Wake or ❑ Monthly' (month) PERSON COLLECTING SAMPLES Matthew James DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY ESC Lab Sciences Lab Cert. # ENV37`ECE �E]O ro-f loWNS Water Supply ❑SA IVED Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SEP 1 " PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL ";LES DWR SECT! )' ❑ No discharge this period?' Outfall No. Date Sample Collected r (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L 001 08-31-15 1.37 20.0 002 08-31-15 1.37 44.7. 003 08-31-15 1.37 30.3 004 08-31-15 1.37 17.9 RECEIVED SEP 17 2015 CENTRAL FILES DWR SECTIOA' ' 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 mR/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 WVehicleMaintenance 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/L4 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 ❑ NO [XI IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coov 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 awar#that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." f�7 e of Permittee) (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 (E)MR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 05-08-2015 CERTIFICATE OF COVERAGE NO. NCG16 0109 _ _ FACILITY NAME Fred Smith Company Westgate Plant COUNTY Wake PERSON COLLECTING SAMPLES Matthew .lames LABORATORY ESC Lab Sciences Lab Cert. # ENV375 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results RECEIVED MAY 14 Z015 r CENTRAL FILES DWR SECTIpN SAMPLE COLLECTION YEAR Year 1 Period 2 SAMPLE PERIOD K Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA [x)other B; NSW 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/L 001 NO FLOW 002 NO FLOW 003 03-14-15 0.30 31 004 03-15-15 0.30 11 ' 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/l/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. n No discharge this period?Z Outfall No. Date Sample r 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/L 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 [XI IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one coov 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 gat he _evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those pers s directly responsible for ering the information, the information submitted is, to the best of my. knowledge and belief, true, accurate, and complete. am avAWhat there are signifi penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature ermittee) (Date)�� Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 STORM WATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCG160109 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014 Year 5 — Period 2 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FA_CILITY_NAME: Plant # I - Fred Smith Company COUNTY:_ Wake PERSON COLLECTING SAMPLES: Matthew James - Withers & Ravenel Inc. PHONE NO. (919) — 783-5700 CERTIFIED LABORATORY: ESC Lab Sciences Lab # ENV375 Monitoring Requirements Outfall- �No. -- Date Sample Collected, mo/dd/ r Total Rainfall, inches 00530 00400 00556 ," Total Suspended. Solids, mg/1' - ` PH, - Standard units TotalPetroleum Hydrocarbons, mg/I EPA Method 1664 SGT-HEM Benchmark -- 100 Within 6.0 — 9.0 - 15 001 03/07/2014 1.72 NO FLOW NO FLOW NO FLOW 002 03/07/2014 1.72 4.4 6.5 <6.7 003 03/07/2014 1.72 64 6.4 6.8 004 03/07/2014 1.72 22 6.3 <6.2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. Mail original and one copy to: RECEIVE® Division of Water Quality Attn: Central Files APR 0 $ 2014 1617 Mail Service Center CENTRAL FILES Raleigh, North Carolina 27699-1617 DWQ/BOG 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." (Signature of Permittee) 03/28/2014 (Date) S W U-252-051409 Pal-e I of 1