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Home My WebLink AboutNCG160117_MONITORING INFO_20190503--Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Pe mit No. NCG160000 -Asphalt Date submitted Y/ ,fv/ CERTIFICATE OF COVERAGE NO. NCG16 0 L L 7 SAMPLE COLLECTION YEAR FACILITY NAME lely;6 4' t/aW SAMPLE PERIOD ® Jan -June _❑ July -Dec_ -- --COUNTY — --C R P.?r7 S--" -- — — _.— REC V C:flJ -- or [:]Monthly'_ (month) PERSON COLLECTING SAMPLES r7At/iD Flt aril r/9 MAY O 3 ZODISCHARGING TO CLASS ❑ORW ❑HQW ]Trout ❑PNA LABORATORY m9w Lab Cert. It fllz ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: CEP. I"itNL FILES ❑Other DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE -) 11 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 of 1-- oY os. �9 �• I c 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 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/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, inc/udina 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 aie significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature 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 -71fAily r � CERTIFICATE OF COVERAGE NO. NCG160117 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Blythe Construction Inc -Concord ��'� AMPLE PERIOD ❑ Monthly' ZJanjune ❑ July -Dec (month) COUNTY Cabarrus - V lJ PERSON COLLECTING SAMPLES David Fleming JUL 31 2018 DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA LABORATORY N/A Lab Cert. It N/A ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: N/A CENTi2r\L FILES ®Other C DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE --> ® 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/L4 001 N/A N/A No discharge 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. 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 -- OutfalLNo. - -- Date Sample -i - -� -- --- Collected (mo/dd/yr) 24-hour rainfall - -�- -- - amount, 3 inches Non -polar O&G by EPA 1664(SGT-HEM)_,^—_..__------ Total Suspended Solids 'Behchmarks =__> - 15 mg/L 100 mg/L or 50 mg/L° N/A 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 (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." (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 Per it o. NCG160000 -Asphalt Date submitted CERTIFICATE OF COVERAGE NO. NCG160117 FACILITY NAME Blythe Construction Inc -Concord -COUNTY Cabarrus PERSON COLLECTING SAMPLES Steve Nearhood LABORATORY ALS Environmental Lab Cert. # 527 Comments on sample collection or analysis: N/A Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) CDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other C FEB 0 6 2018 CEN��i" F14�a PLEASE REMEMBER TO SIGN ON THE REVERSE 4 0WR iicrnl0N No discharge this period?' Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L4 001 12/20/2017 0.5" 18.5 mg/L 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. 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. F- No discharge this period?Z _ . Outfall No.. - -- Date Sample_ -Collected' (mo/dd/yr) _ 2.4-_hour rainfall _- amount, s Inches ._. __ --. - -- Non -polar O&G by EPA 1664 (SGT_HEM)__--- - - - -- •- -- ---' -- - Total Suspended Solids '-Benchmarks = => J - - 15 mg/L 100 mg/L or 50 mg/L° N/A 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 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." / A s �L (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 :�// f/f Z CERTIFICATE OF COVERAGE NO. NCG160117 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Blythe Construction Inc -Concord SAMPLE PERIOD-Z-Jan-June ❑7uly-Dec COUNTY Cabarrus - ®® - or ❑ Monthly' (month) ro PERSON COLLECTING SAMPLES David Fleming e( DL5CHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Xenco Laboratories Lab Cert. # N/A ❑Zero -flow ❑Water Supply []SA Comments on sample collection or analysis: N/A MAY 2 3 2017 ®other C CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results No discharge this period?Z Outfall No. Date Sample .Collected' (moldd/,yr) _ 24-hour rainfall amount, - Inches; - Total 'Suspended Solids - Benchmarks =__> - 100 mg/L or 50 mg/L' 001 04/06/2017 1.2" 76.7 mg/L 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. 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 R: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. i ❑ No discharge this period?Z - - - Outfall.No. ._ Date Sample - — r--- 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 N/A 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 JZ 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." = /S / (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 Per i No. NCG160000 - Asphalt Date submitted / CERTIFICATE OF COVERAGE NO. NCG160117- SAMPLE COLLECTION YEAR 2016 FACILITY NAME Blythe Construction Inc -Concord SAMPLE PERIOD_❑ Jan -June -❑ July -Dec COUNTY-Cabarrus- — _ or ❑ Monthly' (month) PERSON COLLECTING SAMPLES David Fleming DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA LABORATORY ALS Environmental Lab Cert. p 527 ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: N/A RECEIVE® ®Other C FEB 2 g 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILET. Part A: Stormwater Benchmarks and Monitoring Results DWR SECTIO ❑ No discharge this period?Z Outfall No. Date Sample i Collected. (mo/dd/yr) 24-hourrainfall amount, Inches3 Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L4 001 12/06/2016 0.25 15.5 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. '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 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?' 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 l00 mg/L or 5o mg/0 N/A 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 (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." 2 � � (Da(e) 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 (L)MR) for North Carolina DEMLR General Permit No. NCG160000 - Asphaltz Date submittedy—/G t�� i CERTIFICATE OF COVERAGE NO. NCG160117 FACILITY NAME Blythe Construction Inc -Concord COUNTY Cabarrus PERSON COLLECTING SAMPLES N/A LABORATORY N/A Lab Cent. It SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ®Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ® Comments on sample collection or analysis: Sample collected on Other C 11/02/2015 was invalid for being received out of hold time for TSS test �: parameter and therefore could not be analyzed for TSS. The sample RECEIVED PLEASE REMEMBER TO SIGN ON THE REVERSE 4 was obtained as soon as feasible upon discovery. All 1 5 2016 Part A: Stormwater Benchmarks and Monitoring Results 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 N/A N/A No Discharge ' 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. 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. Q 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?2 Outfall No. Date Sample 3 _ C_ollected_ _ /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 N/A 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of 9 /6 (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 CERTIFICATE OF COVERAGE NO. NCG160117 SAMPLE COLLECTION YEAR 2015 FACILITY NAME Blythe Construction Inc -Concord SAMPLE PERIOD ❑ Jan -June ® July -Dec COUNTY Cabarrus or ❑ Monthly' (month) PERSON COLLECTING SAMPLES NLA DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY N/A Lab Cert. # N/A RECEIVED ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: Sample collected on FEB 0 ZUIb 11/02/2015 was invalid for being received out of hold time for TSS test parameter and therefore, could not be analyzed for TSS. The sample CENTRAL FILES was obtained as soon as feasible upon discovery. DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results ®Other C 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, Inches' Total Suspended Solids Benchmarks ===> _ - 100 mg/L or 50 mg/L° 001 N/A N/A Sample collected on 11/02/2015 was invalid for being received out of hold time for TSS test parameter and therefore, could not be analyzed for TSS. The sample was obtained as soon as feasible upon discovery. 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 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. 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 N/A 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 ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, includinq 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." (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 24 /G CERTIFICATE OF COVERAGE NO. NCG160117 FACILITY NAME Blythe Construction Inc -Concord COUNTY Cabarrus PERSON COLLECTING SAMPLES N/A LABORATORY NIA Lab Cert. # N/A Comments on sample collection or analysis: Sample collected on 11/02/2015 was invalid for being received out of hold time for TSS test parameter and therefore, could not be analyzed for TSS. The sample was obtained as soon as feasible upon discovery. 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 [_]Watersupply ❑SA ®Other C 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 N/A N/A Sample collected on 11/02/2015 was invalid for being received out of hold time for TSS test parameter and therefore, could not be analyzed for TSS. The sample was obtained as soon as feasible upon discovery. 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 mg/L where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier1; or Tier 3 responses. See General Permit text. 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 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 N/A 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 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." le (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 .p/3/iE CERTIFICATE OF COVERAGE NO. NCG160117 FACILITY NAME Blythe Construction Inc -Concord COUNTY Cabarrus - - - --- - PERSON COLLECTING SAMPLES NA LABORATORY NA Lab Cert. # NA 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) Int:�a�'vVi. iARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA V ❑Zero -flow ❑Water Supply ❑SA AUG 0 2015 ®Other C [)WRL FILES SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ® No discharge this period?z Outfall No. Date Sample Collected Iamount, (mo/dd/yr) 24-hour rainfall Inches' Total Suspended Solids Benchmarks ===> - - 100 mg/L or 50 mg/L' 001 NA NA No Discharge 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. 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. ❑ 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/L4 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 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 oriqinal and one copv of this DMR, including all "No Discharae" resorts. within 30 days of receist of the lab results for at end of monitorina Period in the case of "No Discharae" resorts) 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." �3 is (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 CERTIFICATE OF COVERAGE NO. NCG16 0117 FACILITY NAME Blythe Construction, Inc.- Concord COUNTY Cabarrus PERSON COLLECTING SAMPLES Steve Nearhood LABORATORY ALS GROUP USA. CORP Lab Cert. # 624- 2014 Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® Oct -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other C PLEASE REMEMBER TO SIGN ON THE REVERSE4 ❑ 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/L4 001 30/1/2014 0.2 14.2 mg/L RECEIVED . rE6032015 CEN7Rpl FI DWR SECI-10N ' 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 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/L4 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 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 ariainal 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." /--49/S (Date) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERIMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCG160II7 FACILITY NAME Blvthe Construction, Inc. — Concord PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Lab # A Lab # ?V AA Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: Mar -Aug 2014 (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.) - -- COUNTY Cabarrus PHONE NO. (704) 375-8474 RECEIVED FEB 0 CENTRAL FILES DWR SECTION RECEIVED FEB 0 'L 2 L o CENTRAL FILES DWR SECTION Outfall No. Date Sample Collected, mo/dd/vr Total Rainfall, inches 00530 00400 00556 Total Suspended Solids, mg/1 pH, Standard units Total Petroleum hydrocarbons, mg/1 EPA Method 1664 (SGT-IIEM) Benchmark' - - 100 Within 6.0 — 9.0 15 001 N/A N/A No Flow ' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: 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 /�:t- 7//S (Date) ) S W U-252-051409 STORIIWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DNIR) CERTIFICATE OF COVERAGE NO. NCG160117 FACILITYNAME Bhvthe Construction, Inc. —Concord PERSON COLLECTING SAMPLES Cl, RTIFIED LABORATORY Lab 9 Lab 4 Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: Mar-Aue 2014 (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.) COUNTY Cabarrus RECEIVED NO. (704) 375-8474 OCT 07 2014 CENTRAL FILES DWR SECTION Outfall No. Date Sample Collected, nto/dd/yr Total Rainfall, inches 00530 00400 00556. Total Suspended Solids, mg/1 pit, Standard units Total Petroleum-Ilydrocarbons, mg/I EPA Method 1664 (SGT-HEM) Benchmark' - 100 Within 6.0-9.0 IS - No Flow During Monitoring Period ' If a value is in eseeu of the benchmark. or outside the benchmark range (for pH), you must implement the Tier 1 or "Pier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANN' LNFOWMATION REPORTED: "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." . '65yte�2/6 .� ,. (Signature of Per d /oz,�i4-"L (DateY SN'U-252-051409