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NCG190023_MONITORING INFO_20130618
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v o Q DOC TYPE ❑ HISTORICAL FILE C MONITORING REPORTS I U Co DOC DATE ❑ YYYYM M DD N Tom THE FINEST IN OFFSHORE SPORTFISHIN6 BOATS June 18, 2013 North Carolina Department of Environment & Natural Resources Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: General Permit NC 190000 Regulator Marine Permit # NCG190021 Chowan County OCOC Monitoring Requirements 101 Dear Central Files: Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely. of Erik R. Wiborg Facilities Manager Enclosures www,regui atertnarine.coni 187 Peanut Drive • P.O. Box 49 • Edenton, North Carolina 27932 • 252.482.3837 REGULATOR MARINE, INC. MR. ERIR WIBORG P.O. BOX 49 EDENTON ,NC 27932 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/l Oil & Grease (HEND, mg/l Aluminum, ugA Copper, ugA ead, ug/l Line, ug/l O Stormcater Analcsis Method Discharge Date Analyst Code 8.0 05/31/12 TRB S..N14500HB <2.8 05/31/12 HLB S312540D <5.0 06/01/12 SEJ EPA1664A <100 06/05/12 LFJ EPA200.7 .10 3 06/05/12 LFJ EPA200.7 <5.0 06/12/12 MEL S.\13113B z)k318 06/05/12 ADD S.N131l1B ID#: f DATE COLLECTED: 05/30/12 DATE REPORTED : 06/14/12 REVIEWED BY: RECEIVED JUN 18 2012 Environment 1, Inc. P.O. Box 7085, 114 Oakmont Dr. Greenville 7858 CHAIN OF CUSTODY RECORD Page 1 of 1 Phone (252) 756-6208 • Fax (252) 756-0633 DISINFECTION CHLORINE CHLORINE NEUTRALIZEDAT COLLECTION CLIENT: 32 Week: 19 UVREGULATOR WAA pH CHECK (LAB) MARINE, INC. MR. ERIKWIBORG NONE CONTAINER TYPE,P/G P.O. BOX 49EDENTON NC 27932 CHEMICAL PRESERVATION (252) 482-3837 w 5 A - NONE D-NAOH 0 o Q o Z 0 B -HNO, E -HCL COLLECTION tyUWyy U w¢ x N `: km" C -H,SO, F - ZINC ACETATE 2i O tR a 'k-' g � •� a `F V O 5 G-NATHIOSULFATE SAMPLE LOCATION DATE TIME ,°� Stormwater Discharge 5AO12- AJ 4 CLASSIFICATION: WASTEWATER(NPDES) DRINKINGWATER Ij DW(LGW SOLID WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING SHIPMENT/DELIVERY N SAMPLES COLLECTED BY: (Please Print) iK le. 201600� SAMPLES RECEIVED IN LABAT_(O , -C RELI ISHEDB SI )(SAMPLER) D TERIME RE V DBY(SI . DATEMME COMMENTS: RELINQUISHED BY (SIG.) DATFITIME RECEIVEDBY(SI . DATEiT1ME RELINQUISHED By (SIG.) DAT17T1ME RECEIVED BY (SIG) DATEMME ASE READ Instructions for completing this form on the reverse side. Q Sampler must place a "C" for composite sample or a "G" for------------------- 237681 Grab sample in the blocks above for each naramatar roni ioeto Environrnen c. ,CHAIN OF CI )ODY RECORD (0 P.O. Box 708 Oakmont Dr. 2Page 1 of G. illy. VC_,.2 Phone 252) 756-6208 •Pax �-� (-- (252) 756-06 ? CLII;"NT:32 Week:19 DISINPECPION CHLORINE UV CHLORINE NEUiRAUZEDATCOLLECTION i r. pHCHECK (LAB) P P +G. P P CONTAINER TYPE,P(G REGULATOR MARINE, INC. MR. ERIK WIBORG P.O. BOX 49 EDENTON NC 27932 NONE . A A C A A - CHEMICAL PRESERVATION A - NONE D -NAOH a (252) 482-3837 COLLECTION��—,-' z Qo w Q D o a �o w s ID,`- rP ate'- O o I -- p� it c. .9 i % I I i E HNO, E- HCL C -HSO. F-ZiNCACE-WE I G-DNA nICSULrA7E SAMPLE LOCATIOI•! DATE TIME Stormwater Discharge 13012- �. 4 CLASSIFICATION: IVASTEW'ATER:NPDES) VA:icR DVdCeGVt' SOLID4VASTESECi%O:d I ) -- CHAIN OF CUSTODY IAAINT-.INED -_ DURING SHIPMENT?DE EERY ( _ I SAMPLES0.)LLECiEDBY. ` (Please Print) I i SAMPLES REMVED IN LAB At 1C =:Stir«itSN/EDBy(SIG I(S?bdPf.i=R) . �DA3Fli1WE __1_ RFCEN'EDBY(SIG.) DATbT1MEl cS��4MEWS: - RELINQUISHED BY (SIG.) DATEMME RECEIVED BY(SIG.) )ATFJI IME - ---- _ afin — - REUNCUISHEDBY(SIG.1 DATETIME RECEIVED B'�'(S&) --DA1Er11NiE ------ PLEAS_ READ Instructions .or comDletino this forth on The reverse side. i Sampler must place a -C" for composite sample or a "G' for e 'E: �.(_b sample fie blocks rrequested.N _ 2 3 7 6 81 o�.r„ xs ------ • �� = ple in t. k, ,baia roi each parameter N • u STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year � 1 Z General Permit No. NCG190000 Certificate of Coverage No. NCG192R[ This monitoring report summary Is due to the DWO Regional office no later than 30 days from the date the fadlity receives laboratory sampling results from the final sample of the calendar year. Facility Name: County: C! Phone Number: Total no. of SDOs monitored Outtall No. O /_ Is this outtall currently in Tier 2 (monitored monthly)? Was this outfall ever In Tier 2 (monitored monthly) during the past year? H this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other R Yes ❑ No Yes ❑ No SL SW U-2S0NCGi 9.092309 C C M Additional Outfall Attachment Outfail No. Is this outfall currently in Tier 2 (monitored monthly)? Was this outfali 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 DWQ to reduce monitoring frequency ❑ Other ❑ Yes ❑ No ❑ Yes ❑ No ❑ '��L�9 S �•.*' .F— _'4'zyks -.tea SWU-250NOG19-092309 •I certify, under penalty of law, that this document and all attachments were prepared under my direction Oor 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 penaltles for submitting false information, including the possibility of fines and imprisonment for knowing violations." N N Mail Annual DMR Summary Reports to: DWO Reatonal Office Contact brformation: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 683-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 2090 US Highway 70 225 Gree'n.Street Swannanoa, NC 28778 Systel Building Suite 714 (828) 296-4500 Fayetteville, NC 28301-5043 i (910) 433-3300 RAL$IGfd-R13(�ONALOF 3800 Barrett Drive Raleigh, NC 27609 I (919)791-4200 943 Washington Square M Washington, NC 27889 I (252)946-6481 j 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 1 i 1617 Mail Service Center Raleigh, NC 27699-1617 . (919) 907-6300 610 East Center AvenuelSuite 301 Mooresville, NC 28115 j (704) 663-1699 avi:�nf3G�Nx�ctP A1.rQ��-, 127 Cardinal Drive Extension j Wilmington, NC 28405-2845 (910) 796-7215 I P(O nreW i� fltoth �'d/R33 5 ivaiar SWU-250NCG19-092309 ® STORMWATER DISCN-ARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG190000 CERTIFICATE OF COVERAGE NO.NCC19 OWy FACILITY NAME RC7i1� MWIN£ PERSON COLLECTING SAMPLE(S) (R/K r Ni,64W4 CERTIFIED LABORATORY(S) CNd:ja VmCNi / Lab # TZ Lab # Part A: Specific Monitoring Reouirements SAMPLES COLLECTED DURING CALENDAR YEAR: ZO/Z- (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY e.-1966 737 (SIGNATURE OF PER ITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge Outfall s Date g`-rA f V c '50050 ; 00556 y a C! '00530 00400 1 y ti Not y ;.n 7 '" 'Sam pie i 1...,_ .' xTotalrFlow Od "and Cr Total Sr1 P ,ttiv s New Motor .) 3 x (Collected �"°` d 1 t .••pr"T- y'. f f,'S. ::x ,-.�+at F-� CreaseM )S- ,Sus ended n P y 1 > r r: 5„'Oil Usage i-��u ll+ir G+a4v_ §?•-e....r r;� -J s°� • x d, _+'..._ ^MG.,._...`'^>`^?� m /Iw_c..° ..� a unit 1-_°�; �. .r aVmo�� ZZ, 8 , v .rr ' Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling. STORM EVENT CHARACTERISTICS: (if more than one storm event was sampled) Mail Original and one copy to: Date ,J-3o—/Z Date Division of Water Quality Total Event Precipitation (inches): D Total Event Precipitation (inches): Attn: Central Files Event Duration (hours): /, 23 Event Duration (hours): 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for (Signature of Permittee) 7c7—/ (Date) Form SWU-253-071400 Page I of I O Figure 5-3 REGULATOR MARINE STORMWATER QUALITATIVE MONITORING FORM Inspector's Name: �,e/,e oe Date and Time: 5 "30 Z- A 4�Inspec`hon ='`weathearY,a A,PPfOz" -`,ti,yb I,�Prese of r E�ssepce of 1 fir` 4' I' ,Other�obvtous E.� `'rnc�i •a flowdmithts• c. ixtlow?rti �� Colort,S. ceiof foam! Y/N.:� .�enee� Mo6mhshe�en i'RPresence -0otloatingisolids ,, RswusQendedi i �wOdor �(, iClanty F ,.,.r.,Yrt mdtcators of storm`) .3Locatton > .;.-.' �n+ - '`:) ,. ��(gal/mm) ., t� yy )K ;..:. ?SIN) +: 1� 1(Y/N); ?r ,� sohds`f(,Y/N) +'fr-+s.-: r +- ' y, ,•a,. water. alluhon 'l.' • ,area.l ,Y/N -.cc max. ,a .F^.' ,1 _ .: •� a. ,.... T. .. r'-ti= .,.. :� _, ,9 ^.', s -pft—r Oulfall 001 /V 463 NU r(/O /yn ^/o /vv /ve) Outfa11002 NLI) 22 26/o No No /Va r141 /!t il'o N /Vo a Outfall 003 r�, /No qr/ �J'f075 �J NL) Or �� /✓d 0 f'D COMMENTS: ' NEX7 -A Page I of 1 Storm water flow calculation Regulator Marine, Inc. OEdenton, NC Sample Date:_May 30,201 Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 1 1.77 77,101 48,063 002 0.82 35,719 22,266 003% 1.46 63,598 39,645 Sample Date: Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft2) Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Total Precipitation Impervious Impervious Calculated Outfall (in) Area (acre) Area (ft2) Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 EN x W Figure) O Stormwater Control Inspection Form Regulator Marine, Inc. Insi,ectoes Name: c J C L . �✓/��L Date and Time: S - '3� •- / Z YapMlon Locatbn .-�. r �N+ tabaey Yntic rna1M Y keen :a f6 V. iHa nary -,1 'coinalnmanbabe9. »+ y] r. cAnabn crack• lr",j nuct nl0�bcb in o onalnal' a r,nrr!3_....d.- ,fY'M tM k{ ear tnlimmil eaYcb lnxc eary - mulnm{mi- In. : ...4Yr 1 u� 11-. hb pry. beYi M.::( IPnw tt aecmaary •� ulnmarn anununii. . r ., r '�.u.,r_�1 1PnYM{a( tnWeekH� 1YINI 2 _ P rKaW nopen Mainers I'- IS�3 rl -1FnM ; we mauHaY vwee onlebl pnp i .`inn lYlN1 i Pn a1 m1MYY ,eWlYe ouWM., r wan tvMi ,r y' 1 -L 1 !fib aaNws nekatsn of �f Nomnabi Wan f No il/v /t/0 f/tS /vo A/o /vo Comments: /V 0 s� S C['q,c S O!r AeAr, S' - Actions Taken: P+tniaf Tom THE FINEST IN OFFSHORE SPORTFISHIN6 SORTS June 18. 2013 North Carolina Department of Environment & Natural Resources Central Files Division of Water Qualir\ 1617 Mail Service Center Raleigh. NC 27699-1617 Subject: General Permit NC 190000 Regulator Marine Permit # NCG190023 Chowan County OCOC Monitoring Requirements 101 Dear Central Files: Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely. Erik R. Wiborg u Facilities Manager Enclosures v,,v. ,vv.reguIatormarine.com 137 Peanut Drive • P.C. Box 49 • Edenton (do th Carolina 279)2 • _..81 33,7 ��dd[�O�llh�C��lt � �p 0�6OPpOP��C�d REGULATOR MARINE, INC. MR. ERIR WIBORG P.O. BOX 49 EDENTON ,NC 27932 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/l Oil & Grease (HEM), mg/l Aluminum, ug/I Copper, ug/1 ead, ug/1 R6inc, ug/l Stormu ater Anak'sis Method Discharge Date Anatcst Code 8.0 05/31/12 TRB SM4500HB <2.8 05/31/12 HLB S\12540D <5.0 06/01/12 SEJ EPA1664A <100 06/05/12 LFJ EPA200.7 A0 3 06/05/12 LFJ EPA200.7 <5.0 06/12/12 MEL SM3113B 318 06/05/12 ADD SM31 I I B ID#: 32 DATE COLLECTED: 05/30/12 DATE REPORTED : 06/14/12 REVIEWED By: RECEIVED JUN 18 2012 Environment 1, Inc. O. Box 7085, 114 P.14 Oakmont Dr. CHAIN OF CUSTODY RECORD Greenvi11�27858 Phone (252) 756-6208 • Fax (252) 756-0633 DISINFECTION Page 1 of I CLIENT: 32 Ij CHLORINE CHLORINE NEU RALIZEDATCOLLECTION week: 19 U V � Z � pH CHECK (LAB) REGULATOR MARINE, INC. MR. ERIK WIBORG P.O. BOX 49 NONE Ll P P G P P CONTAINER TYPE, P/G EDENTON NC 27932 A A C A A CHEMICAL PRESERVATION (252) 482-3837 w 9 w -- A - NONE D-NAOH tc 0 ¢ O o � a z O a B-HNO, E-HCL COLLECTION a C > Gi C -HzSO, F-ZINCACETATE SAMPLE LOCATION DATE TIME c4 ¢ ¢ LL c4 a F. O 'a 7 0 � G-NATHIOSULFATE [[++nn Stormwater Discharge 5�� 12 9 a CLASSIFICATION: WASTEWATER(NPDES) DRINKINGWATER DWO'GW SOUD WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING SHIPMENT/DELIVERY cEa N SAMPLES COLLECTED BY: (Please Pont) SI )(SAMPLER) /DpTE/T1ME RE V11DBY(SI . DATE/0ME SAMPLES RECEIVED IN LABAT_0•ip 1C COMMEN S: BY(SIG)V DAIUTIME Iresin �t rwi I RECEIVED BY (SIG,) ASE READ Instructions for completing this form on the reverse side7 Sampler must place a "C"for composite sample or a "G"for _- . a 9 17 h A 4 P.O- Bux 708. OaAmanl Dr. Giccnvillc. NC .: /858 UHA1N OF C ODY RECORD Phone 12521 756-62(I8 • Fax (252) 750-0031 DISINITC-110N CHLORINI. CLIFAT: 32 week:19 vd Uv REGULATOR MARINE, INC. NON1: P P G P P MR. ERIK VABORG P.O. BOX 49 EDENTON NC 27932 A A C A A (252) 482-3837z " z tr 0 (D w O 0 ?- 2. COLLECT!GV Z `� w G i x an dl obi 3 %FTE i Stormwater Discharge 1 S/3o�L �, ��y,n ,J 4 I .'E Ei'dE_DPY PECEIrEJ ;Y jS• -, I DAT ET!ME IRECE:ED CHLORINE NEUTRALIZEDAT COLLECTION pH CHECK (LAB) CONTAINER TYPE, P/ , t CHEMICAL PRESERVATION A - NONE D, NACi t B HNO' . E-HC!- uj rl i C - H SO, ZINC AC-D—A L+ NA IHOWL FATE iL CIr,SSIEICAi� `.N 41'fiSlE^iA?L-R(.'dPCFS! i!r,!i .� •,re CHAW OF CUSTDDY I+A.!?dTF.Ir:ED %�Ur;!Nr Sri!?'+.(E�\TiDFi;'✓Ei;" N WNCIiie Pfni SA!di4cS REU-(�TN'IN LAP, AT •C P—LE-'SE— E-)Ins", VvIIGIiC'o. ie-eV2r!!PleI nlist rlF cf, r JfftO -s." Sample or a"C'-Ivr N� 237681 'rGrhta;,i(aL Sample .i ing!il+�h av0.., I' eah paraMeier P&ue:3teG. STORMWATER DISCHARGE OUTFALL (SDO) o ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year b ! Z General Permit No. NCG190000 Certificate of Coverage No. NCGI Qono O©Q N I This m0aftWng sport summary Is due to the DWO Regional Office no later than 30 days from the date the fadlity receives laboratory sampling ohs from the final sample of the calendar year. Facility Name: u 19`1t)A 1y)a,tie S� C County: 1 2 Phone Number: ( ) ygZ - . Total no. of SDOs monitored outfall 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 morHhly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other SWU-25ONCG19-092309 M N Additional Outfall Attachment Outfall No. Is this outfail 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 ouffall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ MULUA • � :.Y1: LE(} y. fin. :�K. Irvµ—c f. -am R, 17 lr� M 1a� swu-250NC019.092309 -1 certify, under penalty of law, that this document and all attachments were prepared under my direction Oor supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for Mail Annual DMR Summary Reports to: DWO Reolonel Office Correct Information: Asheville Office ...... (828) 296.4500 Fayetteville Office ... (910) 4.33-33M Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 W hnirgton Office ... (910) 796-7215 Winston-Salem ...... (336) 771-50oo OCentral Office .........(919) 807-6300 2090 US Highway 70 i Swannanoa, NC 28778 (828) 296-4500 I � � RAT�$iGH-RfitidOlyAliol*FI(;LS 3800 Barrett Dave Raleigh, NC 27609 1 I (919) 7914200 225 Green.Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910)433-3300 3 Washington Square Ad Washington, NC 27889 (252) 946.6481 1Mft6'COI�=BAZr�e(41 REGiO1VA1. Ct3iN'L9tAL OFFIC$ 6FFiCE 1617 Mail Service Center 585 Waughtown Street Raleigh, NC 27699-1617 Winston-Salem, NC 27107 (919) 807-6300 (336) 771-5000 III i 610 Fast Center Avenue/Suite 301 Mooresville, NC 28115 (704) 663-1699 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 7o psev: prutecT__. i�_1WJilA'C.8'Ofli:21`S-»'818t.. i ..I SWU-250NCG19-Mog STORMWATER DISCCRGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO, NCG190000 CERTIFICATE OF COVERAGE NO. NCG19 ZZ3 FACILITY NAME POVCft`1 MWIAX PERSON COLLECTING SAMPLE(S� /ZJK i6 6 CERTIFIED LABORATORV(S)CNJ.iEMljeld)- / Labt#IYZ Lab t# Part A: Specific Monitoring Renni SAMPLES COLLECTED DURING CALENDAR YEAR: ZO/L (This monitoring report shall be received by the Division to later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY e-,*, Py"ONE NO. c95'Z (SIGNATURE OF PER701ITTEE OR DESIGNEE) By this signature, 1 certify that this report is accurate complete to the best of my knowledge OUtfall3 No , u raf ar p n H Sample. r six r 0530 0 [,Total FIowS `� `Od ') F y and ice" Total ��y- ^ + Av v+ PH t �.a `ti"�� yNew Moor t•: s�t�i"�' K" fy�7 ` ga�F �erC�'tt A��='� � ((��--�'d`,�3g"i �C�„'z "` , t -S g 3�'"'as 3 .F �rvr'',�' a , 1 z OII Us ge � pr c" yy.,tr �-'h��•.abh5 .. rJ < y tf r "O u'mo/dd% ra t t "MG` " j _ ,.„.:.,.��,a,m �m 14-,.r:t�!t";m 3 Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling. STORM EVENT CHARACTERISTICS: /z (if more than one stone event was sampled) Mail Original and one —copy Date -30— Date Total Event Precipitation (inches): Division of Water Quality P ( ) Total Event Precipitation (inches): A[tn: Central Files Event Duration (hours): /, 23 Event Duration (hours): 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 lines and imprisonment for knowin v' tions." (Signature of Permittee) S--?0—/Z (Date) Fonn S W U-253-071400 Page I of I Figure 5-i REGULATOR MARINE STORMWATER QUALITATIVE MONITORING FORM Inspector's Name•. �,e/e /P Date and Time: 5 -3D - / Z t Ti¢ isloolnii s-,h�r�diin% '. flowJm tlus s fl0bw, s`s `' 0,10 g3. '"n.'�a' `)?tP� resea , W- ofiod sheen Presence:of ''"`u1�lisdj Sflo-t ng solid �i3Y.:.a�,_w s'enc`eTof ' ' i``' R: Qri - %.._-ills - " '� '•; ,- Other'bbvmus a• ^ '�'*�' ``mnfoaml(�Y/N)pari /N • ,:r;::'^' ' "+""" � ) 1�- ..soarca.�� is( b1;�M)�i�S`.� a... "'�`# .. "� mduatorsofstor�)1 t?. . _a nJ'}1-4 ,i S(s.1.. h � wa ereepoll"s-uo'„ r ."'�I YSY.SY..lHBRf�!.•Yy_ Outi'a11001 NO CVO No o ri dd r :Ou(fa110 078?�6 /N.v Nc IVD A/d �+ 4,0 iV.o'Ale);63 N B Outfall 003 mo %fd D COMMENTS: .5� NEXT / ._ Page I of I Storm water flow calculation Regulator Marine, Inc. OEdenton, NC Sample Date: —May 30,201 C \*1 Impervious Calculated E!J%s r;) Area (ftZ) Flow (gal) .77 77,101 48,063 .82 35,719 22,266 .46 63,598 39,645 Sample Precipitation I Impervious Impervious Calculated (in) Area (acre) I Area (ft) 1 Flow (oal) Sample Date: Impervious Impervious Calculated OutfallArea (acre) Area (ftZFlow(gal) 0011.77 EPrecipl 77,10,0020.82 0031.46 35719 63,598 Sample Date: Total Precipitation Impervious Impervious Calculated Outfall (in) Area (acre) Area (ft) Flow (gal) 001 1.77 77,101 Sample Date: Precipitation I Impervious P ervious ImpCalculated (in) Area (acre) I Area (ft) Flow (oal) 1❑ 101 nqb Figure 5-4 Stormwater Control Inspection Form Regulator Marine, Inc. Int,,,, oYa Nam.: E' /z .. -✓/��G Date and Time: SS -% .- / Z— 4apMlen Locidin ':}y tt'M111( •iWaYenpe aZ a4ndcemWlir4aYad'{cInnwm iil+ _TT:L+`mow.: a-GEA `y`. Wa NCelldnly '� 4abCl �n.f..t .u� AR fIMIn CfaCb IXa111r1� awn rN dalicra loll % '�T"tO11tl4Mri I i_.Y �_d. :..Y-r•-.•I �i �IMeIM N knw W11 4 alruciund d;t" In Nagpa I tY I - wCc.nlalMNnti t,.1' .-w`r.>v`: °.eu{.ln�,� Y 4N IM4NIW WPM. 1 Y,_ i �M ni In Ncabary CD11441mmtaY.Ciejea lZiti:.-.S x�s.�� 1111aN11C101 1�tnYVEa44.- Y- k _���v�.. PlaNll[a 01 1PteNKe ePen .gHIIMra L=�.�i�._t_:.:!�����cw�l��iRi�N -IPIeYIlCe e1 .t mctiM�Ie YeM N ON.d. WVWr 9't'A i an afINtMJa. gply � � .ijj r( %- nl.x iA.v MMTomdua Mlasnan N.I 1 wY�Y.ratnra4ry0Ylfiq, �!m��`-o.. �__.� S•1� No ND Comments: X1G , e;11S- 4('q�'S Actians Taken: N Tom THE FINEST IN OFFSHORE SPORTFISHING BOATS Jan 02, 2013 North Carolina Department of Environment & Natural Resources Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 RCUU ATOR THE FINEST IN OFFSHORE SPORUISHING BOATS Robby Densmore Vice President of Operations 187 Peanut Drive PnONH (252) 482-3837 P.O. lies 49 CFLL (843) 269-5130 Gdenion. NC 27932 Iinwii hnhh)tdennnorrGregulamnnarine.coin I I Isegulatonnarme.com Subject: General Permit NC190000 Regulator Marine Permit # NCG190023 Chowan County OCOC Monitoring Requirements Dear Central Files: Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely, R. Wi Facilities Manager Enclosures e tA C-el www.regulatormarine.com 187 Peanut Drive • P.O. Box 49 • Edenton, North Carolina 27932. 252.482.3837 IAA C��doQo�u�c��� alp ��c�oQpoQa�c�d REGULATOR MARINE, INC. MR. ERIK WIBORG P.O. BOX 49 EDENTON ,NC 27932 Slormwaler PARAMETERS Discharge Analysis Method Date Analyst Code PH (not to be used for reporting) 9.6 12/13/12 TRB 4500HB-00 Total Suspended Residue, mg/1 <3.1 12/13/12 MSG 254OD-97 Oil & Grease (HEM), mg/1 <5.0 12/14/12 SEJ 1664B Aluminum, ug/l <100 12/18/12 LFJ EPA200.7 Copper, ug/1 5 12/18/12 LFJ EPA200.7 ead, ug/I <5.0 12/26/12 NIEL 3113B-04 .inc, ug/l 134 12/20/12 ADD 3111B-99 m ID#: 32 DATE COLLECTED: 12/12/12 DATE REPORTED : 12/27/12 REVIEWED BY: � Environment I, Inc. CHAIN OF CUSTODY RECORD P.O. Bo ZQ" ' 14 Oakmont Dr. I Greenville, NC 27858 Page of Phone (252) 756-6208 • Fax (252) 756-0633 DISINFECTION CHLORINE NEUTHAIREDATCOLLECTION CHLORINE -L pHCHECK (LAB) CLIENT: 32 week:45 IjUV P P G P P CONTAINER TYPE, PIG REGULATOR MARINE, INC. Ij NONE MR. ERIK WIBORG P.O. BOX 49 EDENTON NC 27932 ❑ A A C A A CHEMICALPRESERVATION A -NONE D-NAOH z o (252) 482-3837 w 9 O v B-HNO, E-HCL z c4 ¢ R f z v ��++ C-HzSO, F-ZINCACETATE < w ,� .t = Cu COLLECTION -a 0 o f—" a ° d c G-NATHIOSULFATE SAMPLE LOCATION DATE TIME Stormwater Discharge f1 I Z 4- -'" CLASSIFICATION: WASTEWATER(NPDES) DRINKING WATER DWQrGW SOLD WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING SH ENT/DELIVERY Y N SAMPLES COLLECTED BY: (Nelease Print) Lk/le j. Wllae4 SAMPLES RECEIVED IN LAB AT "C RELINQUISHED BY(SIG.) SAMPLER) DATERME RECEIVE Y SIG.) �� DATEMME COMMENTS: IZeL,? 3.Xj / 3 RELINQUISHED BY (SIG.) DATErIIME RECEIV DBY(SIG.) DATEMME RELINQUISHED BY (SIG.) DATEMME RECEIVED BY (SIG.) DATUTIME CASE READ Instructions for completing this form on the reverse side. Q Sampler must place a "C" for composite sample or a "G" for /\^/, FnAM-MS ('rnh smmnlo in tho hlnrks nhnva fnr Aarh nnmmctnr run..octerl N 1 O �+f C 4 C L 4 u STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year Ze/ Z General Permit No. NCG190000 Certificate of Coverage No. NCG1900 This monitoring report summary Is due to the DWO Regional office no later than 30 days from the date Me fadlity receives laboratory sampling results from the Seal sample of the calendar year. Facility Name: County: Phone Number: 4M ) q87 --3'Y37 Total no. of SDOs monitored Outtall No. Q/ Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [✓j Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No e- lf this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other _ n man OEM= r �inW&M , _ /�//���y�.7_._as�s * JiEr- SW U-250NCG19-0=09 M M Additional Outfall Attachment Outfall No. 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 ❑ H this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ CMW ❑ 005M 00400 00556 1 01119 1 01104 _.::: :;'-:,' 01094 ': ._::01114 Outlail _ Iiehtlail,'' Grease. ' .Ahanhwm,, , anq m L eed, ': ...: �!@9 ;_`m9� Bendmmr* WA 100 6.0-&0 30 1 &W7 1 075 .0.067 ,. 0.03 •1 certify, under penally 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 Date /l Mail Annual DMR Summary Reports to: DWO Realonal Office Contact kdormatlon: Asheville Office ...... (828) 296.4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 683-1699 Raleigh Office ........ (919) 791-4200 Washington Office...(252) 946-Ml Wilmington Offloe ... (910) 796-7215 OWinston-Salem ...... Central Office (336) 771-5000 807-6300 .........(919) 2090 US Iiigbway 70 225 Gree'n.Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704)663-1699 (910) 433-3300 RAL$IGi1' RB(;;iJ111ALO@ 3800 Barren Drive Raleigh, NC 27609 I (919) 791-4200 585 Waughtown Street Winston-Salem, NC 27107 (336)771-5000 u 943 Washington Square M Washington, NC 27889 (252)946-6481 1617 Mail Service Center Raleigh, NC 27699-1617 . (919) 807-6300 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910)796-7215 /'� ^lo preserve; protecl ? .._ i � and aideem:e NCrtKCerObtie: S tvNar... . ' SWU-250NCG19-MO9 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING. REPORT GENERAL PERMIT NO. NCG190000 CERTIFICATE OF COVERAGE NO. NCG19 OOZ 3 FACILITY NAME (( IF&V LATDe tnAelJr PERSON COLLECTING SAMPLE(S) ifigir O CERTIFIED LABORATORV(S) ('Mil4cinmei, 4- I Lab # Z Lab q Part A: Specific Monitoring Reauirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY 61&W*A1 PHS]yEN0. ,?SZ 2-3837 (SIGNATURE OF PERM ftEE OR DESIGNEE) By this signature, 1 certify that this report is accurate complete to the best of my knowledge ,Out all Datee,,4i "..j 50050 per. i? �s;00556 {* 7.,, »I 00530+� a't'o' r".` r00400 - 'No a, tSample !Total Flt wt r" ivivand-` a_-- 'Collected`Grease + *. 1 re iSus endedr F € Iht W'g. ly mo/dd/�MG�. .. _ . _aU mo o a IZ / ` Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling. STORM EVENT CHARACTERISTICS: Date / � Z Total vent Precipitation (inches): Event Duration (hours): (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 k$no/w_lny, 'immolations." (Signature of Permittee) ( ate Form SWU-253-071400 Page 1 of I Figure 5-3 REGULATOR MARINE STORMWATER QUALITATIVE MONITORING FORM Inspector's Name: DateandTime: 101350, W. -11% IM tw -agr7ylgi, rl firarca�Frw @Zlg L ; LIM -a) Elmo ence Lu A10 -760 11-700M so /IVO 1-01 Udo Alp `7 I - 17 OWN; —0 ..Of 0 ffiqd�, CrP.0 WMI� oulfallool Alo 6 (p oq,7 Ajo lovo .410 Outfall 002 A10 -)00 No Alb LOu tfall 003 4/0 A/0 AAP ND A,10 A110 NO No IVD COMMENTS: Page 1 of 1 Scone water now calculation Regulator Marine, Inc. OEdenton, NC Sample Date: Z Z Z Outfall Total Precipitation (in) Impervious Area acre Impervious Area tt Calculated Flow (gal) 001 0.75 1.77 77,101 36,047 002 0.82 35,719 16,700 003 1.46 63.598 29,734 Sample Date: Outfall Total Precipitation in Impervious Area acre Impervious Area fe) Calculated Flaw( al 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Outfall Total Precipitation in Impervious Area acre Impervious Area flz Calculated Flow (gal) 001 1.77 77.101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Data: Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area fie Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 N 0 0 0 Figure 5-4 Stormwater Control Inspection Form Regulator Marine, Inc. Inspecroh Name: er c l'< ' Cm and Time: Z/ F laottbn~+wavy "Or"PS-111 /itltrt a�acp(iM r r•. NO ninpi.cam', �camimwmb n eartalm•m'/ rylh _ YeR':-"73'RIST.k IBM NO i_ _p:P°t PM•mMreontlaY, YeT —TC4 �ywN_Uit�i�cahhwn N t mwn`i/. aaaa ablC• (l' �n•I1r� •PIIIM aym�W;�i^{ygj ':cpNlMwm aMoeNw•liwuta.w �,�..a.....„.��. awmwebf Pctlabn RESIX) , NO NO /tic� No No .tea �"o Comments: No . AZIS: i'e-94r O e mew u. A Uaas Taken: Tom THE FINEST IN OFFSHORE SFORTFISHING 8041S Jan 02, 2013 North Carolina Department of Environment & Natural Resources Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: General Permit NC 190000 Regulator Marine Permit # NCG190023 Chowan County OCOC Monitoring Requirements u Dear Central Files: Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely, Eris R. Wiborg Facilities Manager Enclosures vnvti�:.reyulatorma ri ne.com 187 Peanut Drive • P.O. Box 49 • Edenton, Nno th Carolina 27932 - 252 482.3837 BMW' Flo D�c�oQpoQ��c�d PH a ID#: 32 REGULATOR MARINE, INC. MR. ERIR WIBORG P.O. BOX 49 DATE COLLECTED: 12/12/12 EDENTON ,NC 27932 DATE REPORTED : 12/27/12 REVIEWED BY: PARA.NfETERS PH (not to be used for reporting) Total Suspended Residue, mg/I Oil 3 Grease (HEAq, mg/I Aluminum, ug/I Copper, ug/I ead, ug/I ainc, ug1l 101 Storm%%ater Analcsis Method Discharge Date Analcst Code 9.6 12/13/12 TRB 4500HB-00 <3.1 12/13/12 :1ISG 254OD-97 <5.0 12/14/12 SEJ 1664B <100 12/18/12 LFJ EPA200.7 5 12/18/12 LFJ EPA200.7 <5.0 12/26/12 N EL 3113B-04 134 12/20/12 ADD 3111B-99 Environment 1, Me. P.O. B 7089, ° 14 Oakmont Dr. Greenville, NC 27858 Phone (252) 756-6208 • Fax (252) 756-0633 Ulmrvrn_ r xnv CHLORINE CLIENT: 32 week:45 lu LIV CHAIN OF CUSTODY RECORD i0i Page I of 1 CHLORINE NEUTRALIZED AT COLLECTION PH CHECK (LAB) REGULATOR MARINE, INC. MR. ERIK WIBORG P.O. BOX 49 EDENTON NC 27932 (252) 482-3837 COLLECTION Lj NONE P P G P P CONTAINER TYPE,P/G A A C A A CHEMICALPRESERVATION A -NONE D-NAOH B-HNO, E-HCL m ¢� C-HzSO, F-ZINC ACETATE G-NATHIOSULFATE w a a o p o. f F ¢ z a LL O ° S [�'— C7 O 9 < v ; ° SAMPLE LOCATION DATE TIME Stormwater Discharge 4-Z CLASSIFICATION: WASTEWATER(NPDES) DRINKINGWATER DWO/GW SOLID WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING S�H1R�1 ENT/DELIVERY U N SAMPLES COLLECTED BY: (Please Print) 6emt I. SAMPLES RECEIVED IN LAB AT °C RELINQUISHED BY (SIG SAMPLER) REUNOUISHED BY (SIG.) DATEMME iZ,r,r .3. yl RECENE Y SIG.) �� DATE/nME , 3 . COMMENTS: DATE/nME RECEIV D8Y(SIG.) DATErnME RELINOUISHED BY (SIG.) DATEMME RECEIVED BY (SIG.) DATE/l1ME 1" YASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for O STORMWATER DISCHARGE OUTFALL (SDO) O ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year z- / Z C� General Permit No. NCG19M Certificate of Coverage No. NCG 19®©®©Q This monitoring report summary Is due to the DWO Regional Office no later than 30 days from the date the fadlity receives laboratory sampling results from the Snal sample of the calendar year. Facility Name: County: Phone Number: Total no. of SDOs monitored Outfall No. 6J1 Is this outtall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outtall was in Tier 2 last yew, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency Other -- -- - r-1 Yes ❑ No [ry Yes ❑ No 2' ��:'.. r;u_ WOR _ ak-'x�"-'y7Y.�_ r ISMn a�+�`Sm.�iwb Y ag IFS .�e.J •F+- SWU-250NGG18&Mog • M Additional Outfali Attachment Outfall No. 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 discoMnued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other ❑ OEM Mz--E.YC�'L 1�r- t. rr Fa. •a SWU-2SONCG19-092309 '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 Date Mail Annual DMR Summary Reports to: - L.� . i, rt•.n , . Asheville Office ...... (828) 2gs-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791.4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7216 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 2090 US I-Rghway 70 Swannanoa, NC 28778 (828) 296-4500 3800 Barnett Drive Raleigh, NC 27609 (919) 791-4200 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 V 225 Chaen.Stmet Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 943 Washington Square Mall Washington, NC 27889 (252)946-6481 i 610 East Center Avenue/Suit Mooresville, NC 28115 (704) 663-1699 CBIVTItALO1nITiCE -- 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 807-6300 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 NortA'Ca:A6na'sivster.-.• SWU-25ON0019-092309 O O O SI'ORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG190000 CERTIFICATE OF COVERAGE NO. NCG19 DOZ 3 FACILITY NAME II 6,vt,R P N PERSON COLLECTING SAMPLE(S) K O CERTIFIED LABORATORV(S) e4JgiRonmPh 4-- 1 Lab # 3Z Lab # Part A: Specific Monilorine Reallirements SAMPLES COLLECTED DURING CALENDAR YEAR: ZO/ Z ('['his monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Gi'/t�t✓AN =z PFNO. ?SZ 2-3F37 ' (SIGNATURE OF PERMITTEE OR DESIGNEE) By (his signature, 1 certify that this report is accurate complete to the best of my knowledge Outfall' .No , - r' Date4a> Sant lea n �. Nt,s., st, fi. Collected 50050 0055E 005301 ;' `.00A00 r r r t Total Flow . t Oil:and' i tY r r c Grease ;� ` 'Troif I { ,Spsspnded SDIIdS'%' - pH,�. ya�� 'New Moi. •t �w>,.'�'+l.�t�s5-'. .,. .. in o/dd/ rg1MCMel 1 :.„�r.- -- ' Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling. STORM EVENT CHARACTERISTICS: (if more than one storm event was sampled) Mail Original and one copy to: Date / 2 Date Division of Water Quality Total vent Precipitation (inches): , %S Total Event Precipitation (inches): Attn: Central Files Event Duration (hours): _�_ Event Duration (hours): 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowtn violations." (Signature of Permittee) (152tel Form SWU-253-071400 Page 1 of I 0 0 0 Figure 5-3 REGULATOR MARINE STORMWATER QUALITATIVE MONITORING FORM Inspector's Name:I�G Dateand Time: Ewlal,"bilill, f3 a arc �f • rOipro mtn� @ AjD _ �;� .. ahtig otlJ � �_ ' u ed � • L:�� j'��`.. ia-�z_no�lh dolan Le��c : " d�Wa:f—Al�`• : wa�t�t�� ' lu �oo�� . A/O Oulfall 001 w/O A/J 10V0 Outfall 002 ,t /O ^ �/ Ob A/0 �/p �Vj �✓0 Np N� �'u �D Outfall 003 A/0 Na /✓'D 'A/q NO iv0 "f/p COMMENTS: SCC A4-,r7- ZlLe-G Page 1 of I Storm water flow calculation Regulator Marine, Inc. OEdenton, NC Sample Date. /Z 0- lel Total Precipitation Impervious Impervious Calculated Outfalt (in) Area (me) Area flz) (gal 001 0.75 1.77 77,101 __Lbw 36,047 002 0.82 35,719 16,700 D03 1.46 63,598 29JU Sample Date: Total Precipitation Impervious Impervious Calculated Outtall in Area acre Area (fe) Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Total Precipitation Impervious Impervious Calculated Ouftl (in) Area acre Area flz Flow (gal) 001 1.77 77.101 0 002 0.82 35.719 0 003 1.46 63,598 0 Sample Date: O:11 Total Precipitation (in) Impervious Area (acre) Impervious Area (it) Calculated Flow (gal 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 I Figure 5-4 Stormwater Control Inspection Form Regulator Marine, Inc. oana„anma: /2�Z�Z MIN ■ Ccmmmb: /V0 . i0-S off 9g* Oe a�g& I ' ACUl TmMn: PWIW, REGULATOR THE FINEST IN OFFSHORE SPORTFISHING BOATS July 11. 2011 North Carolina Department of Environment & Natural Resources Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: General Permit NC190000 Regulator Marine Permit # NCG190023 Chowan County OCOC Monitoring Requirements Dear Central Files: I Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely, Erik R. Wiborg Facilities Manager Enclosures 187 Peanut Drive, Edenton, North Carolina 27932 • 252-482-3837 • www.requictormarine.com REGULATOR MARINE, INC. MR. ERIR WIBORG P.O. SOX 49 EDENTON ,NC 27932 Stormeater Analysis Method PARA:1fETERS Discharge Date Anah'st Code PH (not to he used for reporting) 6.9 06/28/11 TRB SM4500HB Total Suspended Residue, mg/I 25 06/28/11 HLB SM2540D Oil & Grease (HENf), mg/l <5.0 06/29/11 SEJ EPA1664A Aluminum, ug/l 682 07/05/11 LFJ EPA200.7 Copper, ugil 11 07/05/11 LFJ EPA200.7 ead, ug/1 <5.0 07/05/11 C11F SN13113B inc, ug/l 298 07/06/11 ADD SM3111B A ID#: 32 DATE COLLECTED: 06/27/11 DATE REPORTED : 07/06/11 REVIEWED BY: Environment 1, Inc. P.O. Box 7085, 1 FTVMY wont Dr. Greenville, NC 27858 Phone (252) 756-6208 • Fax (252) 756-0633 DISINFECTION ❑ CHLORINE CLIENT: 32 Week:19 ❑ UV REGULATOR MARINE, INC. MR. ERIK WIBORG NONE P.O. BOX 49 EDENTON NC 27932 z 0 (252) 482-3837 La uI y m u z COLLECTION aw c4 SAMPLE LOCATION DATE TIME o ¢o a C.) C Slormwater Discharge O/�2/11 4 (SIG.) BY (SIG.) (SIG.) I DATERME RECEIVEDBY(SIG.) CHAIN OF CUSTODY RECORD Page 1 of 1 HLORINE NEUTRALIZED AT COLLECT10N gCA #HfpH CHECK (LAB) P ONTAINERTYPE,P/G AN EMICAL PRESERVATION A -NONE D -NAOH B-HNO, E -HCL ' W C-H,SO, F - ZINC ACETATE = F O F G-NATHIOSULFATE ,°� COMMENTS: CLASSIFICATION: WASTEWATER(NPDES) ❑ DRINKINGWATER DWQGW ❑ SOLID WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING SHIPUENT/DFI IVFPY Y N SAMPLES COLLECTED BY. (Please Print) 4f,ell< 6JI&ee- SAMPLES RECEIVED IN LAB AT_C17— °C jTjWSE READ Instructions for completing this form on the reverse Side. Sampler must place a "C" for composite sample or a "G" for 1 G i FORM#5 G..,�. ,.......�., :_.�_u__,.__�..._ .. --vironment I, Inc. PO. Box 7085, 114 Oakmont Dr. CHAIN OF CUSTODY RECORD Greenville, NC 27858 Phone (252) 756-6208 • Fax (252) 756-0633 DISINFECTION Page I of I CLIENT: 32 LiCHLORINE CHLORINE NEUTRALIZED ATCOLLECnON Week: 19 REGULATOR MARINE, INC. ❑ UV pH CHECK (LAB) MR- ERIK WIBORG LiNONE p p G P P P.O. BOX 49 EDENTON NC 27932 ❑ CONTAINER TYPE, P/G A A C A A z CHEMICAL PRESERVATION (252) 482-3837 o 13 w A -NONE D-NAOH Z Z po or `��` z' O > B-HN0, E-HCL SAMPLE COLLECTION a c4 ' C-HzSO F-ZINCACETATE LOCATION DATE TIME o G-NATHIOSUIFATE Stormwater Discharge a CLASSIFICATION: _ ---" __ ❑ WASTEWATER(NPDES). ;..;: ❑ DRINKINGWATER ' DWCYGW ' ❑ SOLID WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING SHIPMENT/DELIVERY Y N SAMPLES COLLECTED BY. (Please Print) . C,eta �/6oR� UNODISHED BY (SIG. SAMPLER) / DA ME RECEIVED BY (SIG.) DATE/l1ME COMMENTS: SAMPLES RECEIVED IN LABAT .INWISHEDBY(SIG.) DATE/T1ME RECEIVED BY (SIG.) DATE/RME I 1ELINOUISHEDBY(SIG.) DATE/RME RECEIVED BY(SIG.) ORM 05 1 P READ Instructions for completing this form on the reverse side. OSampler must place a "C" for composite sample or a "G' for v STORMWATER DISCHARGE OUTFALL (SDO) Q ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year ;gp/% General Permit No. NCO190000 Certificate of Coverage No. NCG19129E ©®E-1 01 N This monitoring report summary Is due to the DWO Regional Office no later than 30 days from the date the facility receives laboratory sampling results from the final sample of the calendar year. Facility Name: Kej u I S County: CLOL a n Phone Number: (g Z ) r 2 � Total no. of SOCS monitored r< Outfall No. 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 DWO to reduce monitoring frequency ❑ Other 44ift=,v7 z .._ Outfall Benchmark Date Sample Collected mo/ddlyr Total R Inches N/A 00530 TSSainfall, mg/L 100 , �_ 00400 pH' S.U. 6 0 — 9 0 aw �% 00556 01119 OII & Grease Copper' mg/L ' mg/L 30 0.007 �`fi t 01104 01094 01114 Aluminum, Lead mg/L Zinc, mg/L mg/L 0.75 0.067 0.03 Y ft S W U-25ONCG 19.092309 Additional Outfall Attachment Outfall No. Is this .,..all currently in Tier 2 (monitored monthly)? 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? Yes ❑ No ❑ . Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency El Total 00530 00400 00556 01119 01104 01094 01114 Oil & Outfall _ Ralntall, TSS, pH, Grease, , Copper, Aluminum, _ Inches mg/L S.U. mga mglL mg�L -• 'Zinc, mg/L' Lead, Benchmark N/A 100 6.0 - 9.0 30 0.007 0.75 0.03 Date Sample 0.067 moldd/yr S W U-25ONCG 19-092309 0 1 certify, under penalty of law, that this document and all attachments were prepared under my direction Oor 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." x LJ Signs Date Mail Annual DMR Summary Reports to: DWO Reaional Otfice Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791.4200 Washington Office ...(252) 946.6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 ASHEVILLF`RRI;IONAI (1FF1C1. 2090 US Highway 70 —..__. FAYFTTIiV11.I L.REGIUNAL OFFICE _.... MOORL,1V11,1iE R ,GIONAI OMI+ICF. Swannanoa, NC 28778 225 Green Street Systel Building Suite 714 610 East Center Avenue/Suite 301 ? (828) 2964500 Fayetteville, NC 28301-5043 Mooresville, NC 28115 (704) 663-1699 (910)433-3300 RALIWit REUION4I.OFFICE 3800 Barrett Drive 1VASIIIN<,'TQNREI;IONALOFFICE 443 Washington Square Mall WILMiNGTON►tL(,10'NAI OFFICE Raleigh, NC 27609 Washington, NC 27889 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (919) 7914200 (252) 946-6481 (910)796-7215 WIl1STQN-SALLM:RI?GIONAI. --- OFFICE 585 Waughtown Street Winston-Salem, NC 27107 (336)771-5000 CENTRAL;OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 (919)807-6300 . and enhance NorthGs;o;ma's rarer:... SW U-250NCG 19-092309 0 0 0 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG190000 CERTIFICATE OF COVERAGE NO. NCG19 06) Z3 FACILITY NAME EE"y /Z 17 L 11,A t PERSON COLLECTING SAMPLE(S)C- CERTIFIEDLABORATORY(S) (, Y/U ;O�irYYs. Labq �Z Lab H Part A: Specific Monitoring Requirements Outfall.Date' ., 50050' .00556' ` 00530:. No.. - -. Sample' Total Flow Oil' -Total't ' Collected Grease . Suspent SAMPLES COLLECTED DURING CALENDAR YEAR: ?,0/ (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Let PHON NO. (Zs'L (SIGNATURE OF PEAOITTEE OR DESIGNEE) By this signature, 1 certify that this report is accurate complete to the best of my knowledge .. I,ivew Motor s. r Oi1�Usage Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling - STORM EVENT CHARACTERISTICS: Date Z%�� (if more than one storm event was sampled) Date Mai='1 d one copy to: Total Event Precipitation (inches- i 7f DiviQuality Total Event Precipitation (inches): Attn:1s Event Duration (hours): /. Z.; Event Duration (hours): 1617 Center Ralerolina 27699-1617 "I certify, under penalty of lair, that this document and all attachments were prepared under my direction orsupervision in accordance with a system designed to assure that qualified personnel property Rather 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 informatinn submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties fur submitting false info knowing violations." rotation, including the possibility of fines and imprisonment for (Signature o! Permlttee) (Date) foot S W U-253--0714W O O OPage I of I 0 0 Figure 5-3 REGULATOR MARINE STORMWATER QUALITATIVE MONITORING FORM Inspector's Name: lQy e Date and Time: _y� -% % % Oulfall 001 /l%D Q� 0f17 Outfall 002 ♦/� /j �n� �j 14Vv Oul(a11003 x� '(%�'J /V a /% COMMENTS: Page I W I 0 0 Storm water flow calculation Regulator Marine, Inc. OEdenton, NC Sample Date: 6/27/2011 Precipitation I impervious Calculated (in) Area (acre) Area (ft) 1 Flow (cal) 0.75 Sample Date: Precipitation I Im ervious Impervious Calculated P (in) Area (acre) Area (ftZ) 1 Flow (oah Sample Precipitation Impervious Impervious Calculated LOutfall (in) Area (acre) Area (ftZ) Flow (gal) O001 1.77 77,101 002 1 Sample Date: Precipitation I Impervious I Impervious I Calculated itfall (in) Area (acre) Area (ftZ) Flow (gal) 1.771 77.101 Sample Date: Precipitation Impervious I Impervious I Calculated (in) Area (acre) Area (ft2) Flrnm /nen 101 N 101 pJ� Dm..d T.: d-7—,—J/ Figure 5-4 Stormwater Control Inspection Form Regulator Marine, Inc. 2 s30 FIRS ��y �' Action. T..n: REGULATOR THE FINEST IN OFFSHORE SPORTFISHING BOATS July 11, 2011 North Carolina Department of Environment & Natural Resources Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: General Permit NC190000 Regulator Marine Permit # NCG190023 Chowan County OCOC Monitoring Requirements \J Dear Central Files: Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely. Erik R. Wiborg Facilities Manager Enclosures 187 Peanut Drive, Edenton, North Carolina 27932 • 252-482-3837 • www.regulatormarine.com 11 ElMo imum(PIN alp Rump TO(Nd ID#: 32 REGULATOR MARINE, INC. MR. ERIK WIBORG P.O. BOX 49 DATE COLLECTED: 06/27/11 EDENTON ,NC 27932 DATE REPORTED : 07/06/11 REVIEWED BY: Stormwater Analcsis Method PARAMETERS Discharge Date Analyst Code PH (not to be used for reporting) 6.9 06/28/11 TRB SM45001fft Total Suspended Residue, mg/I 25 06/28/11 HLB SM2540D Oil & Grease (HEM), mg/l <5.0 06/29/11 SEJ EPA1664A Aluminum, ug/I 682 07/05/11 LFJ EPA200.7 Copper, ug/l 11 07/05/11 LFJ EPA200.7 ead, ug/l <5.0 07/05/11 CDJF SM3113B inc, ug/l 298 07/06/11 ADD SM3111B Environment 1, Inc. CHAIN OF CUSTODY RECORD P.O. Box 7085, 1 fTU@zmont Dr. Page 1 of 1 Greenville, NC 27858 Phone (252) 756-6208 • Fax (252) 756-0633 DISINFECTION CHLORINE NEUTRALIZED AT COLLECTION CHLORINE G2G%/ pH CHECK ( LAB) CLIENT: 32 Week: 19 UV P P G P P CONTAINER TYPE,P/G REGULATOR MARINE, INC. NONE MR. ERIK WIBORG P.O. BOX 49 EDENTON NC 27932 ❑ A A C A A CHEMICALPRESERVATION A -NONE D -NAOH 1,0 (252) 482-3837 z v w Z ¢ = d B-HN0 E-HCL O z o W C -HzSO� F- ZINC ACETATE Q g1 ,o Gi COLLECTION U o w k tR _C = F o _+ „a G-NATHIOSULFATE It SAMPLE LOCATION DATE TIME Stormwater Discharge �j Z q.� 4 ., ,. F .. ., ,. CLASSIFICATION: WASTEWATER(NPDES) LjDRINKINGWATER DWQGW SOLD WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING NT/DELIVERY Y N SAMPLES COLLECTED BY: (Please Dni �i2t/� C'/�piLG SAMPLES RECEIVED IN LAB AT _CIZ— °C REU ISHED BY (SIG. SAMPLER) / DA ME 6(2� RECENE Y (SIG.) DATEMME COMMENTS: /1 W z EUNQUISHED BY (SIG.) DATEMME RECEIVED BY (SIG.) DATEMME RELINQUISHED BY (SIG.) DATEITIME RECEIVED BY (SIG.) DATEMME SE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for 10220102 FORM B5 Grab samDle In the blocks ahnVe fnr P.aeh naramptpr rpnl 1p.Slpfl Environment 1, Inc. . P.O. Box 7085, 114 Oakmont Dr. - Greenville, NC 27858 Phone (252) 756-6208 • Fax (252) 756-0633 DISINFF CHLORINE CLIENT: 32 Week:19 " UV REGULATOR MARINE, INC. MR. ERIK WIBORG Lj NONE P.O. BOX 49 EDENTON NC 27932 ❑ " (252) 482-3837 SAMPLELOCATION Stormwater Discharge -77 — r z o u U ZLjZ w O ¢ tr w a 8 8 COLLECTION DATE TIME cm)-w" 0 4 CHAIN OF CUSTODY RECORD P P G P P A A C A A MMMMMIMIIMMMMMIMM MEMO RELINQUISHED BY(SIG) U DATErfIME RECEIVED BY(SIG) "DATEITIME RELINGUISHEDBY(SIG.) DATE/RME RECEIVED BY (SIG,) DATE/T1ME COMMENTS: Page 1 of_ I $pH LORINE NEUTRALIZED AT COLLECTION CHECK(LAB) NTAINER TYPE, P/GEMICAL PRESERVATION A -NONE D-NAOH B-HNO, E-HCL W C-HzSO, F-ZINCACETATE G - NATHIO,SULFATE CLASSIFICATION: X WASTE WATER(NPDES)-, DRINI(INGWATER DWCIGW SOLID WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING SHIPMENT/DELIVERY Y N SAMPLES COLLECTED BY: (Pleases Pnnt) C=tCt/� v/:.JtJllr� SAMPLES RECEIVED IN LAB AT CC ORM #5 1 CJE READ Instructions for completing this form on the reverse side. OSampler must place a "C' for composite sample or a "G" for ff Grah Samnla in tho hIMLc �ti�„e r,...."��. N� _ 2 0 10 2 O STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) 0 Calendar Year ;�!o/% 107 \01 General Permit No. NGG190000 Certificate of Coverage No. NCO 192�00®FJ This monitoring report summary Is due to the DWO Regional Office no later than 30 days from the date the facility receives laboratory sampling results from the final sample of the calendar year. Facility Name: - County: t nil Phone Number: g z ) 4A.? `3'�V Total no. of SDOs monitored Outfall No. a / 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 DWQ to reduce monitoring frequency ❑ Other I-1M1 N% 7 ,i: r1 Outtall �. Total Rainfall, Inches 00530 00400 00656 01119 01104 01094 01114 TSS, mg/L PH, s.u.. Oil & Grease mg/L Copper, mg/L Aluminum, mg/L Zincmg/L , Lead, mglL Benchmark Date Sample Collected, molddlyrJ- N/A 100 6 0 9 0 30 0.007 0.75 0 067 ..2 0.03 <v iC// . SW U-25ONG619-092309 M Additional Outfall Attachment Outfall No. 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 DWQ to reduce monitoring frequency ❑ Other ❑ outfall _ Total Rainfall, Inches 00530 00400 00556 1 01119 01104 A01094 01114 ' TSS, . mg/L PH, S.U. GOiase, mg2 Copper, mg/L Aluminum,: mg/L 'Zinc, mg/L y: mad,' mg/L r Benchmark Date Sample Collecmo/dat N/A effi M. 100 t , 6.0 - 9.0 30 s� 4 0.007 4gTv 0.75 m�;M1 s a�3 - 0.067 '> 0.03 SW U-25ONCG19-092309 IF ',"I certify, under penalty of law, that this document and all attachments were prepared under my direction Oor 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." SignE Date Mail Annual DMR Summary Reports to: DWO Regional Office Contact Information: Asheville Office ...... (828) 296.4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 A$HF.VII 17?�1;E(:1ONAht)1'FICE FAYN 17IiVllaai'ItEGIONAI; OT'h'1CA MOORI:SV11:1E RF.GIUNAI,"OFI+1GN 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 j (828) 2964500 Fayetteville, NC 28301-5043 (704) 663-1699 (910)433-3300 i 1tALLj1CA'RF.GIQN41 "O�P10E � 1►rA5!lING.TUN kTGIUNAI i)p,Tl(P N!1LM1N(,TON�Ith(IONAi OFl?IGl's 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 i Wilmington, NC 28405-2845 (919)791-4200 (252)946-6481 (910)796-7215 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 l_J 1:13NTNA I.;OFI?ICl's 1617 Mail Service Center Raleigh, NC 27699-1617 (919)807-6300 li `'.�ana errhanCa. .j �'_NORti.Gsro+rraa_S r;e+ec:. _! SW U-250NCG19-092309 0 0 0 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG190000 CERTIFICATE OF COVERAGE NO. NCG19 CEO Z� FACILITY NAME P(,t( Lftjj PERSON COLLECTING SAMPLE(S) _ (r ('/1[ 4-- / t (. CERTIFIEDLABORATORY(S) ;p/7/r'Y� I Lab# Z Lab # Part A: Specific Monitoring Reauirnm...,e. SAMPLES COLLECTED DURING CALENDAR YEAR: ?,0/ (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTYCe- PHqNE NO. .2-mod (SIGNATURE OF PEIVViTTEEOR DESIGNEE) By this signature, 1 certify that this report is accurate complete to the best of my knowledge Outfal_I - 'Date a 50050_ x . _ ;00556 No Sample Total I'low. . 'Od and. t--` ColleMed ` a r _ ;Grease t, r Suspended .:.. :Sol =mo/dd/ "r;:' 1" MG:`. -m -. in - rumt" aUin Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling. STORM EVENT CHARACTERISTICS: ,, // (if more than one storm event was sampled) Mail Original and one copy to• Date_ Date Division of Water Quality Total Event Precipitation (inches- / 7f Total Event Precipitation (inches): Att I Central Files Event Duration (hours): /. Zj Event Duration (hours): 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction orsupemision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the informatun 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, 10 the hest of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties forsubmitting false information, including the possibility of fines and imprisonment for knowing violation.,, (Signature of Permittee) (Date) Fong S W U-253-071400 O OPage 1 011 O 0 0 0 Figure 5-3 REGULATOR MARINE STORMWATER QUALITATIVE MONITORING FORM Inspector's Name: 5AQI'k, 1(J a604,,� Date and Time: _i -77- '-_ k�lslmdry ,-tA-s&h ro *'.2' Pp -lor,r el'1 . f�Presences 't�'� y.�3.r� .� � +.w=wG4. � ._-n F3[-3: eF,i szEEresence of �JS� ..� � of lids`s(Y } �.u�4 lanrw?d ''3 0'- r*waUspuhonweher , y..—� Outfa11001 �� Q/lam/ / �/ :Outfall:00:2 � /'/a Alt /L/0 /�� /VJ /V Oulfall 003 ` N/ COMMENTS: Page I of] 0 O Storm water flow calculation Regulator Marine, Inc. OEdenton, NC Sample Date: 6/27/2011 EN N Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 0.75 1.77 77,101 36,047 002 0.82 35,719 16,700 003 1.46 63,598 29,734 Sample Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Outfall Total Precipitation (in) Impervious Area (acre) Impervious Area (ft) Calculated Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Date: Total Precipitation Impervious Impervious Calculated Outfall (in) Area (acre) Area (ft) Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,598 0 Sample Total Precipitation Impervious Impervious Calculated Outfall (in) Area (acre) Area (ftZ) Flow (gal) 001 1.77 77,101 0 002 0.82 35,719 0 003 1.46 63,5980 N N 0 Inapectwe xame: �i X � i6a%1G- oah and Time: Figure 54 Stormwater Control Inspection Form Regulator Marine, Inc. , "— Nubr+P,-.--.`+��[�aeuMrlr . z�nMaw.aWrar i A..�gan�ustr� ��_ �' �Sp'fcs,�6`�' SIT;t,q� g-h .k t"}'4'jp�'` '+�'�.-'-a fimnlalienl LDS" fi'y_- /���y�at��i=ni '••""�kmmt_wumni oWi�M^Yn_ Xa'�tr� Y`,_� �..•�.f_�3 _ �1'�'e� No .SPA �� �Pktf1 0 Ik S Acoona Taken: REGULATOR fHf FINEST IN OFFSHORE SPORTFISHIN6 ROAES July 11, 2011 North Carolina Department of Environment & Natural Resources Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: General Permit NC190000 Regulator Marine Permit # NCG190023 Chowan County QCOC Monitoring Requirements Dear Central Files: Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely, Erik R. Wiborg Facilities Manager Enclosures 187 Peanut Drive, Edenton, North Carolina 27932 • 252-482-3837 • www.requictormarine.com ��doc�p��pp4 % owerpprr ud REGULATOR MARINE, INC. MR. ERIR WIBORG P.O. BOX 49 EDENTON ,NC 27932 Stormwater PARAMETERS Discharge Analysts Method Date Analyst Code PH (not to be used for reporting) 6.9 06/28/11 TRB SM4500HB Total Suspended Residue, mg/l 25 06/28/11 HLB SM2540D 00 & Grease (HEM), mg/l <5.0 06/29/11 SEJ EPA1664A Aluminum, tag/1 682 07/05/11 LFJ EPA200.7 Copper, ug/l 11 07/05/11 LFJ EPA200.7 ead, ug/l <5.0 07/05/11 CMF SM3113B ,)inc, ug/l 298 07/06/11 ADD SM3111B E3 ID#: 32 DATE COLLECTED: 06/27/11 DATE REPORTED : 07/06/11 REVIEWED BY: Environment 1, Ine. P.O. Box 70857riff akmont Dr. Greenville, NC 27858 Phone (252)756-6208• Fax (252) 756-0633 CLIENT: 32 Week:19 REGULATOR MARINE, INC. MR. ERIK WIBORG P.O. BOX 49 EDENTON NC 27932 (252) 492-3837 SAMPLE LOCATION Stormr•ater Discharge BY (SIG,) BY (SIG.) COLLECTION DATE I TIME CHAIN OF CUSTODY RECORD Page 1 of 1 - j NOON on ©J .■■■..■NOON ■..■■.■■.■■■ NOON MEMENEIIIIIIIIIIII MEN ME milmoommmon MIMM MOON MEN Sampler must place a "C" for composite sample Ora L for L L U 1 U L ASE READ Instructions for completing this form on the reverse side. t! Grab sample in the blocks above for each parameter requested. Environment 1, Inc. CHAIN OF CUSTODY RECORD P.O. Box 7085, 114 Oakmont Dr. Pa 1 of 1 Ge reenville, NC 27858 8 Phone (252) 756-6208 " Fax (252) 75"633 DISINFECTION CHLORPIE PORRALfgDATCOD.ECTION CHLORINE PHCHED(W) CLIENT: 32 Week:19 Ll w P P G P P CONTAINER TYPE.P/G REGULATOR MARINE, INC. ❑ NONE MR. ERIK WIBORG P.O. BOX 49 EDENTON NC 27932 ❑- A A C A A CHEMICAL PRESERVATION A -NONE D-NAOH z (252) 482.3837 z` ui z. C � •� B-HNO, E-HCL C-HiSO, F-71NCACETATE COLLECTION 8 ° m a a G' G-NATHI08ULFATE SAMPLE LOCATION DATE TIME ¢ �' . F i 3 as Stormwater Discharge � �' Z 7 1t 4 CLASSIACATION: WASTEWATER(NPDE3) - DRQ•D@)CWATER k ❑ SOUDWASTESECTION ' _ - "' - - - ' CHAIN OF CUSTODY MAINTAINED DURING SHIPMENTIDELNERY Y N - - SAMPLES 00 LLECTE D BY. (Please P" �iCIK CCJ/�Olev' s SAMPLES RECEIVED IN LABAT C BY( SAA�LEF;) DAWNE RECEIVED BY (SIG.) DATEMME COMA: 29 /r fiEUNQUISSHED6 BY M) DATEfTIME RECEIVED BY (a) ' DATE3RME REMMISHED BY (SIG.) DATEfRME RECENFDBY(SIG.) DATEITWE 1 P, _- E READ Instructions for completing this form on the reverse side. O Sampler must place a V for composite sample or a "G" for �� d 2 U G 2 FORM ns Grab sample in the blocks above for each parameter requested. STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year _ 2oll General Permit No. NCG190000 Certificate of Coverage No. NCG1 SIEI ©❑ This monitoring report summary Is due to the DWO Regional Office no later than 30 days from the date the facility receives laboratory sampling results from the final sample of the calendar year. Facility Nnam1�e_:, (del County: Phone Number: Outfall No. Total no. of SDOs monitored Is this outfall currently In Tier 2 (monitored monthly)? Was this ouNall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tler 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other AAWNT 14-Wr li-0 ✓t ij4le 3 ✓rT 17, Yes ❑ No a Yes ❑ No a • 1 �SS. j yt gzq-iiq�-v ` S W U-25ONCO19-092309 Additional Outfall Attachment Outfall No. 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 DWO to reduce monitoring frequency ❑ Other ❑ KMI�M IMIM V � M-1 SW U-250NCG19-092309 1 1.1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations." Signs Date Mall Annual DMR Summary Reports to: DWQ Regional Office Contact Informal^^ Asheville Office ...... (828) 296-4500 I-T= ad`r 'n7 Fayetteville Office ... (910) 433-3300 C1� �«�t1`,=Yrn1; , * M` Mooresville Office ... (704) 663-1699 � �.', tr _> 9 �i�?� 9� ., a; ` Raleigh Office ........ (919) 791-4200 A J A `add... Mooioadllo/ Washington Office ...(252) 946-64813r�r Wilmington Office ... (910) 796-7215 — V;/eyexavilte,1`' `� Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 .. �Nkr-Vlil' oaten ASNEVII:I.E1tNC1UNAl`OFFICE FAl'E71KV11Jdfi. EbIONALOMCE 6-1 East.Ce terAGnue/S Avenue/Suite301 610 East Center 2090 US Highway 70 Swannanoa, NC 28778 225 Green.Street Systel Building Suite 714 115 e, NC 28115 M��04il663-1 (828) 296-4500 Fayetteville, NC 28301-5043 ( ) 699 (910) 433-3300 �— OFFICE -- - I WAQn11NGTON: EG ONAL'OFFIC1: ___.._.____._—___......_. _.._ WILMINGT6NjREGl0NAVOFY C RALEIGH�REGIONA1 ! 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Wilmington, NC 28405-2845 Raleigh, NC 27609 I Washington, NC 27889 i (252) 946-6481 (910) 796-7215 ' (919) 791-4200 , �-WTNBTON;RAI:EM�ltlill(>NAI. L'KNTItA1:,OFF1G'E qI FICE 1617 Mail Service Center 'I 585 Waughtown Street Raleigh NC 27699-1617 Winston-Salem, NC 27107 1 (919) 807-6300 (336) 771-5000 -i'-'� •7o'praserre,•protect _.. '(�%J1 - .'and Brthance i NOnD Card+lte S lvatef... SWU-25ONCG19-092309 REGULATOR THE FINEST IN OFFSHORE SPORTFISHIHG BOATS April 05, 2011 North Carolina Department of Environment & Natural Resources Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: General Permit NCI 90000 Regulator Marine Permit # NCG 190023 Chowan County QCOC Monitoring Requirements Dear Central Files: u Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit the following test data recently completed. If you have any questions regarding this matter, please contact me at the above address. Sincerely, �Erik R. Wiborg Facilities Manager Enclosures 187 Peanut Drive, Edenton, North Carolina 27932 • 252-482-3837 0 www.regulatormarine.com 6 Environment 1, Incorporated REGULATOR MARINE, INC. MR. ERIR WIBORG P.O. BOX 49 EDENTON ,NC 27932 PARAMETERS PH (not to he used for reporting) Total Suspended Residue, mg/l Oil & Grease (HEM), mg/1 Aluminum, ug/l Copper, ug/l ad, ug/1 me, ug/l 9 Stormwater Analysis Method Discharge Date Analyst Code 7.6 03/17/11 TRB SM4500HB 4.5 03/17/11 HLB SMU40D <5.0 03/18/11 SEJ EPA1664A <100 03/22/11 LFJ EPA200.7 <2.0 03/22/11 LFJ EPA200.7 <5.0 03/21/11 CMF SM3113B 93 04/04/11 ADD SM3111B ID(): 32 DATE COLLECTED: 03/16/11 DATE REPORTED 04/04/11 REVIEWED BY:- Environment 1, Inc. CHAIN OF CUSTODY RECORD R .`-ok 7085, 114 Oakmont Dr. Paee 1 of 1 Greenville. NC 27858 — Phone(252) 756-6208• Fax 252 756-0633 ( ) DISINFECTION CHLORINE NEUTRALIZED AT COLLECRQI Ij CHLORINE L' pH CHECK (LAB) CLIENT: 32 Week: 45 UV P P G P P CONTAINER TYPE, P/G REGULATOR MARINE, INC. NONE MR. ERIK WIBORG P.O. BOX 49 EDENTON NC 27932 A A C A A CHEMICALPRESERVATION A -NONE D-NAOH E (252)482-3837 LLY ¢ m .2 B -HIp, E-HCL of v� ¢o v �w z a occ O ,o �`a n U++ C -HiSO, F - ZINC ACETATE IL COLLECTION o U .� G-MTHIOSUIfATE SAMPLE LOCATION DATE TIME �" S F O f S a Stormwater DLscharge _11 / 6'S� (p 4 CLASSIFICATION: WASTEWATER(NPDES) DRINKINGWATER L) DWQGW SOLID WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING IPMENT/DELIVERY Y N SAMPLES COLLECTED BY: c=R <Ji o�G SAMPLES RECEIVED IN LAB AT _°C RHI ISHEDBY(SIG. (SAMPLER) DATHi1ME RECEN BY(SIG.) DATEMME COMMENTS; i / i 93� FIEUNQU18HM BY(SIG) DATERIME RECEIVED BY (SIG.) OATE/RME RELINQUISHED BY (SIG.) DATE ME RECEIVED BY(M.) DATE/TIME Fonts ns ASE READ Instructions for completing this form on the reverse side. =°' Sampler must place a'C for composite sample or a'G" for 207721 Grab sample in the blocks above for each parameter reouested. STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year ,20) l General Permit No. NCG190000 Certificate of Coverage No. NCG1900©®Q This monitoring report summary Is due to the DWO Regional Office no later than 30 days from the date the facility receives laboratory sampling results from the final sample of the calendar year. Facility Name: Tor - County: KI/lor✓av� Phone Number: (A S Z) 4/82— Total no. of SDOs monitored Outfall No._0 / Is this outtali currently In Tier 2 (monitored monthly)? Was this outfail ever In Tier 2 (monitored monthly) during the past year? If this outtall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ElOther NAdrn-i- l'ro_r&uj*f- 3 ,re.)- r__L_ Yes ❑ No [3' Yes ❑ No e' Outtall �0% Total Rainfall, Inches 00530 00400 .00555 01119 01104 01094 01114 TSS mg/L 9/L pH, ' .s.u. ': OilB Grease mg/L Copper, mg& Aluminum, mg/L Zinc, mg/L Lead, mg/L Benchmark Colli Date Samplemoldd/ Yr' N/A [ 100 i 6.0-9.0] AT 30 0.007 002 0.75 Y -too 0.067 .. X ' 9 0.03 SW U-250NCG19-092309 Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever In Tier 2 (monitored monthly) during the pest year? Yes ❑ No ❑ If this outfall was In Tler 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other ❑ MMANNAMEM 11 1 1111 11'.: NaMMI 1 1 I' i� Rim a SW U-25ONCG 19-092309 "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." Mail Annual DMR Summary Reports to: DWQ Realonal Office Contact Information: Asheville Office ...... (828) 296-4500 av+ isoiomk �y 7z ,� Fayetteville Office ... (910) 433-3300rR�le{ahr q�f JCL n' Mooresville Office ... (704) 663-1699 rf o e Raleigh Office ........ (919) 791-4200 . ;�- s`Ari,cmtkoiv Washington Office ...(252) 946-6481 ry +! sk h Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Foyoncnuc `�u .. ' Central Office .........(919) 807-6300 rwai��o� _._.._ ____--.-1_._,ES—)rF_ __._ _.... _ _---- ____._..._..-._-- A8HEV11 I,N: RNC10NA1: t1FFICF. I FAYNTI FVII I!r NE(;10NA1 (7FFICE MOORFSV11.1,Lr RFGIUNAL 01TICE 2090 US Highway 70 225 Green.Street i 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 j (828)296-4500 j Fayetteville, NC 28301-5043 (704) 663-1699 i (910)433-3300 i4e14119r uscv,v., •.r,rao,. nn i..................-...-.... _.. �:- ___.___-.._ --__.,,._..�___._.-�_� 3800 Barrett Drive Raleigh, NC 27609 (919)791-4200 585 Waughtown Street Winston-Salem, NC 27107 (336)771-5000 3 Washington Square M Washington, NC 27889 (252)946-6481 1617 Mail Service Center Raleigh, NC 27699-1617 . (919)807-6300 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910)796-7215 7n p,eserre, pviec,� lQua 8,V entmit e SW U-25ONCG 19-092309 X-M way r NC®ENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Regulator Marine, Inc. Eric Wiborg 187 Peanut Drive Edenton NC 27932 Division of Water Quality Coleen H. Sullins Director February 15,2011 Subject: NOTICE OF INSPECTION Regulator Marine, Inc. - Edenton Permit No. NCG190023 Chowan County Dear Mr. Wiborg: Dee Freeman Secretary On December 22, 2010, Amy Adams and Anthony Scarbraugh of the Washington Regional Office of the Division of Water Quality (DWQ) inspected Regulator Marine, Inc. in Chowan County to determine compliance with Federal NPDES general Stormwater Management Permit Number NCG190023 issued on October 1, 2009. DWQ file review and site inspection revealed that the site is compliant with the terms and conditions of this permit. Please find a copy of the completed form entitled "Stormwater Inspection Report" attached to this letter. Please be advised that you are required to comply with the terms, conditions and limitations of your Federal NPDES general Stormwater Management Permit under North Carolina General Statute 143-214.7, including operation and maintenance of your permitted stormwater system. If the project has changed name, ownership or mailing address, a formal change of name/ownership form must be submitted to DWQ within 30 calendar days detailing the change. Please provide the name, mailing address and phone number of the person or entity that is now responsible for this permit. Please be advised that violations of your Stormwater Management Permit may be subject to the assessment of civil penalties of up to $25,000 per day per violation. If you have any questions please contact the Amy Adams at the Washington Regional Office, telephone number(252) 946-6481. lal Specialist and Wetlands Branch Regional Office Enclosure: Stormwater Inspection Report cc: Itatie Merritt — WBS Compliance & Permits Unit, Archdale Building aRO Files DWQ Central Files North Carolina Division of Water Quality Internet: vvww.ncwateraualitv.oro 943 Washington Square Mall Phone: 252-946-6481 Washington, NC 27889 FAX 252-946-9215 An Equal Opportunity/Affirmative Action Employer- 50% Recycled110% Post Consumer Paper One NorthCarofina Naturally