NCG080760_MONITORING INFO_20200121

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
� jC G 0 0-7b v
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ b d/ d
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG080000
Date submitted 7n Ndnry I G, , 7n�520
CERTIFICATE OF COVERAGE NO. NCG08 SAMPLE COLLECTION YEAR 200
FACILITYNAME A(bG Irua �akM.Zvc, RECFI V �MPLEPERIOD [:1 Jan -June July -Dec
COUNTY Fors �i'h or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES QeA/AJ Jeri Eta JAN 2 1 202(DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
p ❑Zero -flow ®Water Supply ❑SA
LABORATORY �ES�grcrl-, . AdalY�icnlle6s Lab Cert. # ��/ G[j�; ; Wit, FILES ❑Other
Comments on sample collection or analysis: DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ® yes ❑ no (if yes, complete Part A)
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period'
Outfall No.
Date Sample
Collected' (mo/dd/yr)
24-hour rainfall
amount, Inches'
Non -Polar Oil &
Grease mg/L
Total Suspended
Solids (TSS), mg/L
pH,
Standard units
New Motor or
Hydraulic Oil Usage,
gal/mon
Benchmarks
_
_
15
100 or SO'
6.0 - 9.0
_
Parameter Code
-
46529
00552
C0530
00400
NCOIL
1.D
.u$
i a
1
1. D
L
<
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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mQ/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Permit Date: il/1/2018-5/31/2021 last revised 1/14/2020
Page 1 of 2

PartB: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) ❑ No discharge this period1
Outfall
No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Notes (Optional)
Total Suspended
Solids,
mg/L
pH,
Standard units
Non -Polar Oil &
Grease,
mg/L
Permit Limit
-
-
-
100 or 504
6.0 — 9.0
15
Parameter Code
-
46529
-
CO530
00400
00552
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONEOUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal copv of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/� /11" ��« 16
Signature cf Permittee Date
Permit Date: 11/1/2018-5/31/2021 last revised 1/14/2020
Page 2 of 2

RESEARCH & ANALyTiCAI
I-AboRATORIIES, INC.
Analytical/Process Consultations
December 9, 2019
ABF Freight System, Inc.
1165 Hwy 66 South
Kernersville, NC 27284
Attention: Corey Athens
Chemical Analysis for Selected Stormwater Sampling Locations
L
Project Number: Not Available
NPDESN: Not Available
Sample
RAL
Sampling
Sampling
Total
Dates
Identification
Sample
Date
Time
Suspended
Hydrocarbon
Analyzed
Number
Solids
Oil & Grease
mg/L
mg/I.
Outrall 00113
74898-01
11/12/19
0753
9.6
<5
II/I8&II/20/19
Outfa11002
74898-02
11/12/19
0759
<5
<5
11/18& 11/20/19
Analysts: EE& AW
Rainfall Amount: 1.0 in. Rain Duration: 8 hr.
<= less than or Below Quantitation Limit (BQL)
mg/L = milligrams per Liter = pans per million (PPM) SU ='Standard Units

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTOD Y RECORD
Water / Wastewater 1 Mil
Street Address
Project Slornmater Sampling
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