NCG080170_MONITORING INFO_20140903

mw
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IVCCU DiS U
DOC TYPE
❑HISTORICAL FILE
N�MONITORING REPORTS
DOC DATE
❑ ���� � � 9 U 3
YYYYMMDD

U,0 / /n 4 Q�vL
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C� � b
DOC TYPE
5� HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
oQ01y
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina .Division of Water Quality.General Permit No. NCG080000
Date submitted 9/3/14
CERTIFICATE OF COVERAGE NO. NCGO8170 SAMPLE COLLECTION YEAR _2014
FACILITY NAME WilcoHess Travel Plaza Troutman SAMPLE PERIOD Jan -June x July -Dec
COUNTY Irredel or Monthly'- (month)
PERSON COLLECTING SAMPLES Lynne Hays DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY R&A Lab Cert #34 Comments on sample collectionord— � Zero- low ❑water Supply ❑SA
-o
analysis: 1 V® ❑
G, 03 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitoring Requirements DWQIBOG ❑ No discharge this period'
Outfall- ,
No "
, Date
k, Sample Collected,
mo/dd/yr
`00530 '' ,
00400
00'S56 s
Total Suspeiided3 ;"
F .. -.
Solidk,; /! =
pH, Ja
-. 4
- Starida"rd urtit'sMethod
"Non=Polar'Oil'arid Grease/TPH'EPA
1664'(SGT HEIIAJ;'mg/L
-
NewMotor`Oil Usage,
Annual average gal/mo `
-
-.
;Benchmark
* ,,
;°50 or;l00,see;permita:
= Within,.6 0 �9:O*F_�.y
� . 15
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? x yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
:Oiitfall
Date ...''av
�'Q0556
:s e00530 �_F~.t00400.
lY v?.t";
'Na - �,
:, '.""s+Ra..�
Sample Collected,
ram-
v.--•.:?t.:3g--vat ffiar : t�IT -t P!w.}':.-1N r - }�
.Non -Polar Oil ndf rease/TRH EPA Method =
'�sy
vs '�-"eJ�.�Rl'Y
Total Suspended Solids,
n a
'.i! 2#'_"
pH �,
x
166�4,(SGT�HEMj,,mg/�
_. ,c-
4:: ��
Standardunits.
3mo/ifd/�Yr
r:r >�`."
mg/.L .�#�
-�.k- -�7- - K�
;Permit Limit,,
_'.� ,,� sis:., ��:�
�yA`�:F�.,��a:` �' P� - '�'z':x�� �.' : ,�'}��4L
50 or100 see ermit
6.0 9.0
,,a�15�
.. ens _
t.,
SDO #1
08/08/14
<5.0
50
8.6
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 09/08/14 (first event sampled)
Total Event Precipitation (inches):.25
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 ANY ONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? 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: T
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."
(Signature of Permittee)
9314
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-250
last revised October 25, 2012
Paae 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 4/8/14
CERTIFICATE OF COVERAGE NO. NCGO8170
FACILITY NAME WilcoHess Travel Plaza Troutman
COUNTY Irredel
PERSON COLLECTING SAMPLES Lynne Hays
LABORATORY R&A Lab Cert #34 Comments on sample collection or
analysis:
Part A: Vehicle Maintenance Areas Monitoring'Requirements
SAMPLE COLLECTION YEAR _2014
SAMPLE PERIOD x Jan -June ❑ July -Dec
or Monthly' (month)
RE[D' DISCHARGING TO CLASS ❑ORW ❑HCtW [:]Trout ❑PNA
cu ❑Zero -flow ❑Water Supply ❑SA
APR 1 0 2014 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWQIBQG
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? x yes
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
no
❑ No discharge this period'
11111IM—ffill"Date
00556
Non-Palar:0il and Grease/TPH EPAWethod
�16 34 (5GT MEM}, mg/LL
_
00530
Total �Susj;'Mndeidl So ds,
/L
uU400
pH,
MStandard units
Permitt Ltmit
15
50 or 3_00 see pe_r`,mit
MOON 6.0 — 9.0
SDO #1
03/16/14
11.2
720
7.4
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 3/16/14 (first event sampled)
Total Event Precipitation (inches):.34
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 a OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? 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 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."
Lynne Hays For AT Williams Oil Com an 4 8 14
(Signature of Permittee) (Date)
Additional copies of this form maybe downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2

EnviroLinc
Environmental Compliance Solutions
April 8, 2014
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Stormwater Discharge Outfall Monitoring Report
A.T. Williams Oil Company
General Permit Number NCG080000
Please find enclosed the Stormwater Discharge Outfall Monitoring Report for A.T.
Williams site located at Interstate 77 and Highway 21 in Troutman North Carolina. If
you have any questions please contact us at [phone].
Yours truly,
6o-�L�y
Lynne Hays
log Gentle Pond Court 9 Winston Salem, NC 27107 • Phone: [phone] • Fax: [phone]