HomeMy WebLinkAboutNCG080379_MONITORING INFO_201801101LZ0
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV CCU 0O d
DOC TYPE
❑HISTORICAL FILE
[A MONITORING REPORTS
DOC DATE
❑ �() I b0 I I V
YYYYMMDD
-ft
January 8, 2018
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699 - 1617
RFrF=I\/FD
JAN 10 2018
DWR SECTION
INFORMATION PROCESSING UNIT
Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 5, Period 2, Sample 10 - 2017
United Parcel Service — Rocky Mount
1 108 Instrument Drive, Rocky Mount, North Carolina (Wake County)
General Permit NCG080000; Certificate of Coverage No. NCGO80379.
Dear Stormwater Permitting Unit;
We respectfully submit the enclosed original and one copy of the Stornwater Discharge Outfall
Monitoring Report for the United Parcel Service Rocky Mount under General Permit Number
NCGO80000, Certificate of Coverage No. NCG080379. This submission is for stormwater discharge
sampling during Year 5, Period 2, Sample Number 10 (July -December, 2017) as outlined in Part II,
Section 13 of our stormwater discharge permit. We are happy to report that all sample analytical results
were below benchmark values and/or within the benchmark ranges.
If you have any questions or comments regarding; this Stormwater Discharge Outfall Monitoring
Report (DMR), please contact us at your convenience.
Sincerely,
Vincent Mollo
District 1-Invironmental Coordinator
United Parcel Service, Inc.
Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & I copy
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 11/15/2017
CERTIFICATE OF COVERAGE NO. NCGO80379
FACILITY NAME United Parcel Service - Rocky Mount
COUNTY Nash
PERSON COLLECTING SAMPLES James W. Willard ll'(INENCO, INC.)
LABORATORY Pace Analytical 5ervices, Inc. —Lab Cert. # 12, 40, 37706, & 37712
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD Jan -June ❑X Juty-Dec
or ❑Monthly' (month)
DISCHARGING TO CLASS [::]ORW DHQW Trout [:]PNA
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor ail per month?
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
Zero -flow ElWaterSupplyEISA
F_XjOther C;NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
x yes no
No discharge this period?2
' Outfall
No..
Date)
Sample Collected,
mo/dd/yr
00530 ,.
00400 -
00556
Total Suspended
Solids, mg/I'"
pH, .
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664.(SGT-HEM), mg/L-
. New Motor OII Usage,
Annual average gal/rrio ,
Benchinark
-
50 or 100 see permit
Withir► 6-0 — 9.0
•15.
SDO-001
10/16/2017
11.6
6.94
< 5.0
66
SDO-002
10/16/2017
12
6.88
< 5.0
66
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
outfall
No.
Date ,
Sample Collected,
mo/dd/yr
.00556. '
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
.1664 (SGT-kM), mg/L
Total Suspended Solids
mg/I'
pH,
Standard units
Permit Limit
.15
:, ' ' 50 or 100 see permit:
Within 6.0 — 9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
5WU-250 last revised April 11, 2013
Page 1 of 2
4
United Parcel Service - Rocky Mount
STORM EVENT CHARACTERISTICS:
Date 10/16/2017 (first event sampled)
Total Event Precipitation (inches): 0.17
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 It SECTION B.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART if SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-_1 NO
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case o "No Discharge. re orts 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."
0��_fk &<' - 1zflt/l7
(54nature of Permf • el (Date)
Additional copies of this form may be downloaded at: htta://aortal.ncdenr_orp,/weblwR/ws/su/npdessw#tab.4
SWU-250 last revised April 11, 2013
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 12/28/2018
CERTIFICATE OF COVERAGE NO. NCGO80379
FACILITY NAME United Parcel Service - Rocky Mount
COUNTY Nash
PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.)
LABORATORY Pace Analytical Services, Inc. —LabCert.# 12, 40, 37706, & 37712
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIODJan-JuneFx I July -Dec
or Monthly' (month)
DISCHARGING TO CLASS [—]ORW E:]HQW FjTrout OPNA
RECEIVED DZero-flow ElWater Supply EISA
JAN 10 2019
�;[-:NTRIkL FILES lilOther QNSW
0VVR SEVCTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Did this facility per -form Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes
Part A; Vehicle Maintenance Areas Monitoring Requirements (if applicable)
no
1:1 No discharge this period ? 2
DutfallAM
4 1,
D
Pi
U
11911-,-1, --'?,1 0
R _4,NN 0 04 0,
556, j,!
N
,kK
t
I Suspencled!�,��
p H,
1`,Non;,-Polar Oil'i'�&G�e'iii/,TPH'IlIPM'�
k N 01 Usage
ew,Motor X
st"
d.1664:(SGT-HEM)�mg/L���,-t:,..-
andard�uni
units_ ,a
h� J'MethbMO
average�gal[
'--i --iO6,
pz50mor, see k
-!%J�
SDO-001
10/26/2018
14.3
7.10
< 5.0
66
SDO-002
10/26/2018
9.6
7.53
< 5.0
66
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
outfall
J'
,.,,�.,,Sample Coll
M,Xi.
005
004W Y',
'Z:'
�Non-Pblar Oil'and driai4ftPH EPA Mklib& .0
GT,-H EPA)
"`�TotalSUspe
NPJa x,
PR
XR,4.
I 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 April 11, 2013
Page 1 of 2
United Parcel Service - Rocky Mount
STORM EVENT CHARACTERISTICS:
Date 10/26/2018 (first event sampled)
Total Event Precipitation (inches): 1,54
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 F NO F7
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F--j NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharae" 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."
t — L4 (CA
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2011
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2018
Certificate of Coverage (COC) No. NCGO80379
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. A N 10 2 01.9
Facility Name: United Parcel Service - Rocky Mount CENTRAL ; N fir•
County: Nash UWR S-ECT10, J
Phone Number: 919-790-7474 Total no. of SDOs monitored: 2
Outfall No. SDO-001
Is this outfall currently in Tier 2 (monitored monthly)?
Yes ❑
No �X
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
Yes
No 0
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency El
Received approval from DWQ to reduce monitoring frequency
Other Ll
Was this SDO monitored because of vehicle maintenance activities?
Yes rX
No
Total
Parameters, (units)
Total Suspended Solids,
(mg/L)
pH, (Standard Units)
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), (mg/L)
Rainfall,
inches
Benchmark
N/A
50 or 100 see permit
Within 6.0 — 9.0
15
Date Sample
Collected
01/78/2018
1.19
17.7
7.24
< 5.0
10/26/2018
1.54
14.3
7.10
< 5.0
Outfall No. SDO-002
Is this outfall currently in Tier 2 (monitored monthly)?
Yes
No ❑X
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
Yes El
No �X
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 ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes �X
No
Total
Parameters, (units)
Rainfall,
inches
Total Suspended Solids,
(mg/L)
pH, (Standard Units)
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), (mg/L)
Benchmark
N/A
50 or 100 see permit
Within 6.0 — 9.0
15
Date Sample
Collected
01/28/2018
1.19
21.0
7.09
< 5.0
10/26/2018
1.S4
9.6
7.53
< 5.0
"I certifq, 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 ralse information,
including the possibility of fines and imprisonment for knowing violations."
Signature: Date:
For questions, contact your local Regional Office
United Parcel Service - Rocky Mount SWU-264 - Generic Annual DMR
Last revised 5/17/2013
Qutfall 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
Was this SDO monitored because of vehicle maintenance activities? Yes No
Total
Rainfall,
inches
Parameters, (units)
Total Suspended Solids,
(mg/L)
pH, (Standard Units}
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), (mg/L)
Benchmark
N/A
50 or 100 see permit
Within 5.0— 9.0
15
Date Sample
Collected
®�
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 El
Was this SDO monitored because of vehicle maintenance activities? Yes No
Total
Rainfall,
inches
Parameters, (units)
Total Suspended Solids,
(mg/L)
pH, {Standard Units}
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), (mg/L)
Benchmark
N/A
50 or 100 see permit
Within 6.0— 9.0
15
Date Sample
Collected
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."
L r�
Signature:1146��Date: � Ll `
For questions, contact your local Regional Office
United Parcel service- Rocky Mount SWU-264- Generic Annuai DMR
Last revised 5/17/2013
August 22, 2018
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699 - 1617
R CF-WED
AUG 2 8 2018
N1`l AL Fri rs
Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 6, Period 1, Sample 11 - 2018
United Parcel Service — Rocky Mount
1108 Instrument Drive, Rocky Mount, North Carolina (Wake County)
General Permit NCG080000; Certificate of Coverage No. NCG080379,
Dear Stormwater Permitting Unit;
We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall
Monitoring Report for the United Parcel Service — Rocky Mount under General Permit Number
NCG080000, Certificate of Coverage No. NCG080379. This submission is for stormwater discharge
sampling during Year 6, Period 1, Sample Number 11 (January — June, 2018) as outlined in Part I1,
Section B of our stormwater discharge permit. We are happy to report that all sample analytical results
were below benchmark values and/or within the benchmark ranges.
If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring
Report (DMR), please contact us at your convenience.
Sincerely,
Vincent Mollo
District Environmental Coordinator
United Parcel Service, Inc.
Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & I copy
��}
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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 07/08/2018
CERTIFICATE OF COVERAGE NO. NCG080379
FACILITY NAME United Parcel Service - Rocky Mount
COUNTY Nash
PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.)
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR
SAMPLE PERIOD F7XJan-June
or E]Monthly"
2018
ElJuly-Dec
(month)
DISCHARGING TO CLASSE]ORW � HQW F-]Trout F7PNA
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable)
OZero-flow F]Water Supply FDA
FKOther C;NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
X yes no
F1No discharge this period? 2
}riR 4aar� ", ' I k _' I I N
-1 " 11111 X 'A I �' , , - - " 2-
-Vk�. 5 () &
3
.
Xcial 56ioi66d
1h.
kV
PamplelieOF
ar,0iVidd,G�eiiiqTPHIPM�V
.,
1
ddl r
-.,,-.Sol ids;: nigjlf�t� ;�,,W
anda d ts
.,uni
H E M I m gf L
ja 'a erage gill/mo'
0 see p
66
9., M
.0 . ;6V3
4`�'Wk
9
q
SDO-001
01/28/2018
17,7
7.24
< 5.0
66
SDO-002
01/28/2018
21.0
7.09
< 5.0
66
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
10 Lie.tfi 10
u
'
Date-
*'6
-
530,
ANonrPoIarO TPH,EPA MAhoa
�
,
�
Susb�Rded.S61id0%jo%
, p�"Ma�'
n
'x i)
,',�.Sample'CoIIectcy,&,
ggp
0
StSnd rd;4q
a'9m6/dd/yf Aw
W
:�*
50�or.100seep6rm1t0
"A—
V
U M'"is
6.0-9.0�
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 April 11, 2013
Page 1 of 2
It
United Parcel Service - Rocky Mount
STORM EVENT CHARACTERISTICS:
Date 01/28/2018 (first event sampled)
Total Event Precipitation (inches): 1.19
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (incites):
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 F--j NO F7X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [1) 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."
-7 Zo i$
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
5WU-250
last revised April 11, 2013
Page 2 of 2
August 1, 2017
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699 - 1617
Rk:;121V D
AUG 0 7 .ZOi7
CENTRAL FILES
DWR SECTION
Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 5, Period 1, Sample 9 - 2017
United Parcel Service — Rocky Mount
1108 Instrument Drive, Rocky Mount, North Carolina (Wake County)
General Permit NCG080000; Certificate of Coverage No. NCG080379.
Dear Stormwater Permitting Unit;
We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall
Monitoring Report for the United Parcel Service — Rocky Mount under General Permit Number
NCG080000, Certificate of Coverage No. NCG080379. This submission is for stormwater discharge
sampling during Year 5, Period 1, Sample Number 9 (January —June, 2017) as outlined in Part 11,
Section B of our stormwater discharge permit. We are happy to report that all sample analytical results
were below benchmark values and/or within the benchmark ranges.
If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring
Report (DMR), please contact us at your convcnience.
Sincerely,
Vincent Mollo
District Lnvironmental Coordinator
United Parcel Service, Inc.
Enclosures: Stormwater Discharge Outfall Monitoring Report (DMIZ), 1 original & 1 copy
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 07/14/2027
CERTIFICATE OF COVERAGE NO. NCGO80379 SAMPLE COLLECTION YEAR 2017
FACILITY NAME United Parcel Service - Rocky Mount SAMPLE PERIOD �X Jan -June ❑ July -Dec
COUNTY Nash or F—]Monthlyl (month)
PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) DISCHARGING TO CLASS [::]ORW F-IHQW Trout [—]PNA
LABORATORY Pace Analytical Services, Inc. Lab Cert. #i 12, 40, 37706, & 37712 Zero -flaw Water Supply EISA
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis: 510ther C;NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period ?Z
';.
,�,...:Outfall ,
.,yam' ♦ ... fY'1.
.,•.-��.�4;Date r,"'cr,•:,::,�r.x:?.;s,.00530„r.,.i4`'�..+tr.�
,
'.r":.n' ��`t -r?.^-,?'�'�--
,'�_i:. f Z.` �..> i
rixs'v;.:N
',r.r5. ''S .��f,.
E ;.�, ,",.0040Do%t'z3�<: `t
.:�i w,-'. '�
il,f.. 'ea :1' - - -• '.rssx t.--i
..�:T �N ,5. ,.h._r. .q
'-00556; + .k'.: ^s
��I�f4'. -':1�. .k�Ee x:.. r�3� .Z•b fYc-+'CT--. -
P'=t".�-0"as; 4 'di}" `.2a _tx:'8
+tl+ 'F>S?i'.: ^5':",_ •,i. - C„-
;'xS'i�i.¢. �,s� ,ri..� {-.
�4'�iS c�... .L. ea�:r i.- � G
.No:�'�'
t 'x <
9] r
iSam le Collected''`'
s_ P r rt•
r'-'3e'. 7.
�3�v�µ'p.,,;
ks 4� ;Tot E'Su ended'• w '(
h a sP
g.}<•�.'1 r ^r..r�r,�; .- r,�
�-,1*;�:i `i
` a `` H €>
F f r�. ay i?� .,
... t,v ;'-�:.i'. .'• ,ff
t 1,N n-Pol r- >'
,� a , , a Oil and Grease/TPH EPA;,
�i•v-;<:.<e ,i:i �';^'i •Fa'�`7 ;2-..
��": �tf�4t{14t...
` New;Miitbr;Oil.Usage•,�.
�., rti vim- tr �tje, ;: �..� v".'.F- ".,�
�,X3�?r4^:�=4
`t
u`�i'dx��'i..tSx..�r
r;!.o�4a, Mi ;}t� �',�
y.:;�,t. .,.3., �'.-c,�— r�ry
Standard `
.�'�`•,�^ h=: ,�.,..,
'; x:;, SGT-
:HEM},
. r ^fir fl,
a�erage`gal/ino
t<5ands; mg/l'Aa�'>
unitsx,
1564 m L�
Method? ( g/ ; -'}:Annual
4.
r,,.-.�.
i
.;u:. .r:...•;.t'+aH.
pW ' r R kir yr, r.0
'u
,�- •t? 100see;permrtt�
a-+ c-
xa .. . ,�
,:`'�
max, -woa^ �.r ",K �u,-
�� � �,.
v'�. �s Ax l; 4 -�'- .:s .� 1, , r
;�,�;
'ay. :.e rvrc ati •p_ '�':>:,
y. C'. ; ,�\.. �r< x-<.
�a��' �.�'�`� �;�.�+� �°:. bra
.�13enchmark•.:a.
x r�s,•?�3='�;�, .tom
�. ,50 or .r. ��
, ,Within�60. •9A �
<15::.tit
.�. m w'�- .(h�
�•?�.tzr ?R'
SDO-001
05/22/2017
6.6
7.61
< 5.0
66
SDO-002
05/22/2017
11.8
6.86
< 5.0
66
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
- ... .. - ,"K. }.
., ,Dutiall 3 Y
N:
y ,�^:-,�.�.,as 4
,:s�
•-,3 x.,,,,, 3,, �i ...,.:'R - �,• .i +�.
'. w1+t.:'
>, k ; ��Date,, L.
;,t,�. 5` ,4,v.
Sample.Collected,< ;
-AS- :ur --: a`1 ::srat.y'•• �3
/ /Y ,.5r.�,.F..,•..,a
�w,t,x.,....'1 J,'4 f- �a. '� S'3 1', .,i_ ! _'li .�V.
Vi Y'i i�"" �:• „..iiti iti^v
„: , �i , 00556 1 �=
•i',`.. x•. �:.K--,-. ice- a -i:� i •c xrnr- S"`e-i 4t �X.-
����aa�.. _ ��.., i 4� . 1 :P�x,
J:fC,'t.J:•a 2.
,s �_ _ 00530 <l ,
, ram. .i�i 1A7..rrc``x'x
at•�
1 �����. ;rS.:'•.�r.�?E"<
b ? ,9F
,.' Non,Polar Oil'ai�d G�ease/TPH EPA MetFiod Z;��ys.;Total
'J-�?'S5 .'': t-5R`:u•,,:'>t'3k-''T .'iF�; ..;.:,i -:•Yti -_� ,^ ;s.'3c. 'g-.
y<'. £i4'
1664:I5GT=HEM),mg/L:? _.xZ.hrc�„`:,
Suspended
L''_`".x+-i •x er,F-r��rr$,:J t.-d1
< 3 n; c:1 x 1
m �; K
,��x.. g/'�A t:
vt
..0..0.400
,ti. .`'tii'#. ', s Fs�', "�.A?.....
�.._ : ; ' ,.
�: _,
� Standardunits,
- '?.•
Permii Lirtiit.y,
i ,f� :J. tat S xi f'
+° �e
Qr`�1 ihir4. _ _F �,
. h t. a 15
;,.. x b,� r,. : ,°
eY: - h._ _- .e y...
°` "�a 0` r.i see pe�mi4 +r fi
�,y _s. .5 o Q0 {��, s:
rr'YiY:,,l - `4 -
zti, = hi 0
".� - Wit n 6.0-9. s__,:_ k _
E 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 April 11, 2013
Page Iof2
United Parcel Service - Rocky Mount
STORM EVENT CHARACTERISTICS:
Date 05/22/2017 (first event sampled)
Total Event Precipitation (inches): 0.10
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 I, 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 IE SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO F
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES EI NO a
REGIONAL OFFICE CONTACT NAME:
Mail an_o_ riainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Additional copies of this form may be downloaded at:
7 3i/%
QDa .j
http://portal.ncdenr.org/weblwg/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 07/14/2017
CERTIFICATE OF COVERAGE NO. NCGO80379
FACILITY NAME United Parcel Service - Rocky Mount
COUNTY Nash
PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.
LABORATORY Pace Analytical Services, Inc.
LABORATORY €NENCO, Inc.
Comments on sample collection or analysis:
Lab Cert. # 12, 40, 37706, & 37712
Lab Cert. # 5540
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑X Jan -tune July -Dec
or ❑Monthly' (month)
DISCHARGING TO CLASS0ORW F_�HQW F-71Trout F_]PNA
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
—Part A: -Vehicle -Maintenance Areas -Monitoring Requirements (If applicable)
Zero -flow DWater Supply EISA
DX Other C;NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -�
X yes no
E-1-No-discharge-thisperiod?2 -
Outfali
No.
Date;:•
Sample Collected,
maJdd/y'r .
00530
:00400..
00556._.:
Total Suspended
'Solids, mg/I`
PH;
Standard units: ;
Non -Polar Oil and,Grease/TPH EPA-,
Method 1664 (SGT=HEM), mg/L -
New Motor Oil Usage,! Y =
Annual average gal/j io ' �«
Benchmark
50 or 10o see permit ' '
Withid`6: - 9.0
SDO-001
05/22/2017
6.6
7.61
< 5.0
66
SDO-002
05/22/2017
11.8
6.86
< 5.0
66
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
Outfall
No:
Date
Sample Collected•,
t t x ' ..
mo/dd/yr
00556
00530,..::
00400' :.
Nori-Polar Oil add Grease/TPH EPA Method
= -!'i '"- •l 4! •
1664 (56T-HEM),`mg/L
Total Suspended Solids
1Li11 }
mgJl ; ` ""
pH, rr
.i' b. 1 �`!_ r =`y -
Standard urnts
Perrrih Lit it'
or.100 see'permit ; „ '
Within 5:0 .9 0
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 April 11, 2013
Page 1 of 2
United Parcel Service - Rocky Mount
STORM EVENT CHARACTERISTICS:
Date 05/22/2017 (first event sampled)
Total Event Precipitation (inches): 0.10
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, rer 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 11 SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES r] NO 0
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coon of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharae" 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."
{Signature of
Additional copies of this form may be downloaded at
7 3,17
http://portal.ncdenr.org/web/4vg/"ws/sul,npdesswtitab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 10/21/2016
CERTIFICATE OF COVERAGE NO. NCGO80379
FACILITY NAME United Parcel Service - Rocky Mount
COUNTY Nash
PERSON COLLECTING SAMPLES James W. Willard 11 (INENCO, INC.)
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIODE]Jan-June F-x]July-Dec
or RMonthly'L (month)
DISCHARGING TO CLAS&F ORW F-] HCjW E]Trout PNA
Zero flow FiWater Supply F -ISA
Z:-- FX- Other C;NSW
PLEASE REMENifia TO SIGN ON PAGES 2 AND/OR 3 4
P�
C-1)
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable)
X yes no
F1 No discharge this period ? 2
To" OutMIINI".�':
P011-M, 'a'"te'
61 1
s5iffi&'Caill
dtF
m
9 Uft-'61de`dN%8`041
T tal 5 no
A
-;, I", N ""V��!
�01111"'"114-' - - - - - - - - - - - - � - 1'w
P40M�
u"'OH% '04 KRV
K
'M
RIM
-A
�- 'n
U-4
M. on -�r anulran(
od � 64 Gt:.. Niijj
,fi�P "�Met A6 '(S 'HEM);,
nul---�N R
New�Motor,Ol skagge��.SR
V. '
50'o" 00,'gee6Wffiit%&"'0
I t h i IV, 6'0 �'27�9. Cfl*ffil:
Eri, jj�� 15
SOO-001
10/07/2016
20.8
7.51
< 5.0
69
SDO-002
10/07/2016
15.6
6.74
< 5.0
69
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
t�'
Rg
MS.
-RI MZ&
'�Tp�z
�le Cdll�&d;x,'Z�
Mt a.10465/dd/yi� &
- - �zl-*AA
005!��
W'1'1'q1N1111\r-'�"%-j-00S*""'V"-'*9z'
AwE'i 004qo'77�7 i j,
K ;,4'166flSGT,7HEM)1
pm
T&61's6i'o�'Aa&f so il lids
:�' �ffi
�' % ' * -z- -ed H
'��N. f
"ji '.."M .
I d rd'064 A.
1% son a tit
seeperm
; ,
.
:0or
1 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 April 11, 2013
Page 1 of 2
United Parcel Service - Rocky Mount
STORM EVENT CHARACTERISTICS:
Date 10/07/2016 (first event sampled)
Total Event Precipitation (inches): 0.47
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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO rX
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F--] NO
REGIONAL OFFICE CONTACT NAME:
Mail on original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for 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."
(Signature of Permittee)
Additional copies of this form may be downloaded at
C) fz-e I &,
(Date)
http://g)ortai.ncdenr.org/web/wg/ws/su/npdesswfftab-4
SW U-250
last revised April 11, 2013
Page 2 of 2
'" Semi-annual Stormwater_Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 07/25/2016
CERTIFICATE OF COVERAGE NO. NCG080379 SAMPLE COLLECTION YEAR 2016
FACILITY NAME United Parcel Service - Rocky Mount SAMPLE PERIOD Jan -June July -Dec
COUNTY Nash or ❑Monthly' (month)
PERSON COLLECTING SAMPLES James W. Willard 11 {INENCO, INC.}
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 40, 37712, & 381
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
DISCHARGING TO CLASS DORW E]HQW Trout F]PNA
RECEIVED Zero -flow EX watersupply OSA
Other
� PLE I1 ERM EMEBER TO SIGN ON PACES 2 AND/OR 3
-,f�R S�A,..lv
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
K yes no
No discharge tfiisveriodPZ
No
„':
Date
Sample Collected„
' ' 00530
OOa00
00556 -,..w.
Total Suspended
So]ids, mgJl _, ,.
pFl,
ti
; ..,;.,Stan _a units :.._....
z.> Non Polar Oil and Grease/YPH EPA
'IVlethod 1664 [SGT=FiEMj'rng%L,_..;_ :
Motor, � a '
New Mo yUsaget,`
.fi:..13T, Fey :' � -,Yi,-
i ..Annualjaverage;gal/mos ..fa
Benchmark
50 a 100 see permit
�:W,thiri;6 0 ..9.Or
•: ,, 15 k,
r c._ ,•_ .; :,
SDO-001
06/15/2016
18.4
7.06
< 5.0
69
SDO-002
06/15/2016
17.1
6,21
< 5.0
69
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulls Stations and Terminals (if applicable)
:<::Oukfalf
;No
Date
5amfe'Collected,
f, =-00556
.:w :00530..,:
z'00400' . .
Non'PolarOII and Grease/TPH EPA Method
;Total Suspended Solids x ,
PH,`
Stanclarcl:.un,ts r
Permit Limit ....
or.100 see.perm�t t.
' Within
` 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 April 11, 2013
Page 1 of 2
United Parcel Service- Rocky Mount
STORM EVENT CHARACTERISTICS:
Date 06/15/2016 (first event sampled)
Total Event Precipitation (inches): 0.15
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: 1f 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 AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B,
O 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES F7 NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES[:] NO
REGIONAL OFFICE CONTACT NAME: '
Mail an oriainal and one conv of this AMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water 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. lam aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
9
{Signature of Pe ttee} lDate)
Additional copies of this form may be downloaded at: httr):Ilportal.ncdenr.org/vweb/`vg/ws/su/npdesswgtab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
NON--STORMWATER DISCHARGE EVALUATION
UPS Facility Location: &C/26)c IFOC— / ! * ZZA1 %
Inspector: �?-gnIZ3-
Signature of Inspector:
Storm Water Discharge Outfall Locations
Outfall Location ID: ;:5D6 -ego f/
Outfall Type: Ditch ipe Qutlet Pipe inlet
Catch Basin Curb Inlet Other:
1, is the outfall free of any non-stormwater discharge?
If no, describe:
Inspection Date
4' /3- -70/6
Pond to Ditch Outlet Pond to Pipe Outlet
2. Identify potential sources of any non-stormwater discharges observed or discovered:
3. Methodls) of evaluation: Visual Dye Test Storm sewer map review
Comments:
Other:
oes
No NA
Outfall location ID: l"or
Outfall Type: Ditch (—d tlet Pipe nlet Pond to Ditch Outlet Pond to Pipe Outlet
:h:B..). Curb Inlet Other: �l�j �jZQ T Qp
1. Is the outfall free of any non-stormwater discharge? Yes No NA
If no, describe:
2. Identify potential sources of any non-stormwater discharges observed or discovered: / Uo✓La—
Methods) of evaluation:
Comments:
Visual Dye Test Storm sewer map review Other:
4 NCGO80000 Part II, Sections A.1(e) & A.7(b) SPPP Non-stormwater Discharge Evaluation —Appendix F Page 1 of 1
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 10/23/2015
CERTIFICATE OF COVERAGE NO. NCGO80379
FACILITY NAME United Parcel Service - Rocky Mount
COUNTY Nash
PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.)
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 3773
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2015 U)Ok
SAMPLE PERIOD alJan-June [D July -Dec
or [DMonthly" (month)
DISCHARGING TO CLASS [::]ORW F--IHQW F—]Trout DPNA
RE
—I CEIV-
ED E]Zero-flow FlWater Supply EISA
OCT 28 Z015
E_x10ther Class C; NSW
CENTRAL FILES
DVVR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable)
X yes no
1-1 No discharge this period? 2
a 1,
;p,.Date
'AWN dd/�rrN,1,Y%',j'
�®r
0040M5 U_;%
er;kk
wig 6 s�
Mi, 0
-4, i,,RYM,,gR.AA§W
"n MR67"Mi
:p
'R v.
'80A., st . Shi evall
I an Grea!
An Non-P61ar Oi '_�d
Ile, I ails
N�
.,.With 16�6!0L* 9,_
.01P, nfil�
11MMUM
SDO-001
06/19/15
8.1
6.69
< 5.0
57
SDO-002
06/19/15
10,0
7.27
< 5.0
57
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
utfa.
ARNtK
RtQss
Lr , .
2iQRj
M �;
Sample Collected,.
Xf, g
Non-PolarOiandGreaserTPKEPA'Met_pd
lfi
.",11MwA
cMoauspeneIS
y
W Mt
ZIROll
1W7 W�4
oP ,.
qWT,
Sta�diFiiN"g3fp54A
,
I 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 April 11, 2013
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 06/18/2015to 06/19/2015
Total Event Precipitation (inches):
Date
Total Event Precipitation (inches).
(first event sampled)
0.60
(list each additional event sampled this reporting period, and rainfall amount)
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 F--] NO FX
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F--] NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports) to: 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 j rygrmation, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Additional copies of this form
l //-
— � (Date)] - 7
be downloaded at: http://portal.ncdenr.org/web/wp/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2