NCG080428_MONITORING INFO_20141219

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ � 1% � � � a 1
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 12/17/14
CERTIFICATE OF COVERAGE NO. NCGO80428
FACILITY NAME WilcoHess Travel Plaza # 351
COUNTY Catawba
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 Jan -June xJuly-Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HCI;W [-]Trout❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
DEC 19 2014 ❑other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
❑ No discharge this period'
Outfall '
No
_a-•
pate
Sample:Collected;M
�.� 4 mo cd/yil =;f
0053f} -
_ =00400
`00556;
;.Total -Suspended
Solids',_mg/L,,v
pH,�
; Standard units;
Non` Palar;0il ari`d.'Grease%TPH EPA
,..Methadr1664,[SGT HEM);mg/L;Annual}ayeragegal/mo
New,Motor=Oil,Usage,
'
;Benchmark ,;_
-q'a 4
50 or 100,seeEpermi#
_. INithm6!0 `9:015;',
r
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
Outfall
-i #favY![ x
Date �.=r,kx
4�wa�'y i.}r. .: �tr %.J.
Sample Collected,
�mo5Mmg
,p - <'.�':(i. cif ' �Y3 iwc, i s'h'.`. ; !;
.. °I.a�r00555 �,� :..� 3ti �...:`.
f�fi §R
, tax00530� _ sa
�.,•,M, : iOQ400 ..
:. •S. ..Pd•,a. ✓_ k-�.R..VSW"1 :ti �{..--✓G' 'F:. � -... -..-. .•,..v r. :�.19.• ... ..
.1Vonpolar�,OiLand Grease/TPH EFAIMethod !
--
4 J 5' f; ':-. ta- li 'Se£Y"£!'+ic4hlf
F ..Total Suspende
"mg/� ...� _..
nits;
I_
'a:.'�., .�[•��
Permit,LiEnit:...
YY .• S ..
� '!. .'!-,yy�^.�.'i
C.- 41. e..-�,�).•- pp� YJ
r,_ '. _
4�*�
5DO #1
11/23/14
10.4
28
7.1
SDO #2
11/23/14
NA
NA
NA
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 11/23/14 (first event sampled)
Total Event Precipitation (inches): 1.55
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 Genera! 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:
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 f}alssee information, including the possibility of fines and imprisonment for knowing violations."
'Y—
Lynne Hays For AT Williams Oil Company 12/17/14
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2

EnviroUnc
Environmental Compliance Solutions
December 17, 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 NCGO80000
Please find enclosed the Stormwater Discharge Outfall Monitoring Report for A.T.
Williams site located at 1343 Rock Barn Road, Conover, North Carolina. The sample
results are for the stormwater outfall discharge points. If you have any questions please
contact us at {336} 687-2256.
Yours truly,
�m w- 41ka)
Lynne Hays
109 Gentle Pond Court • Winston Salem, NC 27107 • Phone: [phone] Fax: [phone]

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 4/14/14
CERTIFICATE OF COVERAGE NO. NCG080428
FACILITY NAME WilcoHess Travel Plaza # 352
COUNTY Catawba
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 Wan -June July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
RECEIVED
MAY 2 0 2014
CENTRAL FILES
DWaWG
❑Zero -flow ❑Water Supply
❑Other
❑PNA
[:]SA
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Ej No discharge this period'
'OutfallDate
6 �E'-_ �}ic
,No %,,�
-
'�•�"�� Y'v ��:M t i• �
kSample.�Collected,
"4"
dd rSolidsm
00530
'004003 -e
�
�� ^�'xc �+'- - �
; 7otalyS�uyQspe�ndyed
�.}�.�.. {�; c_. +tl'' _
L
- �-r- .P`6
�£ hpH, rtr
�.__., l� .`3
Stand`ard�units
_
.."=., j�..1y �x --. .i: � _ .`�.,
Nyoyn.Polar;0i1 and Grease%TPH EPA
Y A k "F—V. � �`, ��}�
Method 1664 SGT;HEM m LA`nnual
— -
�StS• -sr�-v
:'° New Motor OBI Usage;
_
-a�era e, al mo
Benchmark'see;permtG
4
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
A-1
Sam 1eCol ec
p rp
mo/dd/:YF v-1fi64,(5G1T
0'ilr nd Goea e/'TPHEP.A Method
ONHEM)'Injig/l :'
Total SuT's ended oliTds i
,
mg/L _
�
Standard units
�0,5 m1tt L'iinit
- N .�
i = 15
;r : 5D or 100 seeJpermit t -
6.0 — 9.0 y�
5DO #1
4/14/14
5.7
885
6.55
5DO #2
4/14/14
14.2
844
6.19
' 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 4/14/14 (first event sampled)
Total Event Precipitation (inches):.22
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:
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 Company
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2