NCG100197_DMR_20200717

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG100000
Date submitted 7/17/2020
CERTIFICATE OF COVERAGE NO. NCG10 0 1 9 7 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Pull-A-Part of Winston-Salem SAMPLE PERIOD II Jan-June July-Dec
COUNTY Forsyth or n Monthly' (month)
PERSON COLLECTING SAMPLES Shane Bond DISCHARGING TO CLASS ORW HQW I 'Trout I IPNA
LABORATORY Pace Analyitcal Services, Inc. Lab Cert.# 381 •Zero-flow •Water Supply f SA
Comments on sample collection or analysis: •Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfalls 0.20 or No discharge this period?'
Date Non-polar New Motor or
pH, Total Suspended Lead,Total Total Toxic
Outfall Sample O&G/TPH Ethylene Glycol, 3 Hydraulic Oil
Standard Solids(TSS), Recoverable, Or anics
No. Collected, (Method 1664 mg/L g Usage,
mo/dd/year Units mg/L SGT-HEM),mg/L mg/L mg/L gal/mo
Benchmark - 6.0—9.01 100 or 502 15 8,000 0.075 1.0
(Tiers 2 and 3)
Parameter Code - 00400 C0530 00552 77023 01051 78141 NCOIL
1 6/16/2020 7.14 6.5 <5.0 141 <0.025 N/A 5
Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses in the General
Permit.
'If pH values outside this range are recorded in sampled stormwater discharges,but ambient precipitation pH levels are lower,then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on-site or local rain gauge(or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
'See General Permit Table 1, identifying the especially sensitive receiving waters classifications where the more protective benchmark applies.
'For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D,Table II of Chapter 40 Code of Federal Regulations(CFR) Part 122.
4Monthly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'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.
6For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018
Page 1 of 2

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used along with other requirements listed in the General Permit. For those facilities allowed such a waiver,
the discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics(TTo), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
zs4,5<-7, / S/2-r-r
Name(Print name)
Title P int title)
S r4 AC" -7-:2?'-4)2()
ture Date
Mail Original 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 knowing violations."
1Ca I 7 ?"-
Sig ure of P mittee Date
Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018
Page 2 of 2

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG100000
Date submitted 7/17/2020
CERTIFICATE OF COVERAGE NO. NCG10 0 1 9 7 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Pull-A-Part of Winston-Salem SAMPLE PERIOD n Jan-June n July-Dec
COUNTY Forsyth or ❑ Monthly4 (month)
PERSON COLLECTING SAMPLES Shane Bond DISCHARGING TO CLASS ❑ORW ❑HQW nTrout nPNA
LABORATORY Pace Analyitcal Services,Inc. Lab Cert.# 381 ❑Zero-flow (Water Supply nSA
Comments on sample collection or analysis: *Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -3
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfalls 0.2o or ❑ No discharge this period?6
Date Non-polar New Motor or
pH, Total Suspended Lead,Total Total Toxic
Outfall Sample O&G/TPH Ethylene Glycol, g Hydraulic Oil
Standard Solids(TSS), Recoverable, Or anics
No. Collected, Units mg/L (Method 1664 mg/L m /L g Usage,
mo/dd/year g SGT-HEM),mg/L g mg/L gal/mo
Benchmark - 6.0—9.01 100 or 502 15 8,000 0.075 1.0
(Tiers 2 and 3)
Parameter Code - 00400 C0530 00552 77023 01051 78141 NCOIL
1 6/16/2020 7.14 6.5 <5.0 141 <0.025 N/A 5
Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses in the General
Permit.
llf pH values outside this range are recorded in sampled stormwater discharges,but ambient precipitation pH levels are lower,then the lower threshold of this benchmark
range is the pH of the precipitation(within instrument accuracy)instead of 6 S.U. Readings from an on-site or local rain gauge(or local precipitation data)must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit Table 1, identifying the especially sensitive receiving waters classifications where the more protective benchmark applies.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D,Table II of Chapter 40 Code of Federal Regulations(CFR)Part 122.
4Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
sTotal 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.
6For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018
Page 1 of 2

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used along with other requirements listed in the General Permit. For those facilities allowed such a waiver,
the discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics(TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
z%5 i'/ /3/S)2
Name(Print name)
Efl'S/ /)4,r
Title P-int title)
� 7--:, ? 2O
S' ture Date
Mail Original 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 ail 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."
, 3,64 7
Sig ure of P mittee Date
Permit Date: 11/1/2018-05/31/2021 Form SWU-251,Last Revised 11/1/2018
Page 2 of 2

Al
CONVERSION
TECHNOLOGY INC.
Your partner in compliance since 1986
Environmental i Safety Consulting Engineers
July 28, 2020
RECEIVED
Bradley Bennett AuG 0 4 2020
N.C. Division of Energy, Mineral and Land Resources - Central Office DENR-LAND QUALITY
1612 Mail Service Center STORMWATER PERMITTING
Raleigh, NC 27699-1612
Dear Mr. Bennett:
lease find enclosed the Storm Water Discharge Outfall (SDO) Monitoring Report for the
first half of 2020 for the Pull-A-Part of Winston-Salem, LLC facility in Winston-Salem, NC.
Benchmarks were met for all pollutants.
Pull-A-Part of Winston-Salem, LLC has implemented a Solvent Management Plan
satisfying Part II Section B of the permit requirements necessary for a Total Toxic Organics
(TTO) sampling waiver. Pull-A-Part of Winston-Salem, LLC does not perform activities such as
vehicle washing that expose toxic organic compounds to stormwater run-off.
Please feel free to contact me with any questions at [phone] ext. 117.
Sincerely,
T. Parker Scarborough
Project Engineer
z:\pap.wncl\swt\swt20\pap.wncl_swt620_dmr_Itr_ncdenr.doc;PS
2190 N. Norcross Tucker Rd., Suite 202 I Norcross, Georgia 30071 1770.263.6330