NCG080261_DMR_20200526

RECEIVED
JUN 02 2020
CEN I NAL FILES
DWR SECTION
Semiannual Stormwater
Energy, M neral and Land Re ourc s Gene al Permit No. NCG080000
for North Carolina Divisio/n�of ate submitted S'aa d
P � SAMPLE COLLECTION EAR
CERTIFICATE OF COVERAGE No. NCG08Q,Q Q SAMPLE PERIOD or � Monthly' ❑ tuly-Dec (month)
FACILITY NAME DISCHARGING TO ClA55 QORW QHQW QTrout OPNA
COUNTY Cr�H j� ,k (�dQl QZero-flow QWater SupPIY []SA
PERSON COLLECTING SAMPLEL QOther
Comments on sample collection or analysts:
PLEASE REMEMBERTO SIGN ON THE REVERSE a
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil perm° ❑ yes ❑ °O (if ve 0 complete Part A)
No discharge this periods
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) New Motor or Hydraulic Oil Usage,
Oil mg/L gal/man
Data sample Collected' 24-hour rainfall amount, Non-P°ia�&Grease Total Suspended soi s,
Outfall No (mo/dd/yrl Inches 100 or 50 rJ
IV MLI 115 L. NCOIL
'Monthly sampling (instead ofsemi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outran.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a eof the here.
rain gauge
See Genepal Perlm't text Table le dentitying theespercally Senslive elcegving waterclassfcations whebe le for a
waiver
arepot protective benchmark applies.
quirement.
Note: Results must be reported in numerical format. ForFor examuly Below Detection Limit, BDL, <PQL, Non -detect, a nor other similar non -
de ectionl limit, I reporting limit, in mg/Lt Converlselyl wherte fecal mliformeresults exceed the drilutton upper t, report hre XX ie result aser>XX".alue of the
swU-248, last revised 11/1/2018
Page 1 of 2
Permit Date: il/1/2018-5/31/2021

Terminals (If applicable)
❑ No discharge
this periodZ
Separators and Secondary
Containment Areas at Petroleum Bulk Stations
and
Part B: Oil/water
pH'
Non -Polar Oil &
Date Sample
24-hour rainfall Sample Collected
Total Suspended
Solids,
Standard units
Grease,
mg/�
Outfall
No. Collected'
amount, mojdd/yr
Inches'
mg/�
6.0 — 9.0
15
{mo/dd/yr)
-
100 or 50'
00552
Permit Limit -
-
_
C0530
00400
46529
Parameter Code
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 rer 2, Tier Z, 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. SECTION B.
ER 2
ART
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFACE TRIGGER E PARAM REQUIREMENTS.
AT ANY ONE OUT ALL P YES IIE] NO
TIER 3: HAS YOUR FACILITY HAD 4 OR TACTED THE DEMLRRREGIONALnOFFlCE7 ARK E YES 0 NO � CES FOR E
IF YES, HAVE YOU CON
REGIONAL OFFICE CONTACT NAME:
case of "No Dlscharae" 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: n m inquiry of the person or persons who manage the system, or
"I certify, under penalty of law, that this document and all attachments were prepared under mydirectionor supervision in accordance with a system designed to te. I
assure that qualified personnel properly gather and evaluate the information submitted. Base y
for gathering the information, the information submitted is, to the of fines and imprisonment for knowing violations."
complete.
those persons directly responsibleg
4SIgna
that there are significant penalties for submitting false information, in
the possibility
Date
e of Per tte
SWU-248, last revised 11/1/2018
Page 2 of 2
Permit Date:11/1/2018-5/31/2021

@U�a; I e �I
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIG 0l 9/0 /9%k � / or Certificate of Coverage No.: NIGG/Ql gl Q1Q10 /a
Facility Name: T I cr ivQrnas
County: Phone No. t c- (4 a► a -spu t LI
Inspector: Ljsa
Date of Inspection: C)
By this signature, Y certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permi or Designee)
L Outfall Description
Outfall No. Structure (pipe, ditch, etc.) �r
Receiving Stream: 1.,tn.Lnc- L)n
Describe the industrial activities that occur within the outfall drains a area:
�
Y
2. Color
Describe the color of a discharge using basic colors (red, brown, blue, -etc.) and tint (light, medium,
dark) as descriptors:
3. Odor
Describe anydisti:%ct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3l4• ) 5 6 7 8. Q •10
Page 1
SWU-242-02C 705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
C, 2 3 4 5 6 7
8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7
8 .9 10
7. Foam
Is there any foam in the stormwater discharge? Yes
(:N::o:)
8. Oil Sheen
Is there an oil sheen in the -stormwater discharge? Yes
o
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately
below the outfall? Yes No
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes
o.
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: 'Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective'Action.
Page 2
SWU-242-MO705