NCG100032_Representative Outfall Status Renewal Request_20231009

Division of Energy, Mineral & Land Resources Date Received
Year Month Day
^.
Stormwater Program
National Pollutant Discharge Elimination System FOR AGENCY USE ONLY
Environmental REPRESENTATIVE OUTFALL STATUS (ROS)
Quality REQUEST FORM
If a facility is required to sample multiple discharge locations with very similar storm water discharges, the
permittee may petition the Director for Representative Outfall Status(ROS). DEQ may grant Representative
Outfall Status if storm water discharges from a single outfall are representative of discharges from multiple
outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply.
If Representative Outfall Status is granted,ALL outfalls are still subject to the qualitative monitoring
requirements of the facility's permit—unless otherwise allowed by the permit(such as NCG020000)and DEQ
approval. The approval letter from DEQ must be kept on site with the facility's Stormwater Pollution
Prevention Plan. The facility must notify DEQ in writing if any changes affect representative status.
For questions, please contact the DEQ Regional Office for your area (see page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
N C S N C G 1 0 0 0 3 2
2) Facility Information:
Owner/Facility Name Good News Auto Sales&Salvage
Facility Contact Phillip Whitt
Street Address 3337 US 13 North
City Ahoskie State NC ZIP Code 27910
County Hertford E-mail Address [e-mail]
Telephone No. 800 678-3098 Fax:
3) List the representative outfall(s) information (attach additional sheets if necessary):
Outfall(s) 001 is representative of Outfall(s) 002
Outfalls' drainage areas have the same or similar activities? •Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? •Yes ❑ No
Outfalls have similar monitoring results? •Yes ❑ No ❑ No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No
Outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities? ❑ Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? ❑ Yes ❑ No
Outfalls have similar monitoring results? ❑ Yes ❑ No ❑ No data*
*Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
Page 1 of 3
SWU-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(Or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or
materials are similar.
The facility has two(2)outfalls for stormwater runoff.Outfall 001 is located in the northwest quadrant of the facility along the property line.
Outfall 002 is located in the west quadrant along the property line,south of Outfall 001.The production processes and exposed materials are
similar at each outfall.The determination was made that the two outfalls will discharge substantially identical effluents.Samples will be collected
from Outfall 001,and will serve as Representative Discharge for Outfall 002.
5) Certification:
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation,or certification in any application, record,
report, plan,or other document filed or required to be maintained under this Article or a rule implementing this
Article;or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case
under this Article;or who falsifies,tampers with,or knowingly renders inaccurate any recording or monitoring device
or method required to be operated or maintained under this Article or rules of the [Environmental Management]
Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
ten thousand dollars($10,000).
I hereby request Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit
and regional office approval. I must notify DEQ in writing if any changes to the facility or its operations
take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must
resume monitoring of all outfalls as specified in my NPDES permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Phillip Whitt
Title: Owner
(Signature of Applicant) (Date Signed)
Please note: This application for Representative Outfall Status is subject to
approval by the NCDEQ Regional Office. The Regional Office may inspect your
facility for compliance with the conditions of the permit prior to that approval.
Final Checklist for ROS Request
This application should include the following items:
• This completed form.
❑ Letter or narrative elaborating on the reasons why specified outfalls should be granted representative
status, unless all information can be included in Question 4.
• Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area.
• Summary of results from monitoring conducted at the outfalls listed in Question 3.
o Any other supporting documentation.
Page 2 of 3
SWU-ROS-2009 Last revised 12/30/2009

Ill
Status Request
Representative Outtail resentative Status:
HePr©se ranted Rep
h the outfalls above should be exam le, describe how activities and/or
�d explanation about w Y
4) petal r n�lrrat ive to discuss this Information.) Far
(Or, attach it Mk?' o line
materials are
similar. Outten 001 is locntod In the northwest quadrant of the facility along
i the
property
materials are
��" rua■ two (�) rutlalh (pl •la►mw-- rw�c�ll
,u f, alun tlr�� ►uc�l"rrty line, south of WWI 001 The production processrl�rtil effluents. Sarnploy will b® cutluUAd
>t uadr�nl A
O,rrfall 002 Is located in the West y
wat+ mndA thal Ih• two oullullt► will discharge substantially
similar at *rich outran. The determinationa for Uutfall 002.
�)m Outfell 001, and will +wive as fieprosontntive DI�GI rg
h __
5) Certification :
Carolina General Statute 143-215.6 B(i) provides that: record,
North application,makes anyfalse statement, representation, or certification in any pp implementing this
Any person who knowingly
required to be maintained under this Article or a rule case
report, plan, or other document filed or
or contested
makes a false statement of a material fact in a rulemaking proceeding oen device
Article; or who knowingly recording or monitoring under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any
or m q guiltyl Management]
ethod re uired to be operated or maintained under this Article or rules of the [Environmental a a an not to exceed
Commission implementing this Article shall beof a Class 2 misdemeanor which may include
ten thousand dollars ($10,000).
that ALL outfalls are still
I hereby request Representative Outfall Status for my NPDES Permit. I understandallowed by the permit
p g
subject to the qualitative monitoring requirements of the permit, unless otherwise ations
and regional office approval. I must notify DEQ in writing if any changes to the facility or its open
take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must
resume monitoring of all outfalls as specified in my NPDES permit.
I
certify
that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Phillip Whitt
Title: Owner
/C) ' r
10106/23
(Signature 7 pplicant) (Date Signed)
Please note: This application for Representative Outfall Status is subject to
approval by the NCDEQ Regional Office. The Regional Office may inspect your
facility for compliance with the conditions of the permit prior to that approval.
Final Checklist for ROS Request
This application should include the following items:
• This completed form .
c Letter or narrative elaborating on the reasons why specified outtalk should be granted representative
status, unless all information can be included in Question 4.
■ Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area .
OP Summary of results from monitoring conducted at the outfalls listed in Question 3 .
ri Any other supporting documentation .
Page 2 of 3
SWU-ROS-2009 Last revised 12/30/2009

.-----j
CENTER GROVE ROAD
36°13'44"N STORAGE TRAILERS
76°56'27"W X X X
TO UNNAMED DITCH 4 x r— [WHEEL RACK,
FACILITY HAS NON-STORMWATER DISCHARGE TRIBUTARY TO X HOLDING J X
ASSOCIATED WITH A/C CONDENSATE IN THE QUIOCCOSIN SWAMP REAR-
AREA
DRAINAGE AREA OF OUTFALL 001. COVERED VANS — ENDS ' PARKING
FOR CORES I — — (lR GATE
X SAP tRES UNIT DITCH
RECEIVING WATER IS UNNAMED TRIBUTARY OUTFALL 001 I
TO QUIOCCOSIN SWAMP. SAMPLE POINT j
QUIOCCASIN SWAMP IS NOT IMPAIRED. SIC CODE 5015
HOLDING
LAT:36°13'43.72"N AREA /"IG
LONG:76°56'27.58"W IX L
_1 BATTERIES O OFFICE
1 500-GALLON TANK USED OIL ATE
2 30-GALLON GAS CADDY GASOLINE I 0 I J DUMPSTER
I \ PARTS WASHING WRECKER 36°13'44"N
ADJACENT
INDUSTRIAL TANK PARKING 76°56'22"W
1 (NO DISCHARGE) X x
r
LEGEND I j I HOLDING
DIRECTION LU
x L AREA 7x
SURFACE RUNOFF I- ,
\ I I
VEGETATED
KtAREA 36°13'41"N Z
r BUILDING OUTFACE 002 76°56'26"W N
��y SIC CODE 5015 Q
�/�! COVERED AREA LAT:36°13'41.93"N ILL
C—X J LONG:76°56'26.96"W
,X X
SECONDARY M
CONTAINMENT
7
I VEHICLE STORAGE AREA
CONCRETE
F—_H DRAINAGE
BOUNDARY _
.X X
X FENCE LINE
H DRAIN CLEARED y I DITCH i
1 \ABOVEGROUNDRACK/ LIFT AREA
UNDERGROUND
PIPE /\ 1
/ \ CULVERT / \ x I
/-- �C
\ ENTRANCE/EXIT
PRE-CRUSH
TOTAL / STACK
ACRES 5 / /
IMPERVIOUS 20% \(
OUTFALL 001
ACRES 4 x x
IMPERVIOUS 20%
OUTFALL 002 X -J•
APPROXIMATE X X X X X
ACRES 1 PROPERTY SCALE 36°13'41"N 36°13'42"N
IMPERVIOUS 20% 76°56'25"W ADJACENT
BOUNDARY 76°56'21"W
FIELD
75 FEET
JAMES ENVIRONMENTAL N SITE PLAN SCALE N.T.S. 256-366
MANAGEMENT, INC.
-
GOOD NEWS AUTO PARTS & SALVAGE, INC. DRAFTED/MODIFIED MH FIG 2
PO BOX 1323
GEORGETOWN, TEXAS 78627 AHOSKIE, NORTH CAROLINA INSPECTION DATE 11/22
Google Verified

Client Sample Results
Client: James Environmental Management, Inc. Job ID:400-244063-1
Project/Site: Good News Auto Parts and Salvage-Ahoskie, NC SDG: 123360
Client Sample ID: OUTFALL#001 Lab Sample ID: 400-244063-1
Date Collected: 09/25/23 18:00 Matrix:Water
Date Received: 09/27/23 08:42
Method: SW846 8015C-Nonhalogenated Organic using GC/FID(Direct Aqueous Injection)
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac 0
Ethylene glycol <12 25 12 mg/L 09/27/23 21:10 1
Method: EPA 200.7-Lead-Total Recoverable
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac
Lead 0.011 0.010 0.0020 mg/L 09/28/23 12:21 10/01/23 13:20 1
General Chemistry
Analyte Result Qualifier NONE NONE Unit D Prepared Analyzed Dil Fac
pH(SM 4500 H+B) 2.3 HF SU 09/27/23 12:00 1
Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac
HEM(Oil&Grease)(1664B) <1.4 4.0 1.4 mg/L 10/02/23 10:02 10/02/23 12:21 1
Chemical Oxygen Demand(SM 30 Fl 10 6.4 mg/L 10/02/23 11:30 1
5220D)
Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dil Fac
Total Suspended Solids(SM 27 5.0 5.0 mg/L 09/28/23 10:26 1
2540D)
Method: EPA Field Sampling-Field Sampling
Analyte Result Qualifier NONE NONE Unit D Prepared Analyzed Dil Fac
Field pH 6.9 SU 09/25/23 17:00 1
Eurofins Pensacola
Page 6 of 17 10/3/2023

•
tip;— _
CHAIN OF CUSTODY (COC) h - James Envrronrnentai
400-244063 COC management, inc.
SHADED FIELDS MUST BE COMPLETED BY FACILITY
CONTACT: TELEPHONE: XITEXPIRAT.ION DATE IMPORTANT: Ship.Samples Standard Overniahii,on Ice within24 hours of sample
Phillip Whitt 800-678-3098 12/18/2024 collection to:
DATE KIT ORDERED FROM am:News Auto Parts and Salvage 9/18/2023 Test America(lab)
3337 US Highway 13 North WDRK ORDER NO. 3355 McLernore St.
Ahoskie, NC 27910 123360 Pensacola,FL 3251.4
SAMPLED BY (Signature) SAMPLED BY:;(Printed) Samplea maybe rejected If received at the laboratory at a temperature above 4°C or
beyond the acceptable hold time.
SAMPLE INFORMATION:North Carolina 5015 and S093 Sample Kit PARAMETERS/PRESERVATIVE/CONTAINERS
2Field SAMPLE a- a. > a 0_ t
y a Filtered IDENTIFICATION :i 155, a a tri m 8 I12,0 CD = Remarks
DATE TIME E (This is found on the Site Map, E y .� °S /Notes
Sampled Sampled Y or N E.g."Outfall !00I") E. m n`. C3 (3 to_ 0
Plastic HNO3 Red X J
co
f_26-- t pi' Plastic nfa X x
Crirab N Outfall# 001 W Plastic HzSO4 Yel. X
0
I L Glass HZSQ+ Yet, x .4
Or HCI Blue I
RAINFALL EVENT INFORMATION
Date of Rain Time Rain Event Rainfall Amount(Cnche* Duration of Ran.Event Nurn60Of dayssinbethe last Field PH Meter Reading:
9
Started: (Hours): measurable rain event resulting in (required)
2.t. actual discharge:
fig /44/ ilitA,
'RELINQUISHED BY;(Signature) (PR)NTED) Date; RECEIVED AT LAB BY: (Signature) (PRIM: Date:
�I�x�s
q . 7'A3
AA . TU
- Times
Lb.., S'24a
iiii) 63E
LABORATORY.NSTRIJGTIONS: SHIPPED VIA(Courier Name) AIRBILL(Tracking Number) &echer
Seal
Please immediately notify James Environmental Management, Inc.of any seal Date:
problems regarding samples upon receipt,including violation of hold times REPORT&INVOICE CONTACT:(DO NOT SHIP SAMPLES TO THIS ADDRESS)
or temperature prior to beginning the analytical process. Please also notify
us of any problems experienced as they occur during the analytical process, James Environmental Management,Inc.
P.O Box 1323
1 Georgetown,TX o TEL[phone] TQ. ZO 1 d
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