NCG080775 DMR SW

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 01/6/16
CERTIFICATE OF COVERAGE NO. NCGO8080775 SAMPLE COLLECTION YEAR 2013
FACILITY NAME WilcoHess #396 Rocky Point SAMPLE PERIOD Jan -June x July -Dec
, or Q Monthly' (mont
COUNTY Pender h)
PERSON COLLECTING SAMPLES Jay Baker_ DISCHARGING TO CLASS .QORW ❑HQW OTrout ❑PNA
LABORATORY R&A Lab Cert. #34 Comments on sample collection or ®/ ❑Zero -flow ❑Water Supply [:]SA
analysis
RECE V ® x Other class C;Sw__—
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STORM EVENT CHARACTERISTICS:
Date 12/20/15 (first event sampled)
Total Event Precipitation (inches): .12
1
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 ANYONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
all "No
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 penalti s f submitting false information, including the possibility of fines and imprisonment for knowing violations."
i
Lynne Hays for Speedway LLC/A.T. Williams Oil Company 01/6/16
(Signature of Permittee) (Date)
1
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab74
in
SWU-250 , last revised April 11, 2013
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