NCG081055_ROS Request_20240807

Division of Energy, Mineral & Land Resources ForsncencYuseoNl.Y
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r:•> Stormwater Program
National Pollutant Discharge Elimination System
Environmental REPRESENTATIVE OUTFALL STATUS (ROS)
Quality REQUEST FORM
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If a facility is required to sample multiple discharge locations with very similar stormwater q(¢chgrgg�,.fhe
permittee may petition the Director for Representative Outfall Status(ROS). DEQ may grant l�epresenta�fve
Outfall Status if stormwater 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 I I I 1 11 1 N I C I G n h I OF)_ 7
2) Facility Information:
Owner/Facility Name R+L Carriers-GBO
Facility Contact Suzannah Johns
Street Address 811 Chimney Rock Cl
City Greensboro State NC ZIP Code 27409
County Guilford E-mail Address [e-mail]
Telephone No. 800 543-5589 ext.3505 Fax:
3) List the representative outfall(s) Information (attach additional sheets if necessary):
Outfall(s) 001 is representative of Outfall(s) 002.003
Outfalls' drainage areas have the same or similar activities? w Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? ®Yes ❑ No
Outfalls have similar monitoring results? it Yes ❑ No x) 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? it 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.
Drainage operations which ocwr In Drainage Areas 2 and 3,which discharge to Outfalls 002 and 003 respectively,are Induslve of those operations
which omur in Drainage Area 1,discharging to Outfall 001. The facility is newly operating and,therefore,no laboratory analytical data has been
conducted to date.
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).
1 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: Jonathan Parson
Title: Directorof Environmental compliance
7M2024
(Signature of Applic ) (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:
N 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.
m 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.
❑ Any other supporting documentation.
Page 2 of 3
SWU-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
Mail the entire package to:
NCDEQ DEMLR at the appropriate Regional Office (See map and
addresses below)
Notes
The submission of this document does not guarantee Representative Outfall Status (ROS)will be granted as
requested. Analytical monitoring as per your current permit must be continued,at all outfalls, until written
approval of this request is granted by DEC. 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.
For questions, please contact the DEQ Regional Office for your area.
.t �(.win °n al°rh
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Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NO 28778 Washington Regional Office
943 Washington Square Mall
Phone [phone] Washington, NO 27889
FAX [phone]
Phone [phone]
Fayetteville Regional Office FAX [phone]
Systel Building,
225 Green St., Suite 714 Wilmington Regional Office
Fayetteville, NC 28301-5094 127 Cardinal Drive Extension
Wilmington, NO 28405
Phone [phone]
FAX [phone] Phone [phone]
FAX [phone]
Mooresville Regional Office
610 East Center Ave. Winston-Salem Regional Office
Mooresville, NO 28115 585 Waughtown Street
Winston-Salem, NO 27107
Phone [phone] Phone [phone]
FAX [phone] Water Quality Main FAX [phone]
Raleigh Regional Office Central Office
1628 Mail Service Center 1612 Mail Service Center
Raleigh, NO 27699-1628 Raleigh, NC 27699-1612
Phone [phone] Phone [phone]
FAX [phone] FAX [phone]
Page 3 of 3
SWU-ROS-2009 Last revised 12/30/2009

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LEGEND POTENTIAL POLLUTANT SOURCES
BUILDINGS AF 275-GAL ANTIFREEZE TOTE
LINE OF CONCRETE AST1 560-GAL USED OIL AST
FENCE LINE DEF 275-GAL DIESEL EXHAUST FLUID TOTE
DRUMI 2x55-GAL AUTOMATIC TRANSMISSION FLUID
f® STORMWATER INLETAND PIPE DRUMS
STORMWATER FLOW DIRECTION DRUM2 2x55-GAL GEAR OIL DRUMS
® FLOOR DRAIN DUMPI 65-GAL CRUSHED OIL FILTERS DUMPSTER
UNDERGROUND SANITARY PIPING DUMP2 65-GAL CRUSHED OIL FILTERS DUMPSTER
GEN600027180-GAL DIESEL GENERATOR
IC 55-GAL INDUSTRIAL CLEANER DRUM
OWS1 OILY WATER OIL/WATER SEPARATOR
(UNKNOWN CAPACITY)
PARTSI 60-GAL VARIOUS OILS&SOLVENTS PARTS
WASHER
TOTE1 330-GAL MOTOR OIL TOTE
TOTE2 275-GAL USED OIL TOTE
TW 55-GAL TRUCK WASH DRUM
FIGURE 3 - FACILITY
BP Environmental, Inc. LAYOUT DETAIL
8615 Commerce Drive,Unit One - Not drawn to scale -
Euton.MD 21601
Prepared For: Site: Date: 12/19/2023
GREENWOOD MOTOR LINES, INC. R+L CARRIERS-GBO
DBA R+L CARRIERS GREENSBORO SERVICE CENTER Revision Date: 6/3/2024
600 GILLAM ROAD 811 CHIMNEY ROCK COURT Project: R&L-347-16
WILMINGTON,OH 45177 GREENSBORO,NC 27409 Drafted by:ASW /
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