NCG070167 DMR SW (3)

North Carolina Division of Water Quality
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle Maintenance Activities Only
Date submitted January 12, 2016
Certificate of Coverage No. NCG 070167
FACILITY NAME Boral Bricks, Salisbury (Isenhour) Plant
COUNTY Rowan
PERSON COLLECTING SAMPLE(S) Mark Shepherd
LABORATORY PRISM Lab Cert. # 402
SAMPLES COLLECTION YEAR: 2015
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall 1 0.2 or ❑ No discharge this period 2
Outfall No.
Sample
Collected
mm/dd/yr
Total Suspended
Solid (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT -HEM)
(if applicable)
Oil and Grease, mg/L
(if applicable)
pli., Standard units
(if applicable)
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 50 3
15
30
Within 6.0 - 9.0
-
SD01
12/17/2015
34
BLRo(3
NA
7.2
100
1 The total precipitation must be recorded using data from an on-site rain gauge.
Z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 ANY ONE OUTFALL? YES NO f
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME
Last Revised. May 97, 2093
SWU-254 Vehicle Maintenance Activities DMR Page 9 of 2

Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 dans of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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 penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
C
nature of Permittee)
January 12, 2016
(Date)
Additional copies of this form maybe downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw
*BRL = Below Reporting Limit
'Year 3 -Period 1
�Jun_15-Dec-15 _�
Last Revised: May 17, 2013
SWU-254 Vehicle Maintenance Activities DMR Page 2 of 2