NCG190023 DMR SW (2)

Figure 5-4
Stormwater Control Inspection Form
Regulator Marine, Inc.
Inspector's Name: 4 x (/L • /�/ /�t
Date and Time: fj s fh
Inspechon Location
Has storage
tank/container leaked?
Has secondary
containment leaked?
Are there cracks or other
structural defects In
container?
Are there cracks or other
structural defects in secondary
contammentT
Is any material or water
present in secondary
containment structure?
Presence of
trash/debris
(YM)
Presence of
open
contains rs
(YM)
nce of
matPress erials stored
outside proper
area (YM)
Presence of materials
spilled outside
containment (Y/N)
Other obvious indicators of
stormwater pollution
Comments
Actions Taken:
Page 1 of 1

Storm water flow calculation
Regulator Marine, Inc.
Edenton, NC
Sample Date- 9/25/2015
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
0.5
1.77
77,101
24,031
002
0.82 35,719
11,133
003
1.461 63,598
19,823
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious Impervious Calculated
Area (acre) Area (ft) Flow (gal)
001
1
1.77 77,101 0
002
0.82 35,719 0
003
1.46 63,598 0
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious Impervious Calculated
Area (acre) Area (ft) Flow (gal)
001
1
1.77 77,101 0
002
0.82 35,719 0
003
r 1.46'1 63,5981 0
Sample
Outfall
Total
Precipitation
(in)
Impervious Impervious Calculated
Area (acre) Area (ft) Flow (gal)
001
1
1.77 77,101 0
002
0.82 35,719 0
003
1.461 63,5981 0
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious Impervious Calculated
Area (acre) Area (ft) Flow (gal)
001
1.77 77,101 0
002
0.82 35,719 0
003
1.461 63,598 0

Figure 5-3
REGULATOR MARINE
STORMWATER QUALITATIVE MONITORING FORM
Inspector's Name:
Date and Time:
Inspection
Is there dry
weather
Approx.
Presence of
Presence
Presence of
Presence of
Other obvious
Location
flow in this
flow
Color
foam (Y/N)
of oil sheen
floating solids
suspended
Odor
Clarity
indicators of storm
area? (Y/N)
(gal/min)
(Y/N)
(Y/N)
solids (Y/N)
water pollution
Outfall 001
ND
a yo3 j
,vim
wb
Outfall 002
/10
, 3 3
�C
/� 0
Outfall 003
IV 0
1-14
��
I'vd
COMMENTS: S cE -A 7 -
Page 1 of 1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG190000
CERTIFICA'T'E OF COVERAGE NO. NCG19 D®;23
FACILITY NAME MAR.M1 E
PERSON COLLECTING SAMPLE(S) _FAj K A- A)./A026-
CERTIFIED LABORATORY(S) Lab#�
Lab it
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: �t7I
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY r 110W/Jj /N
CaW NO. Z IVRZ- ,B37
(SIGNATURE OF PE E OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Oui4011
No.
=Date -_ _
Sample_'.-„�
ie
_
,:50056
1_0055,6
005210-
004
Toial Flow-
Oil t td
Grease
_Total �=
Suspended
Solids, -
pH
New Motoir `
Oil„Usage `
-
mo/dd/ t::, ”
MG
m
m
unitgal/mo
IJIA
Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling.
STORM EVENT CHARACTERISTICS:
(if more than one storm event was sampled) Mail Original and one copy to:
Date Date Division of Water Quality
Total Event Precipitation (inches): O 581 Total Event Precipitation (inches): Attn: Central Files
Event Duration (hours): Event Duration (hours): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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
knowin 'olations.”
(Signature of Permittee) (Da()
Farm SWU-253-07 1400
Page: I of 1

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year ce01
General Permit No. NCG190000
Certificate of Coverage No. NCG19® O❑®�❑
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: T06vc wR M gkleoe ,Tiiz
County: (i A),j A)
Phone Number: (A62- ) q92 -003-7 Total no. of SDOs monitored
Outfall No. P/
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No E'
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Outfall
Total
Rainfall
inches
00530
00400
00556
01119
01104 '.
01094
01114
TSS
mg/L
pH,
S.U.mg/L
Oil &
Grease
'
Copper,
mg/L
Aluminum,
mg/L
Zinc mg/L
Lead,
mg/L
-Bencl2niark•' -
` -N/A =
30 r.:
,0:007'-0.067''
,
D.D3n _
Date Sample',.„
Collected,fy
mo/dd/yr�;�„i,9�a
>*� a;�5 ';� "k`y �
...
"'�",r f N�`v d � '
4
y'�` a�W a �b `.�`d
����"= `;y.,,,
a' 4�;�7
�'n "'ti mom, ':�6!'�:�13ra4. �"
s;'�: i 'k'},,' -
1,� • A.ri M°
"k1 �w i �
Oji „�5 ®'
� (�
®�
6.0
00z
x'0100
,0,-5-,2
SW U-25ONCG 19-092309

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."
Signature
Date %O
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office .... [phone]
Fayetteville Office
... [phone]
Mooresville Office
. [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office
... [phone]
Winston-Salem .....
[phone]
Central Office .........[phone]
ASHEVILLE REGIONAL OFFICE
PAYETTEVILLE REGIONAL OFFICE
!MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
Y2ALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
(WILMINGTON REGIONAL OFFICE
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON _SALEM REGIONAL
CENTRAL OFFICE
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
"To preserve, protest
and enhance
North C'arofina's ~haler._ "
[phone]
SW U-250NCG 19-092309