NCG160013 DMR SW (7)

Semi-annual StormWater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted ,12-01-2015 _
CERTIFICATE OF COVERAGE NO. NCG16 0013 _
FACILITY NAME Fred Smith Company_ Holly Springs Plant_
COUNTY Wake
PERSON COLLECTING SAMPLES Matthew James _
LABORATORY ESC Lab Sciences Lab cert. # ENV375
Comments on sample collection or analysis:
None
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 2 Period 1
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [x1 Monthlyl October= (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply EISA
RECEIVED [x]Other B; NSW
DEC 0 4 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE
CENTRAL FILES
DWR SECTION ❑ No discharge this period?'
Outfall No.
Date Sample 24-hour rainfall
Collected amount,
(mo/dd/yr) Inches3 Total Suspended Solids
Benchmarks ===>
_ - 100 mg/L or 50 mg/L
001
NOT SAMPLED
002
NOT SAMPLED
003
10-28-15 0.76 880
P-_
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
F-1 No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT -HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [X] NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES [X] NO ❑
REGIONAL OFFICE CONTACT NAME: John Holly
Mail an original and one covv of this DMR, includina all "No Discharae" resorts, within 30 days of receipt of the lab results for at end of monitorina aeriod
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR 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 t,�pt there qrj�,significant pena ' or submitting false information, including the possibility of fines and imprisonment for knowing violations."
re6f Permittee)
Permit Date: 10/1/2014-9/31/2019
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted ,12-01-2015 _
CERTIFICATE OF COVERAGE NO. NCG16,00,13
FACILITY NAME Fred Smith Company -Holly Springs Plant_
COUNTY Wake
PERSON COLLECTING SAMPLES Matthew James _
LABORATORY ESC Lab Sciences Lab Cert. # ENV375
Comments on sample collection or analysis:
None
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 2 Period 1
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
�&&��� or [x1 Monthly' 'November (month)
y
E EAV, ING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
DEC 0 4 2015 ❑Zero -flow NSW
❑Water Supply ❑SA
[x]Other
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?2
Outfall No.
Date Sample 24-hour rainfall
Collected amount,
(mo/dd/yr) Inches3
Total Suspended Solids
Benchmarks ===>
_ -
100 mg/L or 50 mg/L
001
NOT SAMPLED
002
NOT SAMPLED
003
11-2-15 2.20 107
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mglU' where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
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.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample 24-hour rainfall
Collected' amount, Non -polar O&G by EPA
(mo/dd/yr) Inches3 1664 (SGT -HEM) Total Suspended Solids
Benchmarks =__>
_ - 15 mg/L 100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [X]
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES [X] NO ❑
REGIONAL OFFICE CONTACT NAME: John Holly
Mail an oriainal and one copv of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR 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 gat er and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible athering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awyte thatjtbeT are si ' 'cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
Permit Date: 10/1/2014-9/31/2019
tZlIlls-
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2