NCG080775 DMR SW (2)

1 Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
��
� n Date submitted 07/30/15
CERTIFICATE OF COVERAGE NO. N.f fiffiggRUS` SAMPLE COLLECTION YEAR 2013
FACILITY NAME WilcoHess #396 Rocky Point SAMPLE PERIOD x Jan-JuneJuly-Dec
COUNTY Pender or ElMonthly1 (month)
PERSON COLLECTING SAMPLES Jay Baker_ ®���ARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
LABORATORY R&A Lab Cert. #34 Comments on sample collection or �, ❑Zero -flow ❑Water Supply [:]SA
analysis: AUG 0 3 2015 x Other—class C;Sw
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall�, ' Date
No. _! Sample Collected,-
mo/dd/yr
00530
00400
00556, '
Non -Polar. -Oil and Grease/TPH EPA Method,
=-1664 (SGT -HEM), mg/L `
Total Suspended
- Solids,,mg/L
pH,
Standard units , , "
Non -Polar Oil and Grease/TPH:EPA
Method 1664 (SGT -HEM), mg/,L
New Motor Oil Usage,
Annual average gal/mo
Benchmark— -50
or 100see permit
Within 6.0 — 9.0", .
15
-
7.30
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall " Date
No. Sample Collected,
mo/dd/yr
00556
0053Q
00400
Non -Polar. -Oil and Grease/TPH EPA Method,
=-1664 (SGT -HEM), mg/L `
Total Suspended Solids,
mg/L " .,
-pH, e .
Standard unit's "
,Permit Limit, -
15
100 see permit
6.0 — 9.0 "
SDO #1 06/24/2015
<5.0
92.0
7.30
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
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ST*M EVENT CHARACTERISTICS:
A
Date 06/24/15 (first event sampled)
Total Event Precipitation (inches): .19
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 INA 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:
Mail an oriainal and one copy 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 Discharge" reports) to:
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 penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Lynne Hays for A.T. Williams Oil Company
(Signature of Permittee)
07/30/15
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-250
last revised April 11, 2013
Page 2 of 2