NCG080188 DMR SW (5)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
C)
CERTIFICATE OF COVERAGE NO. NCGU808O $'
Date submitted:
�0a7/29/15
REGI V D SAMPLE COLLECTION YEAR 2015
FACILITY NAME Superior Carriers High Point AUG 0 3 2015
COUNTY Randolph
CENTRAL FILES
PERSON COLLECTING SAMPLES Lynne Hays DWR SECTION
LABORATORY R&A Lab Cert. # 34 Comments on sample collection or
analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE PERIOD Jan -June July -Dec
or Monthly" JUly (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
❑Zero -flow xWater Supply
❑Other
❑PNA
❑ SA
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall Date' �
No. Sample Collected,
m'o/dd/yr
'00530,
00400 �
� . 00556
100400
Tota[Suspended
Solids, rng/L
pH,
Standard units
Non -Polar Oil and Grease/TPA EPA
Method 1664 (SGT -HEM), mg/L
New Motor OiI"U'sage, �o
Annual average gal/mo
Benchmark . - -
50 or 100 see permit
Within 6.0 — 9.0
ib
SDO #1
JULY
No Discharge/Inability to Collect Sample
No Discharge/Inability to Collect
Sample
No Discharge/Inability to
Collect Sample
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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date
Sample, Collected,
° 'mo/dd/yr
- 00556
00530 -
100400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT -HEM), mg/L,
TotaiSuspended,Solids,
mg/L
Standar"d:units " m
Perriiit Limit '
= -
15
50 or 100 see permit
6.01= 9.0
SDO #1
JULY
No Discharge/Inability to Collect Sample
No Discharge/Inability to Collect
Sample
No Discharge/Inability to
Collect Sample
' 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 October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date July (first event sampled)
Total Event Precipitation (inches):
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 coov of this DMR, includina all "No Discharae" 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 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 Superior Carriers, Inc
(Signature of Permittee)
07/29/15
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2