NCG080033 DMR SW

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OFC
V RAGE N 01
FACILITY NAME - azyz &ZY/
COUNTY R12_rnjo��'
PERSON CdLL`EC_TING SAMPLES !7M::
LABORATORY J111 djpo/ Lab Cert. It
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Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECT12,"EAR. 6 P 16
SAMPLE PERIOD Jan -June [:] July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS [:]ORW DHQW [:]Trout [:]PNA
[:]pro -flow Dwater supply [:]SA
RECEIVED Other
MAY 13 2015 A
CENTRAL FiLES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION F-1 No discharge this periods
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?.— yes X -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
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Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?.— yes X -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
I 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
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I 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 CHAR J'tTERISTICS:
DateWvenPrecipitation
rst event sampled) /6
Total (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 AAND PART B 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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original 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 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 subrrp4ting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
( te)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU3956
last revised October 25, 2012
Page 2 of 2

VMICROBAC-
Fayetteville Division
Certificate of Analysis
Warren Oil Company Date Reported 05/04/15
Ms Wanda Pender Project Stormwater -Semi Annual Date Received 04/21/15
2340 US 301 North Date Sampled 04/21/15
Dunn NC, 28334 Sampled By Nunn
Out flow Sample
K5D0728-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
Analyzed by- Microbac Laboratories, Inc. - Fayetteville
Oil & Grease (SGT -HEM) <5 00 mg/L 04/30/15 11 00 MLW EPA 1664
pH 68 pH Units 04/24/15 14 00 DSK SM 4500 H+13-2000, H
Total Suspended Solids 480 mg/L 04/27/15 13 16 SW
Rainfall: 0.5"
Notes and Definitions
H Analyte was prepared and/or analyzed outside of the analytical method holding time
(Aqueous)
SM 2540 D-1997
Microbac Laboratories, Inc. Page 1 of 2
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com