NCG080803 DMR SW (2)

STORMWATER DISCHARGI )NITORING REPORT (DMR)
GENERAL PERMIT NO. NCG080000
GENERAL PERMIT NO, NCG080000 " = _ -_ ° SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
CERTIFICATE OF COVERAGE NO. NCG08 0 8 0 3 (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.)
FACILITY NAME Waste Industries — Hope Mills Garage COUNTY CUMBERLAND
PERSON COLLECTING SAMPLE(S) J D Frei (SwSG) RI'HONE NO. 9( 10) 423-4122
CERTIFIED LABORATORY(S) Pace Analytical Lab # 12/ 633
SwSG Lab # 5054 U E E 0 4 2 015 PLEASE SIGN ON THE REVERSE Q
Part A: Vehicle Maintenance Activity Monitoring Requirements
CENTRAL FILES
tJ' � 4 DWP 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 immediate) below
Outfall Date
No. Sample
Collected
mm/dd/ r
00530
'00400
00556
Oil and Grease,
mg/L
Total Suspended Solids,
mg/L
pH,
Standard Units
Oil and Grease,
mg/L
New Motor Oil Usage,
Annual average gal/ mo
Benchmark -
100
Within 6.0 — 9.0
15
-
002 11/09/15
276
6.88
< 5.0
+/-190
001
Eliminated as a Point Source Discharge
003
Represented by SDO-002
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Part B: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals
Outfall Date
No. Sample
Collected
mm/dd/ r
00556
00530
00400
Oil and Grease,
mg/L
Total Suspended Solids,
mg/L
pH,
Standard Units
Benchmark -
15
100
Within 6.0 — 9.0
STORM EVENT CHARACTERISTICS
Date November 9. 2015 (first event sampled)
Total Event Precipitation (inches): 0.55 inches
Date
Total Event Precipitation (inches
(list each additional event sampled this reporting period, and rainfall amount)
Form SWU-250-102107
Page 1 of 2

"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 po s' ility of fines and imprisonment for knowing violations."
�L 3v
(Signature of Permittee) (Date)
Mail Original and one copy to:
Attn. DWR Central Files
NCDEQ / DWR
1617 Mail Service Center
Raleigh, NC 27699-1617
Form SWU-250-102107
Page 2 of 2