NCG080196 DMR SW

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 04/10/2015
CERTIFICATE OF COVERAGE NO.10§00M,19- Illili,
FACILITY NAME United Parcel Service - Winston-Salem
COUNTY Forsyth
RECEIV!9&E COLLECTION YEAR 2014
APR 2 3 20 trMPLE PERIODF-]Jan-June FXJuly-Dec
or F --]Monthly' (month)
CENTRAL FILES
PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) DWR 8ECTIOF61SCHARGINGTO CLASS [::]ORW [::]HCtW F—]Trout F-1 PNA
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable)
E]Zero-flow FlWater Supply EISA
510ther Class C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
X yes no
F]No discharge this period? 2
Outall0" ate" Q�00556
IN
Non -Po TPH EPA ',","New'Motor'Oil'Us'age;"��',,,',',,
�Y `1'1.,-p1___,"' I" "OH and,Gr6ase/'
_SampIe,CoIIected,,-,,'� " Total Sus0enid 6�d` H - ar
'S lid' �Wlethbd �i664,(SGT-HEM),,m' L Arinua 4Verage'g6l/rno",�,�",
0,
o/dd/yi, 9
, Be'n`kIiiiiar k_,pr'100'see permi ,�Witfiin,60­9.0
SDO-001 10/03/2014 14.4 8.50 < 5.0
152
SDO-002 10/03/2014 9.9 7.62 < 5.0
152
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
0055 4", 0
No. Sa le Collected' 'YVon-Polar Oil
and1j'rea`s6/tP'H1PA Method jotal, Suspended soIiik,,'f'w,­
I
4, SGT,-,14EM), mj&
166 'Un
;mo
/dd�
Wits
;Permit _Limit -,,'
�­Witfiin"6 0--9.0
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 April 11, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 10/03/2014 (first event sampled)
Total Event Precipitation (inches): 0.32
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 TRIGGERSTIER 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.
i TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES F-1 NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F7 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 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/.'pformation, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Additional copies of this form may be downloaded at:
SWU-250
(Date
http://portal.ncdenr.org/web/wg/­ws/su/npdessw#tab-4
last revised April 11, 2013
Page 2 of 2