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HomeMy WebLinkAboutNCG070006_MONITORING INFO_20190115STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V uc,p"%o Ool� DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE 2p 1yUl Cs ❑ &-1$ YYYYMMDD North Carolina Department of Environmental Quality (DEQ) SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Vehicle/Equipment Maintenance Activities Only Date submitted i,/1_,7 CERTIFICATE OF COVERAGE NO. NCG p 7 DOD b SAMPLE COLLECTION YEAR 2y, I' FACILITY NAME .&&,1AgAa,Z ✓A4x$ C]CCEivED COUNTY FZG PERSON COLLECTIN SAMPLES JAN 15 Z019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4. LABORATORY__ 4AG ;, Lab Cert. # y n VENT kAL FILES DWR SECTION Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month. Total event rainfall I or ❑ No discharge this period' Outfall No. Sample Collected, mm/dd/yr Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH, mg/L (Method 1664 SGT-HEM) (If applicable) Oil and Grease, mg/L (if applicable) pH, Standard units (only if applicable) New Motor Oil or Hydraulic Oil Usage, Annual average gal/mo Benchmark 100 or 503 15 30 Within 6.0 — 9.0 - AID jd1j;r_ b)z Xtre ✓ / f 1 The total precipitation must be recorded using data from an on -site rain gauge. 2 For sampling periods with no discharge ate outfalls. You must still submit this discharge monitoring report with a checkmark here. -'See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies. *FOR 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 ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised; June 1, 2018 Page 1 of 2 i Mail an original and one My of this DMR including all "No Discharge" reports, within 30 days or, receipt of the lab results or at end o monitoring period in the case of "No Discharge" reports) to D WR Central Files: Division of Water Resources* Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 *Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR. 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, p. 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." of Permittee) 01/11 (oat ) Additional copies of this form may be downloaded at: httt)s_ I/deg.nc.Qov/about/divisions/energy-m ineral-land-resources/nvdes-stomiwater-SRs NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1. 2018 Page 2 of 2 North Carolina Division of Energy, Mineral, and Land Resources SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR) Vehicle Maintenance Activities Only T Date submitted CERTIFICATE OF COVERAGE NO.'NCG0�ZQ,���. RFrFIVFD SAMPLE COLLECTION YEAR zo1'7 FACILITY NAME ,BAN 2 3 ?018 COUNTY PERSON COLLECTING 9AMPLES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 LABORATORY Lab Cert. # INIEDRMATION PR0rpG0,1NG UNIT Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month. Total event rainfall 1 or ® No discharge this period2 Outfall No. Sample Collected, mm/dd/yr Total Suspended ." Solids (TSS), mg/L Non -polar O&G/TPH, mg/L (Method 1664 SGT HEM), (If applicable) Oil and Grease, mg/L (if applicable) pH, Standard units ' (if applicable) New Motor Oil Usage, Annual average gal/nto Benchmark - 100 or 503 1s 30 Within.6.0 --'9.0 - K 'The total precipitation must be recorded using data from an on -site rain gauge. 2 For sampling periods with no discharge at am outfalls. You must still submit this discharge monitoring report with a checkmark here. 3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any other similar non - numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L". where XX is the numerical value of the laboratory's detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must Implement Tier I, Tier 2, or Tier 3 responses. See General Permit text. FOR MONITORING RESULTS: • A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART 11 SECTION B or C. • Two exceedances in a row for the same parameter at the same outfall trigger TIER 2 REQUIREMENTS. TIER 3: Has your facility had four or more benchmark exceedances'for the same parameter at any one outfall? YES ❑ NO ❑ IF YES: Have you contacted the DEMLR Regional Office? YES []NO ❑ REGIONAL OFFICE CONTACT NAME: SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014 Page 1 of 2 Mall an original and one copyof this DMR, lncludin_I all "No Discharge" MRorts, within 30 da rLs of receipt of lab results or at endue monitoring period In the case of_"No Discharge" Morts2to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 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." of Permittee) (Date) Additional copies of this form may be downloaded at: http.j portal.ncdenr.or /� web/lrLnpdes-stormwater SWU-254 Vehicle Maintenance Activities DMR Lust Revised: August 11. 2014 Page 2 of 2 North Carolina Division of Energy, Mineral, and Land Resources SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR) Vehicle Maintenance Activities Only Date submitted 7 ZIA J,17 CERTIFICATE OF COVERAGE NO. NCG__E,_1 4 SAMPLE COLLECTION YEAR AP17 FACILITY NAME COUNTY / it PERSON COLLECTING SAMPLES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 LABORATORY Lab Cert. # Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month. Total event rainfall 1 or ❑ No discharge this periodz Outfall No. Sample Collected, mm/dd/yr Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH, mg/L (Method 1664 SGT-HEM) (if applicable) Oil and Grease, mg/L (If applicable) pH, Standard units (if applicable) New Motor Oil Usage, Annual average gal/mo Benchmark - 100 or 503 15 30 Within 6.0 — 9.0 - es rr o 1 1 The total precipitation must be recorded using data from an on -site rain gauge. For sampling periods with no discharge at any outfails. You must still submit this discharge monitoring report with a checkmark here. 3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any other similar non - numerical format. When results are below the applicable limits, they must be reported In the format. "<XX ms/L", where XX is the numerical value of the laboratory's detection limit, reporting limit, etc. in mg/L. (Vote: 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 MONITORING RESULTS: • A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C. • Two exceedances in a row for the same parameter at the same outfall trigger TIER 2 REQUIREMENTS. • TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall? YES ❑ NO ❑ IF YES: Have you contacted the DEMLR Regional Office? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: SWU-254 Vehicle Maintenance Activities DMR last Revised: August 11, 2014 Page 1 of 2 " he lab results for at end of Mall an original and one copy of this DMR including a 1 No Dlscharr�e re»arts, within ays of recelyt olt monitoring period In the case of "No Dlscharae" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 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." (Signat� of Permittee) 7x .i (Date) Additional copies of this form may be downloaded at: http:LLportal.ncdenr,are/web/ir/npdes-stormwater SWU-254 Vehicle Maintenance Activities DMR Last Revised. August 11, 2014 Paee 2 of 2 North Carolina Division of Energy, Mineral, and Land Resources SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR) Vehicle Maintenance Activities Only - Date submitted 1 01 17 CERTIFICATE OF COVERAGE NO. NCGp 7 _& _g 2 jz _ RECEIVE3AMPLE COLLECTION YEAR 24vj 6 FACILITY NAME AgzIq 1&&1u4•T 4 JAN 10 2017 COUNTY S`rxU/jjZY PERSON COLLECTING SAMPLES CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE LABORATORY Lab Cert. # DWR SECTION Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month. Total event rainfall' or 0 No discharge this period' Outfall No. Sample Collected, mm/dd/yr Total Suspended Solids (TSS), mg/L' Non -polar O&G/TPH, mg/L (Method 1664 SGT HEM) (if applicable) Oil and Grease, mg/L (If applicable) pH, Standard units (if applicable) New Motor Oil Usage, Annual average gal/mo Benchmark = 100 or 503 1s 30 Within 6.0 — 9.0 - Alp soiswaa&a The total precipitation must be recorded using data from an on -site rain gauge. Z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX ma/L", where XX is the numerical value of the laboratory's detection limit, reporting limit, etc. in mg/L. 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 MONITORING RESULTS: + A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C. • Two exceedances in a row for the same parameter at the same outfall trigger TIER 2 REQUIREMENTS. • TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall? YES ❑ NO ❑ IF YES: Have you contacted the DEMLR Regional Office? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: SWU-254 Vehicle Maintenance Activities DMR Last Revised: August If, 2014 Page 1 of 2 Mail an ori9lnal and one copy of this DMR, Including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period In the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUSTSIGN 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." (Slgq#6re of'Permittee) �1�11-7 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/webllr/ngdes-stormwater SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014 Page 2 of 2 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) -STORMWATER SUBMIT TO CENTRAL OFFICE" General Permit No. NCGO20000 Calendar Year. *Report ALL STORMWATER monitoring data on this' form (include "No Flow"Mo Discharge' and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG021&10©PJe,c ,.6 76 0 Facility Name: . RyAnw r County: ST ri,vL•1 Phone Number: c rxa Afi- 34+14 Total no. of SDOs monitored 7- Certified Laboratory -- _ r&r-c _. .. _ _ Lab # Yo Lab # Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑ Is this outfall currently In Tier 2 for any parantetei? Yes ❑ No 0 his Was toutfall ever In.'her 2 during the -past yeai? Yes ❑ No.❑' If this outfall was in Tier 2 Last year, was inonthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrime frequency ❑ REGFI�.�. Yes, received approval fivm DEMLR.to reduce monibxft frequency ❑ JAN 2 4 Z018 No, hatidtty benchmark exoeedenow did not require monthly monitoring ❑ CENTRAL FILES other ❑ DWR SECTION j]' � �6��` t Ouffa#1'Na� P. -. : aa� :+ .:T• F a F" rp SS, x 1,.`. .. .. ,Tur6iditY,' -' � - ♦ P.S.rea _(U) Alm Y w �' L Sr°Y.�+ � �Dorirnsteam+ (ID urbidity �T s-�� '° - 4 tNori polar fl&G�,,m911= oion0 1, ::Usage_ siliilo: Stormwater Benchmarks ,,,.,,o `�`O1"" 10©15© 0.1 CWdA e. 5012511 a NIA r NIA s 15 .as � "°"p""' ��13ate �5at�p�e, Cowllected;r 4.Swmold -L:.� f Kermit Data,101112015 — 91 OMM Last Revised 10-2-2015 Certificate of Coverage No. NCG02 Q[]EIF Additional Outfall Attachment (make copies as needed for additional outfalls) Stornw ater Discharge Outfai!-(S©O)-No. - VMA Outfall? Yes 0 " No Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑ Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough oonseoitive samples below berxshmarks to dwease freqAr;cy ❑ Yes. received approval from DEMLR to reduce monitoring frequency ❑ No, turbidity benchmark excesdanoes did not require monthly mondoring Q Other Q 'Ot t ail .96 � �Totaiw Rainfall, 4 � �ml� t ,mom Turb1.tdity,, .:N'[t1 ) Turbidity, e (D) Turtiidity;4 M. ��• on-poia1v O&G,�mgl� � 7 gr�t?ll ; U 3iorrrrr+iater " Benchmarks .+ire. wo a. `.100/50 0.1 , �50/25110 NIA NIA : , - .wr,p, � Date PI�� �','W2 Permit Data 101112015 — 9=12020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ®0®® CERTIFICATION 01 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." [Required by 40 CFR §122.221 Signature ' Date t li Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 - 9/3012020 Last Revised 10-2-2015 North Carolina Division of Energy, Mineral, and Land Resources SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR) Vehicle Maintenance Activities Only Date submitted I /zs/A CERTIFICATE OF COVERAGE NO. FACILITYNAME AavAg&ri ®yAggY COUNTY PERSON COLLECTING eAMPLES SAMPLE COLLECTION YEAR .ZOIf RECEIVED MAR O 9 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE -� LABORATORY Lab Cert. # CENTRAL FILES DW�g CTIQ Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for fa c IR es us n� an average of > 55 gal of new motor oil per month. Total event rainfall' or ❑ No discharge this period' Outfall No. Sample Collected, mm/dd/yr Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH, mg/L (Method 1664 SGT-HEM) (If applicable) Oil and Grease, mg/L (if applicable) pH, Standard units (if applicable) New Motor Oil Usage, Annual average gal/mo Benchmark - 100 or 503 1s 30 Within 6.0 — 9.0 - . - 1 The total precipitation must be recorded using data from an on -site rain gauge. z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any other similar non - numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mith". where XX is the numerical value of the laboratory's detection limit, reporting limit, etc. in mg/L. 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 MONITORING RESULTS: • A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C. • Two exceedances in a row for the same parameter at the same outfail trigger TIER 2 REQUIREMENTS. • TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall? YES ❑ NO ❑ IF YES: Have you contacted the DEMLR Regional Office? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014 Page 1 of 2 Mal! an original and one copv 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" reMorts) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 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." of permittee) �, i '• (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web Ir n des-stormwater , SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014 Page 2 of 2 North Carolina Division of Energy, Mineral, and Land Resources SEMI-ANNUAL STORMWATER OUTFALL DISCHARGE MONITORING REPORT (DMR) 0 Vehicle Maintenance Activities Only Date submitted .z f. t� CERTIFICATE OF COVERAGE NO. NCGA= ��-6 _ FACILITY NAME llvla»,4i,� a ✓,a ,� .4oc,c COUNTY Sr, .r y PERSON COLLECTING SAMPLES LABORATORY Lab Cert. 9 SAMPLE' COLLECTION YEAR g3je /h LEASE REMEMBER TO SIGN ON THE REVERSE 4;1 Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new �'oi pe�jUttA. Total event rainfall I or ❑ No discharge this period' JUL 15 2016 Outfall No. Sample Collected, mm/dd/yr Total Suspended Solids (TSS), mg/L Non -polar O&G/TPH, mg/L (Method 1664 SGT-HEM) (if applicable) Oil and Grease, mg/L (If applicable) pH, Standard units (if applicable) iW a." . — - & i N w Motor Dil�Usage, R%nual average gal/mo Benchmark - 100 or 503 15 30 Within 6.0 - 9.0 - ' The total precipitation must be recorded using data from an on -site rain gauge. 2 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or any other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the laboratory's detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier .1, Tier Z, or Tier 3 responses. See General Permit text FOR MONITORING RESULTS: • - A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C. • Two exceedances in a row for the same parameter at the same outfall trigger TIER 2 REQUIREMENTS. • TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall? YES ❑ NO ❑ IF YES: Have you contacted the DEMLR Regional Office? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014 Page 1 of 2 Mail an original and one copy of this DMR, Including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 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 info rmation'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." i'ire of Permitteej 7fla.114 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/Ir/npdes-stormwater SWU-254 Vehicle Maintenance Activities DMR Last Revised: August 11, 2014 Page 2 of 2