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Home My WebLink AboutNCG080190_MONITORING INFO_20190110STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V CCU O -�b (GI O DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ aolq'0116 YYYYMMDD STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM Calendar Year 2018 Certificate of Coverage (COC) No. NCGO80190 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP Facility Name: United Parcel Service - Statesville County: I redel I Phone Number: 919-790-7474 Total no. of SDOs monitored: 2 JAN 10 2019 CEWRAL FILES DVVR SF-C-rl0N Outfall No. SDO-001 Is this outfall currently in Tier 2 (monitored monthly)? Yes No �X Was this outfall ever In Tier 2 (monitored monthly) during the past year? Yes No 0 If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other Was this SDO monitored because of vehicle maintenance activities? Yes �X No Total Rainfall, Inches parameters, (units) Total Suspended Solids, (mg/L) pH, (Standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/L) Benchmark N/A 50 or 100 see permit Within 6.0— 9.0 15 Date Sample Collected 04/23/2028 1.63 = 17.6 7.47 M < 5.0 09/26/2018 0.60 4.7 6.52 < S.0 Outfall No. SDO-002 Is this outfall currently in Tier 2 (monitored monthly)? Yes No [X Was this outfall ever In Tier 2 (monitored monthly) during the past year? Yes No FRI If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency Received approval from DWQ to reduce monitoring frequency Other Was this SDO monitored because of vehicle maintenance activities? Yes No ❑ Total Rainfall, Inches Parameters, (units) Total Suspended Solids, (mg/L) pH, (Standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/L) Benchmark N/A 50 or 100 see permit Within 6.0 — 9.0 15 Date Sample Collected 04/23/2018 1.63 13.9 8.55 < 5.0 09/26/2018 0.W 7.2 6.94 < 5.0 9 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 intormation submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible lbr 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." Signature: Date: For questions, contact your local Regional Office United Parcel Service - Statesville SWU-264 -Generic Annual DMR Last revised 5/17/2013 outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency Received approval from DWQto reduce monitoring frequency ❑ Other 71 Was this SDO monitored because of vehicle maintenance activities? Yes No Total Rainfall, Inches Parameters, (units) Total Suspended Solids, (mg/L) pH, {Standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/L) Benchmark N/A 50or 100see permit Within 6.0-9.0 15 Date Sample Collected Outfall No. Is this outfall currently In Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever In Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQto reduce monitoring frequency ❑ Other ED Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ Total Rainfall, Inches Parameters, (units) Total Suspended Solids, (mg/Q pH, (Standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/L) Benchmark Date Sample Collected N/A 50 or 100 see permit Within 6.0 — 9.0 15 "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." Signature: /UtDate: a For questions, contact your local Regional Office United Parcel Service - Statesville SW U-264 -Generic Annual DMR Last revised 5117/2013 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 12/28/2018 CERTIFICATE OF COVERAGE NO. NCGO80190 SAMPLE COLLECTION YEAR 2018 FACILITY NAME United Parcel Service - Statesville SAMPLE PERIOD ❑lan-June F—x] July -Dec COUNTY Iredell or F]Monthlyl (month) PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) ' E M SgIARGING TO CLASS ❑ORW [::]HQW OTrout [—]PNA LABORATORY Pace Analytical Services, Inc. Lab Cert. # 0 JAN 10 2019 LABORATORY INENCO, Inc. Lab Cert. # 5544 Comments on sample collection or analysis: [)VqRCENTRAL T 10i -j ®Wry. Si;C�'10�� 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) Zero -flow F]WaterSupply EISA OOther Class C PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -* is yes no ❑ No discharge this period?z 3ti. ,.Oirtfall-:.;`.s: -�''Ar'.:. . , C,. +• K. S. ?a w �Fl i 2ii .•r, ,, fi?.., ,,_> x Y.; •��.,.-,..�, path'.' ,��,.:'� i.F.`}C' • .fir x `4 s'F ,S. i .! ;Sam to Collected; t•t.+ R, k� '�..,:- S_ 1. t.`b. s „r=': mo dd`� '� `k /. /Yr -'4' ; 4 ux- ,y-'tL,aS..� -,j,. j; ° -„ ;0053p}..�{5't �..,s'- `. s. L'c. _ t ..4\ '^'tx i rfi.: # -�' ?-a140E1ti�... " J _ ,: *L". 't-. s`e �a-'x+•9;. . .�: -- - r. a,t yt:-� +.-, ] ..��56 ''S,'' �t.�.-2bz 4. '.'3Y }4 '�i'' 3Z .4, - L'c'S. :~i,! ss €^\ -ra } '^,�+? @ �„rMn, ._ eq�' :a3ka5 r*""4,�,,. 'LAC L-&1�' ..:� LtL "=ki"4�'`ed r- c ..ii' J�-', )'Y _; -0.' total 5u ended ,fY„. sP g \ ,'.+•: " �t ,A.Fy;' • . ., , S ems, -.. . A: e ,:;Solids,'iri .I�,�.:�' - -! \.., "� -"t :. t(4 �,.,,pH. F -: i ' . t.•. 1 F." A' .,• -�, \- nv�. , } ;y,_ �lv ?". _ Nu. Standard units_, sa Y'-�; - R NoirFalac Oil and'Grea`se [i EPAx�:b .r�: y r I.ieti ,J. r.\ £l i� 1':.at.� Yl W �{`....t� t4•>,'x `+' ". Z ;,,.,.Method;1564 SGT-HEM m L?a{ ( ), gl S Se-- t�lf .� s New`Mator:;Oil Usage, ..,� :n ,n .„ a, - �; t 3ar: ,a}+, ;Annual ages egal%mop g . -.rt'•.- ,cs• .t ,�s.Benctemark� �u+_.rY_:%� r'r �i''s:5i4.ist a� �,< ,•-��Fw . ��.3 r �..� . ::-: - .. �...:,..: .�.... l.. S? S �' S0 or:lfl0 see permit � ,�.� ♦.}t' — - ..? �z ��S.W"Rliin 6A ti9A�„�. � .y_.. }..: . T.\. i iV •,r ;S-.. _y,.:..\, i+\t`• ... w '��. �� gx ,., �* � ;�;��<' _-�:��'i�� \3:� tS e� a.: '.. i ` �Y._, ,.a �� x��'��.;7��z � � �• a SDO-001 09/26/2018 4.7 6.52 < 5.0 66 SDO-002 09/26/2018 7.2 6.94 < 5.0 66 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) - t c rOuifalla� `: � 5 � Nai: 3 r -`; ..i �1.. i' �r e�: per:. 4e � ��r .� "`Sam I Cal#ected a _. P . �{,: l c.3• l R '.ix'f C ][ 4 V i— - » :�� I �. '00556 �,c�. <� : i`r., '� • tf,� •• rem- i 00530�i ,l"- '1 ,t tt' �,,,� �t a, `x�� ,;; K ,� -�. � ,.cr-� -�- .<t} Non�olar;O�i and Grease/ �pH EPA Method; n A' �* ! TP` Y.. f'I Y �:�. fie: .��Se'Fy.£ t, �: ;�,a;.}..�"1664r5GTHEM m L- tr'�z ��,;x.�•�c�. ;" r Uotal:Suspendea:so€ids r-. - +�1 . ^ 1.: \fi t '• - f'i, �y��".m I��'�^° :,��'•,��v'e'�=..�2�'�,`,'�5tandardunits+�� pH; .; }�• �": ` x �E ;:r .33.h � €� � f. ;.:•!'. .2 .S . r r,,�;' � itn'��tt� .' 1M1� 1 �'a ��• '.�..'Ts-. Permrt Ltmrt. ;¢ -ua 's'i•v,:^t:r a`3Tis, gi\F GSV.:TASI �s,. x- •r i „- kti'F "S.r;,V- 111 `.ir.U\104 3 :v c" y _`.2: x?r.SF- 4. t4 Sx,r 5 �r'.iW see..pen n�_ 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 09/26/2018 Total Event Precipitation (inches): Date Total Event Precipitation (inches): (first event sampled) 0.60 (list each additional event sampled this reporting period, and rainfall amount) United Parcel Service - Statesville 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 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES F--j NO F7X IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F—] 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 for of 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 property gather and evaluate the information submitted. Based an 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." (Signature of Additional copies of this form may be downloaded at: — l-� — i 1 ( Date) http:/Iportal.ncdenr.org/Wq�b/wg/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 12/28/2018 CERTIFICATE OF COVERAGE NO. NCGO90196 SAMPLE COLLECTION YEAR 2018 FACILITY NAME United Parcel Service -Winston-Salem SAMPLE PERIOD r—IJan-June F❑—X1 July -Dec I - I COUNTY Forsyth or R Monthly' (month) PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. -Lab Cert. # 12, 40, 37706, & 37712 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: DISCHARGING TO CLASS [:]ORW F-IHQW oTrout E]PNA JAN 10 Z019 Cr-ENTiRAL Fl,IE3 D\NR SECTION 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 E:]Water Supply ESA FXjOther Class PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X yes no F-] No discharge this period? 2 6"R--V .N D 6� api66tWd " mC '- To& �.?��,taSuspe , Hirk dGR ' K RcSclid averageja r A,,1 50'or� 1 06'si-e 1�irffi It SDO-001 09/26/2018 5.5 8.58 < 5.0 153 SDO-002 09/26/2019 102.0 7.76 < 5.0 153 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) ll T 1 ti Z,7ZNg• -Z` Daie�:` Collected,Non-Pblar V Oilter'and Greaise/TPH EPA Method K . K f1664,(SGT!-H1EM)j RZ, -W UNA, on s MoR 4 rifi/I OR W "Standard,uhRM 1.P it LiMitl-I&I R�141�1,� nt��-,� is I see 0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 09/26/2018 (first event sampled) Total Event Precipitation (inches): 0.19 Date Total Event Precipitation (inches): (list each additional event sampled this reporting period, and rainfall amount) United Parcel Service - Winston-Salem 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 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 r -1 NO FX IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO REGIONAL OFFICE CONTACT NAME: Mail on orfginal and one copy of this DM-R, including all_ "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case o "No Discha e" re arts 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." N4 (Signature of Additional copies of this form may be downloaded at: 1-4--19 (Date) http://portal.ncdenr.orp,/web/wg/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 August 22, 2018 Division of Water Quality Attn: DWQ Central Files S 12 N. Salisbury Street Raleigh, NC 27604 REC'F/V1FD AUG 2 8 2018 CENrjYAL F1 Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 6, Period 1, Sample 11 - 2018 United Parcel Service -- Statesville: 147 Parcel Drive, Statesville, NC (Iredell County) General Permit NCG080000; Certificate of Coverage No. NCG080190. Dear Stormwater Permitting Unit; We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall Monitoring Report for the United Parcel Service — Statesville facility under General Permit Number NCG080000, Certificate of Coverage No. NCG080190. This submission is for stormwater discharge sampling during Year 6, Period 1, Sample Number 11 (January to June, 2018) as outlined in Part II, Section B of our stormwater discharge permit. We are happy to report that all sample analytical results were below benchmark values and/or within the benchmark ranges. If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring Report (DMR), please contact us at your convenience. Sincerely, r, 4�0p� Vincent Mollo District Environmental Coordinator United Parcel Service, Inc. Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), I original & I copy Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 07/08/2018 CERTIFICATE OF COVERAGE NO. NCGO80190 FACILITY NAME United Parcel Service - Statesville COUNTY Iredell PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # LABORATORY INENCO, Inc. Lab Cert. # Comments on sample collection or analysis: 12, 40, 37706, & 3773 5540 SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD Jan -June ❑ July -Dec or [--]Monthly" (month) DISCHARGING TO CLASS [:]ORW F-]HQW Trout E]PNA OZero-flow EjWaterSupply FISA EK]Other Class C PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) No discharge this period?1 Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I PH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-001 04/23/2018 17.6 7.47 < 5.0 66 SDO-002 04/23/2018 13.9 8.55 < 5.0 66 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids mg/I pH, Standard units Permit Limit - 15 50 or 100 see permit Within 6.0 — 9.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-2S0 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 04/23/2018 (first event sampled) Total Event Precipitation (inches): 1.63 Date Total Event Precipitation (inches): (list each additional event sampled this reporting period, and rainfall amount) United Parcel Service - Statesville 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 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES r NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 71 NO REGIONAL OFFICE CONTACT NAME: Mail an original and one car of this DMR, including all Vo Dischhr a"_resorts, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" mPorts) 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: "1 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." -7 LZ_418 — (J�wx (Signature of P ittee) (Date) Additional copies of this form may be downloaded at http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2Of3 Page 2 of 2 January 8, 2018 Division of Water Quality Attn: DWQ Central Files 512 N. Salisbury Street Raleigh, NC 27604 Rr-r,;=I\i JAN 101018 OWR SECTION INFORMATION PROCESSING UNIT Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 5, Period 2, Sample 10 - 2017 United Parcel Service — Statesville: 147 Parcel Drive, Statesville, NC (Iredell County) General Permit NCG080000; Certificate of Coverage No. NCGO80190. Dear Stormwater Permitting Unit; We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall Monitoring Report for the United Parcel Service — Statesville facility under General Permit Number NCGO80000, Certificate of Coverage No. NCG080190. This submission is for stormwater discharge sampling during Year 5, Period 2, Sample Number 10 (July to December, 2017) as outlined in Part 11, Section B of our stormwater discharge permit. We are happy to report that all sample analytical results were below benchmark values and/or within the benchmark ranges. If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring Report (DMR), please contact us at your convenience. Sincerely, Vincent Mollo District Environmental Coordinator United Parcel Service, Inc. Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & 1 copy 1ti Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080W0 Date submitted 11/15/2011 CERTIFICATE OF COVERAGE NO. NCG080190 SAMPLE COLLECTION YEAR 2017 FACILITY NAME United Parcel Service - Statesville SAMPLE PERIOD Jan -June �X July -Dec COUNTY fredell or ❑Monthlyr (month) PERSON COLLECTING SAMPLES Ryari R. Osborne (INENCO, INC.) LABORATORY _Pace Anal)jical Services, Inc. Lab Cert. a LABORATORY INENCO, Inc. Lab Cert. li Comments on sample collection or analysis: Lab Certs 5540 DISCHARGING TO CLASS ❑ORW 0HQW Trout F-�PNA Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Part A: Vehide Maintenance Areas Monitoring Requirements (If applicable) [::]2ero-41ow ❑Water Supply F�SA Mother Class C PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X yes _ no No discharge this period?1 Outfall No. Date Sample Collected, mo/dd/yr' , 00530 OOR00 D0556 -' Total Suspended ' . Sollds, aMA pH. Standard units. .. Non -Polar Oil and Grease/TPH1 EPA Method 1664 (SGT-HEM), ntg/L .. , ' "New Moto€ Oil usage, Annual average gal/mo Benchmark 50 or IOD see permit Within 6.0 = 9; 15 - 5DO-001 09/11/2017 18.2 7.11 < 5.0 73 SDO-002 09/11/2017 10.6 7.13 < 5.0 73 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfall No. Date sample Collected, Amo/dd/yr 005S6 ` 00530 - 004W Non -Polar Oil and Grease/TPH EPA Method . 16" (SGT-HEM); nW1 - Total Suspended Solids mg/1 .; PH. ,... Standard units Permit Limit '15 SO or 100 see permit within 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 United Parcel Service - Statesville STORM EVENT CHARACTERISTICS: Date D9/11/2017 to 09/12/2017 (first event sampled) Total Event Precipitation (inches): 1.32 Date (list each additional event sampled this reporting period, and rainfall amount f Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you racist Implement Ter 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION a. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTIONS. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE gUTFALL? YES E-1 No 0 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ED No REGIONAL OFFICE CONTACT NAME: Mall an orfainal and one coov of this DMR. Includina all 'No Disrhame' retorts. within 30 don of receipt of the lab results for at end of monitorfna period in the case of 'No Dfscharae'reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST _$MN 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, induding the possibility of fines and imprisonment for knowing violations." 115knautre of Pe► teei roil Additional copies of this form may be downloaded at: http://Dortal.ncdenr.om/webLwH/wsfsu/npdesswfftab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 May 1, 2017 Division of Water Quality Attn: DWQ Central Files 512 N. Salisbury Street Raleigh, NC 27604 M4 0CeNlair OWR SECTIO S N Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 5, Period 1, Sample 9 - 2017 United Parcel Service — Statesville: 147 Parcel Drive, Statesville, NC (Iredell County) General Permit NCG080000; Certificate of Coverage No. NCG080190. Dear Stormwater Permitting Unit; We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall Monitoring Report for the United Parcel Service — Statesville facility under General Permit Number NCG080000, Certificate of Coverage No. NCG080190. This submission is for stormwater discharge sampling during Year 5, Period 1, Sample Number 9 (January to June, 2017) as outlined in Part 1I, Section B of our stormwater discharge permit. We are happy to report that all sample analytical results were below benchmark values and/or within the benchmark ranges. If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring Report (DMR), please contact us at your convenience. Sincerely, Vincent Mollo District Environmental Coordinator United Parcel Service, Inc. Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), l original & 1 copy r , "7 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 04/18/2017 CERTIFICATE OF COVERAGE NO. NCGO80190 FACILITY NAME United Parcel Service -Statesville COUNTY Iredell PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # LABORATORY INENCO, Inc. Lab Cert. # Comments on sample collection or analysis: 40, 37712, 442 5540 SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD �X Jan -June ❑ July -Dec or ❑Monthly' (month) DISCHARGING TO CLASS ❑ORW F_jHQW F—lTrout OPNA 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) Zero -flow E]WaterSupply EISA 5X Other Class C PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -it X yes no ❑ No discharge this period?2 Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-001 04/03/2017 14.3 7.14 < 5.0 73 SDO-002 04/03/2017 7.8 7.45 < 5.0 73 Part 8: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids mg/I pH, Standard units Permit Limit - 15 50 or 100 see permit Within 6.0 — 9.0 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 04/03/2017 Total Event Precipitation (inches): Date Total Event Precipitation (inches): (first event sampled) 1.01 (list each additional event sampled this reporting period, and rainfall amount) United Parcel Service - Statesville 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 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F] 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 tab results for at end of monitoring period in the case of "No Discharge" repom)-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." (Signature of Penmittee) Additional copies of this form may be downloaded at_ f(7 / 7 (pat ) http://portal.ncdenr.org/web/wglws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 12/23/2016 CERTIFICATE OF COVERAGE NO. NCGO80190 SAMPLE COLLECTION YEAR 2016 FACILITY NAME United Parcel Service- Statesville SAMPLE PERIOD F—]1an-June �X July -Dec COUNTY Iredell or ❑Monthlyl (month) PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) REC e I�U TO CLASS [—]ORW DHQW Trout F]PNA LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 3773 DEC 2 9 2016 E:]Zero-flow E]WaterSupply ❑SA LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: CENTRAL FILES Other Class C DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period?z Outfall •�" (�'l} L - ,.�(i�k y•-.�j)} �� ;.• `w No .:; �F•'F {� T� `+:.. SY;}i 1t'� mac' 4akJ +F i�_S.',i Sanie Collected°�; f e_.I Su; a . _ `S :�s7,s.,... f' - ti..-"'i ,fS-'xaa j, x•{�Iti53I) ,� ,�' � � i`4 �. .'iSr'_'� 'xr .Y-:' "A _N ii., r�x�0_ � s['c. �i:._,�e� v� -h -G1_ j., ,�. :?: s�. r ,�..' S, k t. y ,�_;.-'.; ,-.�•��wc asq ;. :stiff .+. c�:�Total Sus ' mled;' a�rn' PE 4, r: .'S1 t ati'� tY °� ie'• L' -- x � ` ,'� N; ' ?', `4 t` _ f ; p, c` C?l it"--3 F ( b4. 3 ?+ . �yz: F , l . y 1) Standard units a, �. .us 'Mori=Polat:Oil and G'ea5e■I.r�y.Ii EPA ` k l •'{. LT;�'y i. 'Ye k. LY• 2s - sr [.,. g 4 y L. T '-S � S :k. ,,=Method16fi4 (sGT-1iEM},.rng/L _ _ New M�pr>Oil Usape.��` ? 1•.E O t "s' _{; Tt.'.. 5` 4' .�. ?, �f , i d .a ,t<Y4s j � �. ,. .Annual ave*a8e.gal/rno�r, eerrchmark;� h'is-'� -,- r z��cr•10f2see ry . t. "rr: _.,�. "'Al-.S. ;:s- -- ,• rt ',fib:., -perm ;.'r.. -.r, Wlthin`60y9.0 �n '3, 'ix -.'£iS ...��..4�{ ,,,k.15;y'-tra ,.t.{ :�:. �`3,.. '�`� ..r.'�. `�.r. .,�U �},� jai • e. as�t`'5,,. xr�., i.-,.k.fi r_ yam- _ SDO-001 11/29/2016 < 5.0 6.57 < 5.0 63 SDO-002 11/29/2016 < 5.0 6.79 < 5.0 63 Part B. Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) ,. _ t._ Outfatl �•+i:,-� .�5 &'+T: ;No y ; w, a.'x'-� �. .c^�s K � ,c "'? .�•'�", i'c+_, s .�F. z_., l�".:.'�� s, r� i]ate . r s .J. -'-`ki. k� Simple Calleeted .'ae pr .. z,>•n s 37 Mr ,' T ^,J1-`. Yr=a d _ ,- isR tf.:•. �- ,.'1 7 t�i+..:� K t- u3 '"' �� s:a # x '.: 00556 t �I '`#'. �s-+�,+.Z1 '4r ?.f+r. �. �"i�.`C � 3's X` ��'y}y �.C� rl- l -.. X_.a c� \ a005 :�.-t�l�.-`J.:L- �1 `F-:7, e': .�� : v' �.4 3 r 4 ._.: Non-Polir` Oil'and Grease/}T��.H EPA Method � s' 'y=.•"T:I.. ''#'� -tip .:r _. ,.. x •: i- i > _, 1664.:(5GT=HEM) �g/L. i.qF, t,? ! i 5 . :,3�. - xTotal:5us ndid s6lids 5�• Pe'Z c 1 1 'x.xn ';�I'� », �s s „� - e : ��•.+. +Sr _ "f, �pH,`:= ?f " £ ,'•. Standard:unrts..-."`a •"=`a. N:PermKLlm�t:: � \_ '{= i', �� F�a x �-� �:�., '�S.h+��'S'w!.�.�4yrh"�i._i�.':4_ C.- _ •3a2' - 9-a v,1 ,.j' `V �( i:,�1.�') y} . .. j`.,: �.� � ��'�, � � ° ..� ,�. # ��a�' 3 � �. � .R:�.�. r+.scd;,'t'4tfZ \, x��tt �t':C1�};llk��. .�.:r�%iss�, �1'�.� C,is �sc:i. 'i' `3• ti ;N., - :.9'-- �'r .ell• F:11,.C {�i � _5:5tI°o�,100'see', "rtnit�' �,�. _�.: ti �'..-+'��a'-`� ?a:_x.� � � � -+t� �}•C'P`�N$j 'S' ..s,� � r � -w :Withrn C:'0- 9A . •;�: z�„ I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised April 11, 2013 Page 1 of 2 United Parcel Service - Statesville STORM EVENT CHARACTERISTICS: Date 11/29/2016 to 11/30/2016 (first event sampled) Total Event Precipitation (inches): 0.66 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 Ter 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 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRfGGER 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 0 NO F IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F__j 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 lob results (or at end of monitoring period in the case of "No Discharge" Mporty 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_" 12 ( Date) Additional copies of this form may be downloaded at: htto:/lportal.ncdenr.org/web/we/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual_Stormwater Discharge Monitoring Report_ for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 07/25/2016 CERTIFICATE OF COVERAGE NO. NCGO80190 FACILITY NAME United Parcel Service - Statesville COUNTY Iredell PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # 40, 37712, 442 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD H]Jan-June ❑ July -Dec or ❑MonthW (month) REC E NDWRGING TO CLASS ❑ORW [—]HQW Trout E]PNA SEP 12 2016 CENTRAL. FILES DWR SECTION 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) Zero -flow E]WaterSupply OSA ❑X Other Class C PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 x yes _ no No discharge this period?2 Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/1 pH, Standard unft Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor OO Usage, . .. Annuil av6negal/mo-': Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-001 05/17/2016 6.9 6.49 0.704 66 5DO-002 05/17/2016 3.6 6.91 0.676 66 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 D0400 Non -Polar oil and Grease/TPH EPA Method -1664 (SGT-HEM), mg/L Total Suspended Solids mg/I pH, : Standard units:.-••..... Permit Limit - 15 50 or 100 see permit Within 6.0 = 9.0 .::...:...:::.. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised April 11, 2013 Page 1 of 2 41 United Parcel Service - StatesviRe STORM EVENT CHARACTERISTICS: Date 05/17/2016 (first event sampled) Total Event Precipitation (inches): 0.83 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 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALI_ 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 a NO rx IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES DwEl REGIONAL OFFICE CONTACT NAME: Mail an original and one copv of this DMIt including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of "No Disrharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICA31ON 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 these 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." !±! �-k g lo�vo (Signature of Pe ee) lDate) Additional copies of this form may be downloaded at: http://Por-tal.ncdenr.oLg web/wehvs/su/n2dessw##tab-4 SWU-250 last revised April 11, 2013 Page 2of2 NON-STORMWATER DISCHARGE EVALUATION UPS Facility Location: sajaleJ(II (.,,Lr _ Inspector: g'fi Signature of Inspector: I Storm Water Discharge Outfall Locations Outfall Locatlon ID:-�� Outfall Type: Ditch Pipe Outlet Catch Basin Curb Inlet Other: 1. Is the outfall free of any non-stormwater discharge? If no, describe: Inspection Date 6 LZ9-11(,- Pipe Inlet Pond to Ditch Outlet Pond to Pipe Outlet 2. Identify potential sources of any non-stormwater discharges observed or discovered: A C 3. Method(s) of evaluation: Comments: G;;? Dye Test Storm sewer map review Other: Outfall Location ID: �7 --C) D 2 Outfall Type: pitch Pipe Outlet Pipe Inlet Catch Basin Curb Inlet Other: 1. Is the outfall free of any non-stormwater discharge? If no, describe: Oe No NA Pond to Ditch Outlet Pond to Pipe Outlet 2. Identify potential sources of any non-stormwater discharges observed or discovered: &ix--r 3. Method(s) of evaluation: Visual Dye Test Storm sewer map review Other: Comments: Yes No NA NCGO80000 Part II, Sections A.1(e) & A.7(b) SPPP Nan-Stormwater Discharge Evaluation — Appendix F Page 1 of 1 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 10/23/2015 CERTIFICATE OF COVERAGE NO. NCG080190 FACILITY NAME United Parcel Service - Statesville COUNTY Iredell PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 3771 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: cob SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑X Jan -June ❑ July -Dec or ❑Monthly' (month) DISCHARGING TO�CLASS ❑ORW ❑HQW ❑Trout ❑PNA R1 ` `E`er j❑Zero-flaw ❑Water Supply ❑SA OCT 2 8 2015 Other Class C CENTRAL FIDES DWR SECTMUSE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor ail per month? Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) X yes no No discharge this period?Z Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-001 04/25/2015 3.2 6.22 < 5.0 63 SDO-002 04/25/2015 10 7.08 < 5.0 63 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/I_ Total Suspended Solids mg/I pH, Standard units Permit Limit - 15 50 or 100 see permit Within 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 04/25/2015 to 04/26/2015 (first event sampled) Total Event Precipitation (inches): 0.17 Date Total Event Precipitation (inches): (list each additional event sampled this reporting period, and rainfall amount) Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, 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 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 F--j 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 for 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, t in rmation submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant Denalties for submi e f lse fo ation. including the Dossibilitv of fines and imprisonment for knowing violations." (Signature of Permittee) Additional copies of this form f Q / � � /I [Date] be downloaded at: http://portal.ncdenr.orp/web/ws/ws/su/npdess_w#tab_4 5 W U-250 last revised April 11, 2013 Page 2 of 2