HomeMy WebLinkAboutNCG080309_MONITORING INFO_20190110STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& OB� D,
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ � bI � D I ) D
YYYYMMDD
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. NCGO80309
FACILITY NAME UPS Ground Freight Inc. - Charlotte
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES James W. Willard II (INENCO, INC.)
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD Jan -June MX July -Dec
or F]Monthlyl (month)
DISCHARGING TO CLASS ❑ORW DHQW oTrout OPNA
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712 RE
-EIVED
LABORATORY INENCO, Inc. Lab Cert. # 5540 G
Comments on sample collection or analysis: BAN 201�
CENTIVi L F1�E
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)
1__1Zero-flaw Water Supply EISA
Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
X yes no
❑ No discharge this period? 2
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/l
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
10/26/2018
37.0
738
< 5.0
334
SDO-002
10/26/2018
16.4
7.90
< 5.0
334
SDO-003
10/26/2018
12.9
7.60
< 5.0
334
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/1
pH,
j - Standard units
Permit Limit
-
is
50 or 100 see permit
Within 6.0 — 9.0
1 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
UPS Ground Freight Inc. - Charlotte
STORM EVENT CHARACTERISTICS:
Date 10/26/2018 (first event sampled)
Total Event Precipitation (inches): 2.17
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 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 4OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [�] NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F—] NO E]
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coos 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 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 submitting false information, including the possibility of fines and imprisonment for knowing violations."
/ v `N
(Signature of
Additional copies of this form may be downloaded at:
S W U-250
I --Li -ig
(Date)
http:/Iportal.ncdenr.org/web/wgLws/su/npdessw#tab-4
last revised April 11, 2013
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2018
Certificate of Coverage (COC) No. NC6080309 RECE+f1/F:c)
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. JAN 10 2019
Facility Name: UPS Ground Freight Inc. -Charlotte CEKMW1L f 1 c
County: Mecklenburg Gtr S _ . � E!
Phone Number: 919-790-7474 Total no, of SDOs monitored: 3
Outfall No. SDO-001
Is this outfall currently In Tier 2 (monitored monthly)?
Was this outfall ever In Tier 2 (monitored monthly) during the past year?
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
Yes ❑
Yes 1X
No
No EX
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/Q
Benchmark
N/A
50 or 100 see permit
Within 6.0 -- 9.0
15
Date Sample
Collected
06/26/2018
0.17
49.0
7.22
< 5.0
10/26/2018
2.17
37.0
7.38
< 5.0
Outfall No. SDO-002
Is this outfall currently In Tier 2 (monitored monthly)? Yes No 0
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No ❑X
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 El
Was this SDO monitored because of vehicle maintenance activities? Yes EX 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
0
=
0
06/26/2018
0.17
28.6
7.35
< 5.0
10/26/2018
2.17
16.4
7.90
< 5.0
UPS Ground Freight Inc. - Charlotte SWU-264 -Generic Annual DMR
Last revised 5/17/2013
outfall No. SDO-003
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No T
Was this outfall ever In Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑X
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 EX 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
Date Sample
Collected
06/26/2018
N/A
0.17
50 or 100 see permit
52.9
Within 6.0 — 9.0
7.70
15
< 5.0
10/26/2018
2.17
12.9
7.60
< 5.0
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 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
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 tinder my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. (lased 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
hest of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility ol'fines and imprisonment for knowing violations."
! 1r
Signature: 4A -1Q
Date: 1 - `
For questions, contact your local Regional Office
UPS Ground Freight Inc. - Charlotte 5WU-264 - Generic Annual t]MR
Last revised 5/17/2013
August 22, 2018
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699 - 1617
RECEIVED
AUG 2 8 2018
CENTRAL FILLS
DVVR SECTION
Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 6, Period 1, Sample 11 - 2018
UPS Freight -- Charlotte:
5204 North Graham St., Charlotte, North Carolina (Mecklenburg County)
General Permit NCG080000; Certificate of Coverage No. NCG080309.
Dear Stormwater Permitting Unit;
We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall
Monitoring Report for the UPS Freight - Charlotte facility under General Permit Number NCG080000,
Certificate of Coverage No. NCG080309, This submission is for stormwater discharge sampling
during Year 6, Period 1, Sample Number 11 (January —.Tune, 2018) 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 & I copy
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 07/08/2018
CERTIFICATE OF COVERAGE NO. NCGO80309
FACILITY NAME UPS Ground Freight Inc. - Charlotte
COUNTY Mecklenburg
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:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD 5X Jan -June ❑ July -Dec
or ❑MonthW (month)
DISCHARGING TO CLASS E]ORW [—]HQW Trout F-1PNA
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 Water Supply 0SA
Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
X yes _ no
❑ No discharge this period?-'
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
06/26/2018
49.0
7.22
< 5.0
334
SDO-002
06/26/2018
28.6
7.35
< 5.0
334
SDO-003
06/26/2018
52.9
7.70
< 5.0
334
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-250 last revised April 11, 2013
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 06/26/2018
Total Event Precipitation (inches):
Date
Total Event Precipitation (inches):
(first event sampled)
0.17
(list each additional event sampled this reporting period, and rainfall amount)
UPS Ground Freight Inc. - Charlotte
Note., if you report a sample value in excess of the benchmark, you must implement Tier 1, Ter Z 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 It SECTION R.
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 F-] NO FX
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO F7
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including off "No Discharge" reports, within 30 days of receipt of the tab results (or at end of monitoring period in
the case o "No Dischar e" 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 information, including the possibility of fines and imprisonment for knowing violations_"
n2
(Signature of
Additional copies of this form may be downloaded at:
SWU-250
Vw to
(Date)
http://Portal.ncdenr.ocg/web/wg/wstsu n dessw##tab-4
last revised April 11, 2013
Page 2 of 2
14
November 91h, 2017
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699 - 1617
Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 5, Period 2, Sample 10 - 2017
UPS Freight — Charlotte:
5204 North Graham St., Charlotte, North Carolina (Mecklenburg County)
General Permit NCG080000; Certificate of Coverage No. NCG0803099� ^
tu
4V 14 2017
Dear Stormwater Permitting Unit; L FILES
¢'N� SECTION
We respectfully submit the enclosed original and one copy of the Stormwater Di' Marge Outfall
Monitoring Report for the UPS Freight - Charlotte facility under General Permit Number NCG080000,
Certificate of Coverage No. NCG080309. This submission is for stormwater discharge sampling
during Year 5, Period 2, Sample Number 10 (January — June, 2017) as outlined in Part I1, 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
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 09/22/2017
CERTIFICATE OF COVERAGE NO. NCGO80309 SAMPLE COLLECTION YEAR 2017
FACILITY NAME UPS Ground Freight Inc. - Charlotte SAMPLE PERIOD [::]Jan -June ❑X Jufy-Dec
COUNTY Mecklenburg or ❑Monthly' (month)
PERSON COLLECTING SAMPLES James W. Willard II (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-JHQW Trout [_]PNA
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-f ow Water Supply FiSA
FX Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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
09/06/2017
50.0
8.49
< 5.0
339
SDO-002
09/06/2017
7.4
7.39
< 5.0
339
SDO-003
09/06/2017
< 2.5
6.90
< 5.0
339
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
Nora -Polar Oil and Grease/TPH EPA Method
1664 ISGT-HEM), mg/L
Total Suspended Solids
mg/I
PH,
Standard units
Permit Limit
-
1s
50 or 100 see permit
Within 6.0— 9.0
1 Fpr 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
UPS Ground Freight Inc. - Charlotte
STORM EVENT CHARACTERISTICS:
Date 09/06/2017
Total Event Precipitation (inches):
(first event sampled)
0.93
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 I, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEFDANCE TRIGGERSTIER 1 REQUIREMENTS. SEE PERMIT PART li 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 F--] NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-� NO F7
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 for at end of monitoring period in
the case 2f "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 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 Permittee)
Additional copies of this form may be downloaded at:
SWU-250
!9 J7
(Dat
http://portal.ncdenr.orgLweblwg/ws/su/npdessw#tab-4
last revised April 11, 2013
0
Page 2 of 2
May 1, 2017
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699 - 1617
MAC 0 3 ZV
CENTRAL FILES
owFt SECTION
Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 5, Period 1, Sample 9 - 2017
UPS freight — Charlotte:
5204 North Graham St., Charlotte, North Carolina (Mecklenburg County)
General Permit N00080000; Certificate of Coverage No. NCG080309.
Dear Stormwater Permitting Unit;
We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall
Monitoring Report for the UPS freight - Charlotte facility under General Permit Number NCG080000,
Certificate of Coverage No. NCG080309. This submission is for stormwater discharge sampling
during Year 5, Period 1, Sample Number 9 (January — June, 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 & I copy
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 04/19/2017
CERTIFICATE OF COVERAGE NO. NCG080309
FACILITY NAME UPS Ground Freight Inc. - Charlotte
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES James W. Willard It (INENCO, INC.)
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712
LABORATORY INENCO, Inc. Lail Cert. # 5540
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑X Jan -June ❑ July -Dec
or ❑Monthly' (month)
DISCHARGING TO CLASS DORW DHQW F-lTrout F]PNA
E]Zero-flow ElWaterSupplyEISA
❑X Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 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
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
i5
-
SDO-001
04/03/2017
62.5
7.43
< 5.0
339
SDO-002
04/03/2017
9.5
7.44
< 5.0
339
SDO-003
04/03/2017
5.5
7.21
< 5.0
339
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
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
UPS Ground Freight Inc. - Charlotte
STORM EVENT CHARACTERISTICS:
Date D4/03/2017 (first event sampled)
Total Event Precipitation (inches): 0.85
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 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 F7 NO FX
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" retorts, within 30 days_ of receipt of the lob 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, 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 Permittee)
Additional copies of this form may be downloaded at:
S W U-250
19 i 7
(Date)
http://portal.ncdenr.org/web/wgLws/sulnpdessw#tab-4
last revised April 11, 2013
Page 2 of 2
May 9, 2016
Division of Water Quality
Attn: DWQ Central Files
217 West .Jones Street
Raleigh, NC 27603
RECEIVED
MAY 2 4 2016
CENTRAL FILES
DWR SECTION
RECEIVED
MAY 2 4 2016
CENTRAL FILES
DWR SECTION
Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 3, Period 2, Sample - 6
UPS Freight — Charlotte: 5204 N. Graham St., Charlotte, NC (Mecklenburg County)
General Permit NCGO80000; Certificate of Coverage No. NCGO80309,
Dear Stormwater Permitting Unit;
We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall
Monitoring Report for the UPS Freight -- Charlotte facility under General Permit Number
NCGO80000, Certificate of Coverage No. NCGO80309. `this submission is for stormwater discharge
sampling during Year 3, Period 2, Sample Number 6 (July - December 2015) 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 (I)MR), please contact us at your convenience.
Demetrius Wilkins
District Environmental Coordinator
United Parcel Service, Inc.
(911)7%— (a115
Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & 1 copy
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 4/15/2016
CERTIFICATE OF COVERAGE NO. NCGO80309 SAMPLE COLLECTION YEAR 2015
FACILITY NAME UPS Ground Freight Inc. - Charlotte SAMPLE PERIOD ❑Jan -June [ July -Dec
COUNTY Mecklenburg or F-]Monthlyl (month)
PERSON COLLECTING SAMPLES James W. Witlard II MENCO, INC.
LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712
LABORATORY INENCO, Inc. Lab Cert. # 5540
Comments on sample collection or analysis:
RFCF
l\1�f�IARGING TO CLASS ❑ORW DHQW Trout �PNA
MAY 2 4 Z016
CL FILES
p�� CTV4
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:]WaterSupply EISA
�X Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 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 units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gat/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
SDO-001
09/24/2015
28
7.62
< 5.0
129
SDO-002
09/24/2015
3.9
7.60
< 5.0
129
SDO-003
09/24/2015
5.6
8.01
< 5.0
129
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
1664ISGT-HEM), mg/L
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
UPS Ground Freight Inc. - Charlotte
STORM EVENT CHARACTERISTICS:
Date 9/24/2015 (first event sampled)
Total Event Precipitation (inches): 0.45
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 Ter 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART H SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES F-1 NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES D NO F7
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 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, 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."
LNL11--7 6�. 4�- ILI
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at:
http://PortaI.ncdenr.org/web/wp,/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 uali General Permit No. NCGO80000
Elate submitted 10/23/2015
CERTIFICATE Of COVERAGE NO. NCG080304 SAMPLE COLLECTION YEAR 2015 ,
FACIUTY NAME UPS Ground Freight Inc. -Charlotte SAMPLE PERIOD ❑X Jan -June ❑ luly-Dec
COUNTY Mecklenburg REE I V E D or ❑Monthly' (month)
PERSON COLLECTING SAMPLES James W. Willard II (iNENCO, INC.)
LABORATORY Pace Analytical Services, Inc. Lab Cert. #
LABORATORY INENCO, Inc. Lab Cert. #
Comments on sample collection or analysis:
12, 40, 37706, & 37712
5540
OCT2 g DISCHARGING TO CLASS E]ORW �HQW Trout E:]PNA
CENTRAL FILES
DWR SECTION ❑Zero-fiow FAWater Supply [::]SA
Other Class C
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)
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
X yes _ no
❑ 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 2664 (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
01/23/2015
132
8.38
< 5.0
129
SDO-002
01/23/2015
41.0
8.57
< 5.0
129
5DO-003
01/23/2015
4.6
7.19
< 5.0
129
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/1
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 01/23/2015 to Ol/24/2015 (first event sampled)
Total Event Precipitation (inches): 1.16
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 11 SECTION B.
• 2 EXCEEDANCE5 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 F--] 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 Dischar e" re orts within 30 da s of receipt of the lob results or at end of monitoring eriod 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 submittiOlf�lse it/ormation, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Additional copies of this form may be downloaded at:
SWU-250
A)/I 9 /�/
(D e)
http://Portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
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. NCGO80309
FACILITY NAME UPS Ground Freight Inc. - Charlotte
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES James W. Willard II (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:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑Jan -June M July -Dec
or ❑Monthly; (month)
DISCHARGING TO CLASS ❑ORW F]HQW F_jTrout EjPNA
RECEIVED
DEC 2 9 Z0I6
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 Water Supply E:1SA
Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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 16641SGT-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
11/29/2016
48.5
7.74
< 5.0
83
SDO-002
11/29/2016
66.0
7.70
< 5.0
83
SDO-003
11/29/2016
1 4.2
7.55
< 5.0
83
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
2664 (SGT-HEM), mg/L
Total Suspended Solids
mg/1
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 11/29/2016 to 11/30/2016 (first event sampled)
Total Event Precipitation (inches): 0.75
Date
Total Event Precipitation (inches):
(list each additional event sampled this reporting period, and rainfall amount)
UPS Ground Freight Inc. - Charlotte
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 ANY ONE OUTFALL? YES Q NO F
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F--] NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one c9py of this DMR including all "No Discharge" re orts within 30 days of receipt at the lab results jor at end of monitoring period in
the case of "No_Dischame" 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 taw, 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."
i Z I z3 b(p
{Date
Additional copies of this form may be downloaded at: http://[)ortal.ncdenr.ore/web/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 07/25/2016
CERTIFICATE OF COVERAGE NO. NCG080309 SAMPLE COLLECTION YEAR 2016
FACILITY NAME UPS Ground Freight Inc. - Charlotte SAMPLE PERIOD ❑X Jan June 0 July -Dec
COUNTY Mecklenburg � or [--]MonthlyI (month)
PERSON COLLECTING SAMPLES James W. Willard II (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 F-]ORW F—IHQWTrout F__jPNA
RCLIVED
SEP 12 2016
CENTRAL FILES
CWR 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)
L_jZera flow L_jWaterSupply L_JSA
�X Other Class C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
X yes no
❑ No discharge this period?z
Outfall
No.
Date
sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/l
pH,
Standard units
Non -Polar Oil and ease"YTPH EPA
Method 161 (5GT M}� mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 -9.0
15
-
5DO-001
01/15/2016
17.4
7.37
< 5.0 %
83
5DO-002
01/15/2015
26.2
8.62
< 5.0 JrVA ®
83
5DO-003
01/15/2016
< 2.5
6.78
< 5.0
83
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicably
�._ ._.41
Outfall
No.
Tate
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (5GT-HEM), mg/L
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 outfali, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page I of 2
UPS Ground Freight Inc. - Charlotte
STORM EVENT CHARACTERISTICS:
Date 01/1$/201fi (first event sampled)
Total Event Precipitation (inches): 0.90
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, Ter 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 ATTHE 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 F_� NO FXJ
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-1 NO r
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one copv of this DMR. includina all "No Discharge" reports. within 30 days of receipt of the lab results for at end of monitarinq 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. l am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
i4-A
(Signature of Permittee) (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, 2013
Page 2 of 2
NON-STORMWAT�ER DISCHARGE EVALUATION
UPS Facility Location: _ 1 VC/V i& 5 C![f 4FL0 -T: MC�J—_6 f47— Inspection Date
Inspector: �✓WZ3 l f/_ �jt���— -i�"�� �Zl�l �I�ICL�� tV �0 J201la
Signature of Inspector: r�
storm Water Discharge Outfall Locations
Outfall Location ID: DD— Co
WWI Type: it Pipe Outlet Pipe Inlet Pond to Ditch Outlet Pond to Pipe Outlet
Catch Basin Curb Inlet Other:
1. Is the outfall free of a non-stormw ter discharge? �+ Yes No NA
If no, describe: r
2. Identify potential sources of any non-stormwater discharges observed or discovered: (�
3. Method(s) of evaluation: Visual Dye Test Storm sewer map review Other:
Comments:
Outfall Location ID:_z5b6_0021
Outfall Type: Ditch Pipe Outlet Pipe Inlet Pond to Ditch Outlet Pond to Pipe Outlet
Catch Basin Curb Inlet Other:
1. is the outfall free of any non-stormwater discharge? Yes No NA
If no, describe:
2. Identify potential sources of any non-stormwater discharges observed or discovered: '0/ vc
3. Method(s) of evaluation: isual Dye Test Storm sewer map review Other:
Comments:
Outfall Location ID: SAD -003
Outfall Type: Ditch Pipe Outlet Pipe Inlet Pond to Ditch Outlet Pond to Pipe Outlet
Catch Basin Curb Inlet Other:
1. Is the outfall free of any non-stormwater discharge? Yes No NA
If no, describe:
2. Identify potential sources of any non-stormwater discharges observed or discovered: d�V�
3. Method(s) of evaluation: 0-Visua Dye Test Storm sewer map review Other:
Comments:
NCG080000 Part II, Sections A.1{e) & A.7(b) 5PPP Non-Stormwater Discharge Evaluation —Appendix F Page 1 of 1