Loading...
HomeMy WebLinkAboutNCG080814_MONITORING INFO_20190422STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V 0� DOC TYPE ❑HISTORICAL FILE C�,, MONITORING REPORTS DOC DATE ❑ � D I � (% y )L�, YYYYMMDD Semi-annual Stormwat_er Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG080000 Date submitted It 1 19 CERTIFICATE OF COVERAGE NO. N0008 0 8 1 4 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenburg RECEIVED PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Chadoue-MecNennuig Laboratory Services Lab Cert. # 192 ArN 2 2.019, Comments on sample collection or analysis: , .: S�N-I I�Asr ����a7 Rainfall measurements collected from USGS Rain Gage CRN-60r Owlt U"'4 f SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑■ Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA ❑Zero -flow ❑Water supply ❑sA #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 oil per month? 0 yes [:]no if es complete Part Aj Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this Period2 Outfall-No: DatewSainple Collected' . 4 (mo/dd/.1/r); -24hounrainfall:amount, Iriches� Non -Polar o_ lar Oil & Grease .� mg/L: r . Total Suspended Solids, .• mg/L ; a ; New Motor or Hyd - dlic Oii Usage,. gal/room `Benchmarks _ - 15 Parameter Cade, .. - 4652-9 00552. -- _ "CO530- .. - J `NCOIL'- 001 03/15/19 0.16 <5.7 21 2,650 002 03/15/19 0.16 11 22 2,650 003 03/15/19 1 0.16 <5.0 130 2,650 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ` See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or 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 detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX" . 1 Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 1 of 2 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) ❑ No discharge this period' Outfall Dite`Sample - Collectedl (rnoJddlYr) 2A-hourramfa[1` amourrt,,_ T Endies3, amlpie_eoilectedl r mo/dd/yr� Total Suspended t Solids, mg/L r pH,- Standard -units Non PvlariOtl&' ., Grease,- mg/L': .•100 6.504 - : � ; "6:0 Z'9.630 _ ParameteriCode = ?.546529 - C0530b 0040U : D0552= =s:x9 Footnotes from Part A also apply to this Part B 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 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)n IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail on originol copy of this DMR, includina all "No Discharae" resorts. 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 RETORTED: "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 Permit Date:11/1/2018-5/31/2021 41,1115 Date SWU-248, last revised 11/1/2018 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO80000 Date submitted _ D1 La310 CERTIFICATE OF COVERAGE NO. NCG08 0 8 1 4 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattaway LABORATORYcnaftce-meadenb,rgiab«emrysemms Lab Cert. # 192 Comments on sample collection or analysis: Rainfall measurements collected from USGS Rain Gage CRN-60 SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June 0 July -Dec or ❑ Monthly' _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA XOther Class C PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑■ yes ❑ no (if yes, complete Part A) Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -Polar oil & Grease mg/L Total Suspended Solids, mg/L New Motor or Hydraulic Oil Usage, gal/mon Benchmarks _ - 15 100 or 50' - Parameter Code - 46529 00552 C0530 NCOI L 002 12/20/18 1.64 <5.0 43 2,650 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same out -fall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or 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 detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX". Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 1of2 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) ❑ No discharge this period' Outfall No. Date. Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Sample Collected' mo/dd/yr Total Suspended Solids, mg/i_ pH, Standard units Non -Polar Oil & Grease, mg/L 100 or 5W 6.6 - 9.A 15 =Paraneter;Cude - 46529. - C0530 00400 00552 Footnotes from Part A also apply to this Part B Note: If you report a sample valve 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 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES iXNO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR EGIONAL OFFICE? YES IQ NO ❑ REGIONAL OFFICE CONTACT NAME: -4 KA V11y''-1 Mail an oriainal coav of this DMR. includina all "No Discharae" resorts. within 30 days of receiat 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, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee Permit Date:11/1/2018-5/31/2021 Date SWU-248, last revised 11/1/2018 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted IZ 3 18 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facilit COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte -Mecklenburg Laboratory Lab Cert.# 192 Comments on sample collection or analysis: RE\M, DEC 2 4 201e SAMPLE COLLECTION YEAR 2018 CGNTr<AL PILI�,_ SAMPLE PERIOD ❑ Jan -June ® July -Dec D R SECil0N or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®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? yes no --,(if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' '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 ,, Bench ma k.. - 5.0 or 100 see permit Within 6.0 — 9.0 15' - 001 07/23/18 < 5.0 7.44 < 6.0 2,650 003 07/23/18 85 7.26 7.1 2,650 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) �'Otrtfall; ,; Date 00556 00530 00400 en No. -Sample Collected, Nan=Polar Oil and`Grease/TPH EPA Method Total Suspended Solids,: pH, mo/dd/yr 1664 (SGT-I1EM], �irtg/L' mg/L Stantlardunits Permit- Limit 15 50 or 100 see permit ry 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 I of 2 STORM EVENT CHARACTERISTICS: Date 07/23/18^ - (first event sampled) Total Event Precipitation (inches): ! 0.07 (CRN-60) 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 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 EXCEEDEN ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES M NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO NO ❑ REGIONAL OFFICE CONTACT NAME: :"hid vluWA- Mail an on inal 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, 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) a-t&X (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.oEg/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of- Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No, NCG080000 Date submitted 41 M-1 12 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY _Mecklenburg__ PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte -Mecklenburg Laboratory Lab Cert.# 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly)_ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA II1 ❑Zero -flow ❑Water Supply [:]SA REVEIVE� C ®Other Class C APR 19 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE CF-NTRAL FILES Did this facility perform Vehicle Maintenance Activities using more than MWISEMOW motor oil per month? yes ,no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period Outfall"Da#e y No. S4mple`Collected, mo dd/yr / 00530_: �.00400 00556 _Total Suspended . ' ,S , mg/L pH, Standar'units Non -Polar Oil and Grease/TPH EPA ethod 1664.:(SGT HEM]; mg/L New:.Motor Oil Usage, Annual average gal/mo Benchmark ` `= ; SU a ;>100` ee permit Witltin 6.D 9�D =15 001 03/06/18 29 7.61 < 5.0 2,650 002 03/06/18 17 7.57 < 5.0 2,650 003 03/06/18 72 7.45 15 2,650 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfall Y Dates 00556 4r n r a. 00530 s D0400 ,t ;No << , ,. ' 4 .;` Sample Collected, - Non Polar Oil and Grease , PH EPA Method Total Sus ended Solids,: p FI a k.:. ✓ :. >. ::�. R _ -- 1664 HEIIAj; 'r - f+ .a k Y� ai. _ ,p , CF [, e ::. Standard Imo/dd/yr x ,... , .. (5GT mg/L`' ,° h lunits Permit Limi# 5Q or.100 see:perriiit 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 STORM EVENT CHARACTERISTICS: Date 03106/18 (first event sampled) Total Event Precipitation (inches): 0.60 (CRN-60) Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (incites): 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 I S ION 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 M NO ❑ REGIONAL OFFICE CONTACT NAME: Za kiA it -I An Mail an original and one copy of this DMfi, including all "No Discharge" reports, within 30 dabs of receipt of the lab resultsLor 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 penbities for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 41 1z 8 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/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 l n- I I T CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenburg _ PERSON COLLECTING SAMPLES Alex HattawaV LABORATORY Charlotte -Mecklenburg Laboratory Services Lab Cert. # 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' September month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:)SARECEIVED ®Other Class C OCT 18 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of ndD1A#1b1%EGqMmonth? yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) ❑ No discharge this period' Outfall Date 00530 00400 00556 No Sarnple..Collected, Total Suspended pH, Nor%Polar,0il and Grease/TPH EPA, . New Motor Oil,Usage; mo/dd/yr Solids, ng/L" Standard units ,Method 1664.(SGT-HEM), mg/1 Annual average:gal/mo Benchmark - ; SQor 100 see permit Within:5.0 9.0: 15. - 002 09/06/17 17 7.5.9 6.2 2,650 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall < Date 005W Z. WSW, , 00400 No mpI Sa'Collected; Non=Polar Oil°anHf d Grease/TPEPA Method Total=Susperedetl 5oliids, pH r - mo/dd/yr 1654 (SGT-HE mg/L mgf L Standard;units Permit Limit - 15. So or _ 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 Pagel of 2 STORM EVENT CHARACTERISTICS: Date 09/06/17 (first event sampled) Total Event Precipitation (inches): 0.69 CRN-60 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 5ECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE -SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Ik S CTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEED N E5 FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED_THE`D-W REGIONAL OFFICE? YESNO REGIONAL OFFICE CONTACT NAME: (�U.Vf lLhQJ� Moil an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case o} "No_ Discharge" case Discharge" reports) 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." re of Permittee) /Q '� t (Date) Additional copies of this form may be downloaded at: htti)://portal.ncdenr.org/web/wq/ws/sulnpdessw#tab-4 S WU-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 • 3.107 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility. COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattawa LABORATORY Charlotte -Mecklenburg Laboratory Services Lab Cert. # 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec REC' !c or ® Monthly; July _ month) EV ED[aHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA AU0 15 2017 ❑Zero -flow ❑Water Supply [:]SA ®Other Class C CENTRAL FILES DWR SECTION 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? yes no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ® No discharge this period' 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-H.EM), mg/L. New Motor Oil Usage, Annual average gal/mo Benchmark - -.50 or:100 see permit Within.6.0.- 9.0 15 - 002 SD Part B:. Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfal l Date. 00555 06530 00400 . No Sample Collected, Non -Polar Oil and,Grease/TPH EPA:Method Total:Suspended_Solids, pH mo/dd/yr. 1664 (SGT-HEM), mg/L_ mg/L - Standard units Permit Limit - 15 56 or 100 see Permit 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 1], 2013 Pagel of 2 STORM EVENT CHARACTERISTICS: Date _ (first event sampled) y Total Event Precipitation (inches): 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 Z or rer 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 EXCEED N ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES )d NO IF YES, HAVE YOU CONTACTED THE DW REGI NAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAME: :74t I kw Mail an original and one ropy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 . YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." r (lot of Permittee) (Date) Additional copies of this form may be downloaded at: http.Ilportal.ncdenr.or6/web/wq/ws/su/npdessw#tab-4 SWOT-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 _ & 11 / I CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenburg _ PERSON COLLECTING SAMPLES Alex Hattawav LABORATORY Charlotte -Mecklenburg Laboratory Services Lab Cert. # 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' May month DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ®Other Class C 2 Z�)1 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gal{@ns.q�evur�wt VL 1 Y 1r ail per month? yes no (if yes, report your analytical results in the table immediately below) DWR SECTION Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ® No discharge this period' Outfa I I 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 - 002 1 Ho t ~6C o 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/L pH, Standard units Permit Limit - 15 50 or 100 see permit 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 STORM EVENT CHARACTERISTICS: Date ! (first event sampled) A/p �1'V94 6E Total Event Precipitation (inches): 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 Trer 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 I 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 M NO ❑ REGIONAL OFFICE CONTACT NAME: ZAh. d AaAn Mail an oriainal and one coov 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 Smice 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." D` 4,1 (Signature of Permittee) 7 " r7:7 (Date) Additional copies of this form may be downloaded at: htti)://portal.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 4.;*.r7 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte -Mecklenburg Laboratory Services Lab Cert. # 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' Aril month DISCH R TO CLASS ❑ORW ❑HQW [:]Trout❑PNA R_ - - ❑Zero -flow ❑Water Supply [:]SA MAY 01 2017 ®Other Class C CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE -3� DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes _no (if yes, report your analytical results inthe table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 '` _00400`: 00556 Total Suspended ; S61ids, 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 or100 see permit Within'6:0 - 9.0 15 - 002 04/03/17 110 6.84 17 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfal l . No..' Date Sample Collected,., mo/dd/yr ' 00556 - ' ' 00530 _ 60400 - Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/! Total Suspended Solids, ' mg/L pH, Standard units Permit Limit - »15 50 or 100 see, permit 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 It, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 04 03 17 (first event sampled) , Total Event Precipitation (inches): 0.84 (Gauge CRN60) 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, Trer 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. • TIE_R 3: HAS YOUR FACILITY HAD 4_OR MORE BE_NC_HMARK EXCE_ED_ENCE_S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? w YES $0 NO ❑ REGIONAL OFFICE CONTACT NAME: r-othAd K4m!n 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, 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." 044 (Signature of Permittee) Lf•Zq• 1 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wq/ws/su/npdessw##tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. http;//oortal.ncdear,orgf web/wq/ws/suu/npdessw#tab-4 Permit No.: N/C/ G/ 0 / 8 / 0 / 0 / 0 / 0/ or Certificate of Coverage No.: Facility Name: CATS Bus Maintenance Operations Facility County: Mecklenburg Phone No. (704) 506-3693 Inspector: _Alex_Hattaway Date of Inspection: April 3. 2017 Time of Inspection: 2:27 PM Total Event Precipitation (inches): 0.84 (Gauge CRN60) Was this a "Representative Storm Event" or "Measurable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measurable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measurable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I cert' thst this report is accurate and complete to the best of my knowledge: fob (Signature of Permittee or ee) SWU-242, Last modified 10/25/2012 Page 1 of 2 1. Outfall Description: Dutfall No. 002 Structure (pipe, ditch, etc.) Pipe Receiving Stream: Irwin Creek Describe the industrial activities that occur within the outfall drainage area: Bus Parking and staging area 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light gray 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Slight petroleum odor _ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and S is very cloudy: 1 (�D 3 4 5 5. Floating Solids: Choose the number which best describes the amount of Floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 (a) 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: (D '2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes CNo) 10. Other Obvious indicators of stormwater Pollution: List and describe: Abundance of pollen_ and other debris- pL sent in sample Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted E}-- 3 - 20 1-7 CERTIFICATE OF COVERAGE NO. NCG080814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte -Mecklenburg Laboratory Services Lab Cert. # 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec �r`�� or ® Monthly' March month) REGOIZO TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA APR 10 2017 ❑Zero -flow ❑Water Supply [:]SA ®Other Class C CENTRAL FILES DWR SECTION 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? yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ® No discharge this period' Outfall No Date Sample Collected; > . Q0530 : ; _ e . ° .. ., 00400.:. 00556 :Total Suspended ;. pH Non=POlar 011 and=Grease/TPH, EPA: NewMotor O.ilaUsage; . r :.mo/dd/,yr 3 r 'Solids„mg/E Standard units > Method 166W(SGT`HEM),,mg/L:.. Annual average.gal / ._ .ntio; Berichmarkt; _, .,,; : 50.o.r300seeaperrrut Witliiin6.0 :SAS15; 002 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum 'Bulk Stations and Terminals (If applicable) Outfall t .:: Date r , Y Sample _Collected, rrio/.dd/yr, ;.. , 00556 _ : _ -. 10053fl :: _ .µ, 0040D Non{Polar 0iI and Grease/TPHE,PA Method : Y. ::1664;(SGT�-HEM)mg/L;:.:; YTotaf;Siisperitled Solids, ° �.;ml;/L'.... W..5tandardunits pH',. 4 ry tPermit ltinit r::..� = _�. :,:,:. r . �.:..... 35 _. _ :.. <:.... ' .: <_. Y .z:. _�.. 50 oc 10� seepe'.°rrsiit.. - . 6.01.9>01 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 STORM EVENT CHARACTERISTICS: Date _ (first event sampled) Total Event Precipitation (inches): 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 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: a 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 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: 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, the information submitted is, to the best of my knowledge and Relief, 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." . -3 41-7 (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/`npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharke Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted `ram' 17 i I CERTIFICATE OF COVERAGE NO. NCG080814 I SAMPLE COLLECTION YEAR 2017 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenbure PERSON COLLECTING SAMPLES Alex Hattawav LABORATORY Charlotte -Mecklenburg LaboratoryServices SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA Lab Cert. # 192 Comments on sample collection or analysis: j �G,��1 ®Other Ciass C 1 G PLEASE REMEMBER TO SIGN ON THE REVERSE 4 # �� f 1LES Did this facility perform Vehicle Maintenance Activities using more than 55'galions of rLe,�R �y�month? yes _no (if yes, report your analytical results in the table immediately below) DW Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) Ej No discharge this period' Outfall No Date Sample Collected mo/dd/yr. :00530,, 00400 00556_ Total Suspended Solids, mg/L pH,� Stantlard units Non�Polar Oil and Grease/TPH EPA Methotl:1664 (SGT-HEM), mg/L, ". New Motor Oil Usage; =Annual averages. gal/mo .: Benchmark',' . = 50::ot 100 see permit .. .,: Within.6 _ 9 0 .. :. , n " 15 - - 001 02/15/17 26.9 6.9 < 5.0 002 02/15/17 49.6 7.0 22 003 02/15/17 35.4 6.9. < 6.8 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SW-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 02/15/17 (first event sampled) Total Event Precipitation (inches): 0.44 (Gauge CRN60) 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�Trer 1, Tier 2, or rer 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 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [I NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mai! an originsl and one cony of this DMR, including all "Na 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, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties fqrr submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) 3.OLO -'7 (Date) Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/web/wci/wslsu/npdessw#tab-4 S WU-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 �1 ;1- 0-0 17 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenbure PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte -Mecklenburg Laboratory Services Lab Cert. # 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthlyl January month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED lCC� ❑Zero -flow ❑watersupply ❑SA ®Other Class C FEB 14 2017 S CENTRAL PLEASE REMEMBER TO SIGN ON THE REVERSE 4 nFILE Did this facility perform Vehicle Maintenance Activities using more than 55 gallons op&,pi hAg o� er month? yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ® No discharge this period' 0 '. ' 1l ; 1Vo, -." Date ..: Sample Collected, mo/dd/yr � :00530.: :. : U040D e .. 00556. Total Suspended Solids, m ',L - ..n ;.:.. _ _g/ pH, Standard units - Non=Kolar Oil and Grease/TPH EPA _ -;Method 1664 (SGT-HEM): New'Motor Oil Usage, Annual ave'rage:gai/mo.: Benchmark - 50 or 100 seal enmit Withi6-6 0`=. 9.0 15 002 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) -Outfall - No. ;,' Date Sample Gallected, mo�dd/yr ,."s. 60556 00530 00400 'Non -Polar Qii aid Grease/TPH EPA Method 16fi4 (SGT-HEM), mg/L° . 4To#al Suspended Solids, s mg/Lw :: pH, �t Standard Units A Permit Limit..= .:. ' . 15 , .;: �:" _. 5O o� l00 see permit, _ 6 0 0 t 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 _ (first event sampled) Total Event Precipitation (inches): 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTI N 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: 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 thele are significant penalties for,rtis�nitting 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-Hportal-ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2413 Page 2 of 2 i-ann Monitori for North Carolina Division of Water Quality General Permit No. NCG 00067 Date submitted 2 25 2015 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Ooerations Facili COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattawav LABORATORY Charlotte -Mecklenburg Laboratory Lab Cert.#192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan June ❑ July -Dec or ❑ Monthly) (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ®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 (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' 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-H EM),, mg/L w _ New Motor Oil Usage,. _ Annual,averagegal/ino Benchmark - 50 or100 see permit - Within 6.0-9.0 _ 1S - 001 2/9/2015 <5.0 7.4 <5.0 Ca 002 2/9/2015 6.0 7.8 <5.0 003 2/9/2015 9.8 7.9 8.0 HEM-SGT: Estimated value; standard recovery of 59.2% was out of acceptable range of 64 to 132% 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 - 0055fi 00530 .00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), rng/L - Total'SCispended Solids; rrg/L OH,. Standard units Permit:Limit - 15 50'or 100 see permit 6.0 = %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 2 9 2015 (first event sampled) Total Event Precipitation (inches): 0.92 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES 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: Mail an on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results Lor 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 9 (Date) Additional copies of this form may be do►nrnloaded at: http://portal.ncdenr.org/web(wq/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 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME'CATS Bus Maintenance Operations Facility COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte_Mecklenburg Laboratory Services Lab Cert. # 192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan June ❑ July -Dec R cc {,��pp��or ® Monthly" December month) C�HAR Qs TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA JAN 18 ZOJi ❑Zero -flow ❑Water Supply ❑SA ®Other Class C CENTRAL FILES DWR SECTION 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? yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) 002 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) ® No discharge this period' No. 199I1MffrPTe Collected, d Grease/KPH EPA Method Non -Polar Oi§SG T t I Suspendedi0ids, pH, mo/dd/yr 16TaHEh mg/L_ mg/L Standard units 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 STORM EVENT CHARACTERISTICS: Date _ (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: !f 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 SECTI N • 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: 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" repo_rtsl 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." !�- nr (Signature of Permittee) I / / o 12LU (D e) If Additional copies of this form may be downloaded at: htti)://I)ortal.ncdenr.org/web/wq/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 Gene al Permit No. NCG080000 , h r;r Date submitted -jr (v CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY Mecklenburg PERSON COLLECTING SAMPLES Alex Hattawav LABORATORY Charlotte-Mecklenbure Laboratory Lab Cert.#192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly" (month) p p WE9ING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA i� V ff T ❑Zero -flow ❑Water Supply ❑SA JUN 2 9 Z016 ®Other Class C CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE �l DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) ❑ No discharge this period' Outfa I I 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 - 001 1 5/17/2016 21 8.0 <5.0 (ate 002 5/17/2016 120 7.8 8.5 003 5/17/2016 1 22 1 7.7 <5.8 HEM-SGT: Estimated value; standard recovery of 59.2% was out of acceptable range of 64 to 132% Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfal I 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/L pH, Standard units Permit Limit - 15 50 or 100 see permit 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 _5/17/2016 (first event sampled) Total Event Precipitation (inches): 0.25" Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report o 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 11 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: Mail an original and one copy of this DMR including off "No Discharge"" reports, within 30 days of receipt of the lab results Lor 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 ('a7 16 (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/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 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance_ Operations Facility COUNTY Mecklenburg__ PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte -Mecklenburg Laboratory Lab Cert.##192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD Jan -June ❑ July -Dec REGg�'cVQ or ® Monthly' _November (month) G TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA JAN 10 2017 ❑Zero -flow ❑Water supply ❑SA CENTRAL FILES ®Other Class C DWR SECTION 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? a no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfall 00530_' 00400 `-00556 -No. Sam.OW'Collected, ,. : Total Suspended pH; Noh_Polae:Oil and-Grease/TPH EPA - New Motor Oil Usage, mo/dd/yr, : Solids;:mg/L Standard. units; Method, (SGT-HEM),: mg/L :. Annual average gal/mo Benchmark R - .50 or 100.:see permit Within 60 — 9.0 15 001 002 11/29/16 57 8.3 31 003 HEM-SGT: Estimated value; standard recovery of 59.2% was out of acceptable range of 64 to 132% Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) " Dutfall . Date 00556, 00530 00400 _ No. Sample Collected, Non -Polar Oil and Grease/TPH EPA Method Total Suspended Solids,' PH . mo/dd/yr 1664'(SGTHEM], mg/L;; mg/L Standard units Permit Limit. 15 50. or 100 see. permit : 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 _ 11/29/16 (first event sampled) Total Event Precipitation (inches): 0.97" (CRN60 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 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 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECT • T1ER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 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" 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, 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) l 3 11 (fl te) Additional copies of this form may be downloaded at: http://p_ortal.ncdenr.org/web/wq/ws/su/npdessw!#ta_b-4 S WU-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 11.0 CERTIFICATE OF COVERAGE NO. NCGO80814 FACILITY NAME CATS Bus Maintenance Operations Facility COUNTY -Mecklenburg PERSON COLLECTING SAMPLES Alex Hattaway LABORATORY Charlotte -Mecklenburg Laboratory Lab Cert.#192 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 - SAMPLE PERIOD ❑ Jan June ® July -Dec or ❑ Monthly' (month) RE����SRGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA 2016 ❑Zero -flow ❑Water Supply ❑SA NOV 2 S ®Other Class C CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) Ej No discharge this periods .Outfall.=� _..:Date�_> ., .� ,_, ��00530 .-- . _ ..: - .:--... 00400•....: s . ^ No Sample Collected, Total 5uspencied <. pH, ` I INNon=Polar:0il and Grease/TPHgEPA; NewPMotor..Oil Usage,.::: Solids;:mg/L Standard uni#s Method:16G4 {SGT HEM),.mgf L Annua! average gal/mo _ BencFimark:: :... . -. 50�or 100 se "Permit Wit 6:0 9:0 ` n . :: � .. 15 . _. 001 10/07/2016 1s 8.0 < 6.1 (Aso 002 10/07/2016 360 8.3 24 003 10/07/2016 6.3 8.2 < 5.6 HEM-SGT: Estimated value; standard recovery of 59.2% was out of acceptable range of 64 to 132% Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) No Sample Collected, a00530+ ` 00400 Non -Polar Oil and Grease/TPH,EPA Method Total Suspended Solids, pH; :. mo/dd/yr 41664 {SGT-HEM); rdg/L;` .., ; - mg/L . r, Standard units.: Permit Limit - , ; > _ _.: 15 : ... ;- V .. 50 or 100see:perrnit 6.0 = I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 10/07/2016 (first event sampled) Total Event Precipitation (inches): 2.98 " 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 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 SECTI N . • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [-INOA 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"' reports within 30 days of receipt of the lab results for at end ot 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) (Date) Additional copies of this form may be downloaded at: http://yortal.ncdenr.org/web/wq/ws/su/npdessw##tab-a SWU-250 last revised April 11, 2013 Page 2 of 2