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NCG080841_MONITORING INFO_20181108
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V U& 0 UN) DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ )'b) A% 11b� YYYYM M DD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE No. NCG08 0 S 1 SAMPLE COLLECTION YEAR FACILITY NAME Cot_,n c Peo itie- C,7k—A;— a ,V * SAMPLE PERIOD [:] Jin-June EgJuly-Dec COUNTY C_ A 8 A 9 U S^ or EJ monthly' — (month) PERSON COLLEVING SAMPLES TO tf ij W. CULA9c.'x T)r DISCHARGING TO CLASS [:IORW rqi�QW [:]Trout [:]PNA LABORATORY d15M �A W-1 T-eA,(C-S Lab Cert. # tQ 2 [:]zero -flow [:]Watersupply E]SA Comments on sample collection or analysis: RECEIVED EjOther Part A: Vehicle Maintenance Areas Monitoring Requirements NOV 0 8 Z018 CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE --> [] No discharge this period' LT _iFRV',� M__- D 02 1-1 0, 410. Sample -CollectedIgL A A-"- 065�3_604214ft FCuT 010 d 17L --"- _!2 nA-ft-ib0000,ft- p 014-7�t 4 S ;F tkif W& Aak§jkW60556 &OWN-0: "IM6 il';TROdir ��PHtPk ;Se' "N 0W�MAtoF-.,Q1 _,4si ge; t 'nu �i3iV6 cgmMr !�$67021_60!se7ejl;iF AIAlithin 6 0 9:0�'�: L 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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Ou ; 43 =N'. qa7pe-4 W�: i '-t-,'�'m�SaWrffirpiLiCo][6cttd�!�dPA W-01i'm MOO w,_-; r I r 'TP iWl Method Now �Polar t�n�effi. 01 S REM) M, 6k644�%tGT7� EM "MOR 2 '.Tota 1E. mw m _0400,t"" ;4 - Stiihd ar funiW F(i CiRkf, r r- J 00/ /C 5- 6 0 k 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 October 25, 2012 Page I of 2 STORM EVENT CHARACTERISTICS: Date /4/- (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 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 OUTFALCTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Dfl IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cap of this DMR, including all "No Discharge" reports, within 30 days of recet t of the tab 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 sub 'tting false information, including the possibility of fines and imprisonment for knowing violations." 11 I 1 0 (Signs ure 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 October 25, 2012 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. NCG08 0 $ FACILITY NAMECo(-o e popel' rt Ca - i 4F< ST*r"C COUNTY S PERSON COLLE ING SAMPLES OtfKj W. CULA4-AT IT LABORATORY15M 1-4&0T-o02rcrS LabCert.# o 2 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 2(:2) 16 SAMPLE PERIOD ❑ Jan -June July -Dee or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW BgQW ❑Trout ❑PNA ❑Zero -flow []Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE -3 No discharge this perio& tfall A101 Dated Sam !e Collected Imo .dtl' r Total.si s ended Sofi m L OD40010556"---, - Fib �5#anda Nb Polar Oil-'and-Giease%TPH EPA' Meth_ ad 64 SGT HEM m L Y" Annual aVera a gal/moll; ..,..S�f3iYfK'�°IIG- 1Benchmarlc �, ' Ts 'fry '-+^'_'ii 5U or 1 ,se" ii#k OQ a perm - 4: W ing _ 8y ith _ 676-#9: '�_ %NtV ��'� `1 7; _ t F 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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals O . Na. t . Date �� , s�.l..-w_`,.:y `. lk Saritple Collectetl, _Non-Polar,0ilgand`Grease/TPN 15 ,�_, mo/dtl/_.yr, �;�Y;�0055fi{OOS3� :. ---, r n sT'9- a.b �^ EPAMethod ,.1664;[SGT=HEM),;mg/L. -`1 A 7otal'Suendec# Solids, rrig%Lw`w 04b0 _pH f T °- wStandard units a .:�-•9.: ^` - �3-• � � Pe_rmit�.Lirn_itIfW,�._15 E. L I. - �Oori00see.permit,� � .ram We - 46 0'. _90. 001 0ra/8' S �- g 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 October 25, 2012 71—_— i —ram+ STORM EVENT CHARACTERISTICS: Date /0 /1- (first event sampled) Total Event Precipitation (inches): O 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 I REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALCTRIGGER 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 (or at end of monitorinci Aeri_od 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 sub 'tting false information, including the possibility of fines and imprisonment for knowing violations." (Signs ure of Permittee) (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 October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Re ort for North Carolina Division of Water Quali General Permit No. NCG080000 Date submitted CERTIFICATE OF COVERAGE fAO. NCG08 -d) -d If �_. I FACILITY NAME GLO tfWCMl� o 74.3 XGS7O- 5TA t'iau COUNTY CA PERSON COLLECTING SAMPLES a KA LABORATORY * 44 Ba"ra B's Lab Cert. # _�(a 2 Comments on sample collection or analysis: _J fe- E'LE'y1ArEa -7—sS Jetrs.0 LT faA aVT1:"igCc oo'2 /S AF&I VCO M ACF--/ '4FeA rE ro AC&/+E 1,V r-He U} Cr tEEws TrPJrl Part A: Vehicle- Maintenance Areas Monitoring Requirements rck SAMPLE COLLECTION YEAR h(3 / S SAMPLE PERIOD !an -June ❑ July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW QW ❑Trout ❑PNA /n []Zero -flow ❑Water Supply ❑SA RECEIVED ❑Other JUL 2 7 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE -) CENTRAL FILES DWR SECTION ❑ No discharge this period' _ No x -�Da#e 11 5arrtplt>!AC011t?ctesl, r.•F� r m_o/ddJyr : 4,:R `TotaflSuspeiR tied -a �r r '� Solicfs,.rng[L 3 .2 t. T � fir: <„max°� r Standard�un74s : Nc>rt=PolarCli#+and=GreaseJTPI�I EPA 5 rr 4Method l .(SGT-HEMS, mg/L . , ; ` New Motor=O�I:Usage,.;`. Aiiiival average gal/r_no:`. Se�fichii�ark, : -,50orfice see;permitWiihintQ-r- 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 B: Oil/water Separators and -Secondary Containment Areas at Petroleum Bulk Stations and Terminals :... Oirtfalta xNo..,M ", _�� - xy. �: tea{' . Date Asa ple> CeeteNon-Kolar . .➢ ��9"- S Y`2�..'�;x'.i� ... � ,F "!' > Fp a iq {i L ,.��� �-::. - .ti i 'Oa530 F .., .3 - - - IiD400�:.. Oil�andGrease%TPH EPi4liNethod ` s`: Tc3tal�suspedeasbr"a#s, l ,ter t , s. j PH, . `.Standard units x , _. PermrtjLsxr►ri , 'C'. ° ` T e:. - �`� t:� i15� x n Yam, .. �' ..-f':. r r; �':`:�. s, t :n Gdr.']_e 50 ar 100-see perintt 4D/ 1,3 7.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark mere. SWU-250 last revised October 25, 201 �A STORM EVENT CHARACTERISTICS: Date 'Z�-(first event sampled) Total Event Precipitation (inches): ($• s Date (list each -additional -event• sampled•this•reporting period; and rainfall amount) Total Event Precipitation (inches): _ Note: If you report aisam016i alue in excess of the,beitchhr 7rl4lyou-must•implement Tier 1; Tier 2; or rer 3 responses. See Genera! Permit text. FOR!PART-A AND PART S MONITORING -RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIERA REQUIREMENTS. SEE"PERMIT PART II SECTION B. —•- 2iEXCEEDANCES1N A,ROW1FOR•THE SAME PARAMETERIAT-THE SAME-OUTFALL€TRIGGERTIER•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 -OFF ICE? 'YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cogil of th's DMR including a!1 "No Dlschar e" re its within-30 days o-recei t of the lab results Lor at end of monito in eriod in the case of "No Discharae" resorts) to: Division of Water Quality Attn:. DWQ Central Files 1617 Mail Service Center Raleigh,,North Carolina, 27699,1617. YO6_M6ST SIGN.THIS.CEi-nFICATION FOR ANY INi:OR1111ATION.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 fiformation, the'information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that they nificant penalties for Amitting false information, including the possibility of fines and imprisonment for knowing violations." r-7} z 31 / 0 (Signature ofiPermittee) (Date) Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/weblwg/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitori_n&Retort for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted L- - r - / 7 CERTIFICATE OF COVERAGE rip. NCG08 t� K .1 FACILITY NAME Coc0000c !f't&Nt Cc . UNO-Afbt-Is 5rC-4 5�����U COUNTY CABA P-u-5, PERSON COLLE I G SAMPLES Q W- C✓� �iQr Iy LABORATORY_Ti5/A LAbs Lab Cert. # 4 2 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR ;20/ 7 SAMPLE PERIOD ❑ Jan -June July -Dec or Ej Monthly' _ (month) DISCHARGING TO CLASS ❑ORW [�WQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED []Other OCT �o' LEASE REMEMBER TO SIGN ON THE REVERSE 2 3 CENTRAL FILES DWR SECTION ❑ No discharge this period' th fait o. w""`i .F: _ toe Sample°,Collected 4 _: r E+� x^ / fYr= 'D 153i? �_ .o-:,€- � a �� `Tatalf�su-``'".�'"' Andes ,' • '�L .^�Mb'' .:'5 -_. Stiifds.,rreg(I+ .. -00=- ,s aal � . --�. ��' H, r ` r.. c. �`F't -' '.`vT'.ry. nr 44ndarclvnlits_.,� Nac Pal" Oil1- nM1 iiease{TPHi,EPA ! i 'A&" afar-�il:Usage; ¢ x T „ 1 ag,,. , �_.. i A - ,, ,.5oj" �' Meftd_;1 f %GT,HEMS; ing/L� :- jr manual average.gat/mfl ,,: _"Zxi' :� i,Y ncnsttarli :r T.:+'-.. ..�,,._, .`y:-.._,.. -'i""•.#_.: ro.,-. - %r- 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 B: Oil/water'Separators and -Secondary Containment Areas at Petroleum.Bulk Stations and Terminals a Ontiall5 rye.. x No ..n .� ,:.. h-.: �-. '. `-. ..X �,', Sample.CoHected, 4 r %ftljyr(SG_T-HI jY �✓' 'C�."-u..: n^� ' � ?Elt1, 4 �'�&$31 'a � f1AL��A k'i �Y �q1 '1'4�'s' r•'i' .4�5,'.T'">Y/�{� w�.. 2 5i�. ,.... 4�eir "b".b»'JF,' �laa _.-M.:,•- Non PoiarEOil artd Grease�TRH`EPAtilVlet Q Mj,_m13I1 .x, 105' �,'i...n � Total ,Suspended Sot' fs, � M R N rri I� ', �._. ��. �'i 3 } c +`� s_, Stan aril units'. _.-.--�:d-xv� �:�:x. :'"� Permit Litt _ " �;rt�r ��'. .... ss� ;. �;r; .. . � -;�� - 5.�+.s' i� _.'F: � _ 1 %X fM � s 15aE �s� �, .;�,'s. .x; r�'i`�' ..'� 50yor ifltl`see eRnrt;�. I' . 0/ - / 7• < 5- 1 S 6 , not - z-/7 s «, G I 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 October 25, 2012 STORM EVENT CHARACTERISTICS: Date '�' (7(IF•irst event sampled) Total Event Precipitation (inches): 40 ..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<benehtWdrk, �youimust implement Tier 1; Trer 2, or Tler-3 rresponses. See General Permit -text. FOR:PARTA AND PART B MONITORING -RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERSTIER-1 REQUIREMENTS. SEE PERMIT PART it SECTION B. ,• 2.EXCEEDANCES:INrA+RO-IAA-FOR-THE SAME PARAMETER ATUTHE SAME-OUTFALL•".TRIGG ER=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 TH&DWQREGIONAL OFFICE? `'YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR. inclu i�,lna all "No Discharge" reports, .within,30 dan,of recelnt 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 Centers-..,_, . Raleigh,,North Carolina. 27699,1617, YOU:MUST SIGNsTHIS.CERTIFiCATION FOR ANY_ INFORMATION_REPORTED:_. _ s " 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 of persons who manage the system, or those persons directly responsible for gathering"the`i`nformatioi the'inf6rmation submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for sub . ing false information, including the possibility of fines and imprisonment for knowing violations." (signature ofPermittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wg/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report - for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted .�' 7-1 7 ' CERTIFICATE OF COVERAGE N - NCG08 6 1 AA - FACILITY NAME ceu c Flu N - ("e - Pe, L4 ; S,605 j L� COUNTY CPF f2 19 gjcu S PERSON COLLECT NG SAMPLES _ -5� Ef FJ W - co L 6R "ng LABORATORY_ -I._ Q �S M Lab Cert. # 2 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR Zo 1 7 SrA rro ru SAMPLE PERIOD X) Jan -June ❑ July -Dec or [-]Monthly' _ (month) DISCHARGING TO CLASS ❑ORW [KQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ❑Other MAY 2 2 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES ❑ No discharge this period' DWR SECTION 'N *� Sarrtple Collected, 'Total ma/dd/YtSs,�.sactg/L, Suspe tlesipH, _14..`".'hy3S�`-" _ �'%T';NrA `Ems'FI.Ki '» r5#aridard,r�itsxIVletltadglfi.(SGT=HEMS, i1 ry, 60556�����1x -cy�: Z"' �5�+'+_ lar�Poiar�Qit�an'GreasePH.EPA mg/L •3 �3, :Z.. `i` +L� l _ '• NeurMator'O1E Usage,-;. ... . .. ; " } `Ai�nual'a"verage.gal/rpd ,. ;- tl5endt ark . =-� K 50'or iW ee pen t let iirfdo `q 4=—1 VA,iAZ,15'�' �. Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? _yes _no (if yes, report your analytical results in the table immediately below) Part B: Oil/water Separators and Secondary Containment Areas at Petroleum.Bulk Stations and Terminals Dot@ - :X ' a 5 vl lrf%36556�� s w. EIt}5304 ' .,�. OiiAO(l n }Tole!"+5osperr'ded SoCds h pH Nn. SampleCollecied; "IVonPolaflita"ni! GreaseNTP.A ithciJ ` mnld yr 1Sb4.(S_GT,'HI=Mj, mg/�L :mgfaL '' L,- Standard,unitS fFiFrm FZ@ R N a ` ' 15 �1 "AF�;i--t 6.0,L. 9 D. s ©o s. 3 J o 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 October 25, 2012 STORM EVENT CHARACTERISTICS: Date �f-Z3-U(first-event sampled) Total Event Precipitation (inches): ,2- -Date (list each additionaI-event sampled •thIs-reporting period; and rainfall amount) Total Event Precipitation (inches): Note: !f you,report aksample value in excess of the.benchthark; you -must implement Tier 1; Tier 2, or Tiera responses. See General Permit text. FOR!PART.A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIERA REQUIREMENTS. SEE PERMIT PART II SECTION B. -•- 2-EXCEEDANCES IN*ROW•FOR-THE SAME PARAMETER-A;TTHE SAME OUTFALL:TRIGGER�TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 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 aid one caAv of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorincl period in the case of '"No Di char e" re arts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center. . Raleigh, North Carolina 27699-1617, YOU. MOST S1GN.THIS.CERTIF]CATION FOR ANY INFORMATIONAEPORTED:. "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 si nificantt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." zX1_. 5-1-7-1-7 (Signature of Permlttee) (Date) Additional copies of this form may be downloaded at: http:lZj3ortal.ncdenr.oriz/webJwq/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE N AC-gQ8LO +2 to FACILITY NAME PFLrnf e C - KANNAP8L15 Dao.s rL-f- COUNTY_ GA 6A AAU5 PERSON COLLECTING SAMPLES -1-09F4 UW. Cut8�c7i �H LABORATORYP (_S Ni t- 4 dS _ Lab Cert. # If 0 2 Comments on sample collection or analysis: Part A. Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR Zo ( SrAT-1 SAMPLE PERIOD ® Jan -June ❑ July -Dec or - ❑ Monthly' _ (monthf IMGgO CLASS ❑ORW [+WQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other WFOR DVVRSEC77ON PLEASE REMEMBER TO SIGN ON THE REVERSE 4 M4TlOi>rPROCESSJNG uNiT ❑ No discharge this period' Outfallmewo No. D05 G Tot1Suspended Solids, mg/L 0 -4QQ pH, 0Standard_units Ob55b mum No'�`ii`�-Pa1ar Oil and Grease/TPH EPA Meihod11664�(SGT HEM], mgJ�L New Motor 01 U , MnPaLaYerage gaE/ma — --- ,Benchmark SQFarf10;5ee permit W<thin 6.D - 9.D 15 _ - 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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. Date Sample Collected, D0556 Oil and Grr'ease/T[?H EPA Method g/L OQ530 Total Suspended Solids, mg/�L 1704D0 ''� pH,Ffflodyr�i4,($qQHkW),7rF sta�,andts Kermit iLi_mtt 15 5p or 10D see,permit 6 0 9.0_ ;,,,,-, Ka S /2 711 ®42 3.28-16 G 5 7. Z I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised October 25, 2012 PaaP 1 of 7 STORM EVENT CHARACTERISTICS: Date3-z8-/G (first event sampled) Total Event Precipitation (inches): 6.5 Date (list each additional -event sampled this -reporting period, and rainfall amount) Total Event Precipitation (inches): _-4 ff Note: if you report o;sample,volue 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 TIERA REQUIREMENTS. SEE PERMIT PART II SECTION B. -•- 2-EXCEEDANCES INA-ROW FOR THE SAME PARAMETER AT�THE SAME-OUTFALL;TRIGGER-TIER 2-REQUIREMENTS. SEE PERMIT PART II SECTION B. • 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 DW including all 'fNo Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of a Discharae"reports) to: _ Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU -MUST_S1GN.THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of-Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised October 25, 2012 Page 2 of 2 M NCDENR North Carolina Department of Environment and Natural Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director Mr. Ken S. Barimo, Operations Manager - Colonial Pipeline Company P.O. Box 87 Paw Creek, North Carolina 28130 July 24, 2009 Resources Dee Freeman Secretary Subject: . General Permit No. NCGO80000 Colonial Pipeline Comp Kannapolis Booster Station COC No. NCGO80841 Cabarrus County Dear Mr. Barimo: In accordance with your application for a discharge permit received on July 06, 2009, we are forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state — NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended). If any parts, measurement frequencies, or sampling requirements contained in this permit are unacceptable 'to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this certificate of coverage shall be final and binding: Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other federal or local governmental permit that may be required. If you have any questions concerning this permit, please contact Bill Diuguid at telephone number (919) 807-6369. - SincerelyORIGINALSIGNED BY KEN PICKLE Coleen H. Sullins cc: Mooresville Regional Office Central Files Stormwater Permitting Unit Files Attachments 1617 Mail Service Center, Ralegh, North Carolina 27699-1617 Location, 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 91 M07.64921 Customer Service:1-877-623.6748 Nofth Cilrofin `i Internet vrww.ncwaterquality.org An Equal Opportunity lAffirmativeAction Employer �ahira`L//y STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY . GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVERAGE No. NCG080841 STORMWATI R DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision ofNorth'Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Colonial Pipeline Company is hereby authorized to discharge stormwater from a facility located at Kannapolis Booster Station 9301 Mooresville Road Concord Cabarrus County to receiving waters designated as Emerson Branch, a Class WS-11; HQ.W creek, Yadkin River Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, 111, IV, V and VI of General Permit No. NCG080000, as attached. This Certificate of Coverage shall become effective July 24, 2009. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day July 24, 2009. ORIGINAL SIGNED BY KEN PICKLE Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission , F31 � i,', � �•, • � � � �. ,,, � r`I �l k' �5;,� • 1jEJto � S �d'- �E r a rJ�y Y � � .-' _ � ..;' ♦ '. .� 1. .. "tir , • ...f -Y 'Et: t' �.. , S / ` !.! f { ,,t�t k.,;. 1 Y �_ � I P I �, �''�.. r,wwr. .4i�..r ! ! ii€♦ /,fs4aMr. €. . z !�5 % �♦ > '". � + II I� •' ids !0. P all �h II I' y4i N Colonial Pipeline Company -- '�'` Kannapolis Booster Station � g , f L M�1 .. '"'���r. a I.4t'-e # {f�fi }f t/€`.� ... ��{{ � � � ,'� • • °! ✓+�," 4 r�lJn ��. ��+F» �a.r 5 �����1�'.�, . ��� I r �,4 4'. ��I . � I ',� i _ �,rJ. �w.�i:�. •�^- �., + _ gr i 7 lk �,I< 1, $ _ ♦ L - _ _ _— � ' 6i �!' i` I%' I OYS1id' J I j ` F� '. KIL ♦ 5�I..I' It�'L�FI R�• r q f f �i:✓ :Ij xq-. - I I' • I '�4Yiv�y, Ik _ � " }i.s �' �Jv �� ' �' �G� � I 1 i9 t �!� .� -• 1ill�`�'Jp `s u,°1_�s�k;k � �-". S' ii !T� �ir 'd8' I '.I, � ' 5. 'I' �-Y i � � t : i 4: Lot5 n j y,, I } ....:/" per, i • � I I }� )dL :� ae ",: ' k.��iEl Latitude: 35029'01" NCGO80841 Facility Longitude: 80°44'06" County: Cabarrus Colonial Pipeline Location �'` € a1'`,� Stream Class: C Company--Kannapolis Receiving Stream: Emerson Branch Sub -basin: 03-08-38 (Yadkin River Basin) NOT TCAUD Diuguid, Bill From: Parker, Michael Sent: Wednesday, July 22, 2009 7:29 AM To: Diuguid, Bill Subject: RE: NCGO80841 Colonial Pipeline Conpany NOI Go ahead and issue the COC. Mike From: Diuguid, Bill Sent: Tuesday, July 21, 2009 2:57 PM To: Parker, Michael Subject: NCG080841 Colonial Pipeline Conpany NOI Michael Parker, Mooresville Regional Office : Please review the attached N01 application with the objective of responding to me with a recommendation to issue the permit. I recognize that you may not visit each new, proposed permittee during this NOI review, but it affords you the opportunity to log the general permit into your regional database and add the industrial facility to a future monitoring and compliance visit schedule. Therefore, your recommendation now to issue the general permit serves as your acknowledgement that (1) the facility is located in your region, (2) that there are no current complaints outstanding about the facility that have not been dealt -with, and (3) that the facility may ultimately be inspected by the regional surface water staff. I've also attached a scanned copy of the NOI and a location map for your review. COC# IFacility ILocation 'City/County NCG080i341 Colonial Pipeline Co --- Kannapolis Booster Station 9301 Mooresville Road Concord/Cabarrus If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 08/21/2009, I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and comments back to me with a recommendation to issue the permit. Thanks. Bill Bill Diuguid, Staff Planner Stormwater Permitting Bill Diuguid, AICP, Staff Planner Stormwater Permitting NCDENR Div. of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Phone: (919) 807-6369 Fax: (919) 807-6494 Website: http://h2o.enr.state.nc.us/su E�� . 732 96 . �EEr LATITUDE " 35'2903.43680 LANGITUDE Bp'44'08.24852 DUKE POWER COMPANY 'INGRESS/EGRESS EASEMENT ACROSS EXISTING ROAD 383 PC 331 OB 383 PG 336 E E E E— 4 q 4 8515'15" E 579.0 4' 4 4 ,. 4. CEP'S NIAL�,PoNE COMPANY. INC. 2 PG 296 48 486 PG182, r` f6 PG 185, OH 48 35-2592 CLF e{y10E.L NC. 4683- T-48 P .. TV-4 T- " T-3B TV 3 -29 TV- m J _ 730 T_ts- 4 k_C IDEWALK X SHE Q 1S 010 AN THAT WHICH A ALT PAVED, gjSHED USING k ABRIDGE." _ �j LT VEF /lf $ $ 1, SVE-2 r EQUIP { Sue STATION } ® c " r I SVE-3 2 E m k � t Cj RW-1 I 0.89 PROPANE K ,T 71 Ir fhu. AI *LT EQUIP -9 EQUIP y - ® cz-44®j C�,7 D4 r 6 } A J6 7L ,-10 # SVE4 C 36 STL -1 t( LT , - -13 14 * y ft MW-7k MW--1 •711� __1►`. /`EXI G .RE1'ENTjoN POND SU7ACE ELEV 71j V GA .. ._-.---- -.-.5 I I opmom ON I/ t 46233 84 PC 156 coo t a "I PP KER MAR CLF 4 V 3 GRAVEL f�f / M�^1 1S 18 PIPING ORA -1 7'02.84 '1 � V �i �� •7 P / �0 41 D FNp ONC�Ggn MO'1 NG GRID COORDS (I N . 635.755.478 1 E 1,483�8g PP AND #4 REBAR 45 1 pARGE SYSTEM PAD � (GONG SLAB WNETAL ROOF) MW-11 SATE '1'REAi1+1ENT SYSTEM .PAD (CONC SLAB W%METAL ROOF) MW-13 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCG08 SAMPLE COLLECTION YEAR 26: FACILITY NAME O Po L! S Oo S —re—,�— S rI OO SAMPLE PERIOD ❑ !an -June [may -Di cy COUNTY __ �' pry S R E C E I V E Dor 0 Monthly' rnonrh PERSON COLLECT SAMPLES CZ* L0 - Cu LbA"-'-V'7 DISCHARGING TO CLASS []ORW [� QW [�Trrooui PNA LABORATORY t 5 M Lab Cert. # z � ZUi5 Zero -flow E]Water 5uppW> SA Comments on sample collection or analysis: CENTRAL FILES []Other Part A: Vehicle- Maintenance Areas Monitoring Requirements PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Q No discharge this period' 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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals 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 October 25, 2012 STORM EVENT CHARACTERISTICS: ©ale 10 (first event sampled) Total E ent Precipitation (inches): 0-5 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 EXCEEDANCE TRIGGERSTIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION S. • 2 £XCEEDANCES 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: Mall an oriainQt and one cony of this DMR, indudirta a!1 "Na Disthom "rea o rts. within 30 days of receiat of the lab results !or at end of monitoring period in the case of *No DfschargS rgpor�{f : Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 276M1617 YOU MUST Sl(jN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: N 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 signifiyant penalties for submitting,false information, including the possibility of fines and imprisonment for knowing violations." ! j All - IZ -ZI - I] (Signature of ermittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/np-dessw#tab-4 SWIi 'S0 fa4t revised October 25, 2012 Page 2 of 2 Semi-annual Stormwat_er Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted /—/,2 - / 7 CERTIFICATE OF COVERAGE NO. NCGD8 D 9 L4 i FACILITY NAME Cot-Ci Joke f� c1"l�SA_ =— lUAld�iC'otrts sY�M S-rf/Tic, COUNTY _ CA b R I A Lt.S / PERSON COLLECT N SAMPLES .00—#f t EJL6XXc7 'r!T LABORATORY ( G- N 6S tab Cert. # 462 Comments on sample collection or analysis: Part A: Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR 201(. SAMPLE PERIOD [] Jan -June N July -Dec or ❑ Monthly' month DPe1iLCbnQV jT0— SASS ❑ORW tdHQW []Trout[jPNA � ❑Zero -flow []Water Supply ❑SA JAN 18 2017 ❑Other CENTRAL. Fii EASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECT] ❑ No discharge this period' Outfall _ Date Sartiple Collected, � jmo/dd/yr-' OD530'r: 00400. 00556 f: - - Total Suspended =Solids,;rrtg lL pH, Standard units, Non -Polar -Oil an d'Grease/TPH.EPA Method-1664,(SGT,HEM);-mg/L New Motor-011 Usage, Annual average gal/mo Benciitnark .a r _ -.50 or 100 see permit' ' W �wifiiii� � a -� �.fl 15 - 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 B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals 0 tf-m . No.. : = s bate ,, S4M01e Collected, `; 00556 Nain-PolarbWand Grease/LPN EPA Method i =1664 (SG7=HEMj;;rng/L Tota(Suspend`ed,Solids, ,^'. mg/L'' pH, Standard -units Permit`Liinit. _. " " 'r " - f1S. 50:nraoortee:Permit 6.0-9.0 LT I For sampling periods with no discharge at any single outfali, you must still submit this discharge monitoring report with a checkmark here. 5WG-250 last revised October 25, 2012 STORM EVENT CHARACTERISTICS: Date 12 - / A (first event sampled) Total Event Precipitation (inches); b, 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 It SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART tI 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 Lor 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 sigQnificc�ant s for submitting false information, including the possibility of fines and imprisonment for knowing violations." penaltie (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: htip://portal.ncdenr.orglweb/wci/ws/su/npdessw#tab-4 SWU-250 last reviscd October 25, 2012 Page 2 of 2