HomeMy WebLinkAboutNCG080033_MONITORING INFO_20190225STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
V
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ o l q Dao) 5
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000 _
Date submitted �) C' — U Y6 —3
CERTIFICATE OF C OVERAGE No. N GO$-- _
ED
FACILITY NAME Qi�Qy1 p�ilt 1Yl -- 1�
COUNTY 2019
PERSON COLLE TlN SA LE n
LABORATORY �j . Lab Cert. # (,C-N RAL FILES
Comments on sample collection or analysis: L3`1rFt `'h L" i��"•,
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTIO YEAR 2D I
SAMPLE PERIOD Jan -June ❑ July -Dec
or Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow Water Supply ❑SA
(Other
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
❑ No discharge this period'
Qutfa 11
Na,
N�l;rr
.' YDate14
.��I.'```.=,nx�.
, 5ampl ollected,
mo/dd,'/_,ter ;,
J Y • _
'=:t^-'s•�asems .�..-•:
Total,Suspended
Svli� d ;mom/ E
, u - -g .., _
... _ _ a
pH, F_
y_ ,. Stan d units.
... _ ,
_ r7an-_-cz. ;
NonP_olar Oil�and_Grease/tTPHSEPA `;New
cam.--xmw
M thod�1'664 SGT=AHEM „m'��
_. _ .__ . _.i ___. a__.. } ._.g/_
,.._"`„�•,r
Motor OilaUsage
Annuala�erage€gal/.mo.
_
Benchmark;
, . ....
§ � r
-. a rm
50;or 100 s ape E't
-.h'i
,, UVit nt6.0; 9'0
q
� 15
a
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X-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
Outfali �V'�'•-R+
Date
'.�..+'., �
SampleCollected,
/.__ /,Y1664�(SGTHEIVI}
�
a.,--. ..�'� am•...zas
.:.Non Pol,ar£Oil=andaGrease/}TFPFI EPAMethod
,F..
mg/L �
•-c.:..9R! v-a-s:.a�t`r,�ys r
�, T :.TotalSuspended Solids,i
'�° mg/_L�A
f . �. �
Ya.•..
pH;
4. Stan �unitG:
darcJ
Perrriit,L�mif
♦ jam.
.,,. s, €'
� � _y 7'"•
A . � _r1.5�a ��_ M.
*� .may jt4�':i'C _•-
W50tor,�100 ee_pe_rmit : �a
'}- -
_ f4 -i�1
6.00
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 1 of 2
STORM EVENT CHARACTERISTICS:
Date 11, 19 (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount).
Total Evenf 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.
.s
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ 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 monitorina period in
the case of "No Discharge" reports) -to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 r
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 ofPerrrihtee)' V, ' {,,.• • _s';,_
zy
(Date)
Additional copies of,this form may.be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
i
SW k -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 CQVERAGE No. NCGO8
FACILITY NAME NOW 0 C0M1?6_tAq_
COUNTY JjdrnLjT
PERSON COLLEqTIN SAM LE OW Nun
LABORATORYIVIII'f i OPS Lab Cert. #
k I� collection
oll 7
Comments on samp e eCt ion�oranalysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
q
SAMPLE COLLECTZJan-June
YEAR 4,4o /
SAMPLE PERIOD []July -Dec
or 0 Monthly" month]
DISCHARGING TO CLASS E]ORW [:]HQW OTrout [:]PNA
[]Zero -flow F�Watersupply ESA
xOther _Td�
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
[:] No discharge this period'
'-T —
,
Sample-Call A
olect
mo
W 1�1
WUAK
tolvSrT Aaed a
MpW.y
460
p4
,;"
Standard 6nits
*Odt6
M
No6PdlaQiia'hdGreae7TPHPA,
,�('.t�ORE
etpaHtM),%V
EIYM-'11ou
MIWNWM
Motor I wS,
huqj�KerAgq94I/M% a
F0 �W6 Q-'a'r, ki 0
RJA
KI 07 '1 74 �'
540 6 IN �NN7 4? 9A
M. WX RIOWARNE;
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X-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
all
1 e � k
eo I
Collected,
,Sample%,6 e c
V
�%,
Ar 10 -IF-
ri 6050PIMMA WNW �
6,m W K, &M M
9
5larldiflOWd rea,
M �406�4,,(;�qTjR�M ;jrngZ,�
IiN I OLd lsuspencl,6100';Sji�v ,
t
0 lvos
mi
V-20V =111111NMRI
J5-6 rpK41W N �ej Wr �r� i ira -]X_ -0
&W- r-,746T S,, &!
1- 14 -1 q
-4.6-00
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
pnap I r'y
STORM EVENT CHARACTERISTICS:
Date 1 / % 9 (first event sampled) r f
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 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 oriainal and one copy of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results (or:at end of monitorina period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perrnittee) ' r., (Date)
a t f
Additional copies of;this form may be,down loaded at: htt ortal.ncdenr.org/web/wq/ws/su n dessw#tab-4
z
SWU-250 last revised October 25, 2012
Page 2 of,2
i
*MICROBAC
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9AO2O6
Warren Oil Company Project Name: Stormwater - Semi Annual
Ms. Wanda Pender Project/ PO Number: NIA
2340 US 301 North Received: 01/14/2019
Dunn, NC 28334 Reported: 01/28/2019
Analytical Testing Parameters
Client Sample ID: Out flow sample, grab
Sample Matrix: Aqueous Collected By: Nvnn
Lab Sample ID: KgA0206-01 Collection Date: 01/14/2019 10:30
Wet Chemistry
Result
Method: EPA 1664 Rev. B
Oil & Grease (SGT-HEM)
<5.00
Method: SM 2540 D-2011
Total Suspended Solids
<4.17
Method: SM 4500 H+8-2011
pH at 25 °C
5.9
RL
Units
Note Prepared Analyzed
Analyst
5.00
mgiL
01123/19 1031
TAB
4.17 mglL
1.0 pH Units H
Definitions
H: Analyte was prepared and/or analyzed outside of the analytical method holding time
RL: Reporting Limit
Project Requested Certifications)
Microbac Laboratories, Inc. - Fayetteville
11
North Carolina DENR NPDES
Report Comments
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature Is included.
01/15119 0954 MT
01/15/19 1018 CLB
Reviewed and Approved By:
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reposed: 01128/2019 12:04
Microbic Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 283061 9%864.1920 p I www.microbac.com Page 1 of 2
.CERTIFICATE OF C IVE)RAGE No.. N
FACILITY NAM
COUNTY
PERSON. C0LLECTI,NG'S'A_MPLES
L A 66WT 6 R Yn4je: Fh hn r,S Lab Cert. #-
C6mm'ents bn'sample 't.6116cticin or analysis:
Part A: VehicIe,Ma.int'e_r*nce Areas Monitoring Requirements
Semi-annual-Stormwater Disch6rgeWdnitoring Report
for North Cariolina:Divisibivbf Water'Quality General Poirmit No. NCG080000
Date'submitted
SAMPLE.COLLECTION YEAR
SAMPLE PERibD Ej Jan -June N'July-Dec
or E] Monthly' (monthl
DISCHARGING TO CLASS [:]ORW -' [:]HQW F]Trout LjPNA
REIC",1EIVED E:]Zero-flow F�Wzitersupply [:]SA
t
'Z'O mother— 7re�,Q:31
SAP 17 18
CEN-FRAL FILES
0VVR SECTION
PLEASE.REMEMBER TO SIGN ON THE REVERSE 4
[:] No discharge this period'
W I
Zi IqUffi'Fe
'Sampleg
Collected,
0 0 5 3
-5-
DI 6aall� U�Pqhabv
U
0
MMURCI
i-PA"R M
NY66 V 0 461 d. QJE a s;e/jTf, H_� Q7AQ
y 16th AQ�16k b.
New Motor. s'$j
A
V,
Benchmark
-1
hV'
lcb !0M
AM
EW3"I
M,0i9TWER
bid-thl's
facility performVehicle, Maintenance Activities using more than-55,gallons of new motor oil per month? n yes ono
(if yes, report your analytical results in-the-table-inimediately below)
�P
t -Seco n�d'ar`y2oiit6in r� 6 �'t lt'e-'tr6iet;'r�;Buik,StEiti-o-n's,ia.nd TerminalsPart B: Oil/W�te*CS� a ra' o r�si n"d -Areas a
Z4 -
IR,
"2"M a -�ry
ARAM, 5M.7,27
U-NIUMF
l*�"""-„r'-,""'-eEF-
rle'
Collected
Non Polar0illindGrg EPA Method
R
FW�igt,gn-
Taff�uspencecsoiids
.NwX§k4
hf
�gZ2
E�
N0
,r
I M..
t:1,"I'MA. M-MR1131NE
VNIAV 0 SX1901 R 7F61 i 72 �,
-M-7 _2 9"
RIM
q
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 06tober 25, 2012
+ i
STORM EVENT CHARACTERISTICS:
i
Date ZZ 1 (first event sampled) +
Total lZverA Precipitation (inches): r j
Date (list each additional event sampled`this�reporting:perlod, and raalnfall'amount)
_To , tal
-Evenf.Precipitaton,(in'ches):
Note: ou•rtass.am,p,je•fval�e i,n excess.ofithe:'"b=.e�i n.ehmari'k;, G- }e1' n�e-4r_ a- PX'er-im3'rti+�text?�-
If • - _ � FL
1
'p}.
FOR'P-ART-AANDP.ARTZB:MONITORING-RESULTS:
• A BENCHMARK- EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE -PERMIT }PART II SECTION B.,,
•+mod.EED-� -st7i:F:•w'* +:- :�ixC� a t'L,L.�'iid:• :sY.tt--.s{ -�.t{4"is'�i.y�.i��Hatrt�-,� =it ,.�. :�:..t 11 t
• 2 EXCANCES'ftkROW FOR THE'SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART
#li SECTION B.
• TIER 3: HAS YOUR.F_ACILITY HAD 4 OR MORE BENCHMARIGEXCEEDENCES FOR THE SAME PARAMETER'ATjANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?-' _wYES .❑• NO ❑ . I;. , w.
'REGIONAL OFFICE CONTACT NAME:
' i. • .1-..��I \- .may � �..._ � R � �:.. - � +r+. aM .-f•. r. -, .,y.. R.d �.y. _.:.. .. .. k+-" ' " .1�.
l� Mai?-dn,orr ihal.and�bne co 'o 'tHis,DMR" iitcluilin "�alh"No Dischar" e'''re ort-s Withii 30 da- s-o recei t o th--15 results' or at.end o >monlfo'rin eriod`in
i`he case of •'-'No Discharge''.-reports)ito: ,; _ "' •' "" ^- =` � "r-' `' "� � •" •-` y'�Y` 'y
Division 10
of.Water Quality
-Attn:`DWQCentral Files { N ;'�. '}*f� t
1617 Mail'Service Center
Raleigh; North Carolinay27699-1617
YOU; MUST�'SiGN ,THIS'CERTIFICATION' FOR ANY'INFORMA ITION�4£PORTED:
"I certify, under penalty of iaw, that this document and all attachments were prepared under my direction or supervision in accordance vMhla system designed to assure
that qualified person ne1,properly gatherrand evaluate,the:informatibn�submitted. Based on my inquiry of the person or persons who manage the systeni,.or tkios,e persons
^S W f 92
directly.responsible for gathering the information, the infarmation'submitted is,'to the best of'my-knowledge and belief, true, accurate, and complete. I am aware that i
there are significant'penalties for submitting false information, including the possibility of fines.a6d.imprisonment;iforknowing,vi6lations.';
'
? •1
�(Slgnature o Perin_it4tee� V i - (Date)
Additional copie's ofahis fojrm maytbe downloaded ahttp://potal:ncdenr.org`/web/wq/ws/su/npdes5w##tab=4 r{ I
}
I1
SWU-250
last revised'October,25, 201,2
} Page 2 of�2 '
'a -
Semi -annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OFqDVERAGEN NC6086
FACILITY NAME VVarI'WU11 (10Y?XMI
COUNTY :t3tLMf,= I
PERSON COLLE-UJNG SAMPLE "10M
LABORATORY jVjerjDhW,1Z9 Lab Cert. #.-.—
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECT!9,KYEAR
SAMPLE PERIOD ,Jan -June DJuly-Dec
or [] monthly'- (monW
DISCHARGING TO CLASS [:]ORW E]HQW [:]Trout E]PNA
RECEIVED 13zero-flow Elwater supply [:)SA
. MOther 71�3t5
JUL 31 2018 /IN
CEINIT[RAL FILLES
DiAAR SECTION,
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
[] No discharge this period
N
j
Date
�- j*—
F[e.Collected,�7riS
o
"W
---0
4 --�EZ 70
FM9c
spnd
zSdidm/
.Lir=s.
pH
- r-�—.-
i IdaFd units!
nMae/fPHEP%
Mda�5sQ
V4�1M�L
366Moto
'AWFVa jeplj.Poll
f-N
-ZT-.'D
L50 ®rldbIeWj--ORMT
VK �--Aikfn7Ci()��90C-.v j'
t
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X-no
(if yes, report your analytical results in the table immediately below)
Part 8: Oil/water Separators and Secondary Contalnment Areas at Petroleum Bulk Stations and Terminals
"W"
CI
SiffipleectidLn
j F,M
ff5/l:r
_P05561:1- �—
IW.K. �.E
Polar Oil Grease/ TPH
5[�
4 T91UsjEnqedsl "1"
.4P
Standard
10-ifiAifuiniflvll
EYT
-<S. 00
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
Page 1 of 2
J
STORM EVENWvet
CTERISTICS:
Date (first event sampled)�]'Totaecipitation (inches): t f 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 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 Discharae" reports, within 30 dovs of receipt of the lab results (or of end of monitorina period in
the case of "No Dischorae" reports) to:
Division of Water Quality
Attn: DWQCentrail Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGIS IMIS ERTIFICATION 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. 1 am aware that
there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations."
7
(Signature of Permittee)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wa/ws/su/npdessw#tab-4
SWU-250 last reviscd October 25, 2012
Page 2 of 2
r- t
OMICROBAC"'.
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8CO722
Warren Oil Company Project Name: Stormwater - Semi Annual
Ms, Wanda Pender Project 1 PO Number: NIA
2340 US 301 North Received: 03/22/2018
Dunn, NC 28334 Reported: 04/02/2018
Analytical Testing Parameters
Client Sample ID: Stormwater, grab
Sample :Matrix: Aqueous Collected By: Nunn
Lab Sample ID: K8C0722-01 d Collection Date: 03/22/2018 9:25
Wet Chemistry f Result RL
Method: EPA 1664 Rev. B
Oil & Grease (SGT-HEM) <5.00 5.00
Method: SM 2540 D-2011
Total Suspended Solids 4.83 2.50
Units
mglL
mglL
Note Prepared Analyzed Analyst
03129/18 1025 TAB
Definitions
RL: Reporting Limit
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
03/26/18 0922 MT
Report Comments Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to ,
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents Jeanne Overstreet
only the sample(s) analyzed. This report is incomplete unless all pages indicated
Project Manager
in the footnote are present and an authorized signature is included.
jeanne.overstreel@microbac.com
04/02/2018 11:32
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 2
Semi-annual Stormwater Dischar e-Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000.
Date submitted 07.06.17
CERTIFICATE OF COV GE NO. 1O 0 b 33
FACILITY NAME arren llCzrrTpan7, Inc.
COUNTY Harnett
PERSON COLLECTING SAMPLES John Nunn
LABORATORY _ Microbac Labs Lab Cert. #
Comments on sample collection or analysis;
Part A. Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD 0 Jan -June ❑ July -Dec
or ❑ Monthly' lmonrh2
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
R E C E t VE D ®Other lowElwater Supply [:]SA
Tss
JUL 1 0 1017
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SECTION ❑ No discharge this periods
> W.- u-f r .
`°MDate } ; ;i,.
F*L.:•mSy
"00530r " '
a +�:.s,.� sey 'f•S.
„ ` ' '
i eG..
"'
�". R
+�+�j v� r.,tv can r .» W.. q
I #. %" �: ,~a+
rY' wrr,R- •.-r -
y'
am' Collected
U11 el
Total;Suspended
.�
' H,
2: -,k
Nan.Polar Offhand Grease/TPH EPA ,
w"+ °i- ,'rYrr,xF" !a.
lNew Motor�Otl:USage;
-" `L4 r
�5
dd/,yr
_Soiid"mg/L
,, Standard units`
,+y Methodfifi64; SG7_H M}; m Lt
AnnualaVe_rage al/,mo,
�,... m-- n
I5Qori100's'ee e�rriit
�'T �.:' r "Y'-r
Within,G.Q .9.0
! � c-.- 's�'+F .�.t. ...� r
� WPi5T : ay
'.q' a.e7 3A.-1,,�-.,
:" �. - � .
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes X-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
` No:. ,� -
-} -
Sam !e Collected
r .
arms- '0£i556"�.`wyt�+-�-',�Q0530
��.... '+ems` .�... F_ „� .�:r1ikSM
; :. �.• ``. �"
i �r�s;�
%1+ 1 :µ .
�,_,-. 00my 51 ;.
yr -.•Maw yr.rt." •<Li�'i �r-�--a- .er
Non Polar Oi! andrG'rease/FPH EPAyMetK dR
w6645_ 7 H>rM�
L-dt :Y
-qx ��as-
Total us ended Solids '�=
{� ` m L� NP��
-.�+�.� .'S :SY+I�.�n� g/ ,"R t7.�E .: 7...i:ri
,psir_2ddV
"sue dad�
�
'P,eriAlfL hit 11
a.
X S; r {'
= r `Sp,or lDp;see emit 7;.;
6'0 9
04,03.17
<5.00
1,80
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 1 of 2
STORM EVENT CHARACTERISTICS:
Date 04.03.17(first event sampled)
Total Event Precipitation (inches): '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 1, rier 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 oriainal and one copy of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FORANY 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 personne roperly gather and evalu the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly res nsilble r gat ering the lnfo ati , t Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that
there arep g if penalties for subMl g 1se 1 ormation, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orgLweb/wcl/ws/su/npdessw#tab-4
SWU-250
last reviscd October 25, 2012
Pagc 2 of 2
Fayetteville Dh ision
Certificate of Analysis
Warren Oil Company Date Reported: 04/14/17
Ms. Wanda Pender Projecl: Storm"-wer - Semi Annual Date Received: 04/03/17
2340 US 301 North Date Sampled: 04/03/17
Gunn NC, 28334 Sampled By: Nunn
Stormwater, grab
K 7D0021-01
Analvte Result Units Analvzed Analyzed By Method Qualifier
Analyzed by: MicrobaC Laboratories, Inc. - Fayetteville
Od & Grease (SGT-HENI) <5.00 mg/L 0=4/14/17 12:25 JR EPA 1664
Total Suspended Solids 1.80 mg/L 04/05/17 09:52 TAB SM 2540 D-1997
Microbac Laboratories, Inc. Page 1 of 2
2592 Hope Mills Road I Fayetteville, PVC 28306 1910.864.1920 p 1 910.864,8774 f I www.microbac.com
Fayetteville Division 2592 Hope Mills Road — Fayetteville, NC 28306 (910) 864-1920 / 86-1
CHAIN OF CUSTODY RECORD
`K7D0021-
i9�1N��@P9'�
CLIENTNAMESADDRE55:
Warren Oil
2340 US 3011V
Dunn, NC 28334
PO
PROJECT lLOCATION:
StormWater
#OF
a
O
T
T
L
E
s
TYPE OF
ANALYSIS
PRESERVATION CODE
:E
F
co
Cr
CODE- A = <4°C
6 = HNO3 (pH<2) + <4°C
C = H2SO4 (pH<2) + <4'C
D = NaOH + <4°C
E = ZN Acetate + <4"C
F = HCI
CONTACT PERSON:
Ms. Wanda Pender
PHONE:
910-694-1163
sA t I
J�� �f / / / f7j� fj} /
PATE! METF10p OP SHIPMENT:
LAB ID #
SAMPLE TYPE
SAMPLE DATE
TIME
coMP
GRAB
pH
t3.0.
TENP'C
CHLORIN@
D
X
3
A
C
Relinquished by:
n
Date
Time
Re yved'byl, (Signetur :1 - l �, ' I f _
/L/2
"ate/ 7
Time,jel
Rel(nquished by: J �'
�I�' I rV '3
Date
':j l I
Time
s'
Raved by: (Signaturer f
)e Lba /r 4
Date F
Time,
if
i ,/ %
R li i
"ate
<<�
Time
3�
R ' ed ignature)
�.-- 6
"ate
�-,
4.3---318
Time
a.
A
Comments or Special Hazards:
o� ICE
Page 2 of 2
MOM.r.
CERTIFICATE OF C
FACILITY NAME
COUNTY
PERSON CO LEC��T��I
LABORATORY IU,
Comments on sa
G
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
GE NO. N,Ppo8 r� J _1 / SAMPLE COLLECTIO YEAR 9!�
..� LG SAMPLE PERIOD JJan-June ❑ July -Dec
471- or ❑ PAonthly' _ _ (month)
VIPLES DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
f jujynl Lab Cert. #
ple collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
�����® ❑Zero -flow Water Supply ❑SA
Other
JAN 18 2017
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
C-.N-fRAL. FILES
DLNIR SECTION ❑ No discharge this period'
O tfall
h�_iHF.4
�?
w '. -11
&'mple Collected
. �-
� - mo/dd/.yr
Y rex_artz-�;.
Total us ended n
-Solidsmg L
H
;=4 : _,Standard€units r _.:..
-w s c ua 'arasx-
ON on!Polar1OiI!andtGre" a e/tTPH'EPA `4New,MotarTOi1rGI0
Metfto654 (SGTHEg/�`
raa r-e�x�. e
ge, ,
'Anrivala ge gal/mom/u
Benchmark'_
� - �
.-
•�, '9C .G.T'
50aorr100P�ee permits1N�th�n6:09:0
- ;TY �dTr'��a
15
_ _
� �15,'���..,.,' �
..f x4 " � cl
� �R1,1.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X-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
OW Outfall
' Date
10d556;
�i -00530t j'; k
0 --fid.
Noy
SampleCollected,
NonNol irQilard"Grease%PH EPA?Metiiod
S
Tot al�Suspend'ed1Solids,
pH# ,
p;
__o/dd/;yr
_' T664r(SGT=HEM}, mg/L -
Mm�g L
;5tandard,units
`Perm txLin itz
_
WI - '
� � � 15 _p
50 10p see,permit
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 October 25, 2012
Pagel of 2
STORM EVENT CHARACTERISTICS -
Date l� / (first event sampled)
Total Ev nt Precipitation (inches): i
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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 tor 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)
1-13 -11-1
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#ltab-4
SWU-250 — - •.-.r
last revised October 25, 2012
Page 2 of 2
&)M'ICROBAC�
Fayetteville Division
Certificate of Analysis
Warren Oil Company
Ms. Wanda Pender Project: Stormwater - Semi Annual
2340 US 301 North
Dunn NC, 28334
Date Reported: 01/13/17
Date Received: 01/05/17
Date Sampled: 01/05/17
Sampled By: Client
Out floc: sample, grab
K7A0139-01
Analyle Result
Units Analyzed
Analyzed By
Method Qualifier
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Oil $ Grease (SGT-FIEM) <5.00
mb/€. 01/11/17 12:53
JAW
EPA 1664
pH 8.4
pH Units 01/05/17 10:10
SW
SM 4500 H+B-2000 1-1
(Aqueous) -
Total Suspended Solids 3.40
mg/L 01/06/17 11:15
ELM
SM 2540 D-1997
Notes and Definitions
1 I Analytc was prepared and/or analyzed outside
of the analytical method holding time
Microbac Laboratories, Inc.
Page 1 of 2
2592 Hope Mills Road J Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com
CERTIFICATE OF
FACILITY NAME
COUNTY
PERSON COLLEC"
LABORATORY#
Comments on sa
Semi-annual Sto_rmwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted _ !_-/lo -,1
RAGE NO
NG SAMP
800�3
ebdl(J"' Lab Cert. #
collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR �D/�
SAMPLE PERIOD ❑ Jan -June N July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW _❑Trout ❑PNA
[]Zero-flow�❑Water Supply [:]SA
p_ _ s� + �q ®Other__ _'7S5
SEP 19 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE
CENTRAL FILES ❑ No discharge this period'
DWR SECTION
SOutfall-
,,fig ,
.
, .y i]ate x
Sample Collected
"mo/Ld yr
00530 ..:_`
ii Oa4QQ ` _ '
.i .., _. aTi i�'
�0556 -'
fir . .,..... . _ _ *+x,-i��
` [}j 1-MM1-�
&fi: w rag. 1M[ r?t�.3
rrr3aaxa;�_-�•�
al Suspended
Solids L�'
ffi7l
' pH, !
Standard�un tsk1
��.��
Non -Polar Oil�and�Grease%IPHREPA
�_ Method�16645(� S THEfVI} rrtg/Li
7..YekqNo.
New MotorOil�iJsage, _„.
n�i�al average gal%
Benchmark'
=
; 50 or 1QQ[see permit
1MR601fi:0 9 0
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X_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
Qutfall
St 'r
Date`s00556
f
Sample Collected,
��'�,�00530
a`, i^fi.wqi(-.r.,rq:.�.^^'TF✓-'Cf�?'t„'�c.li�sslt;+ R w9-�'.
Nan-Polar OBI andrGrease%TPH EPA Metho
�3r• 'R4`} ]x a
-^cam—�t•'tinNetYFw�,�`sy ar"�� -"
Total Suspended Solids;`:
'2
w•a ^T ax
OQ40_0'��
�+ri+
�,d'•� #�`fN0.
pH" x6mg�=
standarts �` —1N
P m t l! mil
:''
a MUM �•.
-" � SUTor`�100 see permit
_
6.0 9� ,
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 ��� �� (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 Pier 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 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.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are sygficant penalties for subr tting false information, including the possibility of fines and imprisonment for knowing violations."
ture of Perm
A
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webLwg/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
� - Page 2 of 2
Warren Oil Company
Ms. Wanda Pender
2340 US 301 North
Dunn NC, 28334
&)MICROBAC
Fayetteville Division
Certificate of Analysis
Project: Stormwater - Semi Annual
Out flow Sample
Date Reported: 07/25/16
Date Received: 07/12/16
Date Sampled: 07/12/16
Sampled By: Nunn
K6G0269-01
Analyte Result Units Analyzed Analyzed By Mcthod Qualifier
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Oil & Grease (SGT-HEM) <5.00
Total Suspended Solids 5.40
mg/L 07/22/16 09:28 SW EPA 1664
mg/L 07/ l 3/16 13:18 CCR SM 2540 D-1997
Microbac Laboratories, Inc.
Page 9 of 2
2592 Hope Mills Road I Fayetteville, NC 28306 1910.364.1920 p 1910.864.8774 f I www.microbac.com
CERTIFICATE OF
FACILITY NAME
COUNTY
PERSON C LLEC"
LABORATORY A
Comments on sa
Semi-annual Stormwater Discharge Monitoring Report P71
for North Carolina Division of Water Quality General Permit No. NCG0800004
Date submitted
E NO.NC,G, 08,,��
VG SAMPLES 142474 /YGL
Lab Cert. It
ple collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTIO EAR l�
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIvn yeo
ro-flow [:]Water Supply ❑SA
V her
MAY 13 20i5 �
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE
DWR SECTION ❑ No discharge this period'
Out`falkx
i i• 'j-1Y':
� =No 9
._j. • imo/,iid/4yrSol�ds;,mg/.L
�EDate,.,
i=:. _-.
Sample Go11 cted,
EQQ 30
00400 -`x �
� OOS55 �.%. rw
:� �':
_• `i;` `r_C.'�S@'-
Total Suspended
$:.
_ _
pH;
�,_StandardLunits _ _,,
•y '•- 4 - srir' L'3l'HSCR'
Nan Polar Qilwanti Greas /TPH'EPA
�.
_ Method-T6fia;(SGT=HEN1j,�mg/LL�'Annaverageigal/mom
#"_' �:•xn ,'S--"-q-rrx�w
New IVlator°Oil Usage;)
_Bencftimark
°'
50 o ioosee ermi
T
11U,i �f f09:0
'� 15 "
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ._yes X-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
i ��f�ij�yJ� �
t�-y _
Sample Collected,
NVORt . Q0556 :' '.,,
,��00530,,�
�o��r�K.
NadTGrease/TPHEPA�Method
M91
S_GTAHm Lr�m
_gl
gmm
'a+.wu+r�.alliE`iliIe'-7f�Noi%
"TotalrtSusperided .5o{ids
g/L
pH'���
u
ff-d-
P._ermitLirriitf�'
y _ 15'�
50 ar 100 s pE emit'.,.
-
'� "90
DD
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
Pagc 1 of 2
STORM EVENT CHAR TERISTICS:
Daterst event sampled)
Total*venPcipitation (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 Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ No ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one cony of this DMR, includina al! "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring Period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for subrrgL4ting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permitt
5-
( te)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SNVU-?56
last revised October 25, 2012
Page 2 of 2
�MICROBAC*
Fayetteville Division
Certificate of Analysis
Warren Oil Company Date Re4xirted: 05/04/15
Ms, Wanda Pender Project: Storrnwater - Send Annual Date Recoived: 04/21/15
2340 US 301 North Date Sampled: 04/21/15
Dunn INC 28334 Sampled By: Noun
Out flow Sample
K5D0728-01
1_ Analyle Result Units Analyzed Analyzed By Method Qualilier
Analyzed by: Microbac Laboratories, Inc, - Fayetteyille
Oil & Grease (SLIT -ITEM) <5.00 Ing/L 04/30/15 t 1:00 MLW EI'A 1664
PH 6.8 PH Units 04/24/15 14:00 DSK SM 4500 I1+13-2000 hI
(Aqueous)
Total Suspended Solids 4.80 ntg/L 04/27/15 13:16 SW SM 2540 D-1997
Rainfall: 0.5"
Notes and Definitions
I I Analyze was prepared andior analvzcd outside ol'thc anANtical method holding time
Microbac Laboratories, Inc. Page 1 0 2
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910.864.8774 f I www.microbac.com
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG08000O
Date submitted
CERTIFICATE OF COVE AGE NO. NCP�08 V a
FACILITY NAME WlTrf� MY 7Tla
COUNTY
PERSON C LEC-T NG SAMPLES
LABORATORY M t'/1 me -'I Lab Cert. #
Comments on saMple collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR —0-4IZ"
SAMPLE PERIOD [] Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow Water supply [-]SA
RECEIVED [:]Other
OCT 0 2 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES ❑ No discharge this period'
DWR SECTION
Outfall
NoSampleCoiiected,
Date
_", 00530 . _.
0040D;
_ 56°
OD
..
_Total Suspended
pH,
Non Polar Oil and Grease/TPHEPA
New; MotorOtl
_
mo/ifd/yr _ _:
";":
Solids,_mg/L
Standa d_umts
Method a664e(SGT HEM), mg/L
'- Annual -average gal/mo
_ ..:
or-1
050 :=:9.0-
5Benhmark,
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
Outfa!!
No
*Date -
Sam k.61lected
p
u ;-:: .; ` 00556
00530
004.00 `
- Non Polar Qjliand'Grease TPH1EPA-Method
Td#al_Sus ended.5 olids,p
p
;
.
_
-,
w
._
6 64<(SGT=HEM); /LT
mg"
,-..
mg/L --
S tandard units
_._
a- = - :
.
Permit Ljmit-
-so or_100 see: permit
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
Pagel of 2
STORM EVENT CHARACTERISTICS:
Date " / first event sampled) ll
Total Even 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 SECTION B.
• TIER 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 (or at end of monitoring period in
the case of "No Discharge" re orts 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
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(Signature
(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
0MICRO'BAC"
Fayetteville DfNislon
Certificate ol'Analysis
Warren Oil Company Date Reported- 08125/14
Ms Wanda Peindes Project: Slarroi - Send Annual Date Received: OS INN
2340 US 301 North Date Sampled: 08113/14
Dunn NC, 28334 Sampled By: Nunn
Out flow Sample
K4110333-01
I Aralyte
Result
Units
Analyzed
Analyzed By
Method
Qualifier I
"zed by: Fkratrac laboratories, Inc -
Faye-xWke
Oil $ Grease (SGT-HEM)
5A8
mg/L
08/25/14 03:17
JAW
EPA t664
pH
62
pH Units
08118J14 11:25
DSK
SAS 4500 11+13 2000
H
(Aqueous)
Total Suspended Solids
5 25
mg1L
08/14/14 07.50
JAO
SM 2540 D-1997
QC Balch Run - (.N;�.ea. r.sa.arar:<., I— -
Analyte
Rnull
units
Source
RPD
Limit
Total Suspended Solids
650
mg/L
K4110396
21
5
Total Suspended Solids
547
mg11
K4H0321
0
5
Total Suspended Solids
2 75
raga-
K4H0269
t0
5
Notes and Definitions
H Ar Jyie wa.s prepared and/or analyzed outside at the analytical method bolding nmc
State Certi fialians:
YCDNR Oil
YCDOH V37714
Respectfully Submitted
kanne owmtreet P jecx 3A...E.
Than. you for your business We,mue-,,)vdhak w— fewl grmv,cc to tos Plaar. rarra.r Is. V,-,—.Nanuex, Rob Der -w 91"41910 r Aa.p
qur16-1 Yoie..o) R41a—'� ' 1 T say.. IN—d.nt at a�rndenNayne.,obrx .an
Microbac Laboratories, Inc. I Page 1 of 2
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910,864.8774 f I www.microbac com