Loading...
HomeMy WebLinkAboutNCG080331_MONITORING INFO_20170329STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑HISTORICAL FILE p( MONITORING REPORTS DOC DATE ❑ 02 o % -� !) 3 c� �l YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 31zil/% CERTIFICATE OF COVERAGE NO. NCG08 U 0 0 o 8033/FACILITYNAME "4"11 COUNTY�f�.� PERSON COLLECTING SAMPLES 4- LABORATORY Fi: %ravr a- / ClA, Lab Cert. # 37125 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR �-- /? SAMPLE PERIOD Jan -June ❑ July -Dec Bleb or ❑ Monthlyl (monthl DISCHARGING TO CLASS QORW ❑HQW ❑Trout ❑PNA APR 10 2037 ❑Zero -flow ❑Water Supply [:]SA CENTRAL FILES ❑Other DVVR 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 (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 Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - 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. S W U-250 last revised April Ill, 2013 Page l of 2 STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): Zf 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" 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 pen 'es for submitting false information, in possibility of fines and imprisonment for knowing violations." (Signature of Permittee (Date) Additional copies his form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/sujnpdessw#tab-4 S W U-250 last revised April I I. 2013 Page 2 of 2 t ENVIRONMENTAL CHEMISTS, INC OFFICE: 910-3 2-0223602 Windmill WayFAX 910- 92-4 24 Analytical &Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentaichemists.com COLLECTION AND CHAIN OF CUSTODY CLIENT: Zz_�/ PROJECT NAME: A,,., �,.�p✓ REPORT NO: Q ADDRESS: / CONTACT NAME: '1441 PO NO: l rrre// ( ZdP-/ / REPORT TO: PHON J-32- % U3 COPY TO: Sampled By: %1k__ Ar/ SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil. SL = Sludge. Other: Sample Identification Collection T " n A �, y a s E t� U r U 0. `o m t E U m 4 "� Z PRESERVATION ANALYSIS REQUESTED Date Time Temp z i Y o = 0 z z 0 z o a W O 3 3 A? 12 :/T,,. C P G G C P ' G G C P I G G C P G G C P G G C P G G C P G G C P G G C P G G C P --T G G Transfer Relinquished By: DaterFime Received By: Date/Time 2. Temperature when Received: Accepted: _R jelcte Resample Requested: Delivered By: Received By:_ - -�� Date: ��- Time: �� Environmental Chemists, Inc.- envitrochem6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax SM 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax ANALYTICAL & CONSULTING CHEMISTS info@environmentalchemists.com Ezzell Trucking Date of Report: Mar 14, 2017 PO Box 67 Customer PO #: Harrells NC 28444 Customer ID: 09030041 Attention: Report #: 2017-03067 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 17-07271 Site: Stormwater 3/3/2017 12:15 PM Water Alan Darr Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 03/09/2017 Residue Suspended (TSS) SM 2540 D <3.1 mg/L 03106/2017 pH SM 4500 H a 7.46 Units 03/08/2017 Comment: Reviewed by: Report #;; 2017-03067 Page i of 1 FiLE Cop NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit.- http://nortal,ncdenr.org/webfIr/nudes-storinwater� Permit No.: N/C/ -�/ o/r/ o/ o/ a / a/ or Certificate of Coverage No.: N/C/G/ 8/ -!�/ D/ 1/ 3/ 1/ Facility Name: 642ell 7".hck'ry County: Phone No. J/o - 521- y/0/ e--yl 7/// Inspector: 4 1A,v Rrr S/'e /r! Date of Inspection: Z Time of Inspection: /`loo Total Event Precipitation (inches): } 11 i �C�di• �— Was this a "Representative Storm Event" or "Measureable Storm Everlt'-as.defin ,d�k�7t:h�permit? (See information below.) F EB 2 5 2035 Yes ❑ No CENTRAL ► ILES DVI1R SECTION Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable 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 "measureable storm event." However, j 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 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Desigd6e) Pagel of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. / Structure (pipe, ditch, etc.) Al Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light; medium; dark) as descriptors:._ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 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: (✓ 2 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: 0/0 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 (9 9. is there evidence of erosion or deposition at the outfall? Yes ` J 10. Other Obvious indicators of Stormwater Pollution: List and describe 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 t Environmental Chemists, Inc. �� • 6602 Windmill Way • Wilmington, NC 28405 (910) 392-02-23 (Lab) • (910) 392-4424 (Pax) © 710 Bowsertown Road • Manteo, NC 27954 ANALYTICAL & CONSULTING (252) 973 5702 CHEMISTS NCDENR; DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Ezzell Trucking Date of Report: Feb 17, 2015 PO Box 67 Customer PO #: Harrells NC 28444 Customer ID: 09030041 Attention: Alan Darr Report #: 2015-01574 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-03552 Site: Stormwater 2/4/2015 2:00 PM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/c 02/13/2015 Residue Suspended (TSS) SM2540 D <2.8 mg/L 02109/2015 pH sM 4500 H s 7.14 units 02/11/2016 Comment: Reviewed by:,�, Report #:: 2016-01574 Page 1 of 1 r 4M ENVIRONMENTAL CHEMISTS, INC Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: OLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910.392-0223 FAX 910-392-4424 info@envi ronmentatchemists.cam CLIENT: PROJECT NAME: Gi REPORT NO: ADDRESS- �D pev'rcq CONTACT NAME: %t�: PO NO: REPORT TO: PHONEXAX: '/a fo— 9 37I 141� COPY TO: email: Sampled By:_ SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection m CL m A F°: w p .a - o� 3 _ C t7 3 `a a - o O 111 m C3 s z PRESERVATION ANALYSIS REQUESTED Date Time Temp z z = 'o x o x a a Q �, a �R�-►p **! ;.,>< �, y� . C P x G G� X I f s -C 5 G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G Transfer Relinquished By: DateTime Received By: DateMme 4t emperature when R c ivy : Accepted: �1iivered By: Received By: Comments: ample Time: TURNAkOUND: Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted CERTIFICATE OF COVERAGE NO. NCG08 O 3 �! / FACILITYNAME EZz24/ COUNTY EI,heofoi✓ PERSON COLLECTING SAMPLESIJw�- LABORATORY 4yi4�o C.(r,o.� Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR AP /-$— SAMPLE PERIOD an -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other COP IV PLEASE REMEMBER TO SIGN ON THE REVERSE 4 this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ye - Did _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' fi0utiall „No a Y" �,) Date _y^, SaRn le Collette,; p day ., `_ ..:mo/dd/,yr,, '. M`,r;00530^ ^, 004U0; 00556 s Total Sus en p ded s Solids;�rtig/L `pH Standard units ::,e. Non-Polar°Oil`and,Grease/TPH EPA Method.1664.(SGT,-HEM�;,ing/L ; New Motor.0il Usage;: -Anhual.ayera a al ono. g .g . /, Benchmarks ­'' 50 orx 00 seelperrrt�t - 1' ,Withiii,6 0 9:0: A Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall. ;n No Date 'Sample;Collected, a Erma/dd/yrJ'. 00556 00400 %Non Polar Oil;and GreasiigPH EPA Method .. 1664,(SGT„=HEM)" mg/L Tatal Suspended Solids, _ �mg%l l° �: pH, Stardardumts iM ermit Limit Vb .." 3 - - ..�:a� =: ¢....L"s 15 ,. x 'vmSY::u'i 1 �h.rW!..a._. �k ;50 or100,see;permit, M . Lam.. Y ,. 6 0 90. 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 1/y// (first event sampled) Total Event Precipitation (inches): 23 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 It SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO F IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one`copv of this DMR, including all "No Discharge" reports, within 30 days of "receipt of the lab results for at end of monitorina oeriod 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." C/ Q/1/`- 2 - 2 a -/f (Signature of Permittee) _ , (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npde5sw#tab-4 SWU-250 last revised April 1 I; 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. NC�G08 D __- 3 3 FACILITY NAME _t[Z U i% hs/T• %•�S COUNTY 1,4- Joy✓ PERSON COLLECTING SAMPLES Q,✓ p��� _ LABORATORY Lab Cert. # /"1— «PSf Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 20 / y 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 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? �s _no (if yes, report your analytical results in the table immediately below) JUL $ 2014 Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) No discharge this period' . Outfall 1 x No a: l" b*e A .Sample Collected;, ;.z. -,; �.7 � /dd/Yr _' 00530".�,T* M00460 a Total�5uspended . �x_,.i:�%i .^.! ., rt �..+'� 5olids,;m ,i , a] , s.'hg. z r,< o-.,.::" ,-r,,u..',- 5Ga ,& d�umts4.. ,-Nan 16 arloil'and,,Grease%TPH.EPAr a t -„�° .a- 5^3.... . Methodr'1664, SGT HEM ;"¢in l ;, z New Motor Qil.Usa e,- . i k.,r` ?Annuat;ayera e' al ,mo .. .,, Benchmark; M 3 .�x`-._i' -.s- .. i � w� � ��. 'sL.:.�.. .1'%W �- �� _- !><,r�.a..u.���..; r.+. } iri6 ;� • � 50Sorf100,see permllG �� - - _ �,.y- __ tfr e� .: -. + s c_�Wlth�n 6 0 4 0 '� .Y.f - �.-. ,.��1��r iG t�.,�.w�- f �—U-'�' a "t;:t;e�_ysr .�t�l� ? � 15 4 ' . o nRt t }•.. 3a.✓t? �r� {.;S,y. .,,,,._•,: t�c '_ .,: r, _�? - 5 e _ - 3, 7 ,� /L Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) O_ u_tfall No: ` . 4;ma/dd/..Yr�� s:,_e vr:hT". s Sam Ie Collected _+,•6; _ =,i0�.es Non -Polar Oil,and Grease/TPH EPA IVlethad v 166_ T=HE._... _ x 4�(SG M)m6/�. R o r"w ; Total Sus nded Solids r,r.,mg/4 :r.,�4Standard -c� r., - '•-.:? $ H 'r units���;� ,4 Permit:Urnrt� V uii`u,.HT+ .,Jrja "T_.� �++�Z k,�_,..�..-...�.,.s��.: :r��� 11 w.: ,�1 .��- -�i, - "�l'f aAN, y}.,;..'bt'i' _���;.»..�.,..,�=,���.,.�.��15.�.��.:..��..�.,.,h:,y.�. � �:-�:.. ZMEJ �S�vWi l�:A,« .i,... .,, ! -::_. �.�-. .w5; .�,,:�,�.-�50,ar,100.see.permitlw I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SxArLJ-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 62-7 �/ y (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 I, Tier 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE 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, includinq all "No Discharge" reports within 30 days of receipt oche lab results for at end of monitorinq period in the case of "No Dischorge" reports) to: &Vr, /Lr,,,u ev Las. f�i Division of Water Quality �.Zr ors— % Attn: DWQ Central Files 1617 Mail Service Center f 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 significan enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 7— 17— z4e� (Signature of Permitte (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdesswttab-4 SWU-250 last revised April 11; 2013 Page 2 of 2 KWA 9JA17 RCDENR Stormwater Discharge ®utfall (SD®) Qualitative Monitoring Report For guidance on filling out thisform, please visit. http//portal.ncdenr.are/web/lr/nodes-stornnwater/ Permit No.: N/C/L / j/ e/ P/ 0/ v/ !7/ or Certificate of Coverage No.: N/C/G/?/ t/ 0/j/ 3W Facility Name: Fie-t// Tkf/� County: f�^�/fog _ Phone No. %/o. Inspector: Date of Inspection: Time of Inspection: Qirr /fi FJ/ /i/ ly�s Total Event Precipitation (inches): /, f3 1<! Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) E Yes ❑ No Please verify whether Qualitative Monitoring must he performed during a "representative storm event" or "measureable 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 "measureable 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 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. _� Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that ,occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: c/rFr 3. Odor: Describe any distinct odors that the discharge may have (i.e„ smells strongly of oil, weak chlorine odor, etc.): yylye 4. - Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: f✓ 2 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: 0 2 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: t✓ 2 3 4 5 7. is there any foam in the stormwater discharge? Yes JUL 1 8 2014 8. Is there an oil sheen in the stormwater discharge? Yes 4. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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 2of2 SWU-242, Last modified 10/25/2012 77 Environmental Chemists, Inc. 6602 WindmillWay • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Pax) © 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDEVR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Ezzell Trucking PO Box 67 Harrells NC 28444 Attention: Alan Darr Date of Report: Jul 11, 2014 Customer PO M Customer ID: 09030041 Report #: 2014-07670 Project ID: Stormwater Lab ID Sample ID: Collect DatelTime Matrix Sampled by 14-18855 Site: Stormwater 6/27/2014 2:15 PM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1664 <5 mg/L 07/07/2014 Residue Suspended (TSS) SM 2540 ° 3.7 mg/L 06130/2014 pH sM 4500 H 8 7.32 units 07/02/2014 Comment: Reviewed by: JUL # 8 2014 Report#:: 2014�07070 Page 1 of 1 on, NC ENVIRONMENTAL CHEMISTS, INC OFFICE: 0I392-0223IFAX 910 9244245 Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY Client: Ezzeil Trucking PROJECT NAME: Storm Water REPORT NO: —l� ADDRESS: Po % I/ CONTACT NAME. Alan Darr, Ezzell PO NO: rc// REPORT TO: PHONE/FAX, COPY TO: email: adarr ezzelltrucking.com Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection n o M o�' ° a o L E O W < M g z PRESERVATION ANALYSIS REQUESTED Date Time Temp z s h = z x o o = o Outfall Z� r `1/S C P X w TSS, pH G G C P X Ar°irjc0��6.avim- l,.r 1-4.% ref eiv�� Oil & Grease S< < -A G G C P G G C P 'G G C P— G G C P G G C PJUL 1 8 2014 G G C P G G C P G G Transfer Relinquished By: DatelTime eceived By Dat ime ,. 7 rq 2. Temperature Delivered By: Comments: ax. A cepted: VR Resample R que ted: Received By: Date:MDD Time: TU AROUND: 't i CERTIFICATE OF CO FACILITY NAMES !� COUNTY PERSON COLLECTIN LABORATORY ,6i4-t Comments on samp Did this facility per (if yes, report your i Part A: VehicleM Semi-annual Stolrrnwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted VERAGE NO. N0008 0 ? G SAMPLES t+�; SAMPLE COLLECTION YEAR �f 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 4 i Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? s _no lytical results in the table immediately below) nce Areas Monitoring Requirements (If applicable) No discharge this period' � R �dS m �'N" Ti s _ i� oq Yc K.5 Y' ,.�;.w ++.s-•.•wrs ..owe i � N_ y.ei�'n^y{;i �-'P'.r, r' a:s: (. nI �. ✓;r �o ie'ctedr♦ .ar YOta 1Susy}l� n e � i ..,,�J .. c. -:s <. "{ / rjpr �L� .eta, ,,47;-•,n,; r' x _ — der-Puiarz4 .�IbFanr� Grease PHrEI'AN A -.,5''?. r,- .,w.,..ty4,..J'- i�3e�Rr N1O$orzilyIiS 'k, '_h, ,. cr.1w�:{=. /�eQ�tV���,c ,ati^" w"}Y' %s`i's,. r • aderage.,gal/:noxz: �y�Sp.�ILt9�r�?B/�'.�� � -�.�ta�d�,dF�n#�,.'�� ��.�ie$. od�16T.�,(�GiT��;EAAj►a�g%L..>y z.�:�nnual in 3,7 Jr 1 Part B: Oil/wates r 1{ plrators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) �04�5�@�`�`"��'"' o pol r [}i a 4i e85 : Q ' aT $ oBrd's" dltie-�lrn).��?sl.. tiny .. „c,.-�3 .., ,+:, r rJ. F-� ti,,. ......'. ..c:n+s ,Y,v� ,.. _, ,.. .r _...,. -.... 4r m_ _ . :, w'.. J ME _—�sri @Pn'11 -%FTtl a : t r ..�,a 'QFY _ W,;..•4Fr.. a�'P.F., ..l ..x .. Vv 5 l� ! t Q A O' r I . - For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. r SWU_250 last revised April 11, 2013 4 Page I of 2 I STORM EVENT CHARACFERiST.-S.. Date 6 , -IW 7i (first event sampled) Total EveAi Precipitation (inches): /. Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you repo a ample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. I FOR PART AAND:PA TB MONITORING RESULTS: U A BENCHMXIRKIEXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. C 2 EXCEEDANiCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFAI_L? YES NO IF YES, RANI; YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: all Division of Water a'lity Attn: DWQCentral Files 1617 Mail Service Center Raleigh, North Carolina 127699-1617 or "I certify, under penajtylof 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 inqulry 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 sign'sfic`�enlalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature'of Permit �1tt Additional copies of i SWU-250 (Date) this form may be downloaded at: http://portal.ncdenr.org;/web/wq/ws/su/npdesswt tab-4 last revised. April 11j 2013 Page 2 of 2 ng-Report�._ Forguidance on filling out this form, please visit: r c r. r we Ir es- t rmw ter Permit No.: N/g�- / t7 /t/ a/ 0 / O/2/ or Certificate of Coverage No.: Facility Name: __,Ze:; T- �, - County: Phone No. i/v. 3'3 i - 41A2 / Inspector: �.,�. _ �� rr % �6 �f"ls A2",, . Date of inspection: Time of Inspection: 13 Total Ev%int Precipitation "inches): — Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Ej"Y'es ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable 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 "measureable 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 certify that this report is accurate and complete to the best of nay knowledge: (Signature of Permittee or Designee) Page 1 of 2 JUL 2 . 2014 SVVU-242, Last modified 10/25/2012 NR - VVATYFR QUAIAT'r T unvironnmental Chemilsts, Inc. 0' f 6602 Windmill Way C Wilmington, NC 28405 (910) 392-OZ23 (Lab) e (910) 392-4424 (Pax) 710 Howsertown Road . Manteo, NC 27954 ..—_—ANAL1l-TICAL &CONSULTING— CHEMISTS NCD NiL DWQ.CERUECATEA94.,DL5 CER'I'MQAT�,137729 Ewell Trucking Date of Report: Jul 11, 2014 PO Box 67 Customer PO #: Harrells NC 28444 Customer ID: 09030041 Attention: Alan Darr Report #: 2014-07670 Project ID: Stormwater Lab ID Sample ID: Collect DatelTime Matrix Sampled by 14-18855 Site: Stormwater 6/27/2014 2:16 PM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA'1664 K5 mg/L 07/07/2014 Residue Suspended (TSS) SM 2540 ° 3.7 mg/L 06130/2014 pH SM4500H R 7.32 units 07/02/2014 Comment: Reviewed by: 1 Report#.: 2014-07670 _ ,In Page 1 of Analytical & Chemists ENVIRONMENTAL CHEMISTS, ANC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 910-392-4424 info@environmentalchemists.com Client: Ezzell Trucking PROJECT NAME: Storm Water REPORT NO: ADDRESS: p�! fBi 1 CONTACT NAME: Alan Darr, Ezzell PO NO: rc/Y I G 28 �1/`! REPORT TO: PHONE/FAT(: l COPY TO: email: adarr@ezzelltrucking.com Sampled Bv:1 SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: ' Sample IdentifiLl n Collection u d y .y a a t ca u �, cf9 0. o Y �� i E ff �w m PRESERVATION ANALYSIS REQUESTED Date Time Temp = 0 z s = o z z o r� ° W z ° Outfall I c Z7 LI C P X TSS, pH G G f C P X Oil & Grease G G 1 E € C P G G C P G G r C P G G 3 1 C P G G 4 it C P G G C P G G F C P G G Transfer', ( I Relinquished By: Date/Time eceived By: Dat Time 12. / � s IJ I T.ernperatl Delivered Comment: Time: .`�