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HomeMy WebLinkAboutNCG080378_MONITORING INFO_20190110STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V o DOC TYPE [I HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ 301 1 DI � n YYYYMMDD STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM Calendar Year 2018 Certificate of Coverage (COC) No. NCGO80378 RECEIVED This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPPJAN 10 2019 Facility Name: United Parcel Service - Raleigh CCNTfV�l_ F)��� County: Wake GVVR SECT)0N Phone Number: 919-790-7474 Total no. of SDOs monitored: 4 Outfall No. SDO-001A Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQto reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes Yes Yes rX No ❑X No OX No Total Rainfall, inches Parameters, {units) Total Suspended Solids, (mg/L) pH, (Standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/L) Benchmark N/A 50 or 100 see permit Within 6.0— 9.0 15 Date Sample Collected 01/28/2018 2.41 2013 7.94 < 5.0 10/26/2018 1.57 48.0 8.77 < 5.0 Outfall No. SDO-0018 Is this outfall currently in Tier 2 (monitored monthly)? Yes No 1X Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency Received approval from DWQto reduce monitoring frequency Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes No Total Rainfall, inches Parameters, (units) Total Suspended Solids, (mg/0pH, (standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/L) Benchmark N/A 50 or 100 see permit Within 6.0 — 9.0 15 Date Sample Collected 01/28/2018 1.41 < 5.0 6.42 < 5.0 10/26/2018 1.57 30.7 7.41 < 5.0 United Parcel Service - Raleigh SWU-264 - Generic Annual DMR Last revised 5/17/2013 Outfall No. SDO-002A Is this outfall currently in Tier 2 (monitored monthly)? Yes No 0 Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No �X If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency Received approval from DWQ to reduce monitoring frequency Other Was this SDO monitored because of vehicle maintenance activities? Yes QX No Total Rainfall, inches Parameters, (units) Total Suspended Solids, (mg/Q pH, (Standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/l.) Benchmark N/A 50 or 100 see permit Within 6.0 — 9.0 15 Date Sample Collected 01/28/2018 1.41 7.3 7.78 < 5.0 10/26/2018 1.57 18.3 8.23 < 5.0 Outfall No. SDO-0028 Is this outfall currently in Tier 2 (monitored monthly)? Yes No 0 Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No rX If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency Received approval from DWQ to reduce monitoring frequency Other Was this SDO monitored because of vehicle maintenance activities? Yes EX No Total Rainfall, inches Parameters, (units) Total Suspended Solids, (mg/Q pH, (Standard Units) Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), (mg/L) Benchmark N/A 50or 100see permit Within 6.0-9.0 15 Date Sample Collected 01/28/2018 2.41 < 2.5 7.71 < 5.0 10/26/2028 1.57 16.0 7.95 < 5.0 " 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 orthe 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 information, inciuding the possibility of fines and imprisonment for knowing violations." Signature: 0��Date: I r `4 — i g For questions, contact your local Regional Office United Parcel Service - Raleigh SWU-264 - Generic Annual DMR Last revised 5/17/2013 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 12/28/2018 CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Raleigh COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑Jan -June ❑X July -Dec or ❑Monthly' (month) DISCHARGING TO CLASS F_jORW E:]HQW Trout OPNA RECEIVED Zero -flow o Water Supply �SA JAN 10 2019 Other Class C; NSW "LNIT(Ai_ F M-:3PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -� DWR SECTIOII Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no Part A. Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period?Z Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-001A 10/26/2018 48.0 8.77 < 5.0 415 SDO-0016 10/26/2018 30.7 7.41 < 5.0 415 SDO-002A 10/26/2018 18.3 8.23 < 5.0 415 5DO-0025 10/26/2018 16.0 7.95 < 5.0 415 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/I pH, Standard units s Permit Limit - 15 50 or 100 see permit Within 6.0 — 9.0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 United Parcel Service - Raleigh STORM EVENT CHARACTERISTICS: Date 10/26/2018 (first event sampled) Total Event Precipitation (inches): 1.57 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 FX IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F__] NO E] REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Additional copies of this form may be downloaded at: i —4— lR (Date) http://Portal.ncdenr.org/web/wp,/ws/sLi/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 11 August 22, 2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699 - 1617 RECEIVeD 11G 2 8 2018 4EN7'R-' L FILES 0411S 'CT10N Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 6, Period 1, Sample 11 - 2018 United Parcel Service - Raleigh 2101 Singleton Industrial Drive, Raleigh, North Carolina (Wake County) General Permit NCG080000; Certificate of Coverage No. NCG080378. Dear Stormwater Permitting Unit; We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall Monitoring Report for the United Parcel Service - Raleigh under General Permit Number NCG080000, Certificate of Coverage No. NCG080378. This submission is for stormwater discharge sampling during Year 6, Period 1, Sample Number 11 (January — June, 2018) as outlined in Part 11, Section B of our stormwater discharge permit. We are happy to report that all sample analytical results were below benchmark values and/or within the benchmark ranges. If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring Report (DMR), please contact us at your convenience. Sincerely, , Vincent Mollo District Environmental Coordinator United Parcel Service, Inc. Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & 1 copy Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 07/08/2018 CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Raleigh COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD �X Jan -June July -Dec or E]Monthlyl (month) DISCHARGING TO CLASS[�]ORW [—]HQW Trout [--]PNA Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) Zero -flow E]WaterSupply EISA Other Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X yes no No discharge this period?z Outfal I No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (5GT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-001A 01/28/2018 20.3 7.94 < 5.0 415 SDO-0016 01/28/2018 < 5.0 6A2 < 5.0 415 SDO-002A 01/28/2018 7.3 7.78 < 5.0 415 SDO-002B 01/28/2018 < 2.5 7.71 < 5.0 415 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/I pH, Standard units Permit Limit - 15 50 or 100 see permit Within 6.0 — 9.0 For sampl.',ng periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised April 11, 2013 Page Iof2 United Parcel Service - Raleigh STORM EVENT CHARACTERISTICS: Date 01/28/2018 Total Event Precipitation (inches) Date Total Event Precipitation (inches): (first event sampled) 1.41 (list each additional event sampled this reporting period, and rainfall amount) 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 E-J No EXI IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F7 NO F7 REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Additional copies of this form may be downloaded at: 7 -zl-),18 (Date) http:J/partal.ncdenr.orgZweb/w wsLsu�npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 r August 1, 2017 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699 - 1617 REtovto AUG 07 2017 CENTRAL FILES DWR SECTION Re: Stormwater Discharge Outfall Monitoring Report (DMR): Year 5, Period 1, Sample 9 - 2017 United Parcel Service - Raleigh 2101 Singleton Industrial Drive, Raleigh, North Carolina (Wake County) General Permit NCG080000; Certificate of Coverage No. NCG080378. Dear Stormwater Permitting Unit, We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall Monitoring Report for the United Parcel Service - Raleigh under General Permit Number NCG080000, Certificate of Coverage No. NCG080378. This submission is for stormwater discharge sampling during Year 5, Period 1, Sample Number 9 (January — June, 2017) as outlined in Part II, Section B of our stormwater discharge permit. We are happy to report that all sample analytical results were below benchmark values and/or within the benchmark ranges. If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring Report (DMR), please contact us at your convenience. Sincerely, 4v;�F�� Vincent Mollo District Environmental Coordinator United Parcel Service, Inc. Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & 1 copy Semi-annual St_ormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 07/14/2017 CERTIFICATE OF COVERAGE NO. NCG080378 SAMPLE COLLECTION YEAR 2017 FACILITY NAME United Parcel Service - Raleigh SAMPLE PERIOD ❑X Jan -June ❑ July -Dec COUNTY Wake or ❑Monthly' (month) PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) DISCHARGING TO CLASS [::]ORW [:]HQW Trout F_]PNA LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712 Zero -flaw Water Supply EISA LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: FX Other Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period? 2 Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-OOlA 05/22/2017 15.5 7.S3 < 5.0 432 SDO-001B 05/22/2017 9.9 7.35 < 5.0 432 SDO-002A 05/22/2017 < 12.5 7.06 < 5.0 432 SDO-002B 05/22/2017 11.0 8.20 < 5.0 432 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids mg/I pH, Standard units Permit Limit - 15 50 or 100 see permit Within 6.0 — 9.0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised April 11, 2013 Page 1 of 2 United Parcel Service - Raleigh STORM EVENT CHARACTERISTICS: Date 05/22/2017 to 05/23/2017 (first event sampled) Total Event Precipitation (inches): 1.92 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Nate: 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 2 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 F--] NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [::] NO REGIONAL OFFICE CONTACT NAME: Moil an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at_end_of monitoring period in the case 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." .3f /% (Da.e) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wi,/ws/su/npdesswfftab-4 0311111111 SW U-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 07/14/2017 CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Raleigh COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 37712 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD E]Jan-June ❑ July -Dec or ❑Monthly' (month) DISCHARGING TO CLASS [�JORW [�]HQW DTrout DPNA Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Part -A: -Vehicle -Maintenance -Areas -Monitoring Requirements (if -applica Zero -flow ElWaterSupply0SA 5 Other Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X yes no No discharge this period?2 Outfal l No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I pH, Standard units Non -Polar oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6-0 — 9.0 15 - SDO-001A 05/22/2017 15.5 7.53 < 5.0 432 SDO-001B 05/22/2017 9.9 7.35 < 5.0 432 5DO-002A 05/22/2017 < 12.5 7.06 < 5.0 432 SDO-002B 05/22/2017 11.0 8.20 < 5.0 432 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) O utfa I 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/I pH, Standard units Permit Limit 15 50 or 100 see permit Within 6.0 — 9.0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised April 11, 2013 Page 1 of 2 United Parcel Service - Raleigh STORM EVENT CHARACTERISTICS: Date 05/22/2017 to 05/23/2017 (first event sampled) Total Event Precipitation (inches): 1.92 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERSTIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES F-] NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-] NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all `No 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 CERTIRCATION 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." 7/3 (/7 (Date) Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/webZwglwslsu/n❑dessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 10/21/2016 CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Raleigh COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. —Lab Cert. # 12, 40, 37706, & 37712 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments an sample collection or analysis: SAMPLE COLLECTION YEAR 2016 1❑71 SAMPLE PERIODF—]Jan-June X I July -Dec or F❑]Monthly' (month) DISCHARGING TO CLASSF—JORW[--]HCtW F—]Trout DPNA Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) E]Zero-flow ElWater Supply EISA ElOther Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X yes no E]No discharge this period ? 2 WC61e, o- - W-0 IMM", No,-t. d 1 1- ­ Total Suspen' ed " .1. 1 p H �,:�,Non� Oil-'�nd Gre-a'sci/.TPii",EPA.--�,�-�,,,' �Y;` NeWVofbiOi[Usage;-:'0' 'HEM),' -­.ti.Vj�Annua -1/rh t��-mo dd yr-1, Solids, 1; S tifidirclvnits, -Me'tK6d�1U4,(SGTr -in I. average ga o '50"6e idd see permit -Within .6.0 �,9.0,,, w.N SDO-001A 10/07/2016 11.6 7.73 < 5.0 444 SDO-001B 10/07/2016 4.3 7.27 < 5.0 444 SDO-002A 10/07/2016 < 2.5 7.07 < 5.0 444 5DO-002B 10/07/2016 16.2 7.43 < 5.0 444 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) .,No.­rg,,,hf� A, -.'�,,Sample'Collected,�,�.' T'T. '005 i07 ONOO N6n-Pal iii;ii�d,iG�eii6/.TPH'tPA'M6ih'O 0� Z� M 4664ji62'A & L 3 �,5Total Suspi hdeclFS61ids% 4, ""a-, IW 4 rn '47 Owl PH -Stainclard-Uhits w`&.10Oise,e-p"e'r­ mitk,,, hi -,"'.Wit jm640,.='91.1 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here, SWU-250 last revised April 11, 2013 Page 1 of 2 United Parcel Service - Raleigh STORM EVENT CHARACTERISTICS: Date 10/07/2016 Total Event Precipitation (inches): Date Total Event Precipitation (inches): (first event sampled) 0.19 (list each additional event sampled this reporting period, and rainfall amount) 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 team. 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 it SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES r NO 0 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES E] NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete- I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Additional copies of this form may be downloaded at: {p 7�It� (Date) http://Portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 07/25/2016 CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Raleigh COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. —Lab Cert. # 12, 40, 37706, & 3771 LABORATORY MENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIODF-XjJan-June F-]July-Dec or [ -]Monthly' (month) DISCHARGING TO CLASSE]ORW F--IHQW F-�Trout F—]PNA EIVED SEP 12 ZLiI6 CENTRA c Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of nebTotor,04 orith? Or- I I N Part A. Vehicle Maintenance Areas Monitoring Requirements (if applicable) [Zero -flow E]WaterSupply 1:15A Fu FK]Other Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 M X yes no No discharge this period? 2 06tfill' Date '�,�ZSarnpeCo,ecte 60530 6�. o E Non H PA';,,Jl MetK6d1664jSGT:rHEM),-6ij/ elk N : Motor -.,Oil Usage Average 'Bi­­ k enchmar W Vitfii6-fi. 9 SDO-001A 02/03/2016 34.0 7.66 < 5.0 444 SDO-001B 02/03/2016 3.2 7.91 < 5.0 444 SDO-002A 02/03/2016 12.5 7.68 < 5.0 444 SDO-002B 02/03/2016 24,8 7.64 < 5.0 444 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) U0 ate H%'.: ...,-.-Tota Susper!� led Wi6; d; Nbn'-'P6I;ar Oil'abjhd G 66 ;ai6/TPH'EPAMethod No S6inple Collected,' ar /dd/ 1664 (SGT: rn yr Ith. -6 9;0 J in, 0 or e rmi S I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2D13 Page 1 of 2 United Parcel Service - Rafeigit- - STORM EVENT CHARACTERISTICS: Date 02/03/2016 to 02/04/2016 (first event sampled) Total Event Precipitation (inches): 2.32 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: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 0 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 F7 NO IF IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES r7 NO a REGIONAL OFFICE CONTACT NAME: Mail an or�r final 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 penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 6"1- - i, / /6 (Signature of Permi ) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wp/ws/s-u/ni2desswPtab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 NON-STOR/M� WATERR DISCHARGE EVALUATION UPS Facility Location: S Inspector: Signature of Inspector Storm Water Discharge Outfall Locations Outfall Location ID: St7J — c� Outfall Type: Ditch ipe Outlet Pipe Inlet Catch Basin Curb Inlet Other: 1 Is the outfall free of any non-stormwater discharge? if no, describe: Inspection Date Pond to Ditch Outlet Pond to Pipe Outlet 2 identify potential sources of any non-starmwater discharges observed or discovered: /-VAJ6 3 Method(s) of evaluation: E,.a) Dye Test Storm sewer map review Other: Comments: .— Outfall Location ID: S _ ra a { rg Outfall Type: Ditch Pipe Outlet Pipe inlet Catch Basin Curb Inlet Other: 1 Is the outfall free of any non-stormwater discharge? If no, describe: es No NA Pond to Ditch Outlet Pond to Pipe Outlet 2 Identify potential sources of any non-stormwater discharges observed or discovered: 3 Method(s) of evaluation: Visual Dye Test Storm sewer map review Other: Comments: Yes No NA Outfall Location ID: 6U2--c—kD %G Outfall Type: Ditch Pipe Outlet Pipe Inlet Pond to Ditch Outlet Pond to Pipe Outlet Catch Basin Curb Inlet Other: 1 Is the outfall free of any non-starmwater discharge? If no, describe: eY S No NA 2 Identify potential sources of any non-stormwater discharges observed or discovered; 3 Method(s) of evaluation: Visual Dye Test Storm sewer map review Other: Comments: Outfall Location ID: S'(�j ^t.,u z outfall Type: Ditch Pipe Outlet Pipe Inlet Pond to Ditch Outlet Pond to Pipe Outlet Catch Basin Curb lnlet Other: 1 Is the outfall free of any non-starmwater discharge? If no, describe: Yes No NA 2 Identify potential sources of any non-stormwater discharges observed or discovered: I3 Method(s) of evaluation: Visual Dye Test Storm sewer map review Other: Comments: 00ot- NCG080000 Part If, Sections A.1(el & A.7(b) SPPP Non-Stormwater Discharge Evaluation --Appendix F Page 1 of 1 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 04/10/2015 RZ pc�_y CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Raleigh COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Pace Analytical Services, Inc. Lab Cert. # 12, 40, 37706, & 3771 LABORATORY INENCO, Inc. Lab Cert. # 5540 Comments on sample collection or analysis: Q� SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD F]Jan-June HI July -Dec RECEly orE:]Monthlyl (Month) IQ GINGTOCLASSOORW DHQW F—]Trout [_]PNA APR 2 3 2015 CENTRAL FILES DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) FDZero-flow E]WaterSupply EISA 5-1Other Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X yes no F No discharge this period ? 2 & 60556b Suspe n( ek. P 'N o n �P _6 I a-"r','O i I �a`iid G riig�110. K E P-A" Mew:lMotor0i 'Llsage,W,k 81% ;X,4 4 tv o �aS6n'6i&dnits, .�4 Yr -Me t K6 d; 16 64'� 1 S G"T'41H46I i� nnual:a��i� a `50.or10 see permitl,'. SDO-001A 11/23/2014 9.7 7.13 6 401 5DO-001B 11/23/2014 6.2 7.60 < 5.0 401 SDO-002A 11/23/2014 < 2.5 6.78 < 5.0 401 SOO-002B 11/23/2014 13.1 7.06 < 5.0 401 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) 0 f Date: W- p.ecte&� Nmis '0 Id/ x.160 5 3 0 12 zftn7polu 011'iM driiio/TPH EPA Met ",M A M Tota Suspended,Solidso',, VV M A. 0-a da du 6 15 '"- 50.0seeiew.Witin6.0 F6VeJn 1A 9.O, 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 April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 11/23/2014 (first event sampled) Total Event Precipitation (inches): 0.58 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 II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES F-1 NO 0 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-] NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the informatio , 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 fa a information, including the possibility of fines and imprisonment for knowing violations." J (Signature of Permittee) 1 (Date) Additional copies of this form may be at: http://porta1.ncdenr.org/web/wg/ws/su[np_dessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted 07/30/2014 CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Raleigh COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC. LABORATORY Test America Laboratories, Inc. LABORATORY INENCO, Inc. Comments on sample collection or analysis: Lab Cert. # 269 Lab Cert. # 5540 SAMPLE COLLECTION YEAR 2014 SAMPLE PERIODF-X]Jan-June F—]July-Dec or E]Monthly' (month) DISCHARGING TO CLASS [—]ORW F7HQW Trout 7PNA Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Part A. Vehicle Maintenance Areas Monitoring Requirements (if applicable) 1—Zero-flaw E]WaterSupply EISA F X]Other Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) X yes no F1 No discharge this period? 2 '00530,. 00400' b, b! "N' Sa" ­d_ rnpleCollecte "I A'- Tota SuspencleiCA'�,:?�',,,.: H`-� -A V I J,G�6asi/,TPH*EPA"' -A,-�-allon-Po ar,Oil-am ;��;,i,New Motor usig J, 4 -,�Spinclar d _,M&Kod m g/ I -,un J63 A n a verage gaq,,mo;,: ;S Wi, thi6.0 it T or see,permit. 5DO-001A 05/15/2014 31 7.78 10 401 SDO-001B 05/15/2014 11 7.60 <2.4 401 SDO-002A 05/15/2014 6 7.10 <2.4 401 SDO-002B 05/15/2014 19 7.97 <2.4 401 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals {if applicable) A-6,06til's 11 Ef. N`V .,No ,W,., Date ii saMi C61leEitid,,��.; d d 005SQ, 3: Xr A, oos�o, ­3 'I""d T �X.,_.Non7ft ar,1?i an( Grease PKEPAA1lethod 1464, (SG HEM) T, m " _,.,jpta Suspended -Solids m-j/I 7"0 wo "W" rd unit Standa s P i�ii�it Limit", j, 50'61 100'sei.k6rm" 4 A '_'7L� _9.0E'l _,��-:37-.Within 6:0. I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 5WU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 05/15/2014 to 05/16/2014 (first event sampled) Total Event Precipitation (inches): 3.56 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 F7 NO IF IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES f7 NO F7 REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of "No 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: 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 significant penalties for submitig false inforrAon, irycjbding the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Additional copies of this form may be downloaded at 74 (Dat htt 2://portal.ncdenr.ors/web/wR/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted 07/30/2014 r CERTIFICATE OF COVERAGE NO. NCGO80378 FACILITY NAME United Parcel Service - Rale COUNTY Wake PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY Test America Laboratories, Inc. Lab Cert. # LABORATORY INENCO, Inc. Lab Cert. # Comments on sample collection or analysis: 269 5540 SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑X Jan -June ❑ July -Dec or ❑Monthiyl (month) DISCHARGING TO CLASS F_]ORW F_jHQW Trout F_]PNA Zero -flow ED Water Supply EISA FX Other Class C; NSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no Part A. Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period ?z Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/I pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - SDO-001A 05/15/2014 31 7.78 10 401 SDO-00113 05/15/2014 11 7.60 <2.4 401 SDO-002A 05/15/2014 6 7.10 <2.4 401 SDO-002B 05/15/2014 19 7.97 <2.4 401 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/I PH, Standard units Permit Limit - 15 50 or 100 see permit Within 6.0-9.0 ` For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 05/15/2014 to 05/16/2014 (first event sampled) Total Event Precipitation (inches): 3.56 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. FX • 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 F--j 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: T 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 submiV4 false inforr ar on, irx9iding the possibility of fines and imprisonment for knowing violations_" (Signature of Permittee) Additional copies of this form may be downloaded at: 71z- Y//5�-r (Dat htt ortal.ncdenr.or web w ws sun dessw#tab-4 or, 5WU-250 iast revised Aprii 11, 2013 Page 2 of 2