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NCG080589_MONITORING INFO_20180718
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v C�L/ D DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ oibl $ 6%/ � YYYYMMDD Semi-annual Stormwater Discharee Monitoring Report for North Carolina Division of Water Qu R General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE O. NCG080 5 FACILITY NAME W COUNTY PERSON COLLECTING SAMPLES LABORATORY 6N c0 Lab Cert. # is 1 II ' 1 • SAMPLE COLLECTION YEAR ZD IA II �th SAMPLE PERIOD Jan -June ❑ July -Dec � � rDRCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA JUL 1 S 7018 ❑zero -flow ❑water Supply ❑SA Other ! L . Sig S 61 Commen on same a co edion or ana ysEs. CENTRAL FILES DWR SECTtON 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? )C yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this periods Outfall l$ Date... /Yr k 0053000R00 y .. ti._�hd TotalSuspeRSttiandarcl,unm ;50-"_ffl /LMethbd'>1664 pH WN {SGT,-HEMVmg/M# �An ual,average gal%mom '.; -x, perm�tt<h1nti5 �a'�'`�'�"xtt 0. 9.0�<..� 'i • b 2 .1>Ss Albrs Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall E " No ` ,' ,Date i .,. . s ' - Samp[e.Collected, �;__w,,i•.'."�+f"'7CMi.�. .."�ma/dd/Y�?a f Z OQ5566 �� a � f, Nc�n-Polar Oil andwGrease/TPH EPA Method H.-M'n5.S. � �d �' s�7 ; .., r1s64°(SGT-HEM�img{L��3��.P°p��4t� ��u 00530 " TotalSuspended Solids,pH, per✓' .:'dr�"t - �-..r' r�rs., itrmg/L't ` 00400 "d . A.- �. Standard,units 7L , 50 orkim see"`permit r � � 60 .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 - STORM EVENT CHARACTERISTICS: Date VXAR (first event sampled) Total Event Precipitation (inches): 1• Rate (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 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony 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 o "No Discharge" reevorts 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." 46 (Signature of Permittee) rz / (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 OP ENCO LaboratoliCs' Accurate. Timely. Responsive. Innovative. 102-A woodwinds industrial Court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 Friday, July 6, 2018 Waste Industries - New Bern (WA072) Attn: Rob McClellon 705 Airport Road New Bern, NC 28560 RE: Laboratory Results for Project Number: [none], Project Name/Desc: New Bern Stormwater ENCO Workorder(s): CA18854 Dear Rob McClellon, Enclosed Is a copy of your laboratory report for test samples received by our laboratory on Tuesday, June 26, 2018. Unless otherwise noted In an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative if applicable. This report shall not be reproduced except in full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. If you have any questions or require further Information, please do not hesitate to contact me. Sincerely, Stephanie Franz Project Manager Enclosure(s) FINAL Thl9 report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 1 Of 7 =SNCt� www.encola bs.cam SAMPLE SUMMARY/LABORATORY CHRONICLE Client 1D: New Bern Stormwater Lab ID: CA1885"I Sampled: 06/25/18 13.13 Received: 06/26/19 10:00 Parameter gp Hold DateMmefsl Prep DatelTlmefsl Analysis DaIMITIme(lil EPA 1664A EPA 1664A Field NO PREP SM 254OD-1997 NO PREP 07/23/18 06/25/18 13:29 07/02/18 07/02/18 12:14 07/03/18 18:08 06/25/18 13:15 06/25/18 13:15 06/27/18 07:25 06/27/18 07:25 FINAL This report relates only to the sample as reodved by the laboratory, and may only be reproduced 6 full. I Page 2 of 7 �co www.enoolabs.aom SAMPLE DETECTION SUMMARY Client ID: New Bern Stormwater Lab ID: CA18854-01 AnalResults f1w MGl M unb Ms Notes pH Total Suspended Solids 7.6 0.0 0.0 pH Units Field 25 5.0 5.0 mg/L SM 2WD-1997 FINAL This report relates only to the sample as received by the Wboratory, and may only be reproduced #n full. I Page 3 Of 7 lla www.encolabs.com ANALYTICAL RESULTS Description: New Bern Stormwater Lab Sample ID: CA18854-01 Received: 06/26/18 10:00 Matrix: Surface water Sampled:06/25/18 13:15 Work Order: CA18854 Project: New Bern Stormwater Sampled By:]ohnnle Becton I Chemistry Parameters Analft [CAS Numberl Results Eta Vnb BE MDR E" A= Mdhod Anal By hat5 Total Suspended Solids- 25 mg/L 2 5.0 5.0 8F27002 SM 2540p-1997 06/27/18 07:25 LBG Field Parameters Anal3U ICAS Numberl BsHdts BM V= !?E MU P2L A=h MathQd Armed Al &= pH 7.6 pH Units 1 0.0 0.0 BF27007 Field 06/25/18 13:15 CLI Classical Chemistry Parameters Anahrte rCAS Mumberl Oil & Grease (HEM-SGf) Non -Polar Material Resu fin 1lnb Of HU EU @= Mid Analyzed AN Notes 2.70 U mg/L 1 2.70 5.00 8GO2008 EPA 1664A 07/03/18 18:08 SMA FINAL This report relates only to the sample as recelved by the laboratory, and may only be reproduced In full. I Page 4 aj NCt7 www.ancolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch OF27002 - NO PREP Blank (8F27002-BLK1) Prepared & Analyzed: 06/27/2018 07:25 Spike Source %REC RPD Ana(vte Result HAG POL Units Level R YIt %REC Umlts RPD 11Bllt notes Total Suspended Solids 2.5 U 2.5 mg/L LCS (BF27002-BSI) Prepared & Analyzed: 06/27/2018 07:25 Spike Source %REC RPD Anal ldc Result E180 M UNts Level s %REC LlMISS RPD Limit Notes Total Suspended Solids 97 2.5 mg/L 100 97 80-120 Duplicate (SF27002-DUPI) Prepared & Analyzed: 06/27/2018 07:25 Source: C506955-01 Spike Source %REC RPD Anal lftL' Result Ad9 POL unm Level Rewd %REC Ljmj RPD Llnj Notes Total Suspended Solids 340 43 mg/L 370 7 20 Duplicate (8F27002-DUP2) Prepared & Analyzed: W2712018 07:25 Source: CB07174-01 Spike Source %REC RPD AftaMt® Result Flag POL Units Level R" %REC Limits RPD Limit Notes Total Suspended Solids 27 12 mg/L 29 7 20 Classical Chemistry Parameters - Quality Control Batch SCO2OLV - EPA 16646 Blank (8G02008-8LK3) Prepared: 07/02/2018 12:14 Analyzed: 07/03/201B 16:08 Spike Source %REC RPD Analtrts Result Flan POL Units Level Resul %REC Limits RPD L LmEt Notes Oil & Grease (HEM-SGT) Non -Polar Material 2.70 U 5.00 mg/L LCS (BG02008-BSI) Prepared: 07/02/2018 12:14 Analyzed: 07/03/2018 18:08 Spike Source %REC RPD Anal ltffi R48ult Flag eQL Un t6 Level RCjuR %REC Llmits RPD LBdnit Notes Oil & Grease (HEM-SGT) Non -Polar Material 80.4 5.00 rnWL 80.0 100 64-132 LCS Dup (8G02008-BSD1) Prepared: 07/02/2018 12:14 Analyzed: 07/03/2018 1&08 Spike Source %REC RPD Anal f[te RCsuit Flag POL Units Level ReSylt %REC LimllE RPD U= Notes Oil & Grease (HEM-SG1) Non -Polar Material 77.B 5.00 mg/L 80.6 96 64-132 3 34 Matrix Spike (BG02008-14I51) Prepared: 07/02/2018 12:14 Analyzed: 07/03/201B 18:08 Source: CA18854-01 Spike Source %REC RPD .Analvte Result Flag POL Units Level Result %REC UMBE RPD Limit Not= Oil & Grease (HEM-SGT) Non -Polar Material 78.1 5.00 mg/L 82.6 2.70 U 94 64-132 FINAL This repot relates only ro the sample as reeelvW by the laboratory, and may Only be reproduced In full. I Page 5 of 7 www.encolabs.com FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. ] The reported value is between the laboratory method detection limit (MDQ and the laboratory method reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable. U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentration indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Limit. The MRL is roughly equivalent to the practical cluantitation limit (PQL) and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content. PQL PQL: Practical Quantitation Limit. The PQL presented is the laboratory MRL. N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater confidence) to make a "tentative identification". P Greater than 25% concentration difference was observed between the primary and secondary GC column. The lower concentration is reported. FINAL This report relates only to the sample as reoeNed by the laboratory, and may only be reproduced m full. I Page 6 Of 7 lom Certtrat Par Or, 4810 ExBcui*ve Pads Cot t Suira 111 102-A VWoodwends loduslnM CL <— Tatai # of #`.nntninarc Sampki Kit Pre ed By €7ala°Teme ReWuluished By € Da€alTM* Datamme 2tro r;ontrnenisl-apecia€ _ Ragr:iremersts Relirtgrti3h0d Byr - rJaSe�irme JR F1eFi lgmhad By Qate< rarra - .... 11ate+Ttme 3 Coder irs & Temps an Receipt 3 C Canes up— Rcceii>E Acceptable UnacreMble mE sVaar urn -Haman- wafer jf&-Ziea eM ZlW-Nmace water rvw-WaVex2ser A- €na m in ts) Preservaalm, a -lee ti_Hu n-NNUJ s-rrrsua NG44aUH a-fut (mad in conunmsl Note : AN samples submilled &r ENCO Labs are at accardarsce with tine terms listed on she re�,erse at !te}s form, wlless Qreat wriaen agreements ex7si y Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Waterality General Permit No. NCG080000 Date submitted i'ti1f<V114W i . 20 CERTIFICATE OF COVERAGE NO. IN 08 O E -J-1 SAMPLE COLLECTION YEAR FACILITY NAME AAAc,-i* bmatnjs is — Al UI01 SLPW SAMPLE PERIOD ❑ Jan -June July -Dec COUNTY CgAVW4 or ❑ Monthlyz_ Imonth) PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY E&=O— Lab Cert. # 1 ❑Zero -flow ❑Water supply [:]SA Comments on sample collection or analysis: R F � I VF KOther SC'I SW �89N _ JAN 19.2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons 9r"viWr oil per month? X yes no (if yes, report your analytical results in the table immediately below) INTOR ATIONPROCESSING UNIT Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) 0itfall Di _ �e No. Sample I mo/ etted, Total Sus! Benchmark so or 100 see ❑ No discharge this period' pH, Non -Polar Oil and Grease/TPH EPA: New Standard_units" , 'Method'1664.(SGT=HEM); mg/L., :Annu : Within &0 -:9.8 1s Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Aotor Oil. .Osage , " I average gal/no Outifall No t Date.'. Sample Cnllectetf, ta005s6b: 00530 00400 Non=Polar Oil and Grease/TPH EPA Me#hod 3564.(SG7 HEM), mg/I.', Total S nded Solids, pH,- Standard.units _.. Permit lamrt-;'. 15 _ _ r;.;. ;50 or l00 see perm 6:0 9.0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 1Z (first event sampled) Total Event Precipitation (inches): _ Z• I IIIGEts 15► Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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 ❑ 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" 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 1/// / (Date) Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 rb CS ENCO Laboratones, Accurate. Timely. Responsive. Innovative. 102-A Woodwinds industrial Court Cary NC, 27511 Phone: 919.467.3090 FAX: 919.467.3515 Thursday, December 21, 2017 Republic Services of NC (RE014) Attn: Matt Einsmann 5111 Chin Page Rd Durham, NC 27703 RE: Laboratory Results for Project Number: 073-6602, Project Name/Desc: GDS-New Bern ENCO Workorder(s): CA08173 Dear Matt Einsmann, Enclosed is a copy of your laboratory report for test samples received by our laboratory on Monday, December 11, 2017. Unless otherwise noted in an attached project narrative, all samples were received in acceptable condition and processed in accordance with the referenced methods/procedures. Results for these procedures apply only to the samples as submitted. The analytical results contained in this report are in compliance with NELAC standards, except as noted in the project narrative. This report shall not be reproduced except In full, without the written approval of the Laboratory. This report contains only those analyses performed by Environmental Conservation Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from outside organizations will be reported under separate cover. If you have any questions or require further information, please do not hesitate to contact me. Sincerely, Stephanie Franz Project Manager Enclosure(s) FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. rPage 1 of 7 e�G(s www.encolabs.com SAMPLE SUMMARY/ LABORATORY CHRONICLE Client ID: OutFall 1 Lab W. CAO8173-01 Sampled: 12/08/17 WAS Received: 12/11/17 09:00 Parameter Preparadan EPA 1664A EPA 1664A Hold Date/TimeL1) 01/05/18 Prep Date/Time(s) 12/19/17 11:55 12/20/17 15:52 Field NO PREP 12/08/17 09:59 12/08/17 09:45 12/08/17 09:45 SM 254OD-1997 NO PREP 12/15/17 12/13/17 17A0 12/13/17 '17:40 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. I Page E. l C 0�j www.enoolabs.com SAMPLE DETECTION SUMMARY plant IDs owwl 1 Lab ID: CADS173-01 Analytee ResuliS Flag Hu PQL IILLSB MLLhQIi dse:� pH 6.5 0.0 0.0 pH Units Field Total Suspended Solids 26 5.0 5.0 mD/L SM 25OD-1997 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. I Page 3 Of % I- co www.encolabs.com ANALYTICAL RESULTS Description: Outfall 1 Lab Sample ID-.CA08173-01 Received: 12/11/17 09:00 Matrix: Surface Water Sampled:12108/17 09:45 Work Order: CA08173 Project: GDS-New Bern Sampled BV: Johnnle Becton Chemistry Parameters ^ . EAKO Cary ce4ifxr! analyse [A'tr 59lJ Anatyte_ICAS Numberl Results Elm M111 l pE HU gQl 112tch Meth Angi 911: K= Total Suspended Solids^ 26 mg/L 2 5.0 5.0 7L13007 SM 2544D-1997 12/13/17 17:40 OMR field Parameters AAnBlyte rCAS Numberl getups fwa Molts RE MU ZQL A= Method Analyzed Al N2119i pH 6.5 pH Units 1 0.0 0.0 71-12005 Field 12/08/17 09:45 CLI Classical Chemistry Parameters Oil & Grease (HEM-SGT) Non -Polar Material Results Ew Mahe RE MU E" Hatch Method Analysed 91 maims 2.70 U mg/L 1 2.70 5.00 A19006 EPA 1664A 12J20/17 15:52 SMA FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 4 Or % N www.enoolabs.com QUALITY CONTROL DATA Classical Chemistry Parameters - Quality Control Batch M3007 - NO PREP Blank (71.13007-81LK1) Prepared & Analyzed: 12/13/2017 17:40 Spike Source %REC RPD .Analvte Result Flan POL Units Level gel %REC Li1Dlj RPD Limit Notes Total Suspended Solids 2.5 U 2.5 mg/L LCS (7L13007-BSI) Prepared & Analyzed: 12/13/2017 17:40 Spike Source %REC RPD Anal l[t0 Result Fin POL units Level get %REC LiDlb RPD tJmit )yes Total Suspended Solids 94 2.5 mg/L 100 94 80.120 Duplicate (71I.33007-DUP3) Prepared & Analyzed: 12/13/2017 17:40 Source: CA19149-01 Spike Source %REC RPD Anal lris Result Fin E01. Units Level Resul %REC Liaise RPD Limit ate Total Suspended Solids 58 20 mg/L 60 4 20 Duplicate (7L13007-DUP2) Prepared & Analyzed: 12/13/2017 17:40 Source: CA19231-02 Spike Source %REC RPD -Anolvte Result Flea POL Units Level Result %REC Limits RPD Limit Notes Total Suspended Solids 24 12 mg/L 26 8 20 Classical Chemistry Parameters - Quality Control Batch 7119006 - EPA I6648 Blank (7L19006-6LK1) Prepared: 12/19/2017 11:55 Analyzed: 12/20/2017 15:52 Spike Source %REC RPD -Analvte Result Flao POL Units Level gesut %REC Limits RPD Una Now Oil & Grease (HEM-SGT) Non -Polar Material 2.70 U 5.00 mg/L LCS (7L19006-BSI) Prepared: 12/19/2017 11:55 Analyzed: 12/20/2017 15:52 Spike Source %REC RPD Analyze Result Elan POL Units Level Result %REC LlNib RPD l,iait Noyes Oil & Grease (HEM-SG-0 Non -Polar Material 81.9 5.00 mg/L 92.6 88 64-132 LCS Dup (7L39006-BSD3) Prepared: 12J19/2017 11:55 Analyzed: 12/20/2017 15:52 Spike Source %REC RPD -ARRIVM Result flag e01, Units Level $SLUR %REC Limits RPD L1Dilt Notes Oil & Grease (HEM-SGT) Nan -Polar Material 85.6 5.00 mg/L 92.6 92 64.132 4 34 Matrix Spike (71.39006-h1S1) Prepared: 12/19/2017 11:55 Analyzed: 12/20/2017 15:52 Source: DA05307-01 Spike Source %REC RPD -Analvte Result Final POL Units Level Raoul %REC Limits RPD IBM Notes Oil & Grease (HEM-SGT) Non -Polar Material 23.3 5.00 mg/L 75.2 2.70 U 31 64-132 QM-07 FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. I Page 5 Of T FlVCO www.encolabs.com FLAGS/NOTES AND DEFINITIONS B The analyte was detected in the associated method blank. D The sample was analyzed at dilution. ] The reported value is between the laboratory method detection limit (MDQ and the laboratory method reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable, U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation data and moisture content, where applicable. E The concentration indicated for this analyte is an estimated value above the calibration range of the instrument. This value is considered an estimate. MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quantitation limit (PQL) and is based on the low point of the calibration curve, when applicable, sample preparation factor, dilution factor, and, in the case of soil samples, moisture content. PQL PQL: Practical Quantitation Limit. N The analysis indicates the presence of an analyte for which there is presumptive evidence (850/o or greater confidence) to make a "tentative identification". P Greater than 25% concentration difference was observed between the primary and secondary GC column. The lower concentration is reported. QM-07 The spike recovery was outside acceptance limits for the MS and/or MSD. The batch was accepted based on acceptable LCS recovery. FINAL Thls report relates only to the sample as recelved by the laboratory, and may only be reproduced In full. I Page 6 of 7 G1 5.- 1 3. v J i F � � ra S• , l ' � xr ti w3 a � t t'� rr .. :` h " ' 14 *V� Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted July 3, 2017, CERTIFICATE OF COVERAGE No. NCG08 0 5 8 9 FACILITY NAME —Republic Services/GDS - New Bern COUNTY Craven PERSON COLLECTING SAMPLES LABORATORY— Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD E Jan -June [:) July -Dec or Ej monthly' (month) DISCHARGING TO CLASS [-]ORW DHQW OTrout [:]PNA Elzero-flow Owater Supply [:JSA RECEIVED ®Other SC, Sw, NSW JUL 0 7 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility per -form Vehicle Maintenance Activities using more than 55 9%KNA*or oil per month? -x- yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) [A No discharge this perioo1 .Oiuiftfi NM: Date' :F-- ---Sa:rn0hk6IIecthd- rrio/ddjyr� : �,W536N L-5 jotal i Sus pende. S;. .--tolidi K� 4� 4p 0 r-Oil.aiidf v �-ftw,Moto r-.-Oj:Usage -�-Annidaliaveraigegal/rh6l' ilenckmark; rm 0 Part 8: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable) .'.No; D Sarpple.00 CtEidff� Ile- 00556- F (S GML H EM) T fia"SFu -.7 o i speni -j P H rd its fida n -u Permit- Limit L-7 P%00 See L�-- Opt F r�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 April 11, 2013 Page 1 of 2 S. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ No ❑ REGIONAL OFFICE CONTACT NAME: Moil an originsl and one copy of this DMI;G including all "No Discharge" reports, within 30 day►s of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 r 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 _December 19, 2026 CERTIFICATE OF COVERAGE NO. N0008_0_ 5_ _8_ _9_ FACILITY NAME _Republic Services/GDS —New Bem COUNTY Craven PERSON COLLECTING SAMPLES Johnnie Becton LABORATORY ENCO Lab Cert. # 591 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) Dff� T ❑ORW ❑HQW []Trout❑PNA r ❑Zero -flow ❑Water supply ❑SA DEC 2 1 2016 ®Other SC, Sw, NSW CENTRAL Fk ff E REMEMBER TO SIGN ON THE REVERSE DWR SECTIO Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per monI1 h? _x— yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' x No Sample Collected, = _ mo/dd/yr _ : __ Total Suspended _— Soltds,-mg/L _- - — pH; Standard units �` =Non_Polar_OiI andiGrease/TRH#P%4IVew =-� Method 1664 jSGT-i1EMj; mg/L = Motor �ifUsage =Annual average gal/rno= Bendfimaek : _ _ , =_- - _= SOor_100:seegerti�it Wr�JiO 0 1 1 12-06-16 1 12 7.17 <2.70 >55 gal Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) �No ' Sample Collected, on N-Polar_O�I and_Grease/TPFE;EPA Methods 1664{SGTWHEM),:rrig/L _ - - _Total Suspended Solids, 4— rng/L:__,._ Standard'unrts _ Aimi if, Umm k=- 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, 2013 Page 1 of 2 NW STORM EVENT CHARACTERISTICS: Date 12-06-2016 (first event sampled) Total Event Precipitation (inches): 0.73 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 Ter 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 DMlt 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 DischaraeN 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." of Permittee) /'. A!!�-G Z 6"C.. (Date) Additional copies of this form may be downloaded at: http://Qortal.ncdenr.org/web/wq/ws/su(nodessw#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 June 30, 2016 CERTIFICATE OF COVERAGE NO. NCGO8_0_ 5_ _8_ _9_ FACILITY NAME _Republic Services/GDS- New Bern COUNTY Craven PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ monthly' month __DISCH ING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA REC EIVEL) ❑Zero -flow []water Supply [:)SA JUL 0 6 2016 ®Other SC, Sw, NSW CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? -x_ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ® No discharge this period "Outfall :No - ;Date -- . Sample:Coilecte , mo' dd . r_ IY - = •-�__00530 == _ -: 004fl0 �__ _ .00556 -=TotalYSuspended 5 _. Solids, rn 4.L �/ pH, -Standard unrts= Non Palar°Oil arid5G iii/TPH EPA �Method,1664- SGT=HEM), mg/L_ ( - - _New Nlotor 0�l Usage, _ -Annual averse I ,ma = g ga -� 'SO oi=1fl0 see permit` :Witltm:6:0 _9 0 - W Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) °Outfalll r ` Now - oLDate Sample:Collected, Y T Non PolarOiYand G�ease/TPH EPA MetFeod _ __�.__- _ 1fi64_(SGT=HEM): rrrg/L� - z Total Suspended Solids, - �ing%t Standartl-units= I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Pagel of 2 STORM EVENT CHARACTERISTICS: Date (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 somple 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 ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge' reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and 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." w re of Permittee) s T- ., (Date) Additional copies of this form may be downloaded at: htty://portal.ncdenr.org/web/wq/ws/su/nydessw#tab-4 SV,U-250 last revised April 11, 2013 Page 2 of 2 .t Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG08W00 Date submitted December 21 2015 CERTIFICATE OF COVERAGE NO. NCG08_0_ 5_ ,8_ _9_ FACILITY NAME _Republic Services/GDS —New Bern COUNTY Craven PERSON COLLECTING SAMPLES Matt Einsmann LABORATORY ENCO Lab Cert. # 442 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2015 L SAMPLE PERIOD ❑ Jan -June ® July -Dec REC©c^ �t `� or ❑ Monthly" !!&OLO th) lb RGING TO CLASS ❑ORW ❑HQW ❑Trotir ❑PNA DEC 2 9 W -15 ❑Zero -flow ❑Water Supply ❑SA ®Other SC Sw. NSW CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _x_ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' _No _ Sample Collected, _ 30 Total=5uspended = =--, pH, A- --Standard units. �_. Nor=Polar=0�1 an_dGreasejTPHEPA = Method3664`(SGT-HEM), rrig/L New7Motor OEl UsagewF -==Anhual Average ga!/mo R or-_16O see permit` _--*thin^6 o-.9;0. =- 001 12/07/2015 120 7.35 .03 >55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) - -Date r mo1564 o0_ r (SGT HEM),.mg/EStandard s_ H,N units` _P.ermrt limit _ :: .. _� = _ `:_ - _ . _: . a , 15 ,- —_ .= .._ _: _- - = a0'or IQO'see permit_ t For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page I of 2 STORM EVEN' CHARACTERISTICS: Date 12/07/2015 (first event sampled) Total Event Precipitation (inches): 1.29 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER i REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li 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 DMA 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#a: 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) Z.1 A--, zo/ (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S WU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO8OQ00 Date submitted June 17, 2015 CERTIFICATE OF COVERAGE NO. NCG0$_0_ 5_ _8_ _9_ FACILITY NAME _Republic Services/GDS-- New Bern COUNTY Craven PERSON COLLECTING SAMPLES Matt Einsmann LABORATORY ENCO Lab Cert. # 442 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2015 4bu I SAMPLE PERIOD ® tan -June ❑ July -Dec or []monthly' (m thj DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout PNi ❑Zero -flow ❑Water Supply ❑S ®Other SC, Sw, NSW PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _x_ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Oatfall - :IVo = _Date_ . ,Sarnple;Collected, _ __-=00530__ 00400 - ---00556 - Total:Suspended _Stancla_rd=units_ ,._Meod Polar Qil and Grease/TPH EPA _ _ _ = 1654_[SGT=HEM), mg/L _ _=New Motor Orl Usage,_. Y. _Annual averageLgal/mo :=. B,enchrnarlc_ - _ =r-s- - --- ` =SD or.100 see permit- 001 06/03/2015 59.2 S.3 <2.40 <55 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Sam le Collected p _-_� 00530 _ �` •=_ = _ '004Uf} Non Polar Oil and Grease%TPH EPA MetFiod -- _ :1664;(SGT:HEM) - wTotaFSus _ pended Solids, .- Standard units, Permit.Vmit _ _: w :_ .y. _ _ _ 15 _ _._ -_-. _ _:- - = 50 or-100 see. permit .. "_ .- , : S O I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 06/03/2015 (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: !f you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART 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 11 SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑-NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including 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 theVareifcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 7 (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: ht_tp;llportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG080000 Date submitted June 30, 2014 CERTIFICATE OF COVERAGE NO. NCG08_0_ 5— _8_ _9_ FACILITY NAME Republic Services/GDS — New Bern COUNTY Craven PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly'_ (month) QKcrj5NG TO CLASS ❑ORW ❑HQW [:]Trout❑PNA RE"� vj GG ❑Zero -flow ❑Water Supply ❑SA �UL 141�4 ®Other SC Sw, NSW G�pW� OG PLEASE REMEMBER TO SIGN ON THE REVERSE Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _x_ yes _no (if yes, report your analytical results in the table immediately below) Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ® 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) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 For sampling periods with no discharge at any single outfali, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April I I, 2013 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 Tier 1, Tier 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 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" reaorts, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: httlj:llportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-250 last revised April 11, 2013 Page 2 of 2