HomeMy WebLinkAboutNCG080683_MONITORING INFO_20190408STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /v CC, O Pj D 19 g 3
DOC TYPE I ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ 2Ol g (g og
YYYYMMDD
G12(C�nfA+]
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683 SAMPLE COLLECTION YEAR 2019
FACILITY NAME High Point Fleet Maintenance%Environmental Services SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY GUILFORD or ® Monthlyl March (month)
PERSON COLLECTING SAMPLES N/A DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY City of High Point Water Qualitv Lab Cert. # 55 ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis:E�� �` []Other
APR 0 8 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Did this facility perform Vehicle Maintenance Activities using more than` !3fwe% motor oil per month? dyes _no
(if yes, report your analytical results in the table immediately below)
��i10!`J
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
® No discharge this period'
Outfall
Date
00530,
00400
00556 •xx
No. ' .
Sample Collected,
Total Suspended
pH;`
Non=Polar Oil and 'Grease/TPKEPA
.......New Motor;Oil Usage,
mo/dd/,yr
Solids„mg/L
Standard units
MethodAi664 (SGT•HEM); mg/,L
Annual!average gal/ma
Bemhmark
-
50 or 100 see permit >
Within 6.0 9 0
15
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal l ` Date 00556 : 00530 ,00400
,.
No. Sample Collected, Non-PolarOil and.Grease/TpW'EPA Method 76tal'Suspended Solids, pW ;
rno/dd/yr 1664 (SGT=HEM);.mg/L mg/L, Standardunits
�iPermit;Limit _ 15 50 or100 see -permit 6.0 — 9.0
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised Apri] 1], 2013
Page l 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: !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 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" re orts within 30 days of recei t of the lab results tar at end of monitorina 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."
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org Web/wa/ws/suingdessw#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
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water. Quality_ Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' Februa month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
R�C'�I,f� ❑Zero -flow ❑Water Supply ❑SA
RECEIVED []Other
MAR Y 1 2019
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENT-RAL FILES
Did this facility perform Vehicle Maintenance Activities using more than 55 gall Rf,"neO7yr9�9r oil per month? Zy"es �no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
' 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 (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 Z 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 (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."
(Date)
Additional copies of this form may be downloaded at: http-.//portal.ncdenr.ore/web/w4/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
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Kelsie Burgess/Robbie Baker
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' January month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑5A
RECEIVED []Other
FEB 21 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 ga OW59AN
roil per month? _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,
mp/,dd/,yr
OOS30
Total Su `p'e ded
5olids, mg/,L
00400
pH,
Standard units
OD556
Non -Polar Oil and Grease/TPH EPA
M_ ethod 1664 (SGT_ HEM), m_g/�L
New Motor Oil Usage,
Annua_I average gal/�m_o
Benchmark
50 or 100 see pe_rm_it
Within 6.0 %0
15
SDO-001A
1/29/2019
182.0
6.29
<5
SDO-001B
1/29/2019
58.0
6.48
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
Date
Sample Collected,
tld/,yr
/
O'0556
Non -Polar Olt and Grease/TPH EPA Method
1664 SGT�
(% HEM), mg/L
00530
spegn/fed Solitls,
TotalSumo
mitsPermit
Q4.00
unNo.
P!dar
Limit
1.550
ar 100 see permit!
0— 9.0
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page] of 2
STORM EVENT CHARACTERISTICS:
Date 2/29/2019 _ (first event sampled)
Total went Precipitation (inches): 0.19 inches
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIONS.
• 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 Drscharae" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case o "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."
talgnature Of rermittee)
(Date)
Additional copies of this form may be downloaded at: http://Dortal.ncdenr.prg/web/wa/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
CERTIFICATE OF COVERAGE NO. NCGO80683
Date submitted
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A_
LABORATORY City of High Point Water Qualms Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Lula
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthlyl November __(m_ onthj
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
ra— r-% ❑Zero -flow ❑Water Supp4y ❑SA ❑
V Other
t}�C 4 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Les
Did this facility perform Vehicle Maintenance Activities using more than 55 gallon's�0 win�gxOR41 per month?✓yes no
(if yes, report your analytical results in the table immediately below) 6u�E
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
Outfa11
No.
Date
Sample Collected,
rno/dd/,yr
00556
Non -Polar Oil and Grease/TPH EPA Method
1fi64 (SGT,;HEM), mg/L
00530
Total Suspended Solids, 'll
mg/L
00400
pH'
Standard units
P.errnit Limit
15
50 ar 100 see permit
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 (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 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 (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."
re of Permittee)
It- ZGt_1cR
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenc.arp/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. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683 SAMPLE COLLECTION YEAR 2018
FACILITY NAME High Point Fleet Maintenance/Environmental Services SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY GUILFORD or ® Monthly' September (month) L
PERSON COLLECTING SAMPLES _ N/A -., -DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
E�c�1/
LABORATORY City of High Point Water Quality Lab Cert. # 55 C CCU, jj ❑Zero -flow []WaterSupply ❑SA
Comments on sample collection or analysis: OCT 05 2018 ❑Other
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?_ 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'
iOum11
Date
Collected,
mo/ddIN
/,yr
00530
Total��Suspended
Solids, mg/LL
00400
pH,
JStandard units
00556Sample
1�0!13nd Grease/TPH EPA
{SGT-HEM), mg/�L
New Motor Oil Usage,
Annual average gal/�mo
Benchmark
5.5 or 100 see permit
Within .0 - M
1S
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
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] 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 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 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:
Mail an on final and one copy of this DMR including all "No Discharge" reports, within 30 da s of receipt of the lab results Lor 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."
to-Z-ram
(Date)
, Additional copies of this form may be downloaded at: http //portal.ncdenr.ore/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
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME Hieh Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Qualms Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
S PLE PERIOD ❑ Jan -June ❑ July -Dec
REC;F_N � or ® Monthly' August (month),
AQR 1 ZQ%SCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
CENTRAL FILES ❑Other
DWR SFCTION
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? �es —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'
0iitfall-
"Date
SampleCoee
mo/dd/yr ;°
00530
00400
00556
Solids, mg/L
pNo H,
Standard units
Non -Polar Oil and.Grease/TPH EPA
Method 1664. (SGT-HEM); mg/L
New, Motor Oil Usage; ,
"Annualjaverage.gal/.mo "
Benchmark
=: ,
50 or 100 see•permit
Within;6.0 — 96 700
15`:"
}"
SDO-001A
SDO-0018
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
.Outfall
fV o
,�.
s'Dater ; .;
Sample,Coliected,.
Imo%dd/yr•;
00556
00530
4
, 00 00
Non -Polar Oil and Grease/TPH EPA Method
1664(SGT-HEM); mg/L
Total Suspended Solids;
mg/L .
pH
Standard units:,
Permit�LImi
15
50 or 100 see�permit
For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page I of 2
t,:%,, %!. 7}
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 0 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 [-]NOD
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 penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ature of Permittee]
(Date)
Additional copies of this form may be downloaded at: htto://Portal.ncdenr.ore/web/wcl/ws/su/nr)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
CERTIFICATE OF COVERAGE No. NCGO80683
FACILITY NAME High Point Fleet Mai ntenance%Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES NIA
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' July(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? `l s _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'
Outfal I
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
-
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
Outfal l
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
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 200
Page 1 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 Z, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-2617
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."
nature of Permittee}
(Date)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/web/wq/ws/su/nodessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
02t c�r,�.1�L
Semi -Annual Stormwater Discharge Monitoring Re ort
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE No. NCGO80683
FACILITY NAME High Point.Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES _ NIA
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' June_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
oZero-fRECEIVED ❑Otherlow ❑Wa#erSupply ESA
JUL 02 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Y p g gallons �°IL7 —
Did this facility perform Vehicle Maintenance Activities using more than 55 allons of n t r- i month?es no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
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 (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 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."
ignature of Permittee)
G -zg-1S
(Date)
Additional copies of this form may be downloaded at: httg://r)ortal.ncdenr.orglweb/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
Z}QiC-arJxx—
Semi-Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME Hieh Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' May (month)
DISH--UA IUG.TO-CeS ❑ORW ❑HQW ❑Trout ❑PNA
RM11���M tt I �� ❑Zero -flow []WaterSupply ❑SA
JUN 0 5 2018 ❑other
CENTRAL, FUMSE 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? -"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'
Outfail�^Date
00530
00400 -. ..
00556
No*
i Sample Collected,TotalSuspended
pH,
Non -Polar -oil and.Grease/TPH EPA
New Motor0il Usage, ,
,-
mo/dd/,y ;...:,
Solids, mg/L
Standard;_units
. Method:S664�,(SGT HEM), mg/LY �
�Annual�a�erage gal/mod
8enclimarkR =
x `
is50'or4100see'.Permit `
0 9 0
15'
,
.Withi'
..
SDO-001A
SOO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
'Outfall
No.
Date-:
Sample Collected,
,.--- ,
.o .0055fi
0053000400
..'.
:NSon-P,.alara0il,and Grease/TPH=EPA Method
.1664{(SGT=HEM)mg
dtaO'SuspendWSolids,
mg L�
l....T
r
u
Standard unitsv.
Pe mit Limit
#
+ 15, `'
'50 — idd see permit
r. z y.x
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 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 T, 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 cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for a#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 CERTIFICATIONfiANY 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:L/portal.ncdenr,org/web/wci/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
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Anita Simpson/Robbie Baker
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' April month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED ❑Other
MAY 2 3 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gall s► �xfidn" oil per month?_ yes —no
(if yes, report your analytical results in the table immediately below) S `CTI0N
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall
No.
Date
Sample CollR0Weted,
mo/dd/,Y_
00530
Total Sus ended
Solids, mg/L
004000556;�
H,
Standard units
N Method 61fi4nSGTr HEM rn EPA
(.._ g/L
A_nnu M 1�ager Oil Usage,
gal/mo.:
Benchmark
-
5d r 100 see ermtt
Within 6.0 _. 9.0
..;
tAWWWARUNPI'MR
SDO-001A
4/23/2018
136
6.69
<5
SDO-0018
4/23/2018
48
7.34
1 <5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250
last revised April It, 2013
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 4 23 2018 (first event sampled)
Total Event Precipitation (inches): 0.66 inches
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value. in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 Lor 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."
'5-/9—/p
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
LOG&ff4�L-
Semi -Annual Stormwater Discharge, Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Robbie Baker Kelsie Burgess
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' March month
� �`,jg"RGING TO CLASS ❑ORW ❑HQW [:]Trout
11 !�// Li QZero-flow ❑Water Supply
APR 0 5 2018 ❑other
❑PNA
[]SA
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? ✓ 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
D tee„ ,:.
,.Od530 _
100400.
00556
pli,.
Non -Polar 0iliand+Grease%TP,H(EPA
£'New Motor"O�I�iJsage, ;
a`- No.
Sample CoNectetl;TotalSuspendetl=
ma/;tltl/,y
i5olids;mg/L ; _`
;Standard units
Method 1664 (SGTHEMj; mg/L a
nlaveragegal%mo'.;
;.A
�BenchmarLk
-
50Yarl00,seepermi#
' ylNi#Iiin650 - 9:0 ;
; 15 {
f
SDO-001A
3/6/2018
495.1
6.29
<5
SDO-001B
3/6/2018
137.8
6.49
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Out'fall
No.
Da ` '"= }"
Sam le Coilectee
; £00556i �
00530-
NNon``Pbl'ar Oil and Grease TP,H EPAyMetliod
- .TotahSus ended.Solids t'
r " " Standard(units
Permit Limit
f:
(. 35 ;:t
SOxor.l00isee perrnit::
), i 6 0=9-0N"::-..
I
a 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 31612018 (first event sampled)
Total Event Precipitation (inches): 0.83 Inches
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES 1N 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 ATANY ONE GUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports) ta:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU M_U5T_ SIGN THIS CERTIFICATIO&FOR,ANY INEQRMAIION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
-7.- 3g -f S
(Date)
Additional copies of this form may be downloaded at: httn://portal.ncdenr.ors/web/wq/ws/su/npdgssw#tab-4
SWU-250 last revised April 1], 2013
Page 2 of 2
p2r(S(tiAL-
Semi-Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Hleh Point Fleet Maintenanc /EnylLonmental Services. CSAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTYGUILFORD RECEIVED
ED or ® Monthly Februa month
PERSON COLLECTING SAMPLES NIA DISCHARGING TO CLASS ❑ORW ❑HQW []Trout❑PNA
LABORATORY City of High -Point Water Quality Lab Cert. # 55 Mai a g ��$ []Zero -flow []Water Supply ❑SA
Comments on sample collection or analysis: CENTi:�AI_ FILES ❑Other
OWR 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 _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
® No discharge this period1
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 "
-
SDO-001A
SDO-001B
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
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Paee I of 2
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): T
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 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 aft "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring eriod in
the case of "No Discharge" reports to:
Division of Water Quality T
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORM TIONREPORTED:
"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."
3-5- t1;?
(Date)
Additional copies of this form may be downloaded at: hit _ (portal.ncdenr.a�web/wa/ws/suLnpdessw#tab-4
C'�X]iT_75(1 lactra�ricari April 11 71112
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES NIA
LABORATORY City of High Point Water quality_ Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' January (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
❑Other
RECEj E REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motTeg p$r mg@*? eyes _no
(if yes, report your analytical results in the table immediately below)
:rNTRAL FILES
WR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
® No discharge this period'
Outfall
No
Da#e..
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
:,NewFMotor,Oi[Usage,'
Annual average;gal/mo
Benchmark:
-
50 or 100 see,permit
Within 6.0 — 9.0
15
-
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfail =;
Date
;. 00556
00530
100400
- a
.No" >
Sample Collected,
Non=Polar Oil and Grease/TPH EPA Method
Total Suspended. Solids,
,
pH,'
mo%dd%yr
1664°(SGT-HEM), mg/L
mg/L
Standardwnits
Permit Limit
."'; x".. =`� `..
15..
50 or..100 see permit-
, 6.0 9.0..
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 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 T, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []NOR
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of recelot 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."
?-- Z.-[7
( Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr._o_rg/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
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Robbie Baker
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' December (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RFCEIVEP ❑Zero -flow []WaterSupply ❑SA
JAIL 19-2fla8 [—]Other
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 ga11MMPA999R$W IrTnonth? �s _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
-
SDO-001A
12/20/2017
26.3
6.45
<5
5DO-001B
12/20/2017
35.0
7.21
10
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
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 1 I, 2013
Page l of 2
STORM EVENT CHARACTERISTICS:
Hate 12/20/2017 (first event sampled)
Total Event Precipitation (inches): 1.51 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 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 penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
W1/
ature of Permittee)
I -IZ—I,;;—:
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wa/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
Semi -Annual Stormwater Discharge_Monit_oring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' December (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED
❑Other
JAN 0 8 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallon I per month?es _no
(if yes, report your analytical results in the table immediately below) ft1tTJpn)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April If, 2013
Page l 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 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 S.
• 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 (or at end .o f 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."
-3- t?
(Date)
Additional copies of this form may be downloaded at: http://r)ortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWIG-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
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES NZA
LABORATORY City of High Point Water Quality,Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly', November (month)
RECILrI ICP TO CLASS ❑ORW ❑HQW�❑Trout ❑PNA
V ❑Zero -flow ❑Water Supply ❑SA
DEC 0 5 2011 ❑Other
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? LIyes —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
-
SDO-001A
SDO-001B
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
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 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 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 a 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 penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
��
re of Permittee)
rf-3o-i-7
(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 1 1, 2013
Page 2 of 2
ic'�2,� G(NPt—
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Robbie Baker
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' October (month)
DISCHARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
CGI V EMSE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new mo4h P Qr44th? Vsres _no
(if yes, report your analytical results in the table immediately below) CENTRAL FILES
DWR SECTION
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
-
SDO-001A
10/23/2017
31.2
6.01
<5
SDO-00113
10/23/2017
24.8
6.53
<5
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
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 I o172
STORM EVENT CHARACTERISTICS:
Date 10/23/2017 (first event sampled)
Total Event Precipitation (inches): 2.21 inches
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE: CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case of "No Discharge" 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."
nature of Permit -tee)
1 ( ^1--( 1
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/_suLnpdessw#tab-4
S W U-250
last revised April 11, 2013
Page 2 oi'2
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE No. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Robbie Baker
LABORATORY City of High Point Water Quali y Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' JUNE (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED [:][:]zero -flow ❑Water Supply [:]SA
Othe
4C1 12 2017
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of ngy4f)6009�V month? _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'
Outfal l
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 m. 9.0
15
-
SDO-001A
9/8/2017
24
5.89
<5
SDO-001B
9/8/2017
31
6.34
<5
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
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge.monitoring report with a checkmark here.
SWU-250 last revised April 1], 2013
Page] of 2
STORM EVENT CHARACTERISTICS:
Date AL812017 (first event sampled)
Total Event Precipitation (inches): 0.84 inches
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
(Vote: 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: h•
+ 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 !or at end of monitoring period in
the case of "No Discharge" reoortsl 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."
re of Permittee]
( C) -,q— 17
(Date)
Additional copies of this form may be downloaded at: htti)://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 1], 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. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Quality_ Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
nn or ® Monthly' AUGUST (month)
^Cj:ZtDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
SEP 22 2�17 ❑other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
S1,Vr ! lvrr �
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per• month? '!yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
® No discharge this period'
Outfal I
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
-
SDO-001A
SDO-001B
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
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page] 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 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coov of this DMR. including all "No Discharae" reports. within 30 days of receivt of the lab results tor at end of monitorina period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wci/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
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental_Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' JULY (month)
DIS HARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
R EIVED ❑Zero -flow ❑Water Supply ESA
AUG 0 9 2017 [-]Other
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? -Zyes _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'
Date Q
00530
00400 . '
00556
Total Suspended
pH,
Non -Polar Oil andGrease/TPH EPA
w NeMotor Oil Usage;
No
Sample Collected,
Sofiiis,,mg/L
Standard units
Method 1664 (SGT-HEMj mg/L
Annualaverage gal/rno
Benchmark-Y.
50 or 106 see permit
Within`6.0 — 9.0
15.
SDO-001A
SDO-0016
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
-e Outfall
;
_ Dat
er
r,
Sample Collected,
.-Imor
00556 `
00530 --
00400
Non-Polar011 and Grease/TPH EPA Method
1664 (5GT-HEM), mg/L
Total Suspended`5ohds,
mg/L
pH; .
Standard units
Permit�L'imit
�'�,, ".
15
50 or 100 see permit-
¢0=9:0
i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page] 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 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:
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:
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 submitting false information, including the possibility of fines and imprisonment for knowing violations."
g '7-r-7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/su/npdessw#tab-4
SWU-250 last revised April 111, 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. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Robbie Baker, Kel_sie Burgess
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ® Monthly' JUNE (monthf
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Zyes _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}4'
,No Y_
t s ...
F
Ibate
Sample Collected,"'
mo/dd/yr , :;
. 00530
00400
00556
'Total Suspended
Solids, mg/L
pH,
Standard units
Non-Polar,011.and Grease/TPKEPA
Method 1664 (SGT-HEM), mg/L
',New;Motor;Oil Usage,, '.
Annual'average_gal/mo
BencFimark ,.
�� , � a- ,.t
50.or100 see permit
Within'6.0' 9-.'
15-
SDO-001A
6/13/2017
26
6.31
<5
SDO-001B
6/13/2017
11.5
7.06
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
C}utfal{ " Date �� , OD556 .., 00530�
No. Sample Collected, Non -Polar Oih'arid'G�ease/TPH EPA Method Total Suspended Solids, x° �pH;s
mo%dd yr'.p 1664 (SGT-HEM)mg/L Y mg/L Standard units,.Y
Perm t Limit .. '• - .15 50"0r100'see.,permit.
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 I of 2
STORM EVENT CHARACTERISTICS:
Date 6/13/2017 (first event sampled)
Total Event Precipitation (inches): 0.75 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 Generol Permit text.
FOR PART 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 othis „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."
r%-5-f
(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
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General.Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES NIA
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ® Monthly' MAY (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
RECEIVED ❑Zero -flaw ❑WaterSuppl
JUN 19 Z017 ❑Other
❑PNA
y ❑SA
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
p&wSECTIQN
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons o motor oil per month? 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
Outfal l
No.
Date
Sample Collected,
ma/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
-
SDO-001A
SDO-00113
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal l
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.
SWU-250 last revised April 11, 2013
Page 1 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 2, or Tier 3 responses. See General Permit text.
FOR PART 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 includin all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitorinci 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."
grz
re of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wglws/suZnl2dessw#tab-4
SWU-250 last rev
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683 SAMPLE COLLECTION YEAR 2017
FACILITY NAME High Point Fleet Maintenance/Environmental Services SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY GUILFORD or ® Monthly' APRIL (monthJ
PERSON COLLECTING SAMPLES Robbie Baker DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY City of High Point_Water_Quality_ Lab Cert. # 55 ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: RECEIVED ❑Other
APR 2 0 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than WWW
motor oil per month? 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 perrodi
Outfal I
No.
Date
SampleCollected,
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
-
SDO-001A
4/3/2017
67.0
6.65
6.2
SDO-001B
4/3/2017
39.5
7.09
9.9
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal l
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
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 1 1, 201;
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 4%3/2017 (first event sampled)
Total Event Precipitation (inches): 0.32 inches
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of 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."
V.-(7-i-)
(Date)
Additional copies of this form may be downloaded at: http.i2por-tal.ncdenr.org/web/`wg/`wslsulngdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2
�A.FAA
M A
NC®ENR
Stormwater Discharge Outfiall (SDO)
Qualitative Monitoring Report
Forguidonce on filling out thisform, please visit: httl2:jlportal.ncdennorg,(web/lrinndes- stormwater
j
Permit No.: N C G O S 0 0 0 0 or Certificate of Coverage No.: NIC/G f 0/8 j0/6 f 8/3
Facility Name: Fleet Maintenance Environmental Services
County: -
Inspector:
Guilford Phone No. 336-883-3598
Date of Inspection: -
Time of Inspection: Li S0 Q N
Total Event Precipitation (inches): 0,
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
11�� N
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requiremen ts vary, depending on the permit).
IQualitative 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. i
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 s,,gnature, I certify that this report is accurate and complete to the best of my knowledge:
Signature of Permittee or
Page 1 of 2
SWU-242, Last modified 7/31/2013
1. Outfall Description:
Outfall No. SDO-001A Structure (pipe, ditch, etc.) Pipe Qutlet
Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
rge using basic colors (red, brown, blue, etc.) and tint
.., r e, h
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ 8.v _0A0 r
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 St 7
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:
1 (25 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:
1 2 3 F 5
7. Is there any foam in the stormwater discharge? Yesl
8. Is there an oil sheen in the stormwater discharge? es No
9. Is there evidence of erosion or deposition at the outfall? Yes
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 7/31/2013
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES _ NIA
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
� V EVE PERIOD ®Jan -June ❑July -Dec
REL.iE
�/ E or ® Monthly' MARCH month
APR 10 FffFHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
CENTRAL, FILES ❑Other
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE -91
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _k, es _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-00113
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
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 l 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 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 EXCEEDANCES 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 OMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case o "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."
i!_cl_el
(Date)
Additional copies of this form may be downloaded at: http://Portal,ncdenr.org/web/wci/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
C�-,iC�ir•�I��L
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME Hieh Point Fleet Maintenance/Enviro_n mental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of Hi h Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
REcgw.cnRQIor ® Monthly' FEBRUARY _(month)
NG TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
MAR 0 g 2017 ❑Zero -flow []Water Supply ❑SA
CENT ❑Other
DWR RAL FILES
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? (efles —no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-0018
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
Outfall
No.
DateINN
Sample Collected,
/dd/,yr
K0755576
Non -Polar Oil and Grease/TPH EPA Method
1G64 [SG�HEM), mg/L
00530 !
I Total Suspended Solids,
m_g/t
00400
S
O�mo
Lge —r
msoar 100 see permit
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 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 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this OMR, 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" 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."
re of Permittee)
-S-2,—I--7
(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
C�tC�h.1�k
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE No, NCG080683
i
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
RECEIVED
r EO 15 2017
.-;ENTRAL FILES
SAMPLE COLLECTION YEAR 2017 MR SECTION
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ® Monthly' _JAN_UARY__(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? des _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No dischorge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/,yr
®��II' I00556
Non -Polar Oil and Grease/TPH EPA Method
16fi4 (5_ GT HkN4 mg/;L
4
0053D
Total Suspended Solids,,
mg/,JL
00400
pH,
5tanda_ rd units
Permit Limit
-
15
SO o"r 1Q0 see permit
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 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 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this_DMR, 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 Discharae" reportsta:
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."
ature of Permittee]
z-- t o—/ 7
[Date]
Additional copies of this form may be downloaded at: http://Rortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-250
last revised April 11, 2013
Page 2 of 2
lrR164AJAL-
Semi-Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted /- 3-rl
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Robbie Baker, Kelsie Burgess
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
A, or ® Monthly' 'NOVEMBER (month)
®®
r'�ECI�iIG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JAN 13 2017 ❑Zero flow ❑Water Supply ❑SA
❑Other
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? Zyes _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'
Outfali F Date �I 00530. ; � � r�00556� a
No. Sample Collected, To al�S.us� ;eg;nd_Nrd pH, �- Non'"-_Po`Ia Oil and Grease/"P�EA New Motor Oil Usage,
fu }
m_o%d_d/,yr Solids, /L Stantlard units Method 1664 [SGT HEMAnnua[ average gal/mo
[Ben hmark 50 or 100 see permit i0ftW_ ith�in 6 Q 9.0 � 15 �i
SDO-001A 11/29/16 51.0 6.39 <5
SDO-001B 11/29/16 66.1 7.06 <5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page l of 2
STORM EVENT CHARACTERISTICS:
Date: 11/29/2016 [first event sampled]
Total Event Precipitation (inches): 0.15
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 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 on 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 Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee}
l _3--(17
(Date)
Additional copies of this form may be downloaded at: http:llportal.ncdenr.o[g/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
t6:.(^ Ik
Semi -Annual Stormwater Discharge Monitoring Resort
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 1-3-t 7
CERTIFICATE OF COVERAGE NO. NCGO80683 SAMPLE COLLECTION YEAR 2016
FACILITY NAME High Point -Fleet Maintenance/Environmental Services SAMPLE PERIOD ❑ Jan -June ® July -Dec
COUNTY GUILFORD or ® Monthly' DECEMBER (month)
PERSON COLLECTING SAMPLES _ NIA REC@BIE@ING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY City of High Point Water Quality Lab Cert. # 55 ❑Zero -flow []Water Supply [:]SA
Comments on sample collection or analysis: JAN 1 3 2017 [I]Other
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?�es _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
Outfall
Date
P 00556
OOS30
anftr7
No.
Sample Collected,
Non -Polar Oil and Grease/TPH EPA Method
*' Total Suspe d ohedsi l
%dd/�yr
16ti4 (SGT HE_ M), 91
mg/L
Stand_[Per.mlt
Limit
(
T5
50 or 1-0 see permit
5.
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 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 EXCEEDANCES 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 Reriod in
the case o "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:
"l 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)
.3-i-r
(Date)
Additional copies of this form may be downloaded at: htti)-.//Portal.ncdenr.org/web/wg/ws/`su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
CCPk.;r
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted ! —S-f
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME Hieh Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' DECEMBER (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply [:]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?es _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'
00400 ,
!00556 -
,iNo
Samp�l0C-6IIected ; +
f" ,To_ tal!Suspended`•-
pH;
:Non -Polar Oil and Grease/TPH'EPA. i
New Motor OiFUsage,, . a
airio%dd%Yr' +
sords„mg/L.
Standard units '
'Method 1664:(SGT'-HEMj, mg'/,i:
'Annual�average.ga!/mo'
iBenchmark.'m,
0 or 100;see permit, ..
INithin,fi:0,- 9:0
is
=.
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Tb atfall, Y i
f No"-
; +Date
` Sample Collectec_I,, '.
_ ,mo/dd/yr,
00556
00530
�- 00400' A ;
4Non=Polar,0ll'and'.Grease%sTPH.EPXMethod,
,1664t(SGT-HEM),,mg/L•
Total: Suspended�Solids,
mg/L
- pH,
.:Standardaunits,
Perrnit�L•iMit
is.54or
100 see permit;
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. ✓
SWU-250 last revised April 11, 2013
-� Page 1 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 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR,, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharce" 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 submitting false information, including the possibility of fines and imprisonment for knowing violations."
l�
re of Permittee)
/ _3-/-r -
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wci/ws/suZnodessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
�0/57'
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit. httR//portal.ncdenr.org/web/wq /ws/su/npdessw#tab-4
Permit No.: N/C/ G / 0 / S / 0 / 0 / 0 / 0 or Certificate of Coverage No.: N/C/G/ U/ 8 0/6J 8/3
Facility Name: Fleet Maintenance / Environmental Services _
County: Guilford Phone No. 336-883-3598
Inspector: O-E
Date of Inspection:
Time of Inspection: '•Veyl
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ 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 my knowledge:
re of Permittee or Designee)
Pagel of 2
5wU-242, Last modified 10/25/2012
lr
1. � Outfall Description:
Outfall No, SDO-001A Structure (pipe, ditch, etc.) Pipe Outlet
Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
and Municipal Operations
2. Color: Describe the color of the dis
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): N O
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 � 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater disc? arge, where 1 is no solids and 5 is the surface covered w'_th floating solids:
s.
1 0 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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes DNo)
8. Is there an oil sheen in the stormwater discharge? es No
9. Is there evidence of erosion or deposition at the outfall? Yes No
I 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
5WU-242, Last modified 10/25/2012
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http:l/portal.ncdenr.org/web/wq./ws/su/npdessw#tab-
Permit No.: / 0 or Certificate of Coverage No.: N/C/G/ 0 / 8 0 /6/ 8/3
Facility Name: Fleet Maintenance f Environmental Services
County: Guilford Phone No. 336-883-3598
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
S �
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
1► ,�EKI
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 my knowledge:
of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012
t
1. Outfall Description:
Outfall No. SDO-001B Structure (pipe, ditch, etc.) Pipe Outlet
Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
and Municipal Operations
2. Color: Describe the color of the dischar e
(light, medium, dark) as descriptors:
basic colors (red, brown, blue, etc.) and tint
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:
D 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater dischargerw,here 1 is no solids and 5 is the surface covered with flc ating solids:
r;
(!�� 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
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes to
9. Is there evidence of erosion or deposition at the outfall? Yes CN6
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
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Anita Simpson, Kelsie Burgess
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' OCTOBER_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
y ❑Zero -flow, ❑Water Supply ❑SA
❑Other
if
Nov 0 2 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gaU31 tttSr oil per month? yes _no
(if yes, report your analytical results in the table immediately below) SON
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period,
Outfall
No.IFSample
Date
Collected,
rno/,dd/,yr
I)0530
Total 5usp tided
5oiids; mg/�L s�
00400
pH, y ''
jjjStandard units
P ` i00556`
Non -Polar O€I and Grease/TPH EPA
Method 1:664 (SG1T-!HEM], mg/Ltw
Motor Oil Usage,
JAFTual auerage gal/lmo
Benchmark
50 or 100 see permit
Within 6,0 - 9.0
SDO-001A
10/7/2016
27.5
6.50
<5
SDO-OOIB
10/7/2016
25.0
7.04
5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
1 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 11, 2013
Page I of 2
STORM EVENT CHARACTERISTICS:
Date: 10 7 2016 (first event sampled)
Total Event Precipitation (inches): 0.1S
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov 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."
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/wgblwa/ws/5u/`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
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES N/A
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' SEPTEMBER (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
OCT 0 6 2016 []Other
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, ✓yes no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part 8: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
® No discharge this period'
Outfall
No.
Date
SampleCollec,
mo/dd/yr
00is; 56�
Oil ant,
�Grease/TPHA MethodMfi-uspendFdmdP
00530
OOG00
pH,
Standard units
_Permit Limit
15
50 or 1i]0 see permit
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 i 1, 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 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 aN "No Discharge" re arts 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."
re of Permittee)
11J—U - r t-cb
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wcl/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
�12�Ca,JAL
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES NIA
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' AUGUST (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
SEP 0 8 2016 ❑other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SJECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons o new motor oil per month? des _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
Outfall
ate
00556
e° 00530
f�0400o.
MDJ
Collected,
11
Non -Polar Oil and Grease/TPH EPA MWEERM,
ded Solids,
P pHdd/,yr
ififi4 (SGT HEM), mg11L
/�L
Standard units
Permit LMoo
EnMff50 or 10075ee perLmii
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.
mm�
M
n
SWU-250 last revised April 11, 2013
Page 1 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 T, 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 76107
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"" rel2orts, within 30 days of receipt of the lab results jor 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."
e7 -2 - iCa
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/ni)dessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
Ot�.IGln/�L
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 0—fkz�— l to
CERTIFICATE OF COVERAGE No. NCGO80683
FACILITY NAME High Point Fleet Maintenance Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY City of High Point Water Qualit Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' JULY (month
RECE SOH DING TO CLASS ❑ORW - ❑HQW ❑Trout ❑PNA
C'1 ►V� GGLLJJ Dero-flow ❑Water Supply ❑SA
AUG 12 2016 []Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more thF
it;E
lof-pew motor oil per month? ✓yes _no
(if yes, report your analytical results in the table immediately below) Copy
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ® No discharge this period'
Outfal l
No.
Date 1.00530
Sample Collected,
mo/dd/yr
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 Off Usage,
Annual average gal/Mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9:0
15
-
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfalf
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.
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 sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME'PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: '
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case o "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."
of Permittee)
(Date)
Additional copies of this form may be downloaded at: httl2://12ortal.ncdenr.org/weblwglws/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
CERTIFICATE OF COVERAGE No. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY City of High Point Water Quality Lab Cert. # S5
Comments on sample collection or analysis:
RECEIVED
JUL 18 2016
WFNTRAL FILES
SAMPLE COLLECTION YEAR 2016 r".,-')R ;;=-TEnlr
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ®Monthlyl JUNE (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�illxper month? '!yes _no
(if yes, report your analytical results in the table immediately below) ��
1coPart A: Vehicle Maintenance' Areas Monitoring Requirements (If applicable) No discharge this period'
OutfallDate.
No.
Sample Collected /
mo/dd/,yr
F UU530 =
Total Suspended
Solids m L
lB ._ L
/
00444U
._w
� DQ55is
... ..
��
pH,
Standard units
rrw.:'_:3 nix' 'y--".*� n
Non=Polar Oil andGr''ease/TPH EPA
Method 166,4_A(5G�T;�HEM), mg/LAnnual�ayerage
."�+�sc+Y-? 'A 'vim a. sc
New Motor QilUsage;
ga!/mo,
�Benchmar_k
��'��` '
►�50 or 10.Ohse_e'permit.
Within.6y0';�9�0
� t,� �5 '�' �
.�, �� ,,„; *'�
SDO-001A
,
SDO-001B
r
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Sulk Stations and Terminals (If applicable)
Outfall
No.
W65
Samected
dd r
J�. _ lye=
'" On556jy�(D053D
Non Polar Oili'a drGre�'� ase TiPH�EPA Methad
„ ,(SGTHEM) �L,
lfi g/
_
_
Total S s`ended Solidsmo
; m L
...
'i"' `004OU Y"`"
Standard' units ,
rPermitJLimit;
i..�r,
�
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 l 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 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 o f the lab results (or at end of monitoring period in
the case o "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."
re of Permittee)
7-1 l- /ram
(Date)
Additional copies of this form may be downloaded at: http://Rortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2
r%P 1,Aj e_\ L_
1�
Semi -Annual Stormwater Discharge Monitoring Report
efor North Carolina Division of Water Quality General Permit No. NCG08 0jr?
Date submitted
CERTIFICATE OF COVERAGE No. NCGO80683
FACILITY NAME Hiah Point Fleet Maintenance/Environmental Services
COUNTY GUILFORD
PERSON COLLECTING SAMPLES Kelsie Engelhard
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016 W
SAMPLE PERIOD Z Jan -June 1:1 July -Dec
or XLMonthlyl Ma(4 (month)
DISCHARGING TO CLASS E]ORW [—]hQW [:]Trout E]PNA
OZero-flow OWaterSupply EISA
OCIther 14'
PLEASE REMEMBER TO
JUN 22 2016.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? L__1
(if yes, report your analytical results in the table immediately below) CENTRAL FILES
DWR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable)
ON THE REVERSE 4
E] No discharge this period'
Date.
.00530'
`60406.
,4
''""J'
0TbtaI.Suspen d
� "'"N-2
1pA
b�0b6i.OiI an5Grease1�TEP"
"'-WA
ew-Motor,011.0 s�ge,,:,
'N
'd
•khod.,,
.
-.,Annu 4
S'
dr t tan ar uni s
M 1616'
�4
a ayqrcjge,
i
-�50
'
T
?eeem
it
j
5"
,ff
SDO-001A
5/17/2016
29.0
6.02
<5
0113
5/17/2016
86.4
6.88
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
Oi ioutfall"""',
at
"`Saffiple Collected;,eas
53
mofh6d
"
:1664(sGT-�HtrV1J"im
.
�" ,-
, ,Total�Sutpen4ledIS61I s
51
JA
etp
6 0 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:
1- 1
Date 5 17 2016 (first event sampled)
Total Event Precipitation (inches): 0.42
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERSTIER 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:
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 Dischara_e_"_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."
(Date)
Additional copies of this form may be downloaded at: http://po,rtal_ncdenr.orp/web/wci/ws/su/npdessw#tail-4
SWU-250 last revised April 1], 2013
Page 2 of 2
4
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://portal.ncdenr.oralweblwglws/sulnpdessw#tab-4
Permit No.: N/C/ G / 0 / 8 / 0 / 0 / Q / D or Certificate of Coverage No.: N/C/G/ 0/ 8 0/6/ 8/3
Facility Name: Fleet Maintenance l Environmental Services
County: -Gailford Phone No. 336-883-3598
Inspector:
Date of Inspection:/1
Time of Inspection: QAf) ter--- JUN 2 2 2016
OTL RUES
Total Event Precipitation (inches): yya DWR SECT1ON
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ 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 my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012
1. Outfall Description: ('"`�-��� Ses��S
Outfall No. SDO-001A Structure (pipe, ditch, etc.) Pipe -Outlet
Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
and -Municipal Operations --
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
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:
1 2 G) 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 :_ 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:
DI
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes ( Ng1
8. Is there an oil sheen in the stormwater discharge? Ses)
No
9. 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 2 of 2
SWU-242, Last modified 10/25/2012
Oft c. j
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080fi�� 833
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES Robbie Baker and Kelsie Engelhard
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ® Monthly' (month)
Pg�RrNG TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
.IVED ❑Zero -flow ❑Water Supply ❑SA
APR 2 9 2Q16 ❑other
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
INFORMATION PRO CESS1% ✓
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per mo _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
Dutfall
1 Date'
00530
00400
00556�'j'
O.
Sample Collected,.WT;1y5F�fP�
ded
olidsmg/�L
pH,
Standard units
Non-Pw ola'"r�0il and Greaa/TPH EPAmo%yr
Method 1.65� [5GTAH�M)„mg/L
Annual,�average gal/Lmo
Nr
Benchmark
-
�50Aor 100'�'
���'�se'e�p'e.rmit
Wifhm 5.09,0
15
SDO-001A
4/12/16
47.6
6.38
<5
SDO-001B
4/12/16
26.0
6.86
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Ou
ateo
0530 p'
00NSample-Callected,
dwl
mo/Ldd/,yr
Non -Polar Oil and Gres a/TPH EPA Method
0,4
i6_.64�(SGT�HEM), m_g/�l
Total Suspender Solids,
g/L
pHI't.
Standard units
i PIermit L mit"
15
5-Q o 00 see permit
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 4/12/16 (first event sampled)
Total Event Precipitation (inches): 0.34
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART 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 ❑ ND ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including aII "No Discharge" re arts within 30 days of recei t of the lab results Lar 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."
q— k-,,Co
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/ eb/wq/ws/suZdessw#tab-4
S W 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. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME Hieh Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ® Monthly' MARCH month
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
RECEIVED 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? des _no
(if yes, report your analytical results in the table immediately below) CENTRAL FILES
DWR SECTION
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,0il Usage,
Annual average gal/mo
Benchmark
-
50 or 100'see permit
Within 6.0 — 9.0
15
-
SOO-001A
SDO-001B
Part 8: 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,.01- 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] 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 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 DM& 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, cr 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."
`d -Co-( S
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2
Semi -Annual Stormwater Discharge Monitoring_ Report k,4
for North Carolina Division of Water Quality General
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY !NAME High Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
Permit No. NCG080000 f4l(A%
SAMPLE COLLECTION YEAR _ 2016
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ® Monthly' FEBRUARY (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply [:]SA
RECEIVED ❑Other
MAR 17 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons Cbmttkil9er month? ✓es `no
(if yes, report your analytical results in the table immediately below) DWR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
® No dischorge this period'
Outfalli
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
-
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal l
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Td."al 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 outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page l of 2
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Hate (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" re arts within 30 da s ot receipt of the lab results Lor 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."
ature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http:ZZI)ortal.ncdenr.org/web/wg/wsZsulnpdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
02i<�,4'JAL—
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES Anita Simpson,_Kelsie_Engelhard
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
❑Zero -flow ❑Water Supply
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons ofe.�ftw.��pi�nonth? yes �no
(if yes, report your analytical results in the table immediately below) lC:LVJ
FEB 4-8 Z016
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) CENTRAL FILES
No discharge this period'
Outfall:
No.
Date
Sample Collected,.
mo/dd/yr
00530
00400
VVK 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
-
SDO-001A
1/15/2016
32.0
5.94
<5
SDO-001B
1/15/2016
22.7
6.40
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal l
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.
5WU-250 last revised April 11, 2013
Page I of 2
i
STORM EVENT CHARACTERISTICS:
Date 1/15/2016 (first event sampled)
Total Event Precipitation (inches): 0.15
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 Z or Tier3 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: Sue White and Glenn Wh
Mail an on final and onecopy of this DMR including all "No Discharge" reports, within 30 dog o recei t ot the lab results tor at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http:l/oortal.ncdenr.org/web/wg/wslsulnpdessw#tab-4
S W U-250
last revised April 11, 2013
Page 2 of 2
p(Z1C,rn1AL
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2015
ctwmIOD ❑ Jan -June ® July -Dec
Ru— or ® Monthly' November month
,,��H f61NG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ❑Water Supply ❑SA
CENTRAL FILES ❑Other
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?_ yes no
(if (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
-
SDO-001A
SDO-001B
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
-
1S.
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.
SWU-250 last revised April 11, 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 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: Sue White and Glenn White
Mail an oriainal and one coav of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/,09,0417Z-3-rc.
re of Permittee}
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2
i.:
044C-,o .JAct.,,
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No, NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High_Point_Fleet_Maintenance/En�ironmental_Services
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ® Monthly' December (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
R� V ❑Other
VE8 .4` $ . tp16
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons eilVQRE&t i per month? v/ es _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
Outfal l
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. Motdr0l Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
SDO-001A
SDO-001B
Part B: Oil/water Separators and Secondary Containment Areas'at Petroleum Bulk Stations and Terminals (If applicable)
Outfali
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
bH,-
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.
SWU-250 last revised April 11, 2013
Pagel of 2
A&
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 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: Sue White and Glenn Whit
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 monitnrina period in
the case o "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 CERTIFICATI N 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."
ignature of Permittee)
2---2 _ f c".
(Date)
Additional copies of this form may be downloaded at: http://yortal.ncdenr.org/web/wo/ws/su/nodessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2
�2tC-+SAL-
Semi-annual Stormwater Discharge Monitoring Report
d4 for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG080683
FACILITY NAME High„Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES R. Baker, K. Engelhard, A. Simpson
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
����� Monthly' y (month)
LASS ❑ORW ❑HQW ❑Trout ❑PNA
NOV 10 2015 ❑Zero -flow ❑Water Supply ❑SA
❑Other
CENTRAL FILES
DWR SECTIOIfLEASE 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)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
. COD
No discharge this period=
Outfal I
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 Ioll`Usage,.
Annual'average;gai/,ino....
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
i5
-
SDO-001A
10/27/2015
46.0
5.48
<5
SDO-001B
10/27/2015
45.7
6.55
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (if applicable)
Outfal l
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
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S WU-250 last revised April 31, 2013
Page l of 2
STORM EVENT CHARACTERISTICS:
Date: 10127/2015 (first event sampled)
Total Event Precipitation (inches): 0.99
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 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" re arts 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."
1 I— C0 —!S
(Date)
Additional copies of this form may be downloaded at: httl)://portal.ncdenr.org/webLwcllws/su/npdessw#tab-4
SWU-250 last revised April 1], 2013
Page 2 of 2
4 0,
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please.visit. http:/IpQMI.ncdenr_oglweb./wq/ws/su/ni2dessw#tab-4
Permit No.: N/C/ G / 0 / 8 / 0 / 0 / 0 / 0 or Certificate of Coverage No.: N/C/G/ 0/ 8 0/fi/ 8/3
Facility Name: Fleet Maintenance / Environmental Services
County: Guilford Phone No. 336-883-3598
Inspector: ;� t -A&E-4-0 tLS . 9, F;]sp_l hard— & _!5; r Q-&
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): _-~ -------
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ 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 my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012
1. Outfall Description:
Outfail No. SDO-001A Structure (pipe, ditch, etc.) Pipe Outlet
Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
and Municipal Operations
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: i r b c� ✓t _ __
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):-eAI&"c,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where is no solids and 5 is the surface covered with floating se'ids:
U 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:
9. 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes I o>
8. Is there an oil sheen in the stormwater discharge? 0 No
9. Is there evidence of erosion or deposition at the outfall? Yes
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.
9
Page 2 of 2
5WU-242, Last modified 10/25/201-2
y�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: http:jJportal.ncdenr.or2jweb/wgfws/su/npdessw#tab-4
Permit No.: N/C/ G / 0 / 8 / D / 0 / 0 / 0 or Certificate of Coverage No.: N/C/G/ 0 / 8 0
Facility Name: Fleet Maintenance / Environmental Services
County: Guilford Phone No. 336-883-3598
Inspector: X.
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): - ,--Of 91
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
M Yes ❑ 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, 1
some permits do not have this requirement. Please refer to these definitions, if applicable. j
I
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
i and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than j
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no !
precipitation.
i
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)
SWU-242, Last modified 10/25/2012
Page 1 of 2
1. Outfall Description:
Outfall No. SDO-001B Structure (pipe, ditch, etc.) Pipe Outlet
Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
and Municipal Operations
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): K a
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 Z 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is -io solids and 5 is the surface covered with floating solids
'r
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:
W 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes ,o
8. Is there an oil sheen in the stormwater discharge? Yes QD
9. Is there evidence of erosion or deposition at the outfall? Ye No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: how 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.
t
Page 2 of 2
5WU-242, Last modified 10/25/2012
-K4*A"r
NCDENR
Stormwater Discharge Outfall (SDOV
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: httrtal.ncdenr.or we w w sun a Cw�#4
Permit No.: N/C/ G / 0 / $ / 0 / 0 / 0 / 0 or Certificate of Coverage No.: N/C/G/ 0/ 8 �0//-*p
Facility Name: Fleet Maintenance / Environmental Services
County: Guilford Phone No. 336-883-3598
Inspector: Anita Simpson
Date of Inspection: 8-18-2015
Time of Inspection. % 3 a 3
Total Event Precipitation (inches): Dt
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ 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 my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
5WU-242, bast modified 10/25/2012
1. Outfall Description:
Outfall No. SDO-001A Structure (pipe, ditch, etc.) Pipe Outlet
Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
and Municipal Operations
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: � ok-f
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): %?g? n V--
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 stormw::t_er discharge, where 1 is no solids and 5 is the surface cc .1ered with floating solids:
1 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:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes
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
5WU-242, Last modified 10/25/2012
Semi-annual Stormwater Discharge Monitoring_R_e_Rort
for North Carolina Division of Water Quality General Permit No. NCGO80000�
Date submitted _ 10 _z-7- IS
CERTIFICATE OF COVERAGE NO. NCGO80683 SAMPLE COLLECTION YEAR 2015
FACILITY NAME High Point Fleet Maintenance Environmental Services SAMPLE PERIOD ❑ Jan -June ® July -Dec
COUNTY Guilford
PERSON COLLECTING SAMPLES Anita Simpson
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis: T
or ❑ Monthly'_ (month)
Q,It"a' ty TO CLASS ❑ORW ❑HQW ❑Trout OPNA
REG ❑Zero -flow []WaterSupply ❑SA
Nov 0 3 2015 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE �
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓es _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/lid/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
-
SDO-001A
8/18/2015
5.6
5.83
<5
SDO-001B
8/18/2015
5.6
1 6.68
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations ant' 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
1S
50 or 100 see permit
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 I of 2
STORM EVENT CHARACTERISTICS:
Date 8/18/2015 (first event sampled)
Total Event Precipitation (inches): 0.45
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 for at end of onitorina 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."
of Permittee)
/0-2-1-15
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/webLw-q/`w5/.5u/npdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2
r�
A
Semi-annual Stormwater Discharge Monitorin Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE No. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES Anita Simpson
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
RECEIVED
SAMPLE COLLECTION YEAR 2015 MAY 13 2015
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec CENTRAL FILES
or ® Monthly' MARCH DWR SECTION
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓y s3 o law
(if yes, report your analytical results in the table immediately below)
IL
'�
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No disc ge trrs 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 :
', Withlm&0 — 9.0
15
-
SDO-001A
3/19/2015
66.50
6.42
<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
'Outfal l
No. b�
Date
. Sample Collected,
mo/.dd/yr:
00556
00530
00400,
Non -Polar Oil; and,,Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Tota1,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 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: 31,1912015 (first event sampled)
Total Event Precipitation (inches): 0.29"
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 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 o "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."
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/wgb/ALq/wsLsu/npdessw#tab-4
SWU-250 last revised April 1], 2013
Page 2 of 2
AVK
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/ G / 0 / 8 / 0 / 0 / 0 / 0 or Certificate of Coverage No.:
Facility Name: Fleet Maintenance / Environmental Services
County: Guilford Phone No. 336-883-3598
Inspector: Anita Simpson
Date of Inspection: 3-19-2015
Time of Inspection:
of
Total Event Precipitation (inches): A,
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
z, �MKR
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 thisreport is accurate and complete to the best of my knowledge:
t
gnature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012
1. Outfall Description:
Outfall No. SDO-001A Structure (pipe, ditch, etc.) Pipe Outlet
.,Receiving Stream: Richland Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
and Municipal Operations _
2. Color: Describe the color of the isch�r a ng b sic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:c�,�j 2n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ ,fl OZZ e/
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 �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:
(S 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:
a 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 No
9. 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 2 of 2
SWU-242, Last modified 10/25/2012
Ilft.q�
Semi-annual Stormwater Discharge MonitorieQP r
for North Carolina Division of Water Qujality General Permit No. NCGO80000
Date submitted 31zllr
CERTIFICATE OF CQVERAGE NO
FACILITY NAME R'&LPbZ-P
,COUNTY 6 ,
PERSON COLLECTING SAMPLES
LABORATORYWEi7D-A
Comments on sample collection
CG08 r . I - 0 A 0 -Z '3
tmtr Luefte— / ollnEta
Lab Cert. #
analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2015
X SAMPLE PERIOD 2] Ian -June 0 July -Dec
I . or Yj Monthly' _ghrww-P4, (month)
DISCHARGING TO CLASS [-JORW 0H(jW [—]Trout 7PNA
E]zero-flow oWater Supply []SA
RECEIVED E]Other
MAR .06 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE
CENTRAL FILES D No discharge this period'
DWR SECTION
jg�kb
""s; � M r
IS spend,,.,
L , . L G �
7'S H Ivy"
W_ &5,
6fiT ap QWan 'al dre 54/t 0. Rjt FiA`,�,
" ' - ' Motor "I'
eW,.Mot U age
or�,;jp-1 s
N
4o �.,;
I''; d
�'�5,�ffiplikCo[kte'
vt,
, A;;�, ,:�;i
�'ih;kk'!
jal/m'
m gIC
,'St d ar ,
:ave 0
.,.�Annuai average
SAIj
�t iWo'i
Q-0
K n
"'gq, - 'L
'-' thih) -�P
V
7 L
�v
-
t6K rm _tz
Q _I -0.
.
sbo- 0014
;t Loa &r-
37.7
a ;L
5'bp -Oaa
.2 2,3
--ZZO.?Izj--
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Lf es no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
61 wolf—
664 00'
",Samp qj,o bcted,.�,
,
'Pb at.'CliVan' 'G R H E FA_,M e t h d&':'
NoW ,Zgease
-Totalisuspi S61
p
d erA
�Lu MUM
ri,� 5rj�_Vj),
4RSO-r. wo m
17' N-A 'C MIMI
.1 )seenperffilt,,:�,��f�
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 NW)
STORM EVENT CHARACTERISTICS:
Dated /f (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:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER 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 anginal and one copy of this DMR includin all "No Dischar 6 e" re orts within 30 days of receipt of the lab results tor at end of monitoring eriod in
the case of "No Discharge" re arts) 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,glipction 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
of Permittee)
3
{Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25. 2012
oPlC= WA.I.—
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080 0
Date submitted _ 3/z AMU
O_
CERTIFICATE OF C VERAGE NO. NCGQ8 " Co S' 3 SAMPLE COLLECTION YEAR Z /
FACILITY NAME010 y
► Po,1, a' ,� n ;rom-"ekQ -,,v;Ce s SAMPLE PERIOD ❑ Jan -June ❑ July»Dec
COUNTY �u.`� or or Monthly' 31vu.acJ month
PERSON COLLECT INGSAMPL�,ES I rr,'eK Ohe� ECE D TO CLASS ❑ORW ❑HQ [:]Trout ❑PNA
LABORATORYOP-,sr"�.e. %4 Lab Cert. # SS- []Zero -flow ❑Water Supply []SA
Comments on sample collection oranalysis: MAR 06 2015 ❑other
CENTRAL PILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requirements ❑ No discharge this period'
- "
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.Sao - oo /,0
z 3 1,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ''yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
- ?
a _ •i'. f 4 e:
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.'
For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here,
SWU-250 Ino raviaPri iif 4,Ar 75 )()11)
STORM EVENT CHARACTERISTICS:
Date 1Z3 /S' (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 T, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS•
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il 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 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 co of this DM-R 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" 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 irectiontor supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my.inguiry ofthe 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."
re of Permittee)
3-L{_1%
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised -October 25.2012
Semi -Annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted: January 22. 2015
CERTIFICATE OF COVERAGE NO. NCGO80683
FACILITY NAME High Point Fleet Maintenance/Environmental Services
COUNTY Guilford
PERSON COLLECTING SAMPLES Anita Simpson
LABORATORY City of High Point Water Quality Lab Cert. # 55
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
R CC:6 ING TO LASS monthly'
WCe❑HQW mber (month)
BAN 2 9 ?015 ❑Zero -flow ❑Water Supply
Mother
CENTRAL TES
DWR SECTION
�D
❑PNA
❑SA
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? ✓es _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'
Ootfal l
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
-
SDO-001A
12/16/2014
24.2
5.88
11
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal l
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.
SWU-250 last revised April 11, 2013
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 12/16/2014 (first event sampled)
Total Event Precipitation (inches): 0.11 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.
r
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 oil "No Discharge" reports, within 30 days of receipt of the lab results for 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."
re of Permittee)
1 -2'l-,s
(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 1], 2013
Page 2 of 2
CP_k& (,Jn.L_
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 Co ii'
SAMPLE COLLECTION YEAR
FACILITY NAME SAMPLE PERIOD ❑Jan -June ❑July -Dec ; r
COUNTY ('Tut.; or [D'Monthlyl A/ose-4co- month a -
PERSON COLLECTI GSA PLi:S rr��k Dona Fiat Siw. tor► DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ��A a er Lab Cert. #i 5E ❑Zero -flow ❑Water Supply ❑5A
Comments on sample collection or nalysis: RECEIVED [:]OtherDEC 18 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requirements CENTRAL RLSS ❑ No discharge this period'
DWR SECTION
:Outfailz� ,
s. �Da#e
ys..
-..,�
aa53b� r y,,004dOr
.J� Y 4� : v} P 1fA web �'�S
e, y„
7"cr. 2h`6. .�°,.. -
k. �.ii_ �✓lfh �.a%.�1` � _ A �, rrll�c. T- '•4 .r�:.
aQ556
1 .`� ,, i
7 �,' �
,r. .rr•.�. t, n:r'um �nrr rJ.rc�..y.N'
;ire*TotalESus ended�'p'�r
;A%t r,"�:&a. rfr
ax �'�l�.-
M'>-°
•-v�slue�r'
Nan=P.,oiarxOiliandiGrease° TPH EPA
- '+,w
'-�r' -
Nevri,Mntor 0ii:fJsa e
No
,-5rir a,+'�i
Sample Collected,F
�rx`t._.h;.3!}'
' e
., �±fi_iti.
raw ..1," .i t..
-w
�_Y,L !'., .i�'iF,•
tr��r u'
t
r, ��"�t:.iY'. .:��'tl;hh-w' :;',_...
�Methodrl'+o64':
Annual e-
w�5tandard^units a
SGT,H IVI m L
avera alr',md'
BepchmarksY�1
� r'
w k �,
.��<<,�g:N;;f~:.��-.t�"�
�SDor��lad;5ee,perm�
;�''s��Witf[r�r6:0��9Br����:�J�..:�",'��_.�s.�1��:t,�'���
�
-• E .y,..: : �
-Zo- Dom
! 1
3 0. 9
S' 170
D
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
yes _no
a
,y.,. �J
I
i '•W a�T ...sCd
ate > , r
,e,y. ',s '. r •r ir, co-
-fF-1�'. I'%. .iF ��""r il- .i-f..t�• f
':+;-['s F�,�.! i "I.•=se,f
�,N^# " ',.,,.,.:.y>r.�. 0055 " CT. }',.vf
�L'.?
,t .,.. j�,
ri Ill
,�po3o...:,:.
ryxi✓V
h
,�
1 .ram. }S# f •::Sl�fi.�!?-"L!G
,Sarrl
`.3!� '^Y's-?S-u^r::34t1} _ - ✓ 1:A wli..a .rim'
-1'.'- 1�' W', kL - .1. «ice
�,�:;
hi .
_ �.'
Ie.Coilected9=�'
..;! �
Noii Polar Oil andiGrease TPHiEPAMe.'t'
;"'..'. ' r•, yi•'h taaJ�#-. ^'!:•• it r::r'„sru. /, � y,rr..'
'S!.",'.,�/.���,{�'�
��r,
TotalaSus ended Sol[ds �
(S, .rat _ IP�,r ,, aY �Y
e�-
r, I'� i'C
'�
'�,;�, r} 4,,n
} £v, r.a' '[r a 'r` . W t Al :.0
�'- {y� r��.i' -4'
Y! r eta .. }:.•.'.
tariclartl:units�
::,.::,.:.r�:.;�'�>xt:mo%dd/S�r?��.,_y:���.,;:.�,_.,�;.��.��h��1.664,(�G7H�Mj',ntg_/��s�•��a�r�`�
.
-r�
,:,��;a,��mg/:���5�:���.�t��.�
�^�,�
_ _ .,
w!'.5 C+'4°'- ��,",,1 :`.'S�":�
J 4 _ � R_ i"T•.. :.Y`"
fA".;i `:;' P -'_�k 45.. —.] :'. � ,'Y :�.C'd. ;-..{.,,...a ..siV. _,�
.�.-,. .: YJi� _ _
b:0 T-r
«SO�orT00see;pe.rm[t,„�,rt7,}
,,:..Q
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S'WU-250 7/11'7 %-A
I
STORM EVENT CHARACTERISTICS:
Date (first event sampled) 3
Total Event Precipitation (inches): t3
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER 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 on final and one copy of this DMR including all "No Dischar e" re arts within 30 da s o receipt o the lab results or at end a monitorin 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."
l
of Permittee)
/Z-IL `rY
(Date)
Additional copies of this form may be downloaded at: http://portall.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Semi-annual Stormwater Dischar a Monitorin Report
-for North Carolina Division of Water 2�671
eneral Permit No. NCG080000
Date submitted i�,
CERTIFICATE OF CgVf RAGE NO. NC4308 0 & $ 3 SAMPLE COLLECTION YEAR 201 y
FACILITY NAME -Hi -k- flM a, „ c SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY _ ,*tj _ - _ or [rMonthlyl OC++ bdr_ month
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert. # 13camia p (� WED
❑Zero -flow []water Supply ❑SA
Comments on sample collection or analysis: U �"'� V� ❑Other
NOV 14 cu,
PLEASE REMEMBER TO SIGN OMTHE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring RegCENTRAL FILES CENTRAL FILE t�i�� eMMON DWR SEC-NIN Q Na discharge this period
-; 1r_ Y'�-�,�
No ..r
3^
Simpi' Colletted,
.7.. -
'Total uspended
Solldsmg/l.
-+�^.--_.
+..'_ Y?,�'ii�"
L•�)ya ""a - ;t - '. �'`'i t '%F
-
pH;
r
Standard units- a
Non -Pillar Oil andkGr-yea a/TPHEPA
; ,dam
Method '1664(SGTHM);
+New;Moto� OiltLlsage, �y:
t
Annual average:gai/mo ,:d
SDO -001
NO F/o kJ
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? - _ yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
$
ta
'oHa t a "se H NAM h d
� „ !_
�0614(5 - HEM), yy
silo, _
' d 1S•b/..
i otal Sus deck
"�--
m,� J
.. &T
" tl i s
Permtt�Lim.i#
',W'4
i.__
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 201
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 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 on final and one cagy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end ohmajahto-ring veriodin
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 submiittin false information, including the possibility of fines and imprisonment for knowing violations."
it
of Permittee)
(Date)
p' y , , ,,_ cdenr.org/web/wglwsZsuZnpdessw#tab-4
Additional copies of this form may be downloaded at: htttsall7ortal.n
SWU-250 _ last revised
y
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted -1 -3_1�--(
CERTIFICATE OF COVERAGE NO. NCGO8 O G
FACILITY NAME - +4j:QH Po1Nr F�Er M1:4vrE'unAc ANV.XRONt.a..rKz,e✓scS
COUNTY_ %uccroA0 _
PERSON COLLECTING SAMPLES ^nF ro4w nl 4.►zrA SrA4090A)
LABORATORY CAP WArflz Qwa,_yr,( Lab Cert. #1 �
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
J
SAMPLE COLLECTION YEAR Q lq
SAMPLE PERIOD [] Jan -June [July -Dec
or []Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout []RNA
❑Zero -flow ❑Water Supply []SA
RECEIVE[) ❑Other
NOV O 5 204EASE REMEMBER TO SIGN ON THE REVERSE 4,,.
DWR CENTRAL FiLES ❑ No discharge this period'
SECTION
Outialf�
' < rca a
Sample L�
I}0530
TotalSaspentled
0p00
pH,
Non-P iar Oil antl.rease KPH'dE_PANew`Ilatorh011'Usage,
�sTN�a
..11ected,
rng/L
Standard knit. „.,
Methoc[,�64.(5�T HAM tL
PrAnrival average'gal%mo e
13enctimark
51 qrF OO see permits
_
INi#hi61.91
.;j
soo -oo/A
y 1M CI I
SG,.�
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
f.'Oiitltall ,r
Qat
a Cone td
rx�o/dd/yr
r OOS56
iS.R��pWi'ry _ .. .P�1Y 4"'C�ti''CA1v[f."
NCR I r 4ll a d, reas� Ti?H P M #itatl
� 6 (a_ 7 HEM), trEg•%L
OOS30 't'
�'a d
�' E
&To@al!usperld d 5 lids 4�
m /�1
TSS ,S"
�f>��yH;,
5tantlar uriits4 y '
i?ermit limit k
°+ -
0MOM0 ee erm t
i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 201,
STORM EVENT CHARACTERISTICS:
Date q 24 1 (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 benchmadc,—you mast implement Tier 1, Tier 2, or Tier 3 responses. S 7
General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART tl SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SITE 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 ropy 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 su itting 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://portaLncdenr.org/web/wq/ws/suLnpdessw#tab-4
SWU-250 last revised October 25,201
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2c.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/ l 0 / A / 0IQl (}IQ/
Facility Name: /4x&14 Porur Fiz
Countv: Guzj-r-oar
or Certificate of Coverage No.: N/CIG/Ql l Ol T/
Inspector: To -FL Fe A r u so N
Date of Inspection: 9 - 2H
Time of Inspection: S: lg PM
Total Event Precipitation (inches): Q ..2 5
tone No.
% Airs
I
330 88'5- 3
Srrr P 5 ojv
Was this a Representative Storm Event? (See information below) 0 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that th' report is accurate mplete to the best of my knowledge:
(Signature of Permittee designee)
1. Outfall Description: Outfall No. 00 1 A Structure (pipe, ditch, etc.) 1 p =PE. OUTcrr- I -bT*rc H
Receiving Stream: RLCI t1 Alb - COUck
Describe the industrial activities that occur within the outfall drainage area:
EAICLE MAr,vT£AJANC.E. MkM&C-: PAL 0PEx.4'rraA/.0
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: UOWA) — L--r&14 —
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NoN E _
Page 1 of 2
£s
SWU-242-112608
I
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
O2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
n- 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:
d
( 1 1 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
14. 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-242-112608
1. rJ
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 9 f Y/H
CERTIFICATE OF COVERAGE NO. NCGO8,Q � 8 3 r
FACILITY NAME A•+,.+ � /s'la h,J� Z_e t nvl o.o.r...7a1 LarvllcdS
COUNTY
PERSON COLLECTING SAMPLES abal Acra xx..
LABORATORY ,',' -LP 1,&. 1, Lab ert. #
Comments on sample collection or analysis:
Part A: Vehicle !Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR ZD y
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthlyl� (month)
RECE1®TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
SEP 11 2014 ❑other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
_ ❑ No discharge this period'
�`ROutialli=• ��
�L�^� �� date ,: , ,
amp! Collected
0.0530
00�00 y
00556 `F �
"' �"�`� : x 'rr �''' �
Ta al us^ ed
pH,
Non=P ('`r'IJiil}�-
,F
eri
ndG s aPH'Pll`{;NewdMatar�011FUsage,
`e'
a t
�_o/daft'oilds
�L
_. tandard uni
Method 16b4� r�
Anneiaf avers al mo
Benchmark ,j
-
50 ar.�04 seespermt
�:-_
WItKR 4 0 90
r
`
SDO—ant Ki
S l
Z&
S g
-oflil3
!S
36,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes _no
(if yes, report your analytical results in the table immediately below)
Part 8: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
t
` Outfalf �
y
[S
J bate
s
I Collette
Q0556
� _ � _ �^,
wfi r i sR -
N Polar Ilcl`G T !�M hod
I f�1
m tl
.,wh �
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1 For sampling periods with no discharge at any single outfall,- you must still submit this discharge monitoring report with a)checkmark here.
SWU-250 last revised October 25, 201,
STORM EVENT CHARACTERISTICS:
Date %rl� (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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ t
REGIONAL OFFICE CONTACT. NAME: j
Mail an on final and one co o this DMR including all "No Dischar e" re orts wit_h_in 30 days of receipt of the lab results for at end of monitorina period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attm 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) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webtwcL/ws/su/npde'ssw#tab-4
SWU-250 last revised October 25, 2012
Fleet Services Department
Gary L. Smith
DIRECTOR
NORTH CAROLINNS INTERNATIONAL CITY"
September 8, 2014
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Sir or Madam,
Enclosed are the monitoring results for the City of High Point Fleet Maintenance Facility for the second
half of the 2014 monitoring year. The pH result for outfall SDO-001A is outside of the benchmark value.
Therefore, the City of High Point Fleet Maintenance Facility will proceed with a Tier Two response and
will immediately institute monthly monitoring for all parameters. Due to ice storm clean up during the
months of March, April, and May and personnel changes, the Stormwater Services Division did not
collect a sample during the first of the 2014 monitoring year. Feel free to contact me if you have any
questions.
Sincerely,
Gary Smith
Fleet Services Director
City of High Point, 3524 Triangle Lake Road, High Point, IBC 27260 USA
Phone: 336.883.3598 Fax:336.883.6699
rh
4
k�NY State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, Director
.tune 6, 2003
City of High Point
POB 230
High Point, North Carolina 27261
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: General Permit No. NCGO80000
Fleet Maintenance Facility
COC NCG080683
Guilford County
Dear Sir or Madam:
In accordance with your application for discharge permit received on March 10, 2003, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable. except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Ken Pickle at telephone number
919/733-5083 ext. 584.
Si rel
URIG&AL SIGNED By
WILLIAM C. MILLS
Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office
Central Files
Stormwater and General Permits Unit Files
SW U-Z59-41 I WI
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080683
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
City of High Point
is hereby authorized to discharge stormwater from a facility located at
Fleet Maintenance Facility
3524 Triangle Lake Road
High Point, North Carolina
Guilford County
to receiving waters designated as unnamed tributary to Richland Creek, a class WS-IV* water in the Cape Fear River
Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III,
IV, V, and VI of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective June 6, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 6, 2003. ORIGINAL SIGNED BY
WILLIAM G. MILLS
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission
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Markers
Name: Discharge Site - NCGO80683
Short Name: Dschrg
Coordinates: 0350 57' 38.4" N, 0790 56' 55.1" W
Comment: City of High Point Fleet Maintenance Facility, Subbasin 03-06-08, Cape Fear
River Basin, Guilford County, unnamed tributary to Richland Creek, Class
WS-IV", USGS quad D18NE