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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' - " ' � ;, vr•,. ,..,�,.•-�` :`.,i',� J e u1r..q .....�.,: r Y--�gf:d4"'p. x os�o � ;}r. 4 ' ,=y '� -' � on�ioa 4Y '„$ S .'i,;'S!5- ..;..•• w �:.e �� asss� 1 rV aHSrr,-M.�5)•�t.,��H.�+.,, i. ,�'�,. � s„w{N. .fpF: =ra,C�:r. czr.J,F,i•�,.fi.'.;•*c;.°= :.iknhW'/LZd, -�o,t� al]: �d,FA F,�"r��Cd'_"Lt, Trs- i' +.;.°tf �..vSV`^t�''a4 �tt�s'P '. a ;%, ':oM::f-n', Pt-"l'ia.'-.d-!L,r. ��d'�1�Ot Pd/TTotatrsus > reIe 'GT il lJsa g e.,. Nreu•'�v Moto''r Sw tI:ogeJ• ;-,/r�l-/AtA.,ey},,�, a:e,whtdi f.7. %Lr.5rar,;,m. Jad., .e 3_tY. ."''�A'E.5F.,Y.•�)..m..'.e F+{_=�''N 6i,6.t`sy4a:LL hiah:;4aIa i/E _O ,F,. YAnnual average gal/.md' �, ,.ko ,.,,U!m L- l{d-h` g,. u34.nyW_,rij �2,l�'e.raµr.paiH�'d1, eL' gmg1'.LP,Ai .. 1•... ..y�:r. �'srJ 'S-- i .:Benchma_ rka �,, � it � ::,.'r .N. :.G',hi'X• 9 tk ; r ]�' a �_�, . �. -,(i,'•v ,:di[iP .J,+lV'. �F�; �50=.or>100+see:nermit'�' .rt'r'-:n Y :iY N' -'; +f : • j�- 3 :-�Within^i6�0 9:a �rs:J! `:y. i _ ..v. - '� 0?r $fYi; '�f :aid �,��r�t �� � y k'j ' ,�I;�,' ,�-�`�-��. 5 arL �•,��,;,�5��,„ �: ,a;; � _' .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: :;xC;-.a D> �.rr,ir,!r�.� r1i .p,_:r,,' „jF;7"�e.• 00556 rS. _' �d.�.o�,.S.._�P-Y•<.ir,.s'•N " asy r�;:. x;.,,.ka-. F;h�s F1�.. 00�.C4 0.•..I�. lri 4�;a,f=�'� �a'��-r'?to.�.e- 'as'P,m C;r .•'�ii,'r��dl�- ,: dGease/T iEPAMtFo OfLi�r +ay.i a��-h; o,�� . erd ldece . -i;,"�^'. j,�I�_A.!f.' _Et.y;�n;' Ht .h'.;.-. „ {4-'c4'. r !•'�.-' }}4t'e��. <. 1l(ll:3:'f si'k�Yi;:'S{` .fi `, '�;?.-.'4�.� Y..`.T. .ry+�_�J�J•�v_,-.14 i:���,. 'f+a ��l11'' 6Hi_.'' �.i 7LL�I�� *[..r✓ u�,1 4,1( -T 'r�4�. _^''-."I.'+7,�'�T''QsL �£K0'-{l'5:f.lH3�fQVYYki++.•��t1J.�r1'•.`��•f',h;'xc t:` n..�'i'a��lr �N+,'Aj1I.:7i.i�':•.'r-�. -�i'?� -,.i ' f1";m�r,�a�, �.. `GGl..„;, i' sJ '�-vr'1�.:�'. ��. �J• d JMi'.. . >l-;;A . Y..l ri ,� d• i•ei,fY:{�fin ,�"!..{n �!..✓. L�l� .y�xS;.�lMwi:'.�_ 13�,i J `i sr M)NAg/mo/d .f.� [ �k4 mg/LLLs. . ;; tarida ,- {-1 ; - 'a •=..:;r . _ � x.rf �ga;t �s�`�,gy�p,•.-, —,7x 5f.; `:'.�� �:;€•,5`t_ ^:f•5�. ;.0..0...��se.e,��p,�_e.,,. ;r. ;sr-rrii'+t' .,,.r;r�,1 � s.; Ira .t...'-.�r-.,�, <'60R h ,�.•_ ,�"•` .-�.vr.1. �psiv.,:t ,; .:,5"0-em,our�•';1 .' 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 � r r� 00400' 3 er.�sc ..... 7 g. xc Total Susp sled Sol ds "� r r N Y �~ �qa rr. z� ease " '� W ��Pyµ,�� n�o/ l 6fi�4 (5 mg/L" t �`�. <.r.'r ;yr AHEM , mg/l, =`n =rF&un�ts . Perrnit Limit �5 SQ or 100 see �rmit. + " "n- ,w0'.' 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 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. 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