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NCG080712_MONITORING INFO_20101010
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. DOC TYPE. ❑HISTORICAL FILE �-MONITORING REPORTS DOC DATE ❑ JOA I O I U YYYYMMDD ;4 �. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVERAGE NO. NCG08 62�. FACILITY NAME r (� PERSON COLLECTING SAMPLESJU 4 BG CERTIFIED LABORATORY Lab # Lab # FORM 11 (page 1 of 2) SAMPLES COLLECTED DURING CALENDAR YEAR- (This monitoring report is due at the Division no later than 30 days from the date the facility receives the s mplin result from the laboratory.) COUNTY PHONE NO. (9!0) PLEASE SIGN ON THE REVERSE 4 t/Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? �eno (if yes, report your analytical results in the table immediately below) O u tfa ll No. Date Sample Collected, Idd/ r 00530 00400 00556 Total Suspended Solids, m pH, Standard units Oil and Grease, m New Motor Oil Usage, Annual avera a galluW Benchmark 100- Aithin 6.0 — 9.0 30 - Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. i' Part ii-" n/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. DATE Sample Collected, - mo/dd/ r 00556. 00530 00400 Oil and Grease;" m L Total Suspended Solids, ` m /L- pH; Standard units' Permit Limit - 30 t00 6.0 — 9.0 STORM EVENT CHARACTERISTICS: Date O; first event sampled) Total Event Precipitation (inches): _ Date -` (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): d g FORM 11 (page 2 of 2) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 (Date) �MICROBAC ®R Microbac Laboratories, Inc. - Fayetteville t CERTIFICATE OF ANALYSIS K8J0262 Fast Bus Project Name: Fast Bus Mr. Juan Larrequi Project 1 PO Number: NIA 455 Grove Street Received: 10/11/2018 Fayetteville, NC 28302 Reported: 10/19/2018 Analytical Testing Parameters Client Sample ID: Stormwater, Grab Sample Matrix: Stormwater Collected By: Lagerril Lab Sample ID: K8J0262-Cl Collection Date: 101i1/2018 11:30 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil & Grease (HEM) <5.0 5.0 mg1L 10/19/18 0917 TAB Method: SM 2540 D-2011 Total Suspended Solids 55.5 4.17 mg/t_ 10/12/18 0953 MT Definitions RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 North Carolina DENR NPDES Report Comments ������� Reviewed and Approved By: Sampfes were rece&ar n a the reported res onfor 1 �� applicable accreditatherwise noted. The data andinformation on this, and other accompanying documents, represents Brittany Smith only the samples) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature is included Administration Reported: 10119 /2018 17:03 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.mir-robac.com Page 1 of 2 'K8J02b2* Mlc bacFayeltarllb SHORTHOLDSACCrcPTED MONDAY• THURS12AY UNT]L 1600 (9+MICR08AC� 2592HopaNA:#Rd, CYAiHOFCUSTOM i FayeCeNll•, NC 20306 Number lnstl,bm. an beds Lab Report Addn - Inwiea Addr•a• Tunuuw:nd.Tlma TO BE COMPLETE'. Clinrt N—c coo tt Name: [] ROL2illa (St. 7 bualnesa days] Temp. Upon Rac•igt rq Therm lb Addrear: A CiN State, Zip: � AAdd[1 f ,7.cibl, State, ZEp: RUSH- (notlfY lab) Hobtlny Tlma Inotwo to Samples Rec.1"d an 1W Yea No NIA b Contact �.(/? CeeSCt Report Type Custody 5aala bdacQ Yn No WA _ TITe one Telephone No, RasuM Only I ] Leval l [ ] Laval Y [ ] La 13 [ ] Lav a [] EI]C I M4 .S.l __ uAIY* PC No_ _ _ CamFllanc•Monttorina7 6urpl.db PPR(H�]^�_. Smiler Slq„edrr: swel.r PJmn.Ne; _ • Ma k Typw S6MEdld (3), SWpe, OE. WIDe. Orin" Weler p Wig G=:4*XV (GM Swfav Vhb:r (M, %Nwft VW W (N", Cew [epe i)yi ^ Pn:ae�veJJre Ts (7] HNO3 _(c7 H250a..�7).}ICL (al NaOH. S?1 Inc woatab, {e) Mallancl _[7J Sodium 8bvlfan, �a7 Sodlwn,Th,oeu'fak, Hcrsne. I� Unpresenad. Page 2 of 2 §MICROBAC' Lab Report Addrt Client Name: Address: City, State, Zip: Contact: Telephone No.: Send Report vla: Project: Mlcrobac-Fayetteville 2592 Hope Mills Rd. Fayetteville, NC 28306 r^ Invoice Address Client Name: /G Address: xplty, State, Zip: e l+!/lf Contact: Telephone No.: _-rrrail_ - Location: SHORTHOEDS ACCEPTED MONDAY- THURSDAY UNTIL 1600 CHAIN OF CUSTODY RECORD Number -- Instructions on back Turnaround Time TO BE COMPLETED aYMICROBAC [] Routine (5 to 7 business days) Temp. Upon Receipt (1C)7L� Therm IA [ ] RUSH- (notify lab) Holding Time (needed by) Samples Received on Ice? Yes No NIA ReportType Custody Seals Intact? Yes No NIA Results Only [ ] Level 1 [ ] Level 2 [ ] Level3 [ ] Level b [ ] EDD Send Invoice via: Maf]- Fax a -mall . _. .._.___ . J.1___ ..[_1-- ___ ---.. PO No.: Compliance Monitoring? 1JYes_ L] No- [-] Agency/Program SamPLO d-k (_PRINT.:._, Suter Signature: Sampler Phone No.: ' Matrix Types: Soil/Solfd (S), Sludge, 011, Wipe, Drinking Water (DW), Groundwater (GW); Surface Water (SW), Waste Water (WW), Other (specify) " Preservative Types; (1) HNO3, (2) H250A, NaOH, (5) Zinc Acetate, (6) Methanol, (7) Sodium Bisulfate, (8) Sodium Thloaulfate, (9) Hexane, (U)'Unpreserved REQUESTED ANALYSIS �. Lab ID Client Sample lD Date Collected Time Collected No. of Containers Matrix Grab or Comp Preservative ., � type Addlttonal Notes ]Possible Hazard Ideri ficatio [] Hazardous [] Nan -Hazardous [] Radioactive Sam [] Dispose as appropriate [] Return [] Archive Comments YAM'Aulshed s DejerrIme Q /{ lit IRece By e) - D�tvlTlm 1 ellnquls y (sl ure) DatelTlme lRecolved By (signature) DatelTlme I Relinquished By (signature) Daterrime (Recelved By (signature) Daterrime ( I I UV. J.UZVJLU I / -1 �� STATC Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report For guidance on filling out this faun, please visit: }iilpa/h2n.enr.slate.nc.uslsu/t Ur11IS D0CL1 ncnts.litmrlmiscI orm, Permit No.: NICI 1 IIQII 12 or Certificate of Coverage No.: NICIGI_I_I_I—I—I_I Facility Name: .? f�r ri County: Phone No. 91AP Inspector: li l/l Date of Inspection: !� Time of Inspection: Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) 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 Q 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 tpl "is report >�urite and complete to the best of my knowledge: of 1. Outfall ascription: f OGar Al utfall No. Structure (pipe, ditch, etc.) Receiving Stream: Describg the iVustrial activities thajoccur within the outfall drainage area: I//,At/ l/, - 4 e 'd�//%b 1 2. Color: Describe the color of the dischar e us] n basi lors (red, brown, blue, etc.) and t.nt (ligh�t�, dark) as descriptors: � - D 3. Odor: Describe an distinct o rs that the 's harge may have (i.e., smells stron ly of oil, weak chlorine odor, etc.): /l _ �JO-e ��% Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which hest describes the clarity of the discharge, where I is clear and 5 is very cloudy: 6 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where l is iss no noo solids and 5 is extremely muddy: '/ 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 (� 9. is there evidence of erosion or deposition at the outfall? Z�p No 10. Other Obvious Indicators of Storniwater Pollution: L (Vote: 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-242-1 12609 ti STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. &3 CV'RTIFICATE OF COVERAGE NO. NCG08 FACILITY NAME PERSON COLLECTING SAMPLES O CERTIFIED LABORATORY Lab # Lab # FORM 1 I (Page 1 of z) SAMPLES COLLECTED DURING CALENDAR YEAR: 42V-Ie (This monitoring report is due at the Division no later than 30 days from the date the facility re fives the s piing esults f m the laboratory.) COUNTY RECEI �EDHONENO. PLEASE SIGN ON THE REVERSE JUN 0 8 2018 tl"Part A: Vehicle Maintenance Areas Monitoring Requirements Did this facility perform Vehicle Maintenance Activities using more than 55 gallons oft&LAIEWI C month? _yes _no (if yes, report your analytical results in the table immediately below) DV`JR SECTION Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 ' 00556 Total Suspended Solids, m /L pH, - Standard units Oil and Grease, mgLL New Motor Oil Usage, Annual averse all o Benchmark 100 W'thin 6.0 — 9.0 30 - L Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. foo art /water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. DATE Sample Collected, mo/dd/ r 00556 00530 00400 Oil and Grease, m L Total.5uspended Solids,.'., m /L Standard units' Permit Limit - 30 100 '6.0 — 9.0 ' 0 0 0 STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): • 1 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): FORM 11 (page 2 of 2) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 1 - � (Date) 0 is • Fast Bus Mr. Juan Larrequi 455 Grove Street Fayetteville, NC 28302 Analytical Testing Parameters *MICROBAC' Microbac Laboratories, Inc. - Fayetteville CERTIFICATE OF ANALYSIS K8E0313 Project Name: Fast Bus Project I PO Number: NIA Received: 05/17/2018 Reported: 05/29/2018 Client Sample iD: 455 Grove Street, Fayetteville NC Sample Matrix: Stormwater Collected By: Lagerril Lab Sample ID: K8E0313-01 Collection Date: 0511712018 Wet Chemistry Result RL Units Note Prepared Analyzed Analyst Method: EPA 1664 Rev. B Oil & Grease (HEM) 11.4 5.0 m91L 05/25118 0953 TAB Method: SM 2540 D-2011 Total Suspended Solids Definitions RL: Reporting Limit Project Requested Certification(s) Microbac Laboratories, Inc. - Fayetteville 11 Report Comments 251 3.33 mglL North Carolina DENR NPDES Samples were received in proper condition and the reported results conform to applicable accreditation standard unless otherwise noted. The data and information on this, and other accompanying documents, represents only the sample(s) analyzed. This report is incomplete unless all pages indicated in the footnote are present and an authorized signature is included. 05/21116 0931 MT Reviewed and Approved By: Jeanne Overstreet Project Manager jean ne. overstreet@microbac.com 0512912018 14:38 Microbac Laboratories, Inc. 2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 2 I - Abilb. STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVERAGE NO. NCG08 FACILITY NAME 1 / PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Lab # Lab # FORM 11 (page 1 of 2) SAMPLES COLLECTED DURING CALENDAR YEAR: C� (This monitoring report is due at the Division no later than 36 days rom the date the facility receives the s mpling,results rom the laboratory.) COUNTYr PHONE NO. RE `(( -{ E RPLEASE SIGN ON THE REVERSE 4 z,/'Part A: Vehicle Maintenance Areas Monitoring Requirements JAN 2 5 2017 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil,per month? yes no (if es report our analytical results in the table immediate) below — (" y p y y ) DWR SECTION O utfa ll No. Date Sample Collected, mo/dd/ r 00530 . 00400 -' 00556 Total Suspended Solids,. m /L pH, . Standard units Oil and 'Grease, ' m /L ' . New Motor Oil Usage, Annual average al/mo Benchmark - '�t� . I00 -. .: Within '6.0 - 9.0 ' :: 30 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. SPart B�` i' water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall: No. DATE Sample Collected, mo/dd/ r 00556... 00530.,. Q0400 , Oil and.Girease; :.. .. 'in /L 'Total Susoended Solids;.. ; ° m ;--:Standard units Permit Limit - 30 100 6.0 - 9.0 STORM EVENT CHARACTERISTICS: Date P% " (first event sampled) 'total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): FORM 11 (page 2 of 2) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-I617 "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 possibi ' of fines and imprisonment for knowing violations." (Date) c STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVVERAGE NO. �NjCGOS C/ L?P FACILITY NAME �/( CMG Qt t!+ .p PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Lab 9 Lab # FORM 11 (Pagel of 2) SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from the 1date the facility r eives the am li results f m the laboratory.) RE(�' EI VJNE NO. uV '-b f11LEASE SIGN ON THE REVERSE 3 [Part A: Vehicle Maintenance Areas Monitoring Requirements CENTRAL FILES1)" S6CT[ Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor of p onth? yes _no (if yes, report your analytical results in the table immediately below) Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 00556 Total Suspended Solids, m /L " pH, . Standard units Oil and Grease, m New Motor Oil Usage, Annual average gall o Benchmark 10 100' Within 6. — 9.0 30 - _2.+ Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. nesvi Part /water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. DATE Sample Collected, - mo/dd/ r' 00556" 00530 ':' .00400 Oil.and Grease; m L Total -Suspended Solids, m /L: pH, Standard,units' Permit Limit - 30' 100 : '6.0 - 9.0 STORM EVENT CHARACTERISTICS: Date �wsirst event sampled) 7i Total Event Precipitation (inches): w__ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): FORM 11 (page 2 of 2) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 possijkility of fines and imprisonment for knowing violations." re of (Date) FORM 11 (page 1 of 2) STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCGO80000 //,, / SAMPLES COLLECTED DURING CALENDAR YEAR: 0 CERTIFICATE OF COVERAGE NO. NCG08 V / (This monitoring report is due at the Division no later than 30 days from the date the facility rVaives the sa plin r uIts from a laboratory.) FACILITY NAME COUNTY C• PERSON COLLECTING SAMPLES L!/ PHONE NO. CERTIFIED LABORATORX Lab # Lab # PLEASE SIGN ON THE REVERSE 4 !"Part A: Vehicle Maintenance Areas Monitoring Requirements 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). O utfa ll No. Date Sample Collected, mo/dd/ r 00530 00400 00556 Total Suspended Solids, mg/I. : , ; pH,.. Standard units Oil and Grease, m New Motor Oil Usage, AnnuaFavera a al/mo Benchmark 100 Within 6.0 - 9.0 30 - Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Pp' S artBF'&/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall DATE 00556. 00530 .00400 No. Sample. Collected, :: Oil,and Greases Xotal.Suspeuded Solids, pH, mo/dd/ r ;m L m Standard units Permit Limit . _ 30 100.,.. �':6.Q-9.0 RF0F1VCL J'/ 08 2015 INFORMATION PROCESSING UNIT STORM EVENT CHARACTERISTICS: Date 90 (first event sampled) Total Event Precipitation (inches): _ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): FORM 11 (Page 2 of 2) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 ermit e) (Date) 0e-6 e,;;z 6)MICROBACC#) Fast Bus Mr. Juan Larrequi 455 Grove Strect Fayetteville NC, 29302 Fayetteville Division Certificate of Analysis Date Reported: 04/27/15 Project: RunofflStormwater Sample Date Received: 04/15/15 Date Sampled: 04/15/15 Sampled By: Mike 455 Grove Street, Fayetteville NC K5D0477-01 I Anawte Rest:lt Units Anaiyzcd Analyzed By Method Qualifier f Analyzed by: Microbac Laboratorles, Inc. - Fayetteville Oil & ['crease (HEM) 19.0 mg/L 04/23/15 10:00 MLW EPA 1664 Rev. B Total Suspended Solids 215 mg/L 04/16/15 11:30 MLW SM 2540 D-1997 QC Batch Run - (blim bac• Laboratories, Inc. - Fgrerreville) Analyze Result Units Source RPD Limit Total Suspended Solids 11,7 tng/L K5D0522 37 5 Total Suspended Solids L40 mg/L K5D0502 69 5 Total Suspended Solids 1.74 mg/L K5D0437 4 5 State Certifications: NCDNR 411 NCD01l P37714 Respectfully Submitted Ronnie K. Sanders, Senior Project Managei Thank you for your business. We iarire vueu' ji•rdhurk nn uro' level of service fu t'ou. Please ronfarr the 17ivisioa hlunager. Rub Denney ar 910-864-1920 wah anv gveslian.+. W,urngvulcacrmlacr .1. Trr•rxw baler, neeidenuNpmcridrnlf%tmicrahuc.rnor Microbac Laboratories, Inc. 2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f lwww. Pa e 1 of 2 FORM 11 (page 1 of 2) STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 -7 J CERTIFICATE OF COVERAGE NO.cNCG08\ 0 / � FACILITY NAME G( PERSON COLLEC IN SAMPLES G' CERTIFIED LABORATORY Lab # Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from �j the date the facility r�Ceives the sampli g result om the laboratory.) `ECEIVEGOUNTY C. PHONE NO. (�c-=2) MAR 0 2 2015 PLEASE SIGN ON TUF U VVFucr -4 CENTRAL FILES t,"Part A: Vehicle Maintenance Areas Monitoring Requirements 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) Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 00556 Total Suspended Solids, m /L pH, Standard units Oil and Grease, m New Motor Oil Usage, Annual average gallmo Benchmark - 100 Within 6.0--9.0 30 - - J Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. �+�,'?5k' 4r12 "rf /� Part tY"N /water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No. DATE Sample Collected, - moldd/ r 00556,- 00530 : 00400. , 'Oil..and Grease',-:, m IL Total .Suspended Solids,..'.pH,; ='m /L - Standard units' Permit Limit - 30 100 = '6.0 - 9.0 STORM EVENT CHARACTERISTICS: Date/ U {first event sampled) a - " Total Event Precipitation (inches): Oy r Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): FORM 11 (page 2 of 2) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 com fete. I am aware that there are significant penalties for submitting false information, including the possi It ty of fines and imprisonment for knowing violations." ign (Date) 0 0 0 Iasi Bus M.-. Juan Laireclui 455 Grove Strect Fayetteville NC, 28302 Favetto-ilie Division Cerflfica (c° ()f Analysis Date Reported: 01115" 15 Prt jer.i: Rimoft7Stormwater Sample Date Received: 12/29/14 Date Sampled: 12/21)/14 Sampled By: Larrugui Stormwater, Crab F; 4L.tlfi(i}i-o l AmOM — Resul[ '..]tits: Analyzed Analyzed 13v Method Qualifier Opid Data PH 7.2 PH link's 11,2.9/14 09:10 Larrugui PH A.mOy?ed by; Microbac Laboratories, Inc. - Fayetteville Oil , Grcase (HEM) 12.7 n1gli. 01113i15 (JO)o NCH E. PA 1664 Rcv. B Total Suspended Solids 78.0 111811- 12/29/l4 10:00 JAO SM 2540 D-1997 QC Batch Ruts -• l.ahrrr[[lnrie,, lnr. - Fuyelre•rifln) �L'ttits Analvtc Rvsu!t -_ Snunx RPD Limit l-otal SuSpcndud Solids 204 mk"'L. K41Lo793 27 5 'total Suspended Solids 2(A nYS L K4Lo792 8 5 1'Otal Suspended Solids ND Ing/L. K4LO788 S rl� JAN 2 2 2015 BY-------------------- St.ue Cenihcatiuns: NCPNR 411 NCD()t 1937714 Respectlitlly Submitted DRAFT' R1;1'f.)I('I', UA'1'A SIJRJEC'1� TO (:1fAIVCiE Thank you for your business. u. Ph"M• runl'u'! Me 1Jiri,inn afamwer, Rob 1)ermer ur 910-M-1-020 "wh urrr ru:euin�s, Shu rnuv r+1vo r...J r .1- Trx•rnr Hn,rre•. f', evideni at previdrmfn.nrir,�rhur.rum . Microbac Laboratories, Inc. Page 1 of 2 2592 Hope Mills Road I Fayetteville, NC 283061 910.864.1920 p 1 910.864.8774 f I www.microbac.com STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG080000 CERTIFICATE OF COVERAGE NO. NCG08 FACILITY NAME PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Lab # Lab # FORM 11 (page 1 of 2) SAMPLES COLLECTED DURING CALENDAR YEAR 62 (This monitoring report is due at the Division no later than 30 days from the date the facility re�aives the sa pling esults f in the laboratory.) COUNTY L� PHONE NO. PLEASE SIGN ON THE REVERSE 4 Part A: Vehicle Maintenance Areas Monitoring Requirements. 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). Outfalt No. Date Sample Collected,. irnolddlyr 00530 00400 00556. Total. Suspended Solids, m /L - ; pH, Standard units Oil and Grease, m New Motor Oil Usage, Annual avers a al/mo Benchmark :. 100' .:. . -Within. .0 - 9.0 30 - d Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. nl Sv' rt B"/Qrt/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall: No. DATE. Sample. Collected, mo/dd/ r 00556. ;`00530:" 00400?>: Oil and Grease, m L Total -Suspended Solids, to /L = :.pH,. Standard units ' Permit Limit - ' 30 100 :.:. = '6.0"=-9.0 STORM .EVENT CHARACTERISTICS: Date ��q*t event sampled) Total Event Precipitation (inches): 40 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): FORM 11 (page 2 of 2) Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 possibili�y'qf fines and imprisonment for knowing violations." re of P'ErAttee) 2 (Date) Fast Bus Accounts Payable Post Office Drawer D Fayetteville NC, 28302 U Fayetteville Division 2592 Hope Mills Rd Fayetteville, NC 28306 910.864.1920 Phone 910.864.8774 Fax Certificate of Analysis Project: RunofflStormwater Sample 455 Grove Street, Fayetteville NC 1403417-01 Date Reported: March 29, 2014 Date Received: March 19, 2014 Date Sampled: March 18, 2014 Sampled By: Lagerri Lnalyte Result Units Analyzed Analyzed By Method Qualifier Analyzed by: Microbac - Fayetteville division Oil & Grease (HEM) <5.00 mg/L 3/28/14 14:30 MSL EPA 1664 Rev. B Total Suspended Solids 7.75 mg/L 3/20/t4 8:30 JTL SM 2540 D-1997 QC Duplicate Results Analyte Result Units Source RPD Limit Total Suspended Solids ND mg/L 1403421 5 Total Suspended Solids 276 mg/L 1403424 1 5 State Certifications: NCDNR #11 NCDOH 437714 USDA #3787 Respectfully Submitted Bonnie K. Sanders, Senior Project Manager Page 1 of 1 r- Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO80000 ! Z Date submitted � d CERTIFICATE OF COV E O G 0042 SAMPLE COLLECTION YEAR FACILITY N E SAMPLE PERIOD ❑ Jan -June July -De COUNTY ,(! II RECEIVE© or 9 Monthly' month PERSON COLLECTING SAMPLES G L` DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA LABORATORY Lab Cert. # JUN' 9 1 2019 ❑zero -flow ❑Water Supply [:]SA CQnV,nents sample ollec ion or analysis: CEt�-� iL i=1L�i [OtherV27_ �---� € VVR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than S5 gallons of new oil per month?,] yes ❑ no if yes, complete Part A) sLA Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) AV No discharge this period' Outfall Na.. . Date Sample:Collected . mo dd r 24=hour rainfall arnaunt, -Inches Narpolar Oil & Grease L Total Suspended Solids, ' m ' 4 :.New Motor or Hydraulic oil Usage, I mon Benchmarks ; : _ - 15 ; 100 or 50' Parameter Code "529 _: 01)W CO NCOIL ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. s For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. _ 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND; or other similar non - numerical format. When results are below the applicable limits, they must be reported in the format, "yIX mg_ll." where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX". Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 1 of 2 Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) ❑ No discharge this period' r Outiall* �' �:•..• Nab �,-�,�_k.::-�� ;:: `. 'u.,; .; D`ate.Sam ie R <Collected=� r r_,1Cmo/dd/.]►r) . r>' 24-hour`:ramfalL: mount, ,.... alntties; -Sam le:Collectedl r R mo/di!/yr k� ,.. ��'���8/Lnr: Total Sus rsed Pe� Solids,, .11? H` �5tandard'uffifts x,;�1=a. ''` [�on`P` olar oil & ZT"Se.r mg/L IPerm�tZlmlf �t -v x •-.... :+� Y„� �F. . �`.i-2 ): :Y'd.'-fin X' 3�a'i. �i3 �y.,..�—"r.�� >✓ -z �'. :. ,7..,. � � Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. FOR PART AAND PARTS 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 IE SECTION B. • T1ER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [I NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES []NO[] REGIONAL OFFICE CONTACT NAME: Mail an original copy a this DMR, including all "No Discharge" reportswithin 30 don of receipt 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: "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 significa enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." oe door ' nature ofrttee Date 7 Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DNR)[19P P Annual Update DATA REVIEW FORM Calendar Year Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCQT1MF0 F5q This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: County: Phone Number: Total no. of SDOs monitored Outfall No.. -,(., Is this outfall currently in Tier 2 (monitored monthly)? YesX No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No W If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Ye5X No ❑ �< r � �:. � 1C -yx:�'-�..�,.-Y-.�E_.`..•�r, �E`. a <inchest ...-:,.,.x ..-. :,, "` •`�� Parameter units' rr�-. � �1r w^ o,' } _ ,..-... ��--_,>I' �Yk-.�_. � �. 'Z;_ 25 r '-- * '� '�'i�' =Y ''� ._'��SreS; �,a'i"'... ~ Y 4'" . �S�u ;- -, _-,�r>��`. _:..e•'3x ,_..��'Y. ' �' -✓ Yvv.,: -�!� x��. -. <�� 'k� �•�gy _ "I a ;,,,� r,.. -a'S�.>.--� � 5.� f6 __'s.-- - r:�^.�''f5 ,> {s F� G=; �n" . a, v",t� - r ,� � . ;s �14;.`. .�� �?>;�i-,�- 'Benchmark Date Sample r s� SWU-264 - Generic Annual DMR Last revised W12018 Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ c x'Parameter -'S2' fit= <<,�� ,�., � � �" x'�.�� - � ,:,. .. : v x:�� s,• • •_YY� ;C .. � T;otal'� ems, ,� �• �I�ainfall �tZ+rx ,_�� inches • �,xxx.x<x�r < 'x:s t r;: .. •'l .,,w z ''r 5.' .._y \., i„'2tifi �,4('..ilx l (units}>Y�'z�.. _ f _ �1Sri_ �.5M25�Ya'�'• ^�i',': t�"` .�+}j'• < }�� �, � � s . � � r <x ;z ,t, .: ,=€ate �:: :;� fiF�S' `1."Ys-;C?'k� Y� �,.z ;� f� �. ,�_ .. � " - $ �, ', �. >�� ,� �, Ae.. z\ 7'v,e5�*i �. Xr�. �:� •x � � � `,�F i[tF .hf �Y �.�� ��.�� � � �. :f �t...y �.-�'-'��*��'_` s k�. � t-� �,A�w - '�is� ���k� 'g'O:",__--:�1s ;max • ;% �#�,�. s�� �_�.� � �� k :�,-z ��c :_ yT/-+(1(�! l+ �. x� fit` �;���r,� _; �, .�`x- �� - : �. Benchmark � ' NIA Date Sample _, �-� SWU-264 - Generic Annual D M R Last revised W 112018 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 fin_pa�and i%prisonment for knowing violations." Signature Date For questions, contact your local Regional Office: DEMLR Regional Office Contact Information: 2090 US Highway 70 Swannanoa, NC 28778 (828) 296-4500 3800 Barrett Drive Raleigh, NC 27609 (919) 791-4200 450 Hanes Mill Rd, Suite 300 Winston-Salem, NC 27105 Q36) 776-9800 _ __ 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910)433-3300 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 1617 Mail Service Center Raleigh, NC 27699-I617 _(919) 807-6300 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704) 663-1699 127 Cardinal Drive Extension Wilmington, NC 29405-2845 (910) 796-7215 SWU-264 - Generic Annual DMR- Last revised 6/01/2018