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NCG080794_MONITORING INFO_20181218
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ pul`s ) ,� N YYYYMMDD 0 0 0 STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Original And One Coel To Mailing Address On Back Of This Form GENERAL PERMIT NO. NCG080000 Part A: Facility Information Samples Collected in Calendar Year: 2018 (all samples shall be reported following receipt from lab, but no later than January 31 of the followingyear) Certificate of Coverage No. Facility Name Facility Contact Facility Contact Phone No. NCG08 0794 YRC Inc. (Wilson 650) MICHAEL BLAUTH (252) 977-0945 Part B: Vehicle Maintenance Activity Monitoring Require ents County of Facility RIE 0a r Laboratories Lab Certification #'s DF c 18 Zola CENTRAL FILES QVdR `ErT10N NASH "Outfall No. Date Sample Collected 50050:. 00400' 00545: : 00556.., . Total Flow`' pH Total Suspended Solids Oil' and Grease NeK .Motor Oil ' Usa``'e mmldd/vr MG units m I m 1. gallmonth 001 Jul — Dec 2018 No samples this period — new motor oil usage is less than 55 gallons +I- 25 F_—o02 Represented by SDO-001 Part C: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals Outfall No. Date Sample Collected 50050 00400 00545 00556 Total Flow pH Total Suspended Solids Oil and Grease mm/Myr MG units m I m l rom, S W U-250-071400 Page 1 of • STORMWATER DISCHARGE MONITORING REPORT (DMR) Part DI -Storm Event Characteristics Total Event Precipitation (inches): Event Duration (hours): (if more than one storm event was sampled) Total Event Precipitation (inches): Event Duration (hours): "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." �S'ignature of P rmitt (Date) MAILING ADDRESS: Attn: Central Files NCDEQ 1 DWR 1617 Mail Service Center Raleigh, NC 27699-1617 Form SWU-250-071400 Page 2 of 2 0 0 0 STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Original And One Copy To Mailing Address On Bach Of This Form GENERAL PERMIT NO. NCG080000 Part A: Facility Information Samples Collected in Calendar Year: 2018 all samples shall be reported following receipt from lab, but no later than January 31 of the following year) Certificate of Coverage No. Facility Name Facility Contact Facility Contact Phone No. NCG08 0794 County of Facility NASH YRC Inc. (Wilson 650) RE FIN IF[, —Name of Laboratories MICHAEL BLAUTH B, C 18 2018 Lab Certification #'s (252) 977-0945 Cc�� fFZG.L tiLE` DWR SP-CTION' Part B: Vehicle Maintenance Activity Monitoring Requirements Outf all No. Date Sample Collected 50650 00400 00545 0055G Total' . now pH Total Suspended Solids ... Oil and Grease New Motor Oil Usa e mm/dd/ r MG units m I mg/1 al/month 001 Jan - Jun 2018 No samples this period - new motor oil usage is less than 55 gallons +l- 25 F--002 I Represented by SDO-001 Part C: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals Outfall No. Date Sample Collected 50050 00400 00545 - 00556 Total Flow pH Total Suspended Solids Oil and Grease mmldd/vr MG units m I mgA Form SWU-250-071400 Pa-e I of 2 0 0 9 STORMWATER DISCHARGE MONITORING REPORT (DMR) Part D: Storm Event Characteristics Total Event Precipitation (inches Event Duration (hours): (if more than one storm event was sampled) Total Event Precipitation (inches): Event Duration (hours): "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." s. I Z/J O // (Signature of ermittee (Date) MAILING ADDRESS: Attn: Central Files NCDEQ 1 DWR 1617 Mail Service Center Raleigh, NC 276994617 Fomi SWU-250-071400 Page 2 of 2 0 STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Original And One Copy To Mailing Address On Back Of This Form Part A: Facility Information Samples Collected in Calendar Year: Certificate of Coverage No. Facility Name Facility Contact Facility Contact Phone No GENERAL PERMIT NO. NCG080000 2017 (all samples shall be reported following receipt from lab, but no later than January 31 of the following year) NCG08 0794 County of Facility NASH YRC Inc. (Wilson 650) Name of Laboratories MICHAEL BLAUTH Lab Certification #'s (252) 977-0945 Part B: Vehicle Maintenance Activity Monitoring Reauirements Outfall No. 'r, Date Sample -CollectedpH 50050 00400 00545 00556 Total Flow Total Suspended Solids Oil and, Grease New Motor Oil Usage mm/dd/ r MG units m h mg/1 gaumonth 001 Jul — Dec 2097 No samples this period — new motor oil usage is less than 55 gallons +l- 25 002 Represented by SDO-009 Part C: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals Outfall No: Date Sample Collected 50050 00400 00545 00556 Total Flow pH Total Suspended Solids Oil and Grease e mm/dd/ r .MG ,units' mg1l m 1 RECE FO MAR 0 2 Z019 CENTRAL FILES DWR SECTE0"4' Form SWU-250-071400 Page i of 2 STORMWATER DISCHARGE MONITORING REPORT (DMR) Part D: Storm Event Characteristics Total Event Precipitation (inches): Event Duration (hours): (if more than one stone event was sampled) Total Event Precipitation (inches): Event Duration (hours): "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." (Sig ture of Permittee (Date) MAILING ADDRESS: Attn: Central files NCDEQ 1 DWR 1617 Mail Service Center Raleigh, NC 27699-1617 Dorm SW-U-250-071400 Page 2 of 2 0 9 0 STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Original And One Co To Mailing Address On Back Of This Form GENERAL PERMIT NO. NCGO80000 Part A: Facility Information Samples Collected in Calendar Year: 2016 (all samples shall be reported following receipt from lab, but no later than January 31 of the following year) Certificate of Coverage No. NCG08 0794 County of Facility NASH Facility Name YRC Inc. (VIIiISon 650) Facility Contact MICHAEL BLAUTH Facility Contact Phone No. (252) 977-0945 Part B: vehicle Maintenance Activitv Monitorinc Reauirements Name of Laboratories Lab Certification #'s is C ��N /C C_ OCT 2 8 20162 8 2016 CENTRAL FILES ©WR SECTIO' 00tfa1l No Date Sample £ollected 50050 00400 00545 00556 Total �.. ,� - Flow. pH Total Suspended .. Solids Oil and Crease New Mator 0i1 Usage mm/ddl r MG units m /C_' rn.. a-j th 001 Jan — Jun 2016 No samples this period — new motor oil usage is less than 55 gallons +/- 25 �_002 Represented by SDO-001 Part C: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals Outfall No.,Sample Date C011eeted 50050 00400 00545 • 00556 Total, Flow - , pHY; Total SOspen'ded' Solids . Oil apd,Grease, mm/dd/ r ' 1vIG, - tinrts Form SWU-250-071400 Page i of 2 0 • 0 STORMWATER DISCHARGE MONITORING REPORT (DMR) Part D: Storm Event Characteristics Total Event Precipitation (inches): Event Duration (hours): (if more than one storm event was sampled) Total Event Precipitation (inches): Event Duration (hours): "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance • with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 6/3 o�j/. * ature of Permittee- (Date) MAILING ADDRESS: Attn: Central Files NCDEQ 1 DWR 1617 Mail Service Center Raleigh, NC 27699-161.7 Donn SWU-250-071400 k'age 2 of STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Ori final And One CoEy To Mailin Address On Back Of This Form �!�7 ' _ '7 I li�[���[�h%1IIIIIII7 Part A: Facility Information Samples Collected in Calendar Year: 2015 (all samples shall be reported following receipt from lab, but no later than January 31 of the following year) Certificate of Coverage No. NCG08 0794 County of Facility NASH Facility Name YRC Inc. {Wilson 650) Nance of Laboratories Facility Contact MICHAEL BAUTH Lab Certification #'s Facility Contact Phone No. (252) 977-0945 Part B: Vehicle Maintenance Activitv Monitoring, Reauirements Outfall No. Date Sample Collected 50050 00400 00545 00556 Total Flow. pH Total Suspended Solids Oil and Grease New Motor Oil Usage mm/ddt r MG units m /l m /l al/month 001 July - Dec 2015 No samples this period - new motor oil usage is less than 55 gallons +1- 25 002 Represented by SDO-001 Part C.' Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals Outfall No. Date Sample Collected 50050 00400 00545 00556 Total Flow pH Total Suspended Solids Oil and Grease mm/dd/yr MG units mg/1 m /l Form SWU-250-071400 Page 1 of 2 • STORMWATER DISCHARGE MONITORING REPORT (DMR) Part D: Storm Event Characteristics Total Event Precipitation (inches): Event Duration (hours): (if more than one storm event was sampled) Total Event Precipitation (inches): Event Duration (hours): "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 Perm MAILING ADDRESS: NCDEQ 1 DWR Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 (Date) Fonn SWU-250-071400 Page 2 of 2 0 0 0 STORMWATER DISCHARGE MONITORING REPORT (DMR) �pV Please Mail Original And One Copy To Mailing Address On Back Of This Form CENTRP.L FILES GENERAL PERMIT NO. NCG080000 pWR SECTION Part A: Facility Information Samples Collected in Calendar Year: 2015 all samples shall be reported following receipt from lab, but no later than January 31 of the following year) Certificate of Coverage No. NCGOS 0794 County of Facility NASH Facility Name YRC Inc. (Wilson 650) Name of Laboratories Facilitv Contact CLINT CARTER Lab Certification #'s Facility Contact Phone No. (252) 977-0945 Part B: Vehicle Maintenance Activity Monitoring Reauirements Outfall No. Date Sample Collected 50050 00400 00545 00556 Total Flow pH Total Suspended Solids Oil and Grease New Motor Oil Usage mm/dd/yr MG units m i mg/1 al/month 001 Jan — Jun 2015 No samples this period— new motor oil usage is less than 55 gallons +1- 25 002 Represented b SDO-001 Part C: Oil Water'ienarators and Secondary Containment Areas at Petroleum Bulk .Station and Terminal; Out ra II No. Date Sample Collected 50050 00400 00545 00556 Total Flow pH Total Suspended Solids Oil and Grease mmlddlvr MG units mg/1 m tl cz a.,m ft"C Form SWU-250-071400 Page I of 2 • STORMWATER DISCHARGE MONITORING REPORT (DMR) Part D_ Stornt Evem Characteristics Total Event Precipitation (inches): Event Duration (hours): (if more than one storm event was sampled) Total Event Precipitation (inches): Event Duration (hours): "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." (Signature of Permittee (Date) MAILING ADDRESS: Attn: Central Files NCDENR / DWQ 1617 Mail Service Center Raleigh, NC 27699-1617 Form SWU-250-071400 Page 2 ol'2 0 0 is Part A: Facility Information STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Original And One Copy To Mailing Address On Back Of This Form GENERAL PERMIT NO. NCGO80000 VtEeENED Gov o ZW5 C WR S CTION VILES Samples Collected in Calendar Year: 2014 all samples shall be reported following receipt from lab, but no later than January 31 of the following year) Certificate of Coverage No. NCG08 0794 County of Facility NASH Facility Name. YRC Inc. (Wilson 650) Name of Laboratories Facility Contact CLINT CARTER Lab Certification Ws Facility Contact Phone No. . (252) 977-0945 Part R: Vehicle Maintenance Activity Monitoring Reauirements Outfall No. Date Sample Collected - _ ,. 50050 00400 00545 00556 Total Flow pH Total Suspended Solids Oil and Grease New Motor Oil Usage mm/dd/ r MG units m I mg1l al/month 001 Jan - Jun 2014 No samples this period - new motor oil usage is less than 55 gallons f/- 20 002 Represented by SDO-001 Part C' • Oil Water .Senaratnrs and .Serondary Cnntainment Areas at Petroleum Rulk .Slatinn and Terminals O utfa ll No. Date Sample Collected 50050 00400 00545 00556 Total ` Flow `pit Total Suspended Solids Oil and Grease mm/dd/ r MG units m m /l Form SWU-250-071400 Page I of 2 W" rEWM+ CM3 C= 00 ■.9 l 0 0 0 STORMWATER DISCHARGE MONITORING REPORT (DMR) Part D: Storm Event Characteristics • .. [ • Total Event Precipitation (inches): Event Duration (hours): T (if more than one storm event was sampled) Total Event Precipitation (inches): Event Duration (hours): "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." Za r SG (Signature of Permittee (Date) MAILING ADDRESS: Attn: Central files NCDENR / DWQ 1617 Mail Service Center Raleigh, NC 27699-1617 Form SWU-250-071400 Page 2 of 2 STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Original And One Copy To Mailing Address On Back Of This Form GENERAL PERMIT NO. NCGO80000 Part A: Facility Information Samples Collected in Calendar Year: w2014 all samples shall be reported following, receipt from lab, but no later than January 31 of the following year) Certificate of Coverage No. �NCG08-.::0794--3 County of Facility NASH Facility Name YRC Inc. (Wilson 650) Name of Laboratories Facility Contact CLINT CARTER Lab Certification Ws Facility Contact Phone No. (252) 977-0945 CENTRAL FILES DWR SECTION Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No - Date Sample Collected 50050 00400 00545 00556 Total plow, pH Total Suspended Solids Oil and Grease New Motor Oil Usage mmldk r MG units mo mg/1 al/month 001 July— Dec 2014 No samples this period — new motor oil usage is less than 55 gallons {/- 20 002 Represented by SDO-001 Part C: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals Outfall No. Date Sample Collected 50050 00400 00545 00556 Total Flow, pH Total Suspended Solids Oil and Grease mmldd/ -r MG units mgjl m I Donn SWU-25M71400 Pagc I of 2 0 0 0 'irY.1'271: STORMWATER DISCHARGE MONITORING REPORT (DMR) Part D: Sturm Event Characteristics Total Event Precipitation (inches): Event Duration (hours): (if more than one storm event was sampled) Total Event Precipitation (inches): Event Duration (hours): "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." 0ature of Permittee (Date) MAILING ADDRESS: Attn: Central Files NCDENR 1 DWR 1617 Mail Service Center Raleigh, NC 27699-1617 Form SWU-250-071400 Page 2 of 2