NCG100026_MONITORING INFO_20180724

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V uc 106 o a e
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ 2)ig bq aA"
YYYYMMDD

Or t
June 20, 2018
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Wagner's Auto Salvage, Inc.
4115 S. Alston Avenue
Durham, NC 27713
Permit No. NCG100026
Dear stormwater staff,
James Environmental
Inanageuient, inc.
Certified Mail
7017 3380 0000 6674 8673
RECEIVE[)
JUL 2 4 Zola
CfrNI 'r�AL FILES
I)\NR SECTION
On behalf of Wagner's Auto Salvage, Inc. James Environmental Management, Inc. is submitting the
enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the first semi-annual 2018
monitoring period.
Should you have any questions or require additional information, please feel free to call.
Sincerely,
C�#O� 6 Ovd1we
Marco Villarreal
Environmental Specialist
Mvilla rreal@ la mesenvironmenta Isom
Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy
CC: Pat Wagner
600 Round Ruck West Drive, Suite 201 • Itound hock, Texas 78681 • [phone] • 1 ax: [phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100026
FACILITY NAME Wagner's Auto Salvage, Inc.
PERSON COLLECTING SAMPLE(S) Pat Wagner
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Durham
PHONE NO. (800) 669 - 1673
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
----
77023
01051
78141
Ph,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/50z
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
05/22/2018
2.5
Analysis not
conducted
14
2.0
<12
0.0058
Exempt
002
05/22/2018
2.5
Analysis not
conducted
<5
2.7
<12
0.0060
Exempt
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
Form SWU-251, last revised October25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO),
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
&-7r, 4 c " ;g Ct,//9 & lye /L.
Name (Print name)
60 - fI W.-V e_ti
Title (Print title)
62izzz��-aI , - / 6 -!f
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: 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
P 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."
qL
(Signature of Permittee or Designee) (Date
Form SW U-251, last revised October 25, 2012
Page 2 of 2

December 1, 2017
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Wagner's Auto Salvage, Inc.
4115 S. Alston Avenue
Durham, NC 27713
Permit No. NCG100026
James Environmental
management, inc.
Certified Mail
7017 1000 0000 3417 7682
R
4 �� ROCS l�1� 14N1�
On behalf of Wagner's Auto Salvage, Inc., James Environmental Management, Inc. is submitting the
enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the second semi-annual
2017 monitoring period.
Should you have any questions or require additional information, please feel free to call.
Sincerely,
r's p1bgrT
Katharina Albert
Environmental Specialist
[e-mail]
ppn�
J4*
Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy
Cc: Pat Wagner
600 Round Rock West Drive, Suite 201 . Round Rock, Texas 78681 • [phone] + Fax: [phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100026
FACILITY NAME Wagner's Auto Salvage, Inc.
PERSON COLLECTING SAMPLE(S) Pat Wagner
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Durham
PHONE NO. (800) 669 - 1673
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfal I
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
- - - -
77023
01051
78141
Ph,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/502
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
11/09/2017
2.0
7.0
50
3.4
<12
0.018
Exempt
002
11/09/2017
2.0
7.5
31
2.0
<12
0.014
Exempt
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October25, 2012
Page 1 of 2

5TORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Ill'ATxi 6,4 W11G/y CA -
Name (Print name)
P-74-, Y A 6� Q2
Title (Print
title) /
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: 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."
p
(Signature of Permittee or
(Date
Form SW U-251, last revised October 25, 2012
Page 2of2

July 21, 2016
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Wagner's Auto Salvage, Inc.
4115 S. Alston Avenue
Durham, NC 27713
Coverage No.: NCG100026
James Environmental F;
►nanagenient, inc.
Certified Mail
7016 0910 0000 5548 9445
MVEH®
JUL 2 8 2016
CENTRAL FILES
DWR SECTION
On behalf of Wagner's Auto Salvage, Inc., James Environmental Management, Inc. is submitting
the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the first semi-
annual 2016 monitoring period.
Should you have any questions or require additional information, please feel free to call.
Sincerely,
&a, --
Emily Baca
Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy
cc: Pat Wagner
600 Round Rock West Drive, Suite 201 • Round Rock, Texas 78681 9 [phone] • Fax: [phone]

r�
STORMWATER DISCHARGE OUT€ALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 _0_ _2_ 6_ RECE VEPMPLES COLLECTED DURING CALENDAR YEAR: _2016
JUL 2 8 101QThis monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
CENTRAL FILES
FACILITY NAME _ Wagner's Auto Salvage, Inc. DWR SECTION COUNTY Durham
PERSON COLLECTING SAMPLE(S) _ Pat Wagner PHONE NO. (_800^)669-1673
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab # PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
----
77023
01051
78141
Ph,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/502
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
06/29/2016
1.5
7.9
12
<4.8
<12
0.0055
Exempt
002
06/29/2026
1.5
8.1
15
<1.8
<12
0.0063
Exempt
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Gt1 I-N �.� s AA In) S19— P/d 6-e r c P17 r (,)"f � �2
Name (Print name)
e.,z,
Title (Print title) 7/
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service
Center
Raleigh, North Carolina 27699-1617
N 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 or
{Date
r"?- 6 [ 6,
Form SWU-251, last revised October25, 2012
Page 2 of 2

�075
January 5, 2016
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Wagner's Auto Salvage, Inc.
4115 S. Alston Avenue
Durham, NC 27713
Coverage No.: NCG100026
James Environmental
management, inc.
K ciENED
30 1.$ �016
OW , r,
Certified Mail
7015 1730 00018256 4996
On behalf of Wagner's Auto Salvage, Inc., James Environmental Management, Inc. is submitting
the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the second
semi-annual 2015 monitoring period.
Should you have any questions or require additional information, please feel free to call.
Sincerely,
`b
Gabby Hernandez
Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy
cc: Pat Wagner
600 Round Rock West Drive, Suite 201 • Round Rock, Texas 78681 9 [phone] • Fax: [phone]

N
lD
M
N
C,
_ ff
7 :`�...-
=ti9L
A?+"W0%M a■ awl w Tir n�sn w A~■ /C i
ORIVII400-114750 COG
ITIFa:.:
G i R.. /� f4 i
PAIL VIVagner 18Vir-66va G G73
NT E--P.RATtiti DATE: -
1 r w w
i 21 12 1
�
trn. WR i AN i : S-Li[ 1 .S..a ilp:es SianQard Oyei {iig, it of. ice ddtll lSn 24 i ours of S�arrip;�.
t
collel:�an to:
-
r
Magners Auto Salvage, Inc.
TE i T ORDERED
ROM JEW
'lil,Pif2Gl�
Teat America Pensacola (lab;!
E4115 S. Alston Avenue
3355 IlAcLerrore Drive
'
1 ` `°°
j 250�3 - C rJ"
s, • ••� -�
• urham, G�c.s 21/ 713
Pensacola FL 32SU
1 ,
Samples ma be re acted if rgCeived of Me laboratoryat
a temperature above 4°Car
" = '
` ' "f4'�•
rS I,
.fir
; w.,Ra;
beyond the acceptable hold time.
' SAMPLE INFORMA i rON
PARAME T ER31PRESERVA T 1NUCOJNTfll{I ERS
3
o ` n
Field SAMPLE
z
CD
CL
:0.
CD
�
� `o :. � � C
m
�
�
m
?�
a o m
�
Filtered IDENTIFICATION
m
m
m
o c�a H �+
a
Cd
o
DATE
TIME
(This Is found on the Site Map,
� „
c
2
J v Q ~ W t7
0
O
0 z
Sampled
r°
Sampled
Y or N E.g. "Outfa11 #001"
m
IL
�
Plastic
HNO3
Red ur.
X
'
r
Plastic
Na
X
Grab
N
LGlass
H2SO4
Yet.1
M
X
OP HCI
BEUB
RAINFALL
EVENT INFORMATION
to of Raln E tt
eRa IfwYeri h
infall'Amouret (h►cil esp Via'
+
radon of i"ain�nt
I+�ui abet of daps ii`n4 0 i s3 )
l=ield ply tlAeter saditng
±y
„. S
§ftR14{aiu+a
tlx�n- ,•Q}k.. _ _ r. ,�c,r �„'
"tiY :emu. ^II`% i
•+rrr - Ewa : w
�,1y
. v s�iyw� r /� y�--,'ll q
LF�
.•
era,: s+
'(
Y 1 k
,tip 1�'�:TK
�rrc�j�.Y �TR."t.,.p F
- ����i.
f�
� I ?� 1' -
b+
�,. ,?�� ..�•..
`ac� _�
.../�,'. �1�1�1': '.�
�_ �
SY "�• _-.'Y!"e`.
`�
,��
' i-t .fi ;- ia.+ ?t, .[;r,-
���,.i/i'�!'�
DW. (Wavre)
NTED)
1mB
1 rFi'v,+
r:W�/�i �.+, •�`f inn
�nYL ..� V:
LINOUSHED BY; )'
NTED)
'
1ECEIVED BY: (&gnaruml
NTED)
ale:
srtre:
mle:
Mjnafure)
1NTED)
.I? Q
�1
HIPPEDVLk (CaunerName) RSILL(TraCWVNumber)
A
[ECEFVEDATLABRY:
Q.y •
CJ(
Date-
7ORY INSTREICTIONS:
RFPQRT & INVOICE CONTACT: ADO NOT SHIP SAMPLES TO THM ADEM2ESS1 6
Please immediately notify .tames Environmental Management, Inc. of any
problems regarding samples upon receipt, including violation of hold
ntal
James En Management, Inc.
Round Rock Rock West, Ste. #2D4
times or temperature prior to beginning the analytical process.6o0
Please
Round Rock, 78681
also notify us of any problems experienced as they occur during the
TEL [phone] FAX [phone]
analytical process.

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 0 2 6
FACILITY NAME Wagner's Auto Salvage, Inc.
PERSON COLLECTING SAMPLE(S) Pat Wagner
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Durham
PHONE NO.( 800 ) 669-1673
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
- - - -
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/502
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
12/02/2015
3
8.2
45
<4.9
<20
0.018
Exempt
002
12/02/2015
3
8.1
28
<4.9
<20
0.022
Exempt
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SW U-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
e
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
f!97- W46- f,-
Name (Print name)
- p al4le -
Title (Print title)
At— 2��
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date
"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 an 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%r Designee)
(Date)
Form SWU-251, lost revised October 25, 2012
Page 2 of 2

f►
January 28, 2015
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Wagner's Auto Salvage, Inc.
4115 S. Alston Avenue
Durham, NC 27713
Coverage No.: NCG100026
James Environmental
management, inc.
Certified Mail
7014 2870 0001 2710 0192
RECEIVE®
MAR 10 2015
CENTRAL FILES
DWR SECTION
On behalf of Wagner's Auto Salvage, Inc., James Environmental Management, Inc. is submitting
the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the second
semi-annual 2014 monitoring period.
Should you have any questions or require additional information, please feel free to call.
Sincerely,
Yujin Kim
Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy
cc: Pat Wagner
600 Round Rock West Drive, Suite 201 • Round Rock, Texas 78681 • [phone] • Fax: [phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 0 2 6
FACILITY NAME Wagner's Auto Salvage
PERSON COLLECTING SAMPLE(S) Pat Wagner
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Durham
PHONE NO.( 800 ) 669-1673
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
Date
00400
00530
----
77023 -
01051
79141
pH,
Total Suspended
Non -polar
Ethylene Glycol;
Lead,:Total
Total:Toxic
No.
Sample Collected,
Total
mo/dd/year
Rainfall,
Standard
Solids (TSS),
O&G/TPH
mg/L
Recoverable,
Org5nics3,
inches
Units
mg/L
(Method 1664
mg/L
mg/L
SGT-HEM), mg/L
1
8,000
Benchmark
-
-
6.0 — 9.0
100/50
15
(Tiers 2 and 3)
0.03
1.0
001
05/15/2014
3.0
6.6
37
3.8
<1.2
0.0061
Exempt
002
05/15/2014
3.0
6.6
25
2.0
<1.2
0.0027
Exempt
001
07/01/2014 —
12/31/2014
C9
002
07/01/2014 —
�•
12/31/2014
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or Stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
//9 7- CJ 19 6 /Y e /L.
Name (Print name)
C o - O w.y elz-
Title (Print title)
Signature
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date
"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 o4 Designee) (Date)
n
Form SWU-251, last revised October 25, 2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 0 2 2
FACILITY NAME Wagner's Auto Salvage, Inc.
PERSON COLLECTING SAMPLE(S) Pat Wagner
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Durham
PHONE NO.( 800 ) 669-1673
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
ammma
Part A: Stormwater Benchmarks and Monitoring Results
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
----
77023
01651
781141
pH;
Standard
Units
total Suspended
Solids.(TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT!H_EM), mg/L -
Ethylene Glycol;
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
3
Organics ,
mg/L
Benchmark
-
-
6.0 — 9.01
1001502
15
8,ODO.
(Tiers 2 and 3)
0:93 .
,
1.0.
001
01/18/2015
2
N/A
7.0
<5.0
<1.0
<0.0050
Exempt
002
01/18/2015
2
N/A
7.0
<5.0
<1.0
0.0078
Exempt
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, lost revised October25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
1Vfl r u1.+6-,,y e2
Name (Print name)
1V/I[ a,e_
Title (Print title)
Signature
Date
Mail Original and one copy to:
Division of Water Quality
Attn: 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."
oje,L.��
(Signature of Permittee or
(Date)
Form SWU-251, last revised October 25, 2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 0 2 6
FACILITY NAME Wagner's Auto Salvage, Inc.
PERSON COLLECTING SAMPLE(S) Pat Wagner
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
- - --- --— Lab # -
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Durham
PHONE NO.( 800 ) 669-1673
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00S30
- - - -
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
6.0 — 9.01
100/502
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
01/18/2015
2
N/A
7.0
<5.0
<1.0
<0.0050
Exempt
002
01/18/2015
2
N/A
7.0
<5.0
<1.0
0.0078
Exempt
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 11 of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, lost revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Monogement Pion Certificotion Stotement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
/fir
Name (Print name)
40 49 k.+/ir e,t
Title (Print title)
All
301
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this docLment 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 or
(Date)
Form SWU-251, lost revised October 25, 2012
Page 2 of 2

0
AA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance or1 f ding ow dris f mir. please visit: http://Vortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: NICI L�-,111 Iql 0l a,41 or Certificate of Coverage No.: N/C/G/ 1_I I_hhl
Facility Name: W/IGlye/e ,s. /}-uTp-V,9i-pi`6�e lYG
County: ---a
Inspector:
Net
Date of Inspection: /-/e
Time of Inspection: % • 0o /b-0
Total Event Precipitation (inches): cP2 `'
Phone No. V / 91— 7 vo
Was this a Representative Storm I -vent? (See information below) ❑ Yes &No
Please check your permil Io veri/,v if Qualitative Monitoring must be perTormed duritig a r•epreseruative
storm event (requirements var.)!}.
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 tip to 10 consecutive hours of no precipitation.
By this Signature. 1 certify that this report is accurate and complete to the best of my knowledge:
A;t-
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 00I Structure (pipe. ditch. etc.)
Receiving Stream: CRW& k
Describe the
industrial activities that occur within the outfall drainage area:
IA&- X r& v e Je a -,,el S c- I- [- 4 S& 4 /; 'IL 71 /08-4- 7- -f
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 0 W,1/
3. Odor: Describe an� distinct odors that the discharge may have (i.e., smells strongly of oil, wean
chlorine odor, etc.): / y /l/ e-
[Inge 1 of 2
S WU- 24 2- 2111206 E

4. Clarity: Choose the number which best describes the clarity of the discharge, where I 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 discharge, where 1 is no solids and 5 is 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 l is no solids and 5 is extremely muddy:
0 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
11). Other Obvious Indicators of Stormwater Pollution:
List and describe 69 W A /y- -s A 4 x t C t-o 13
�o c_KS o1v �'t 71v ateyeNf F2Q siyrV
Note: Low clarity, high solids, and/or the presence of loam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
swu-242-2012ur,13

•
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling arat this fnma, please visit: hitp://Vortal.ncdenr.org/web/wq/w,./sti/npde,,sw#tab-4
Permit No,: N1061 /l dl 6? 0l 0� & or Certificate of Coverage No.: N/C/GI`/_/— I_I—
I_I
Facility Name: W11 e/Yr X-C STD .S/7c 04 -_7/yC
County: Phone No. /9 ' 75/0 - 419.70
Inspector: Pe9 r e ti
Date of Inspection: `-/ `/.S
Time of Inspection: _ _f00 ,q212
z //
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes �Vo
Please check roam peranait to verifi7 rf Qualitative Monitoring mast be lrerfornned thiring a represeataiive
storm event (requirements vurv).
A "Representative Storm Event'' is it storm event that measures greater than 0.1 inches of rainfall and (hilt
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 conseculive hours of no precipitation.
................. ..... ..... ,...... -.,. _.-....,-. -. _._...-._.._._._..-._.__. .
By this signature. I certify that this report is accurate and complete to the best of my knowledge:
M
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 00 Structure (pipe, ditch, etc.) /
Receiving; Stream: 6'/W6 /�Yt12-
Describe the industrial activities that occur within the outf-all drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 7L- - -- _„—
3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.): - .&(7ly ra
Page I of 2
SNVU-242-20120613

•
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
l � 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:
0/ 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount ol' suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
D2 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 Cp
9. Is there evidence of erosion or deposition at the outfall? Yes No
ltl. Other Obvious Indicators of Stormwater Pollution:
Dist 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
S W U-242-20120613

April 8, 2015
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Wagner's Auto Salvage, Inc.
4115 S. Alston Avenue
Durham, NC 27713
Coverage No.: NCG100026
James Environmental
inauageutient, inc.
Certified Mail
7014 2870 0001 2710 0758
RECEIVED
EU
NAY 1 I 015
CENTRAL FILES
DWR SECTION
On behalf of Wagner's Auto Salvage, Inc., James Environmental Management, Inc. is submitting
the enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the first semi-
annual 2015 monitoring period.
Should you have any questions or require additional information, please feel free to call.
Sincerely,
Gabby Hernandez
Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy
cc: Pat Wagner
600 Round Rock West Drive, Suite 201 • Round Rock. Texas 78681 • [phone] •lax: [phone]

June 30, 2014
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Wagner's Auto Salvage
4115 S Alston Avenue
Durham, NC 27713
Coverage No.: NCG100026
James Envfronmeritaf
management, inc.
Certified Mail
7013 0600 0001 8195 6513
�Q
"G 0 0 2014
C 0WQB FILES
OG
On behalf of Wagner's Auto Salvage, James Environmental Management, Inc. is submitting the
enclosed Stormwater Discharge Outfall Monitoring Report and one copy for the first semi-
annual 2014 monitoring period.
Should you have any questions or require additional information, please feel free to call.
Sincerely,
_x q�l
Gabby Hernandez
Enc. Original Stormwater Discharge Outfall Monitoring Report and one copy
cc: Pat Wagner
600 Round Rock West Drive, Suite 201 • Round Rock, Texas 78691 • [phone] 9 Fax: [phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CERTIFICATE OF COVERAGE NO. NCG100 0 2 6
FACILITY NAME Wagner's Auto Salvage
PERSON COLLECTING SAMPLE(S) Pat Wagner
CERTIFIED LABORATORY(S) TestAmerica Pensacola Lab # 314
Lab #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY Durham
PHONE NO.( 800 ) 669-1673
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
For sampling periods with no discharge, you must submit this discharge monitoring form noting "No Flow" or "No Discharge" within
30 days of the end of that period to comply with permit reporting requirements.
Outfall
No.
Date
Sample Collected,
mo/dd/year
Total
Rainfall,
inches
00400
00530
----
77023
01051
78141
pH,
Standard
Units
Total Suspended
Solids (TSS),
mg/L
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), mg/L
Ethylene Glycol,
mg/L
Lead, Total
Recoverable,
mg/L
Total Toxic
Organics3,
mg/L
Benchmark
-
-
1
6.0 — 9.0
2
100/50
15
8,000
(Tiers 2 and 3)
0.03
1.0
001
05/15/2014
3.0
6.6
37
3.8
<1.2
0.0061
Exempt
002
05/15/2014
3.0
6.6
25
2.0
<1.2
0.0027
Exempt
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 in the General
Permit.
1See If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were below the benchmark pH range of 6-9.
2See General Permit text to identify whether the more protective benchmark applies for especially sensitive receiving waters.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Form SWU-251, last revised October 25, 2012
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
?A T w� •��
Name (Print name)
CV `
Title (P it title) p/ /
0;
Signature Date
Mail Original and one copy to:
Division of Water Quality
Attn: 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."
(Signature of Permittee or
�G
(Date)
Form SWU-251, last revised October 25, 2012
Page 2 of 2

•
•
•
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: littL)://portal.iiedeni-.org/web/wy/ws/su/npdessw#tab-4
Permit No.: NICI ll d/ 4 0l 0/ 0/ dl or Certificate of Coverage No.: N/C/G/ !I a0/ d1-?-(0
Facility Name: _ !+'f} ,y ems- /9-tt Ty -r,+ L ic ='/YC,
County: l.L+
Inspector: 4/ 4- Cr
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Phone No.
WICIA"%
Was this a Representative Storm Event? (See information below) [O'Yes ❑ No
Please check Your permit to verify if Qualitative Monitoring must be performed during a represettiative
storm event (requirements va)Y).
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. l inches has
occurred A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
o� �
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 4?0/ Structure (pipe, ditch, etc.) ,U 1
Receiving Stream: "' ,Zr, A . v E � 1.3'JL-C -'Y
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium. dark) as descriptors: `fr✓1�-�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): -1) 1
S W U-242-20120013
Page l of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
l � 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
l C 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 saand 5 is extremely muddy:
(2 j 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 e
9. Is there evidence of erosion or deposition at the outfall? Yes No
� sty
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 4 U
•
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.
S W U-242-241120613
Page 2 of 2

•
L`
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling 0111 111is farm, please visit: lit(p:/Ipot-til.ncdeiii-.org/web/wq/WS/SLI/npdessw#tib-4
Permit No.: N/Cl/l C/O1 O/i9 /O/O /Oor Certificate of Coverage No.: N/C/G/! / 0/ 01 01a 61
Facility Name: +6-/Y eiL &j, -r a . S 4 i v-6 & P . L Al C.
County: Phone No. % / 9" % y o - V 9 7V
Inspector: /V e /2-
Date of Inspection:
Time of Inspection: r%.' J O M
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) mlyes ❑ No
Please check -our permit to verify if Qualitative Monitoring must her performed during cr representative
sfm7n ei ent (reefulremews varl').
............................... ...,., . _ ... .-.-,,....................................................................
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'Asinglestormevent maycontaintpto10consecutivehours of
...... .....i.o.........................
By this signa ure, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 0 0 -1- Structure (pipe, ditch, etc.)
Receiving Stream: C I:fCt -;Z� /.V'L- v tAld".%-
Deseribe the in ustrial activit es that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
S W U-242-20 t 206 r 3
Page 1 of 2

•
•
•
4." Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
l � 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:
1 r2 J 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 0 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 QNo
10. Other Obvious In�di%cators of Stormwater Pollution:
List and describe / � r)A-P�
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.
SWU-242-20120613
Page 2 of 2