NCG160090_MONITORING INFO_20110301

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ a n11 � 3 D �
YYYYMMDD

ii
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITOFyNG REPORT (DMR)
Calendar Year A V
General Permit No. NCG160000
C 'f' i 5©®M�❑
--FRO
erti �cate of Coverage No. NCG MAR 0 1 2011
This monitoring report summary Is due to the DW4 Regional Office no later than 30 d tr�fr�m the date
the facility receives laboratory sampling results from the final sample of the calend x eai�i
Facility Name 2,(a.-t r&1 I i
County: 4�m J*
Phone Number: 1. 1 i O j A- •
Total no. of SDOs monitored
Outfall No. I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No E�
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 ❑
Outfall
;Total Rainfall, Inches
00530
00400
00556
TSS, mglt.
pH, s•u•
Total Petroleum
� B H drocarbons m IL
Y
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected
molddly r
2 Z r. � 3 t', M,.r' A7
`s ' �� �� i
M. .( L �'. .1', .N5/•f / �H
t`',
eft A�
� i�rtt. 3._ ..+�YU �
t i.� � h' u.w1'.' 1
r'� '$ k I ,
Ir F ( {n .1� i ll, i s dl, OIL�
It
r
SW U-250NCG 16-051709

r
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 ❑
:Outfall =` ` J `
k�f,
Total Rainfall, inches„
00530
.•00400 :;"
00556.
..
TSS, mglL
�.pH, s u.>>
-Totai_Petroleumt
`Hydrocartions;=mg/L.
Benchmark
N/A
100
6.0 — 9.0
15 ..•
Date Sample Collected,
tam
molddlyr �'
SW U-25ONCG 16-051709

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCGI60000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16U[0@FU7 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 sampling results from the laboratory.)
FACILITY NA IIE ifi l/k.iCOUNTY '
PERSON COLLECTING SAMPLES ' PHONE NO. , Ik% =
CERTIFIED LABORATORY_ Lab #
Lab #
Monitoring Requirements at j z-,r
Outfall
No.
Date
Sample Collected,
mo/dTKr
Total Rainfall,
inches
00530
00400
6FS56
Total Suspended Solids, mgll
pH,
Standard units _
Total Petroleum Hydrocarbons, mg/1
EPA Method 1664 (SGT-HEM)
Benchmark
-
100
Within 6.0 — 9.0
15
1 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General permit.
Mail original and one copy to:
Division of Water Quality
Atm: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that
++there are significant penalties for submitting false information, including the possibility of fines and imprisonment for [mowing violations."
,14-,=0"
(Signatu$e of Pe v •ttee)
3ra S 0
(Date)!)
4r'
SWU-253-051409
Page 1 of 1

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16K10U®
FACILITY NAME
PERSON COLLE(:
CERTIFIED LABORATORY Lab #
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: _ Q 'j
(This monitoring report is due at the Division no later than 30 days from the date
the facility receives the samplinggresults from the laboratory.)
COUNTY - - [_4h_f_H w ---
PHONE NO. ! C'`".-
Monitoring Requirements uirements /i
1 A 4� Ij 101j
Outfall
No.
Date
Sample Collected,
moldd/yr
Total Rainfall,
inches
00530
00400
0055 .
Total Suspended Solids, mg11
pH,
Standard units .
Total Petroleum Hydrocarbons, mg/l
EPA Method 1664 (SGT-HEM)
Benchmark
-
-
100
Within 6.0 -= 9.0
15
1 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central -Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for Mowing violations."
,
{Signature of PermitteV
cy 0
(Date) r
S WU-253-051409
Page 1 of 1

STORMWATER DISCHARGE OUrFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGI60000
CERTIFICATE OF COVERAGE NO. NCG16 0Q 9e7
FACILITY NAME 7)3aYr\�"Ak 6n2� ' (.'D._Ua��W
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S)c-Y)�y�,,nogk::�,,\%-NC--1,2b# �(b
1,211 #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: \99
(all samples collected during a calendar year shall be reported no later than
January 31 of the following year)
COUNTY �yr_%r4
PHONE NO-0 M ) Ka-3-1 Oa I
C-AA�
(SIGNATURE OF PERMul I E OR DESIGNEE)
By this signature, I certify that this report Is accurate
complete to the best of my knowledge
0 u t fa I 1'; L
Date
50050
00340
-ToWg
Chendad:;',i���
pil g
Oil and Grease
No.-
—
Collected
�
y "
_o,
A
Demand
rnp,4
unit:-
1 q&
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes --no
(if yes. complete Part 8)
Part B: Vehicle Maintenance Activity Monitoring Requirements
'A &�
RECEIVED
JUN 0 2 1998
FAAETTEWLLE
REG. OFFICE
5000050Z.-I
39MO
99W
Sfi i:&'
ZqWFlbWjW---
Oil and Grease
Lead, Total
Deterge
mts
PWIA$ il;
New Mutor�Oil
Collected'
A;Z_
2
R ecove"hip
A
T rwA ­77­7
unit 77- -�7
-7
Rav 77- .7 7:
is-. 0
STORM EVENT CHARACTERLSTICS:
Date :5PINS 14
Total Event Precipitation (inches):
Event Duration (hours): $ =
(if more than one storm event was sampled)
Date
Total Event Precipitation (hicbes):
Event Duration (hours):
Page I of 2
Mail Original and one copy to:
Attn: Central Files
DEHKR
Division of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
71:
Form MR16

Footnotes:
I Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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. Rased 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 foes and imprisonment for knowing violatiyeusn,
(Signature of Permittee) (Date)
•-c
N
CO
CO
r
Page 2 of 2
Form MR16

Certificate of
Facility N
County -
inspector;
STORMWATER DISCHARGE OUTFALL (SDO)
VISUAL MO\fITORR G REPORT
No. NCG O <j 0 _
Date of Inspection;.--- - S- l
By this signature, I certify that this report is accurate and complete to the best of my
knowledge: , ,.-I n
(Signature of permitzi�-% or designee)
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.):_
Receiving Stream: - r\ a-N-vp—
Des�the industrial actinides that occur within the autfall drainage area:
ma` r`pr� ctu��; cnn
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
1 w 1
3. Odor
Describe any distinct odors that the discharge may have (Le. smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
8n 194

I . 9. ff
4. Clarity
Choose the number which best desmbes the clarity of the discharge where 1 is clear and 10
is very cloudy.
1 �2 3 4 5 6 7 8 9 10
S. Solids
Choose the number which best desm'bes the amount of solids in the stormwater discharge
where 1 is no solids and 10 is eMemely muddy:
2 3 4 5 6 7 8 9 10
6. Foam
Is there any foam in the starmwater discharge? YES 'Q
7. Oil Sheen
Is there an oil sheen in the storma-ater discharge? YES
8. OutfalI Staining I .
Describe any staining around the s=water outfalh
n
9. Other Indicators
Describe any other obvious indicators of stormwater pollution.
l)d✓12
NOTE: Low clarity, high so l � r thePresence of foam, oil sheens, }r outfall
staining may be Indic oil"te ire. These conditions may warrant
further investigation.
Page 2 of 2 &n/94

09/20/04 MON 10:46 FAX [phone] BARNHILL RMT
r
QA 0 01
STORMWATER DISCHARGE OUTFALL {SDO)
QUALITATIVE MONITORING REPORT
Certificate of Gov ge No. N''hhCG U" l
Facility Name: K`h'�\A
Phone No.: ff�'L 7 t 01 4
Inspector: —A-9
Date of Inspectign:
,.
By this signature, l certify that this report is accurate and complete to the beat of my
knowledge:
(Sig►iamre OlPem4ie ar D rgnee)
L Outfall Description
Outfall No.: I Structure
Receiving Stream:
Describe the `trial activities that occur
2. Color
ditch, etc.):
the outfall drainage area:
Describe the color of the discharge using basic colors (red, brown, bhre. m) and tint
(light, medium, as Atom
l:c
3. Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak
chlorine odor. exj:
___..._,.. 1, n--J .
I I/17M

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09/20/04 MON 10:54 VAX 252 824 $276 BARNHILL RMT IM001
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy:
2 3 4 S 6 7 8 9 10
S. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwata
discharge where 1 is no solids and 10 is the surface covered in floating solids:
(i) 2 3 4 S 6 7 8 9 10
6. Suspend ad Solids
Choose the number which best describes the amonat of suspended solids in the
stormwater discharge where i is no solids and 10 is extemely muddy.
2 3' 4 S 6 7 8 9 10
7. Foam
Is theta any foam in the stormwater discharge? YU
tgpl-
8. Of] Sheen
1s there an oil sheen in the stomwater discharge? YES 4P
9. Other Obvious Indicators of Stormwater Pollution:
List and describe:
NOTE: Low clarity. high solids and/or the presence of foam or oil shoens may be
indicative of pollutant exposure. These conditions may warrant fartha
investigation.
11/17M

STORNWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG160000 SAMPLES COLLECTED DURING CALENDAR YEAR: 7-0 0 30
CERTIFICATE OF COVERAGE NO. NCGIO 0OCtO (II& monitoring report shA be received by the Division no later than 30 days from
the date tM flatillty receives the rno the laboraft".)
FACILITY NAME Ltli Q, %4"t- dp4k COUNSaTY
PERSON COLLECTING SAMPLE(S) ff0cjjj&r N PHOMMO. Q&Zoa-L
CERTIFIED LABORATORY(5) ----..tab k _V0
-tAb #— (SIG TURR OF PERmjrIEZ0R DESIGNEE)
By this slpatur% I certify that this report is accurate
complete to the best of my knowledge
Part A: Specift Monitoring Requirements
:M1
TpS
L
k
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?— yes
(if yes, complete Pan 8)
Part 8: Vehicle Maintenance Acdvitv Monitorlin Reauirements
iv
�K-77777,7i
�W7 7 F
77,
STORM EVENT CHARACTERISTICS. -
Date I L240 31
Total Event Precipitation fnx&a):
Event Duration (bours): -�Il-
Mall Original and ow *W to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Catalina 27699�- 1617
Form MR16
Pap I of 2

M
0
a
S
(if more than one storm event was sampled)
Thde
Total Erect Precipitation ids):
Event Duration (baurs):
"I certify, under penalty of law, that this document and all atfacha ents were prepared cruder my direction or supervision In accordance v t6 a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based an my higairy of the person
or persons who manage the system, or those persons direcdy responsible for gadwrhag the information, the Information submitted Is, to the best
of my Imawledge and belief, true, accurate, and complete. f am swage that there are significant penalties for submitting false inforondon,
Including the passibility of Sues and Imprisonment for lmowing violations."
4
j -Q64 -
(Slgnatnre of Permlttee)
4 t� W�43
(Date)
Farm MRl6
Page 2 of 2

to
0
0
0
Envirvunruent 1, Inc.
P(P-Rnr"85, 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page I of 1
Pil«1h't3?t) /66-62,()m • Fax (.252) `156-0633
i�eek:15
BARNHILL CONTRACTING (LILLINGTON)
C/O BARNHILL COI�TRACnNG
ATTN: M.R. DAVID GLOVER
P.O. BOX 1529
TARBORO NC 27886
(252) 8234921
COLLECTION�
llt:ih1 L:�C'Tllln'
---
CHLORINE
Ij UV
L] NONE
7
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CIiOPINENEIffRALtZEUATCOLLECTION
/
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I*iCHECK(tAB)
P
P
G
P
COINTAtNEFTYPE.PIG
C
A
C
B
CF{ElutfCALPRESERYATiON
A-NOE D-NAOH
B•HNO3 E-HCL
G - Ff,SO, F - ZINC ACETATE
G fNfiTHIDSULFAFE
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7:18
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S Q&LE LOCATION
DATE
I T1W E
Stormwater Discharge
+/
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CLAISATION;
WASFEWATER(NPDES)
DFINKINGWATER
DA41 -W
SOLID WASTE SECTION
UOTHER
�f 1j.3
i1:�
��
V/r�43
It: 1b
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SAMPLE5COLLECTED 3Y
(Please fto
nV rc ke t
SAMPLES FECEM D IN LAB t
ISHE Y151G){SAA6PLER)
PTE/IUE
°3 oe
BY r }
DATEfTA4{ECOMMENTS:
�1:1 c7
ED
TE,1W
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ED7/4
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DAiETIRtE
R Y (sIG.)
� �IA7-f M1AE
wrvED BY'(SIG,)
M9TIME
RORM 45
U Instructions for comoleGng this form are on the reverse side. Sampler must place a "C` for composite sample or a V for N o 83188
Crab sample in the blocks above for each parameter requested.

09/20/04 MON 10:50 FAX [phone] BARNHILL RMT IA008
1 • N
STORMWATER DISCHARGE OUTFALL (SDO)
QUALTTATTVE MONITORING REPORT
Certificate of Cov_Wge No. NCGw
Facility Nam
Msxp �ti k• f l0 n yi i FAQ
County: ''��_ Phone No.: (
Inspector: .1C
Date of Inspection;
010
By this signature. I certify that this report is aecutme and complete to the beat of my
knowledge:
(Signature a or Designee)
1. Outtall Descrlpdon
Outfall No. E Strucuare ape, Me t 0. .
Receiving Stream:—d � '-
the outfall drainage area:
/,
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, me4ium�dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak
chlorine odor, etc.):
1 1/17/97

09/20/04 IKON 10:56 FAX [phone] BARNRILL RMT Q005
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very clotaly:
2 3 4 S 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge where I is no solids and 10 is the surface covered in floating solids:
(1-5 1
2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
stormwater discharge where I is no solids and 10 is extemely muddy:
2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? YES
S. 011 Sheen
Is there an oil sheen in the stormwater discharge? YES
9. OtherObvious Indicators of Stormwater Pollution:
list and describe:
NOTE: Low clarity. high solids and/or the presence of foam or oil sheens may be
indicative of pollutant exposure. These conditions may warrant further
investigation.
t U17/97

STORMWATER DISCHARGE OUPFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGI60M SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE Na NCGIb Q (Ibis moultoring repori shall be received by the Division no biter than 30 days from
the date the facility receives the sampling Bults fro the laboratory.)
FACILITY NAME A' COUNTY I' C
PERSON COLLECTING SAMPLE(S) O. L
CERTIFIED LABORATORY(S) Lab #1Q
Lab t# (SIGNATURB OF PERMITTEE OR DESIGNEE)
By this dipmbu er I certify that this report is accurate
complete to the best of my knowledge
Part A: Specific Monitoring Requirements
(iuttpli.
DataOiiSO
_
-6030: '
�'ltllt8'r"
-
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no
(if yes, complete Part B)
Part S: Vehicle Maintenance Aeliviri Moniterine Reanhvments
O/� p '>
utfiall
'
ram• -
iRl[C Fy i
�r s
rs.S e-,,yy
.1iA1.7Y .:-tiy,F
/�/�rr�ti a -}
W.7�VR C2-00W�47r
r�>r`,-//�,--:.`
==�"'
1AI'tV{► �f y
i 5.}'��.•:'.''f'.�`s�i ..
i }ten S n,5
'-ti )III _ ♦, i
/� x ..�..�
'Jo S. ��+j 't;.
_ ';I:..;:�
s
�{�r�.�..� y. •5,
fi,
«f: ,�
n10/ %}•;
`M� a;- rw .'}
Th` ;
t11�t:.:- ,'i.,.gak
_
STORM EVENT CHARACTERISTICS:
Date ILA— �
Total ven! Predgitation (inches): +
Event Duration (hours): _ Z
Mall Original and one copy to:
Division of Water Quality
Ann: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Form MR16
Page 1 of 2

CO
0
0
(if more than one storm event was sampled)
Date T__w,
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 gnalitled personnel property 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 ittiormadon submitted is, to the best
of cry knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for subudWmg false information,
including the passibility of fees and imprisonment for knowing violations."
� �'- '� - L-- �' c� I
of rmiittee) (Date) (3'
Form MR16
Page 2 of 2

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Environment 1,.,;ic.
P.O. Box 7081.'11.4 ti7ftkmont Dr.
Greenville. NC 2'�i858
CHAIN OF CUSTODY RECORD
Page I T_ or ---'
Phone [phone],20 i • 1ax L'3?) ?J64 %i.i
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l �iLL1tIHVt iVLUkeviLvF�Hi S��JLLCLT�V
CIiLURINE
CLIENTs37 week: 15
rzt
pH CHECK MB)
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BARNIIILL CONTRACTING (LILLINGTON)
f`� N
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P
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CONTAINER TYPE.P/G
CIO BARINHILL CONTRACTING
ATTN.- MR. DAVID GLOVER
C
A
C
B
CHEMICALPRESERVATION
P.O. BOX 1529
TARBORO NC 27886
I`ccW"
A -NONE D-NAOH
[phone]
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B - HNO- E - i CL
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C - HzSO, F - ZINC ACETATE
COLLFCTION
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SAMPLE LOCATION
DATE
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5tormwater Discharge
OZ
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<z
CLASSIFICAT04:
0 WASTEWATER(NPDES)
L) DMNIQNGWATER
LJDMtaG1w
Lj SOLID WASTE SECTION
UOTHER -_ _,
SAMPLES COLLECTED BY:
{PIe35E Pr�Fj�J[��
Rol
S*,O- =S RECENED IN LABAT _ � `'.:�- IC
QU,78Y (S*.) PMPLERk
DATEMME
RE BY (Sits-)
TE WE
COMMENTS:
R ED
DATF/TIME
�j�/,Z
R GENED BY,{
!
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Ai6{51G.j#CZ
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BY ( )
ATFlTIME
RECElVEED 13Y
DATE-
Gil
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V
- FORM 65
Instructions for completing this form are on the reverse side. Sampler must place a'C" for composite sample or a'T for
Grab sample in the blocks above for each parameter requested. ' `' —

09/20/04 MON 10:52 FAX [phone] BARNHILL RMT
Q 010
BARMILL CONTRACTING MILLINGTON)
C/O BARNHILLs CONTRAC'TiNS
ATTN, MR. DA'VID GLOVBR
P.O. SOX 152§
TARBORO ,NC 27886
PARAMETERS
COD, mg/l
Tutal Suspended Residue, mwi
OR & Grease, mgll .
Lead, ugA
Starmwater Analysis Method
Discharge Date Analyst Cade
32
09/05M2
TBB
HACH9000
30
09/03/02
WNG
SM2540D
4.7
09/04/02
TNW
SM5520B
<9.0
09/11/02
MLII
LtPA239.2
Drinktep water IDr 37715
wastewater Its 10
IDO: 537
DATE COLLECTEDt 09/02/02
DATE REPORTED t 09/11/02
REVIEWED BYt
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09/20/04 MON 10:48 FAX [phone] BARNHILL RMT 4 004
STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Cov
Facility Na e:--t
County:
Inspector:
Date of Inspection:
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
4
(Signature ojPermittee or Designee)
1. Oudall Description
Outfall No.: strqctul
i
Receiving Stream:
De vib,e the industrialactivities tha011— t occ i
within the outfall drainage area:
x. 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.):
11117/97

09/20/04 MON 10:55 FAX [phone] BARNHILL RMT
i 3
W 003
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy,
1 V 3 4 5 6 7 8 9 10
S. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge where I is no solids and 10 is the surface covered in floating solids:
I 3 4 5 6 7 ti. 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the.
stormwater disc a where 1 is no solids and 10 is extemely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? YES `L"1
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES
9. Other Obvious Indicators of Stormwater Pollution:
List and describe:
NOTE: Low clarity, high solids and/or the presence of foam or oil sheens may be
indicative of pollutant exposure. These conditions may warrant further
investigation.
11/17/97

ON
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING R "-ORT
GENERAL PERMIT NO, NCGI60000 SAMPLES COLLECTED DURING CALENDAR YEAR: ZW 1
CERTIFICATE OF COVERAGE NO. NCG16 d (This monitoring report shall be received by the Division no later than 30 days from
the daft the facility recelmes the 11 Its from the laboratory.)
FACILITY NAME B�MXWI(t Q�& L- C0=
PERSON COLLECTING SAMPLE(�J, �Kxyt)VZUZ- lt�2_k
CERTIFIED LABORATORY(S)- 1-=nq. ktt!�C_—Lab #�
Lab It— (SIG RE OF PERmrrrEE OR DESIGNEE)
By this signature, I certify that this report is accnrate
complete to the best of my knowledge
Pan A: Specific Monitoring Requirements
V COMM. . . . ,
T
V
Tdw
_M
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes __Ao
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity NInniforina Rmmirenvents
. . . . . . . . . . . . .
A.
'"Waded
Sam,
p
N M e*,
011 U
11iidi"',
STORM EVENT CHARACTERISTICS:
Date 5-ZI-01
Total Event Precipitation (aches): i 4-
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699- 16 17
Form MR16
Page I of 2

o (if more than one storm event was sampled)
Date
Total Event Precipitation ('mcfes):
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 e►ahwe 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 signiixant penalties for submitting false information,
including the possibility of tines and imprisonment for imowing violations."
4�
E- (Signature of Permittee) (Date)
a
H
m
N
N
N
cc
V'
O
N Form MR ifs
Page 2 of 2
o
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Environment 1, Inc.
P.O: Hox 7085, 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Niue 1 OF 1
Phone [phone] • Fax 252
(_.] ) 756-CIfi33
CHLORINENEUTRALiZEDRTCOLLECTION
CHLORINECLIENT:537
pHCHECK (LAB)
Week:15
L
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BARYHILL CONTRACTING (LILLiNGTON)
NONF
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CONTAINER TYPE. PIG
CIO BARNHILL CONTRACTING
C
A
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B
CHEtiiIGRLPFSEf}11ATION
ATTN: MR. DAVID GLOVER
PO BOX 1529
TARBORO NC 27896
A -:NONE D-NAOhi
[phone]
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COLLECTON
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G-NATHIOSWATE
SAMPLE LOCATION
DATE
TIME
Stormwuter Discharge
of
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4
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CLA55<t iCAT10ht
WASTEWATER (NPOES)
r
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67
DRINKINGWATER
% r
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SOLID WASTE SECTM
OTHER-
COLLECTED BY:
�&QPLES
l• �� Print) /
SAMPLES RECEIVED IN LABAT 44-L
RE UISHE (S 1( t�tPLER)
! D TEmluE
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COIiMENT&
c�11.1
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OATIITIA
R ' 8Y (S! .;
TIME
N©5Y (
DATE+IIME
(t -U
t.��
a d.'
.c !
Instructions for completing this form are on the reverse side. Sampler must pace a V for composite sample or a'G' for A;o
5ORM 75 Grab sample in the bkcks above for each parameter requested. i V _ 49943

09/20/04 MON 10:49 PAX 252 824 8276 BARNHILL RMT
,.j.
CEIMAIT MM101 9, ommumbd
lM 008
RO: BOX.7085-114"OAKMONT DRIVE ;"::._.: _ ..PHONE (252) 756=6208 ; ..
:- GREENVILLE;"N:G:-Z7835=7085,......... ' :_" ` ...:..:.::' FAX [phone]
Orintlag Aatbr 7Dt 377LS
Waatevatsr 1Dr 10
ID#t 537
BARNHILL CONTRACTING MILLINGTON)
CIO BARNHILL CONTRACTING
ATTN= Ili. DAVID GLOVER
PO BOX 1529
TAR.BORO ,NC 27686
Stormwater
Analysis
Method
PARAMETERS
Discharge
Date
Analyst
Code
COD, mgll
42
05/30MI
TRB
HACH8000
Total Suspended Residue, mg/1
21
05/23101
DLC
SM2540D
Oil & Grease, mg/l
12
OS/24/01
CDH
SM59208
Lead, ugli
12
05/31/01
MLH
EPA239.2
DATE COLLECTRI)i 05/22/01
DAT8 REPORTED : 06/01/01
REVIMSD BY:
Laboratory Analyses -- t*nvrronmental Consultants

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGI60000
CERTIFICATE OF COVERAGE NO. 14CC-16-Ca
FACILITY NAME CO. — L; t'tncn4v�*,
PERSON COLLECTING SAMPL�VZVT; CERTEFIED LABORATORY(S) M^_A 1, W( , Lab #—i(—:)
jAb #
Part A: Specific Monitoring Requhwnents
SAMPLES COLLECTED DURING CALENDAR YEAR:
(all samples collected during a calendar year shall be reported no later than
January 31 of the following year
COUNTY W1_4rr%eA+
PMNO._(3 rj) . JC-Z 10i1
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report Is accurate
complete to the best of my knowledge
r,
Outrall
Dat
Date
OOM
0055v
N.,
00 and Gram
To
Col�1Flu
oxygi
sit, L
t
Demand:
Mina
Solids
11110
unit'..
nign
4-1
AttElvM
N.C. Dept.. of EHMA
Does this facility perform Vehicle Maintenance Activities using mom than 55 gallons of new motor oil per month? — yes �610
(if yes, complete Part B)
Part 11: Vehicle M2intermnce Activity Monitoring Requirements
AUG 2 S "M
Winston-Salem
Regional Office; I
k7RAJ
C:1=
00,50.
4otal
ZZ4
005561
On and Grem
0105V
Lead, jobill
17�
Rt' mler'able
lhtergenW��'�
AS)2
OH
Nev0dot6f..'LL.01 1
Usage:
STORM EVENT CHARACTERLWICS:
Date j z�o -7
Total Event Precipitation (inches):
Event Duration (hours): • I "I -
(if more than one storm event was sampled)
Date
Total Event Precipitation (Inches):
Event Duration (hours): _
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
Page I of 2
Form MR 16

r
� r
Footnotes:
I Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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 eralnate the information submitted. Rased on my inquiry of the person
or persons who manage the system, or these persons directly responsible for gathering the information, the Information sohmitted 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 Imes and imprisonment for knowing A I "
(Signs re of Permittee) (Date) '
C-11
lt7
-_s
Page 2 of 2
Form MR 16

MECEVED
N.C. Dept. ofFHNR
STORMWATER DISCHARGE OUTFALL (SD4) AUG 2 8 1997
VISUAL MO\'ITORPgG REPORT ti Winston-,c;z ; -m
Regional office
Certificate of Coverage No. NCG C ac� C-)
Facility Name• r `
County: 4QAnce-+-V- PhoneNo:(n)AZ3 02- 1
Date of inspection: rl 1.2,1
By this signature, I certify that this report is accurate and complete to the best of my
(Signature of permittee or designee)
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.): --
Receiving Stream: � - -
Describe tndusu'al activities that occur within the outfall drainage area:
1k mLt
2. Color
Describe the color of the discharge using basic Colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
1. , t .1
3. Odor
Describe any distinct odors that the discharge may have (Le. smells strongly of oil, weak
chlorine odor, etc.):
a
Page 1 of 2

4 . Clarity
Choose the number which best desan'bes the clarity of the discharge where 1 is clear and 10
is very cloudy:
1 2 3 4 6 7 S 9 10
5. Solids
Choose the number which best describes the amount of solids in the stormwater discharge
where 1 is no solids and 10 is extemely muddy:
1 3 4 5 6 7 S 9 10
6. Foam
Is there any foam in the stormwa.ter discharge? YES
7. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES DO
8. OotfalI Staining
Describe any staining around the st=water outfall:
9. Other indicators
Describe any other obvious indicators of stormw•ater pollution:
,
NOTE: Low clarity, high solids and/or the presence of foam, oil sheens, or outfall
staining may be indicative of pollutant exposure. These conditions MY warrant
further investigation.
Page 2 of 2 & 1/94