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Home My WebLink AboutNCG080787_MONITORING INFO_20190103PERMIT NO. DOC TYPE STORMWATER DIVISION CODING SHEET NCG PERMITS /v (.C,080gm n HISTORICAL FILE U MONITORING REPORTS DOC DATE I I C/)i�19CJ I U� YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG080000 Date submitted 12/11/2018 CERTIFICATE OF COVERAGE NO N0008 0787 FACILITY NAME Republic Services / GDS Davie COUNTY Davie PERSON COLLECTING SAMPLES John Isenhour LABORATORY NA Lab Cert # Comments on sample collection or analysis RECEIVED 2018 ED SAMPLE PERIOD ❑ Jan -June ® July -Dec JAN 0 3 2019 or ❑ Monthly' _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA CENTRAL FILES ❑Zero -flow ❑Water Supply ❑SA DOER SECTIOtI ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, report your analytical results in the table immediately below) Part A Vehicle Maintenance Areas Monitoring Requirements (If applicable) yes x no ® No discharge this period' Outfal I No Date Sample Collected, mo/dd/yr 00530 00400 00556 Total -Suspended Solidi; mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664`(5GT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6 0 — 9 0 15 - Outfall 1 30 gal/mo Part B Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6 0 — 9 0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here SWU-250 last revised April 1 I, 2013 Page I of 2 STORM EVENT CHARACTERISTICS Date 12/11/2018 (first event sampled) Total Event Precipitation (inches) 0 24 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mal an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at e»d of monitoring period in the case of "No Discharge" reports) to Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete I am aware that there are signifssZFZ-aenaWes for submitting false information, including the possibility of fines and imprisonment for knowing violations ' (Signature of Permittee) PlAs (Date) Additional copies of this form may be downloaded at http //portal ncdenr o,re/web/wq/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 IV -t Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCGO80000 Date submitted 07/31/2018 CERTIFICATE OF COVERAGE NO NCG080787 FACILITY NAME Republic Services / GDS Davie COUNTY Davie PERSON COLLECTING SAMPLES John Isenhour LABORATORY NA Lab Cert # Comments on sample collection or analysis SAMPLE COLLECTION YEAR 2018 RE C �--� V'"" � � SAMPLE PERIOD ® Jan -June ❑ July -Dec AUG 0 9 ?W- or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA CENTlRf'„ F11 " ❑Zero -flow Water Supply [:]SAD�rIR SI-:.G`i I )- ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per months yes _x no (if yes, report your analytical results in the table immediately below) Part A Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' �utfallk x Not - _ D tex, 5 pie Collected, mo/dd/,yr 00530 iota) SuspendedENtandWard Solids, mg/,L xiu* r 00400 Munits xx W=�� 005y Non-Polar OBI and Grease/TPH EPA Method 1664,(SGT:HEM_ ), mg/,L New Moto�ai AnnuaIS 1BenChmark . , ,v, 50Ao_r i00 see permit Within 6 0. ! 0 ..;.. _g;, - 1 NA PartB Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) a;g0 tfa Ilw� No ` _ rw Sample Coll�ed;z �#iiio/.dd/,yr MNN Polar Od and Grease/TP.H EPA Method 1fi6_4 (SGT;IiEM), mg/,L :,, _* Taia'ItSuspended Sohds, mg/,L �;� ,�- pH, `T'� ' h .r 5tandard units -I Permit Limi - 15;,�?� 501or 100 see permit i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here SWU-250 last revised April 11 2013 Page I oft t -- STORM EVENT CHARACTERISTICS Date 06/26/2018 (first event sampled) Total Event Precipitation (inches) 0 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS SEE PERMIT PART It SECTION 8 • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 DR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one copy otthis AMR, including all "No Discharge" reports, within 30 days of receipt of lab results or at end of_monitorina period in the case o "No Dischar e" reports) to Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699 1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief, true, accurate and complete I am aware that there are significant penalties for submitting false information including the possibility of fines and imprisonment for knowing violations (Signature of Penmittee) Additional copies of this form may be downloaded at http //portal ncdenr org/web/wq/ws/su/npdessw#tab-4 SWU 250 last re% Esed April 11 20133 Page 2 of 2 a • Semi-annual Stormwater Discharge_ Monitoring Report for North Carolina Division of Water Quality General Permit No NCGO80000 Date submitted /11 /ova CERTIFICATE OF COVERAGE NO NCG08 0787 RECEIVED SAMPLE COLLECTION YEAR 2017 FACILITY NAME Republic Services GDS Davie AR 0 12018 COUNTY Davie PERSON COLLECTING SAMPLES David Gauntt CENTRAL FILES LABORATORY NA Lab Cert #t DWR SECTION Comments on sample collection or analysis SAMPLE PERIOD ❑Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow Dwater Supply [_]SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes x no (if yes, report your analytical results in the table immediately below) Part A Vehicle Maintenance Areas Monitoring Requirements (If applicable) M No discharge this period' Outfall No Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6 0 — 9 0 15 - ca 30 175 Part B Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Out -fall No Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6 0 — 9 0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here SWU-250 last revised April 11, 2013 Page 1 of 2 StORM EVENT CHARACTERISTICS Date 12/09/2017 (first event sampled) Total Event Precipitation (inches) 0 53 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses See General Permit text FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Marl an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699 1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) a I/I//a6►g (Date) Additional copies of this form may be downloaded at http //portal ncdenr org/web/wci/ws/su/npdessw#tab-4 S WU-250 last revised April 1 1 2013 Page 2 of 2 A Semi-annual Stormwater Discharge Monitoring Reort for North Carolina Division of Water Qua ity General Permit No NCG080000 Date submitted G S 1 CERTIFICATE OF COVERAGE NO NCG08 G ] _& _Z FACILITY NAME „I� ��/1 c 5.��.c=s f G NL Gbs COUNTY aju 6- , PERSON COLLECTING SAMPLES, LABORATORY C &'L(-,) Lab Cert 4 AIC IYI/2 Comments on sample collection or analysis Part A Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR D I SAMPLE PERIOD Q Jan -June ❑ luly-Dec r=IV�F y) or ❑ Monthly' month DFS if RGING TO CLASS ❑ORW ❑HOW []Trout ❑PNA JUL 31 zou ❑Zero -flow ❑WaterSuppiy ❑SA ❑Other CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE -i No discharge this period' Outfall No Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TFH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gaVmo Benchmark - 50 or 100 see permit Within 6 0 — 9 0 1s - 1' c>sa ds Lu�-i — J z �a zsv Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?/C yes _no (if yes, report your analytical results in the table immediately below) PartB Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit 3s 50 or 100 see permit 6 0 — 9 0 i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here SW U-250 fast revised October 25, 2012 Page i of 2 .'Ap STORM EVENT CHARACTERISTICS Date ra 5 ! 7 (first event sampled) Total Event Precipitation (inches) Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (Inches) Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Trer 3 responses See Genera! Permit text FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART I! SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE" YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one con V of this DMR includin all ' No Dischar e" re its within 30 da s o recer t a he lab results or at end o monitoringperiod in the case of "No Discharge- rggortsl to Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh North Carolina 27699 1617 YOU MUST SIGN THIS CERTIFICATION rOR 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 f e information including the possibility of fines and imprisonment for knowing violations' (Signature of Permi tee) (DAe—) Additional copies of this form may be downloaded at http /lportal ncdenr oWweb/wq/ws/su/nydessw#itab 4 SWU 250 last re,. ised October 25 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitorinjg Report for North Carolina Division of Water Quality General Permit No NCGO80000 Date submitted CERTIFICATE OF C VERA, E NO NCGo8 FACILITY N E , b� >v ,�• ►G COUNTY _1 s t✓ PERSON COLLECTING SAMPLES v LABORATORY_ _� NCO Lab Cert # G Comments on sample collection or analysis Part A Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June aJuly-Dec —. ,--or--[] Monthlyi_..--�(montpj- — AR CLASS [ORW~[HQW [Trout ❑PNA E ❑Zero -flow ❑Water Supply ❑SA JAN 1 1 2017 ❑other CENTRAL FILO LEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION ❑ No discharge this period' outtail No Date Sample Collected, mo dd/ r 00530 00400 00556 Total Suspended Solids, m#L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 SGT-HEM), m L New Motor Oil usage, Annual average gal/mo Benchmark SO or 100 see permit Within 6 0-9 0 1S a /�0 i -.a • a so Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ,__no (if yes, report your analytical results in the table Immediately below) PartB ail/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals outtail No Date Sample Collected, mo/ddj r OOSS6 00530 00400 Non -Polar ail and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 1s 50 or 100 see permit 6 0 - 9 0 For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here $WU-250 last revised October 25,201,2 Page 1 nr2 STORM EVENT CHARACTERISTICS Date 10�' 6-A(flrst event sampled-l�- Total Event Precipitation cinches) Date (list each additional event sampled this reporting period, and rainfall arnountj Total Event precipitation (inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses See General Permit text~ FOR PARTA AND PART 8 MONITORING RESULTS_ • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART o SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION 8 • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES[JN071 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ Nd D REGIONAL OFFICE CONTACT NAME orlaltlal and one my of this DlMR. including all ".(W Discharr" aggrts sib n 10 gays of rf�eiyt of the tab sWts for at end of martt10ring Mrfod t Me WK of ti Dlscharr�e" ret� t ro Division of Water Quality Attn DWQ Central Files 1617 Marl Service Center Raleigh, North Carolina 27699 1617 YOU MUST SIGN THI 5 CERTIFICATION FOR AINY lNFORM8jJ0N,REP0RjLj?. '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 j&Ajficant penalties for Sub1yV false Information, including the possibility of fines and imprisonment for knowing violations " M (Signature of Permittee) ar10510; ( Date) Additional copies of this form may be downloaded at httpjj�ortal rudenf or,&/web w ws su n desSwgtab 4 SWU 250 irrtii rcvi%Ld Otusbcr 25 20121 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG080000 Cr:: Date submitted ��nn CERTIFICATE OF CoxER GE No N GOS 0 Z MPL€ COLLECTION YEAR _ 1 `0/ FACILITY NAME t� 714 c v ✓ ►� �`�rl V e `aRMPLE PERIOD Jan -June ❑ Juiy-Gec n- orCOUNTY Lc, ]) %/� �q,�j ❑ Monthly' _ (maoth) PERSON COLLECTING SAMPLES G G U� L — SUN O DISCHARGING TO CLASS ❑ORW ❑HQW []Trout 01>40 LABORATORY LA Cert q C �>r1�E5 ❑Zero -flow ❑Water Supply ❑SA�v Comments on sample collection or analysis C WR C��ON ❑0ther /} p v~C Part A Vehicle Maintenance Areas Monitoring Requirements PLEASE REMEMBER TO SIGN ON THE REVERSE --) No dischorge this period' Outfall No Date Sample Collected, mo/dd/ r 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark 50 or 100 see permit Within 6 0 — 9 0 is - 3 L-7 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, report your analytical results in the table immediately below) Part B Oil/water Separators and Secondary Containment Areas at Petroleum Balk Stations and Terminals Outfall No Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6 0 — 9 0 i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here S W U-250 last revised October 15. 2012 Page I of 2 STORM EVENT CHARACTERISTICS •. r Date' ° {first event sampled) J Total Event Precipitation (inches) 1 i Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (Inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses See General Permit text FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART 11 SECTIONS • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME Marl an orfainal and one copy of this DMR, includinq aff "No DisqrpNa s regb�so-for at end of mon►tortna period In the case of "Na Digharcle" r,_,ports) to Division of Water Quality Attn DWQ Central Files 1617 Marl 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 ayg significant penalties for submitting false information including the possibiiity of fines and imprisonment for knowing violations of 547/1 {Date) Additional copies of this form may be downloaded at htto 1 f portal ncdenr org/webZwq/ws/su/ripd.esswqtab a SWU 250 Iasi revised October 25 2012 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCGO80000 Date submitted CERTIFICATE OF G ERA E o pNpC�G 8 0 7� j FACILITY NAME � �G Wa � COUNTY +tJ+TJ1C. _0 1 PERSON COLLECT NG SAMPLES K dtfC LABORATORY_ NCO L bCert # l Comments on sample collection or analysis Part A Vehicle Maintenance Areas Monitoring Requirements REej!i v EE) NOV302015 CENTRAL PILES DWR SEC7-1c)N, SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ )an -,tune luiy-Dec or ❑ Monthly' _ (month) DISCHARGING TO CLASS [JORW []HQW ]Trout OPNA []Zero -flow ❑Water Supply []SA []Other PLEASE REMFMBER TO SIGN ON THE REVERSC --> No discharge this period' Outfall No Date Sample Collected, mo/dd/ r 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/rno Benchmark 50 or 100 see permit Within 6 0 - 9 0 is - a L - -7 0 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no of yes, report your analytical results in the table immediately below) part B Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6 0 — 9 0 i For sampling periods with no discharge at any single outfall you must still submit this discharge monitoring report with a checkmark here SW U 250 Iasi revised October 25, 2012 Page I of 2 rim . STCrRM EVENT CHARACTERISTICS Date 2-1-)4 (first event sampled) f Total Event Precipitation (inches) Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tter3 responses See General Permit text FOR PART A AND PART B MONITORING RESULTS + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART Il SECTIONS • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFAI.L7 YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME Marla i lnal and one copy oLtins DMR including all "No Discharge" re orts within 30 days of receipt of he lob results Lor at gnd of moriltorFrijq per#94n the -case of "No Dischar-ae"rgportsl t2 Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699 1.617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION RtPORTED_ "I certify under penalty of law that this document and all attachments were prepared under my direEt+on 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 gat enng 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 pen t es for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) (Date) Additional copies of this form may be downloaded at t�tj)jjportii icdem of web w ws su ii pdessw► l:ab 4 SWU 250 last revised Oetnbei 25 2012 Page 2 of 2 r A Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quahty General Permit No NCG080000 e,& Date submitted CERTIFICATE OF COV RAG No NCG 8 4 Z�"7 SAMPLE COLLECTION YEAR FACILITY NA E Jna { SAMPLE PERIOD K Jan -June ❑ July -Dec COUNTY �vy nn or ❑ Monthly'(month) PERSON COLLECT G SAMPLES ��cEIvSLRiSCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY & /V 60 Lab ert # G 2 13 Flzero flow ❑Water Supply ❑SA Comments on sample collection or analysis M�� GE R GT 4� PLEASE REMEMBER TO SIGN ON THE REVERSE Part A Vehicle Maintenance Areas Monitoring Requirements ❑ No drschorge this period' Qutfall NO Date Sample Collected, ,rtta/dd/yr 00530 00400 00556 Total Suspended Solids, mSIL ` pH, - _ Standard units Non -Polar Oil and_Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark ` - 50 or 100Jsee permit Within 6 0 — 9 0 1s - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ^ yes _no (if yes, report your analytical results in the table immediately below) PartB Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals ootfall No, `Date Sample Collected, r`no/dd/yr ' -00556 - 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, - mg/L pH, Standard units Permit Umit 2 15 50 or 100 see permit 6 0 — 9 0 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here SWO 250 last revised October 25 2012 Page 1 of 2 STORM} EVENT C1 ARACTERISTICS Date 3`17 I rifirst event sampled) Total Event Precipitation (inches) _ Date (list each additional event sampled this reporting penod, and rainfall amount) Total Event Precipitation (inches) Note If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART 11 SECTION 8 • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCE£DENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL-) YES Q NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE' YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an orJainal and one o this DMR rncludin all "No Dischar e" re orts within 30 da r re1 t o the I b results or at end monrtann ertad n the Me of "No Dlscharae" reports} to Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699 1617 YOU MUST SIGN THIS CERTIFICATI N FOR ANY INFORMATION REPORTED 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 property gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system or those persons directly respons¢ble for athenng 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 p ria t es for submitting false information including the possibihty of fines and imprisonment for knowing violations " (Signature of Permittee 5- f (Date) Additional copies of this farm may be downloaded at hit octal ncdenr orR/web/wg/wslsu/twdessw4tab 4 SWU 250 last revised October 25 2012 Page 2 of 2 Semi-annual Stormwater„Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG080000 Date submitted CERTIFICATE OF C$VERAG��NO NC 08 -7 � FACILITY NAME r `tom - "64191 Cw1 e,lc_ ([lotw u) COUNTY Q te, % PERSON COLLECTI G SAMPLES as/ LABORATORY WN U —Yab Cert g IVClqq3z. Comments on sample collection or analysis Part A Vehicle Maintenance Areas Monitoring Requirements SAMPLE COLLECTION YEAR c ,0141 SAMPLE PERIOD ❑ Jan -June Z July -Dec or ❑ Monthly` (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow []Water Supply []SA RECEIVED ❑Other_- - — NOV 19 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL. FILES ❑ No discharge thJ5 period' DWR SECTION Outfall No Date Sample Collected, - mo/dd/yr 00530 004DO OD556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6 0 - 9 0 15 - Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ,__ yes _no (if yes, report your analytical results in the table immediately below) PartB Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals Outfall No Date Sample Collected, "n dd/yr 00S56 OOS30 00400 Non•Po_lar Od and Grease/TPH EPA Method 1664 (SGT-HEM), mg%L Total Suspended Solids, mg((--- pH, Standard units Permit Limit - 15 50 or 100 see permit 6 0 — 9 0 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here SWU-250 last revised October 25, 2012 Page I of 2 STORM EVENT CHARACTERISTICS Date l-1-M (first event sampled) Total: Event Precipitation (Inches) _ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART It SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICES YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mall an original and one cony of this DMR, indudlno all "NQRischame" reports, within 30 days, of recent of the lab results (or at end of monitoring period in the cafe o I"No Drschar e" LMyj to Division of Water Quality Attn DWQ Central Files 1617 Mad 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 slgnlficapt penalties for submitting false Information, mduding the possibility of fines and Imprisonment for knowing violations' (Signature of Permittee) tf-r7-/Y (Date) Additional copies of this form may be downloaded at http Z&ortal_licdenr orgLweb/wct/ws/su/npdesswgtab 4 SWU 250 last revised October 25, 2012 Page 2 of 2 0/1 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No NCG080000 Date submitted CERTIFICATE OF COV RAG �O NCg08 O 7 � 7 FACILITY NAME _ _%0 �G �✓ �tt.1�G� (J�l � JfiG _ COUNTY PERSON COLLECTING SAMPLES LABORATORY_ L L G'o _ „ 6b Cert # Comments on sample collection or analysis Part A Vehicle Maintenance Areas Monitoring Requirements RECEIVED APR 2 5 ZU14 SAMPLE COLLECTION YEAR L DWHL krr ��% y 00A180G ES SAMPLE PERIOD Cglan-June ❑ July -Dec or []Monthly' {month} DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE -) [] No discharge this period' Outfa_ ll } } r "' �' Date T ,t Sarnpie'Collected, , fi{ .. ' lT..' 2 r 00530_ 00400 `t - ' 00556 yNew ,, Jotal'Suspended -" , f 4a...F E 5" r } •Solids, mg/L �- _ 'pH, : K� 1 'E• 4 4 &3 ! Standard`unit"s, FY Non-Polar..Oil and`Grease%iPH EPA., 1 Jr ,Method'1664' (kT-HEM), rig/L : Motor Oil Usage, V 4 �r� i{ M1 N V F J Annual average gal/mo 1 Benchmark, errnit Within 6 0 -- 9 0 �r _ 15 1 -1 � 5% 1 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no (if yes, report your analytical results in the table immediately below) Part B Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals zo6tfall ,.'No . _ _ s - - Date Sarno; Collected, �i nio/dd/yr - +, �" `00556 100400 � Non -Polar Oil and Grease/TPHIPA Method - Y .1664 (SGT HEM), rrig�l - r ',Total Suspended Solids, m/L J � r pH, Standard,units Permit Limit f f y` - 1S = - 50 or 100 see permit , 6 0 - 9 0 i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here SWU-250 last revised October 25, 2012 Page I of 2 STORM EVENT CHARACTERISTICS Date qy7 % (first event sampled) Total Event Precipitation (inches) _ I Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches) Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See Genera! Permit team FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B • TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME _ Marl an original and—o_ne copy of this DMR, including all "No Discharge" reports, within 30 days of receipt o the !ab results or aiend o monitoring aerlod in the case of "No Discharge" re Ortsl to Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YQU 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 sigyrtficant penaltq for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) 4(- z '?, i (Date) Additional copies of this form may be downloaded at http Lpartaf ncdenrorg(web wg/ws/su/npdessw#tab 4 SWU-250 last revised October 25 2012 Page 2 of 2