NCG080841_MONITORING INFO_20140702

M�
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
El HISTORICAL FILE
f� MONITORING REPORTS
DOC DATE
❑ O'� � � o 7 U a
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 6 - 26 -Zo ( 4
CERTIFICATE OF COVERAGE NO. NCGO8 Dy q P
FACILITY NAM _ �6F� sf`/TrogJCf�o
COUNTY
(—�rBAkiR U5
PERSON COLLECTI G SAMPLES C_U L C i (f
LABORATORY L&15M L-A 6 S Lab Cert. # C? 2-
^_
Comments on sample collection or analysis:
Part A. Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2-0 1 1f
SAMPLE PERIOD [Jan -June ❑ July -Dec
or Monthly' (month)
DIS t
I LASS ❑ORW FHQW [—]Trout ❑PNA
j ❑❑ Zero -flow Water Supply ❑SA
R��1.
JUL � VD k cc,, ❑Other
CEN10L�IGVEASE REMEMBER TO SIGN ON THE REVERSE 4
DW�BG
No discharge this period
OutfalllMmo
No.
ate
Collected,
da/,yr
OD53.0
�U0400
- s QU556 �.n ��i
€.. _ .5.�,-° -�, 4- �..
To I Su , ended'
5olids, mg/.L _ _
pH,
Stanclar[ia41jits r,
No Polar Oil "�andTG' re sa/x7PH=EPA,
Me#hod.1664�[SGTYHEM);: mg/L
New Moto r�0il Usage,
<AnnualfaVe.rage gal/mo _
enchmark
�
50 or 100 see permr
W4 Wk-Mir ROM 0
K i 1 14i5
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
Ouffall
No:°�;
Date
,.-rt
Sample Collected;
mo/,dd%yr
;00556 r',,�
�00530.
:00400:�
�.. ,.. y..y,.;is* seeaurn� v ar^' tcr,.
Nan -Polar Oil and Grease/TPH EPAMetFiod
TE64�[SGT .HEM}„rng/L
�i"T Js?. �; ;-v--r-s c ,.
Total Suspended€solids,
� mgjL �r
- i
rpH,
fist ndardFunits¢
"Pe mit'Limit
-
- -"
_� :;
- _ 15i
� `� x�
50 or 1D0aee ermit
-
no(
6 If-,201
17
$
o
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 1 of 2

STORM EVENT CHARACTERISTICS:
Date 6a`11- /lt (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 II SECTION B.
• 2 FXCFFDANCES 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 ANY ONE OUTFALL? YES 0 NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 sig ificant penalties r submitting false information, including the possibility of fines and imprisonment for knowing violations."
- ,
— /�01) (Signs(u of Permittee}
.�
� (Date): -, 4 J(
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2