NCG210104_MONITORING INFO_20190226

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C� p2i O 1 Dv
DOC TYPE
El HISTORICAL FILE
InMONITORING REPORTS
DOC DATE
❑ DUI 7 U c)
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted oZ � 2.0
CERTIFICATE OF COVERAGE NO. NCG21 © _L p j
FACILITY NAME 1L rcia n - i�L•,1a n .
COUNTY
PERSON COLLECTING SAMPLES C 12_
LABORATORY I7Li fGl. Lab Cert, #
Comments on sample collection or analysis:
REC: VED
FEB 2 B 2019
FILES
0WR SE~CTIO'j
SAMPLE COLLECTION YEAR 20 Za
SAMPLE PERIOD Jan -June ❑ July -Dec
or �2_4onthlyr (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
[—]Other
1'I'.i ASV RFIVIFM41`1t it YI;N (IN I"Fit Ft of P? - -
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfali No.
Date Sample
Collected
mo/dd/ r
24hour rainfall
amount,
inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =s>
12D mg/L
100 mg/L or 50 mg/L
:P
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format, For gxample, do not report Below Detection Limit, BDL, ePQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, thgy must be reported In the format, <XX mg/If, where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L
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 text
Permit Date: B/1/2038-7/31/2023 SWU-245, last revised 8/6/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?'
Oudall No.
Date Sample
Coilected`
(mo/dd/ rj
24-hour rainfall
amount, r.
inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
_
Total Suspended Solids
Benchmarks a==>
1s mg/i�
100 mg/L or SO mgJL
Footnotes from Part A also apply to this Part B
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 OUTFALI, TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 SECTION B
• TIER 3: HAS YOUR FACILITY HAD 4 OR MO$E BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? - YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMA, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1017
"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 tc
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 gatherir4the information; the intormation"suUmlited 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 vioiaftns."
I . (4 2L,2y) Zo
(Signature of Permittee) 1 1
T (Date)
Permit Date: B/l/2018-7/31/2023 SWU-245, last revised 8/6/2018
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