HomeMy WebLinkAboutNCG080198_MONITORING INFO_20200122STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NC G b i5 b I
DOC TYPE
❑ HISTORICAL FILE
] MONITORING REPORTS
DOC DATE
❑ QbQ b V' a
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted /' Tz 6012 D
CERTIFICATE OF COVERAGE NO. NCG08 O 1 g
FACILITY NAME Q5.K—nUuWNC.iNC.
COUNTY /vSan1
PERSON COLLECTING SAMPLES )R PawrLL
LABORATORY PAC C ati)ALl/TiC A L Lab Cert. #
Comments on sample collection or analysis:
Part A; Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR f-).O o2 O
X1 P E PERIOD ❑ Jan -June ❑ July -Dec /
RECEl�sL"U or ® Monthly' .2AAiu2AKY (month)
JAN 2 2 2btICHARGING TO CLASS ❑ORW ❑HQW / ❑Trout ❑PNA
❑Zero -flow []Watersupply [:]SA
CEN i iu�L FILES MJther
DWR SECTION
E
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
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
❑ No discharge this periods
For sampling periods with no d'ischarge,at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-251/r l
1: •=vised
.r 25, 2012
Page I of 2
i
STORM EVI:: i' CHARACTERISTICS:
Date 17 (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 benchmarlc,'you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 ANY ONE OUTFALL? YES. NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑NO�
REGIONAL OFFICE CONTACT NAME:
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 gnlficanr enalt" f su mitting,false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
(Date)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.orglweb/wci/ws/suZnpdessw#tab-4
_SWU-250
last revised October 25.2012