NCG210192_MONITORING INFO_20190712

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
❑MONITORING REPORTS
DOC DATE
❑ / u / a
YYYYMMDD

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vot: L- �
for North Carolina DE MLR General Permit No. NCG210000
Date submitted %'8' lq
CERTIFICATE OF COVERAGE NO. NCG21 ©L �9 2_
FACILITY NAME P4///f/J✓G d��l<su;)I�
COUNTY IOrhJi C
PERSON COLLECTING SAMPLES lPa v DybO,%�
LABORATORY Shrissvillo AbkalyhzAj Lab Cert. # rVG [e, 4 AL ir%9
Comments on sample collection or analysis: I'G1"d Cui- 01 3775-5—
I
SAMPLE COLLECTION YEAR ,20/ 9
SAMPLE PERIOD 0 Jan -June ❑ July -Dec
REQF1V1=ror El monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HC!W ❑Trout ❑PNA
JUL 12 2019 [_]Zero -flow ❑X Water supply ❑SA
CENTRAL FILES ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hoir rainfall
i
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
- _
�-
120 mg/L
100 mg/L or 50 mg/L"
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' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The 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.
4 See General Permit text, Table 3, identifying the especially sensitive ireceiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For exam
numerical format. When results are below the applicable limits,
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you
Permit Date:8/1/2018-7/31/2023
Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
irted in the format. "<XX m¢/L", where XX is the numerical value of the
implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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.
t n Ain rlicrhnrno Chic norfnri Jz
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour
rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
Note: If you report a sample`value in excess of the benchmark, you
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SE
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAD
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEED
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE? YI
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this Du
in the case of "No Discharge" reports) to:
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
all "No
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
PERMIT PART II SECTION B.
E OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
NCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO �]
i ❑NO❑
within 30 days of receipt of the lab results (or at end of monitoring
Lei MY, unaer penaay Or law, inat mis 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 forsubmitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
7Jd / 9
(Date)
Permit Date: 8/l/2018-7/31/2023 SWU-245, last revised 8/6/2018,.
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