NCG080198_DMR_20200603

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted & — � -jo
CERTIFICATE OF COVERAGE No. NCG08 0 1 9 8
FACILITY NAME % ISK TZUC!_/ING, /NG
COUNTY N Sc1 N
PERSON COLLECTING SA PLES - [Z . OWL' LC -
LABORATORY &CE AVAI-WCAL Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR oZ U 0
SAMPLE PERIOD ❑ Ian -June D July -Dec
or X Monthly' AVA (month)
DISCHARGING TO CLASS ❑OR— HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
)\ d� ❑Other
JUN I I ZQZQ PLEASE REMEMBER TO SIGN ON THE REVERSE i
C" f;T%..:;L "FILES
DIAIR SE"OTION ❑ 1
No discharge this period
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
Outfall_=,
Date `
Q0556
Z:i00530
0 40D;
No
Sample Collected,
Non Polar QII and Grease/TPH EPA Method
Total Suspended5ohds,
pH; (.
jmo/dd/yr'
1664 (SGT-HEM)„mg/L
mg/L
Standard`units- -
Permtt Limit
`
50 0[100 see permit
I For sampling periods with no discharge at any single outfall, you must still submitthis discharge monitoring report with a checkmark here.
SWU-25r` r l
l: •;vised
.r 25, 2012
Page 1 of 2

STORM EVE;: CHARACTERISTICS: l
Date 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 Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES • ❑ NO ❑
1F 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 m
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central. Files.
1617 Mail Service .Center '
Raleigh, North Carolina 27699-16i7
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 gathe ' e formation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are�nlfica / penal ' s for sub itting false information, including the possibility of fines and Imprisonment for knowing violations.".
1, s
re of
63o2v
(Date)
Additional copies of this form may be downloaded at: htt2://Portal.ncdenr.org/web/wa/ws/su/npdessw#tab=4
SVirU-250
last revised October 25.2012