NCG140385_DMR_20200729

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE9FE6 RAGE NO. NCG14 q
FACILITY NA E:yvin
PERSON COLLECTING SAMPL
CERTIFIED LABORATORY Lab if
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: OoZ O
SAMgLiNGPjER—I /OD: ❑ July
N�ecember January -June
COUTY f S,LY1YYi�
PHONE NO. (�
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA EHQW ❑PNA ❑Trout 0 ther C
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
PH
(Standard
Units)
TSS
g/L)
Event
Duration
(minutes)
Total
Ralnfale
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# o Sampling' onths In Tyr
-
-
6-9
Xzu
'I
i]
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
a If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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