NCG120104_DMR_20220117 (2)

Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted / - / %' -2oao7-
CERTIFICATE OF COVERAGE NO. CG24. / Q
FACILITY NAM A O r f
COUNTY
PERSON COLLECTING SAMPLES OLDe-l6
LABORATORY Lab Cert. It
Copvpents on sample cojlectign or analysis:
Ao f -4 7°4*.11
Part A: Stormwater Benchmarks and Monitorine Results
SAMPLE COLLECTION YEAR 10?_� �,�/
SAMPLE QUARTER ❑ Jan -March ❑ April -June ❑ E July -Sept Oct -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PN
RECEIVE. Zero -flow watersupply [TSA
Other
A64 s JAN 2 6 eon
CENTRAL FILES
DWR SECTION �
Tntnrn l Pvant infnll2 nr I1-if ni., Aa«ti.....e .w;, .. ;,.,.r3
Date Sample
Collected'
(mo/dd/yr)
Outfall No.
TSS
COD
—
Fecal
coliform
Total
nitrogen
--- - -
Total
phosphorus
- -
Total
copper
,-,•
Total
lead
.yam
Total
zinc
�r� ��
PH
Parameter
benchmarks =__>
100 mg/L
120 mg/L
1000 col./300 mL
30 mg/L
2 mg/L
0.007 mg/L
0.03 mg/L
0.067 mg/L
6-9
, ,V 11L 1 y oampiwg tmsieau or quarteriy) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
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.
3 For sampling periods with no discharge, you must still submit this discharge monitoring report with a checkmark here.
°The TSS benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is 50 mg/L.
Permit Date:10/1/2011-9/30/2016 Last Revised 12/02/11
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
Collected'
(mo/dd/yr)
Outfall No.
pH
TPH using Method
1664A SGT-HEM
TSS
Total
Rainfal12
Check
If No
Flow
This
Period"
Average 4ew Motor Oil Usage
6-9
15 mg/L
100 mg/L
Footnotes from Part A also apply to this Part B
FOR PART AND PART B MONITORING RESULTS:
0 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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an originsl 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
in the case of "No Discharge" resorts) 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 perscin 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 for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
/-/?-aoaa-
(Date)
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
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