NCG080960_DMR_20230117

Semi-annual Stormwater Di large Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG080000
Date submitted 1/1-74o23
CERTIFICATE OF COVERAGE NO. NCG08_2 Q
FACILITY NAME KJND� NIo".AN ti),.,,�,wcsreN C .�
COUNTY Nam,, }}M,ov
PERSON COLLECTING SAMPLES N/14
LABORATORY t,►Z A- Lab Cert. # NIA,
Comments on sample collection or analysis:
T� l L, scH k 2aE
vge2 20 J
2
SAMPLE COLLECTION YEAR 2oa4_
SAMPLE PERIOD [] Jan -June July -Dec
or Monthly'_ (month)
DISCHARGING TO CLASS DORW []HQW []Trout ®PNA
[]Zero -flow [Water Supply' ESA
❑Other_
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?Q yes Ono
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
Outfall Date 00530
0400
No. Sample Collected, Total Suspended 0PH,
mo dd pH'
/ /Yr Solids, mg/L Standard units
Benchmark - 50 or 100 see permit I Within 6.0 — 9.0
[A No discharge this period'
00556
�No:n-Pol�arOiland Grease/TPH EPA New Motor Oil Usage,
tho(SGT-HEM), mg/L Annual average gal/mo
15
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall Date 00556
No. Sample Collected, Non -Polar Oil and Grease/TPH EPA Method 00530
mo/dd/yr Total Suspended Solids,
1664 (SGT-HEM), mg/L
Permit Limit mg/L15
50 or 100 see permit
00400
PH,
Standard units
6.0 — 9.0
I l
For sampling periods with no discharge atany single outfall, you must still submit this discharge monitoringreport p ort with a checkmark here.
SWU-250
last revised April 11, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 'T— (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:
• 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:
Mail an
,innl and one conv of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR 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
ns who manage the system, or those persons directly
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or perso
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
/- I) - �3
(Date)
Additional copies of this form may be downloaded at: http /(portai.ncdenr.org/webZwq/`­ws/su/"`­npdessw#tab-4
last revised
C UTT T-') 5 0