NCG240003 DMR SW

Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted 9 `23-15
CERTIFICATE OF COVERAGE NO. NCG24 O 0 0 SAMPLE COLLECTION YEAR 2015
FACILITY NAME 'ACurlSW1CGk Govan/ LaneWill SAMPLE QUARTER ®Jan-March ❑April-June ❑July-Sept ❑ Oct-Dec
COUNTY Zrumw or ❑ Monthly) (month)
PERSON COLLECTING SAMPLES Je re.nny L. 'lbo- ..r DISCHARGING TO CLASS ❑ORW ❑HQW ETrout ❑PNA
LABORATORY hies+ P-UMS•Mortal Lab Cert.# h1000g03 RECEIVE Zero-flow ❑Water Supply ESA
Comments on sample collection or analysis: *Other 01455 C.j SW
JUL 2 7 2015
CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or ® No discharge this period3
Date Sample
Collected) Outfall No. TSS COD Fecal Total Total Total Total Total
(mo/dd/yr) coliform nitrogen phosphorus copper lead zinc pH
Parameter benchmarks===> 100 mg/L4 120 mg/L 1000 col./100 mL 30 mg/L 2 mg/L 0.007 mg/L 0.03 mg/L 0.067 mg/L 6-9
Jan-t'akoxc11 5D014.q _ +
JOT,-March SbOtt tO
1 Monthly sampling(instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2The 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.
'For sampling periods with no discharge,you must still submit this discharge monitoring report with a checkmark here.
4The 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
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Check
if No
Date Sample Outfall No. pH TPH using method Total Flow
Collected) 1664A SGT-HEM TSS Rainfall2 This Average New Motor Oil Usage
(mo/dd/yr) Period3
6-9 15 mg/L 100 mg/L4 - -
Footnotes from Part A also apply to this Part B
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 g
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO Cg
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(or at end of monitoring period
in the case of"No Discharge"reports)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 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 titre re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permi ee) (Date)
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
Page 2 of 2

Quarterly Stormwater Discharge Monitoring Report RECEIVED
for North Carolina Division of Water Quality General Permit No. NCG240000 JUL 2 7 2015
Date submitted 9-23-15 CENTRAL FILES
DWR SECTION
CERTIFICATE OF COVERAGE NO. NCG24 0 0 0 a. SAMPLE COLLECTION YEAR 20
FACILITY NAME Ina-VS WICk C u.thy L \de 1 1 SAMPLE QUARTER _Jan-March ®April-June II July-Sept El Oct-Dec
COUNTY ` wkin5wic,k or _ Monthly' (month)
PERSON COLLECTING SAMPLES ._lent ( L.110-k DISCHARGING TO CLASS ORW `HQW (Trout I1PNA
LABORATORYWet orw1S. /On4.1 Lab dert.� W..60c103 [Zero-flow [Water Supply _SA
Comments on sample collection oY analysis: %Other CIO-VI C.) SW
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or ® No discharge this period]
Date Sample
Collected' Outfall No. TSS COD Fecal Total Total Total Total Total
(mo/dd/yr) coliform nitrogen phosphorus copper lead zinc pH
Parameter benchmarks===> 100 mg/L4 120 mg/L 1000 col./100 mL 30 mg/L 2 mg/L 0.007 mg/L 0.03 mg/L 0.067 mg/L 6-9
—
A'll-Jw,c. SD° it-9 _ _ .
Ali-tvwee, SDo-ti to
' Monthly sampling(instead of quarterly)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, HOW,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
Page 1 of 2

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Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted R-I2`15
CERTIFICATE OF COVERAGE NO. NCG24 0 0 0 a SAMPLE COLLECTION YEAR 2015
FACILITY NAME `Br ..f1SW i C1t G011.y1 L or ci 11 SAMPLE QUARTER ❑Jan-March ❑April-June tg July-Sept ❑ Oct-Dec
COUNTY • t or ❑ Monthly1 (month)
PERSON COLLECTING SAMPLES L.Zo/e..Y' DISCHAR I VACLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY - ! SUSIC,IL La• Cert.# NC00103 E ,L ❑Zero-flow
❑Water Supply ❑SA
Comments on sample collection or anal, is: AUG 1 4 2015 ['Other CIO-S5 C. SW
CENTRAL FILES
DWG.SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or tg No discharge this period3
Date Sample Fecal Total Total Total Total Total
Collected) Outfall No. TSS COD coliform nitrogen phosphorus copper lead zinc pH
(mo/dd/yr)
Parameter benchmarks===> 100 mg/L4 120 mg/L 1000 col./100 mL 30 mg/L 2 mg/L 0.007 mg/L 0.03 mg/L 0.067 mg/L 6-9
kulc.i2l5 Sbo#q
,i ko to 2015 Stott 10
1 Monthly sampling(instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2The 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
Page 1 of 2

Part B: Vehicle Maintenance Area Monitcring Results: only for facilities averaging > 55 gal of new motor oil/month.
Check
if No
Date Sample Outfall No. pH TPH using method Total Flow
Collected) 1664A SGT-HEM Rainfall2 Rainfall2 This Average New Motor Oil Usage
(mo/dd/yr) Period3
6-9 15 mg/L 100 mg/L4 - -
Footnotes from Part A also apply to this Part B
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 original and one copy 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 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 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 for submitting false information,including the possibility of fines and imprisonment for knowing violations."
cam— 8-11 -15
(Signature of Per 'tte� (Date)
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
Page 2 of 2