NCG240003 DMR SW (2)

Quarterly Stormwater Discharge Monitorinp. Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted
FieLSD .r
11 2015
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CERTIFICATE OF COVERAGE N0. NCG24 0 0 0 a SAMPLE COLLECTION YEAR 201+
FACILITY NAME 1� WIC.k Courlt'y SAMPLE QUARTER ❑ Jan -March ❑ April -June ❑ July -Sept IR Oct -Dec
COUNTY J! Cim�swjck or ❑ Monthly) (month)
PERSON COLLECTING SAMPLES km2= L. Be-1iGe.Y' DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY St.-- be.lo,,3 Lab Cert. # _Se c. be low []Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: ®Other CRSS C; SW
1►Je s+ 13mrsuwtcX 14AIor6.1 Loll Ceti. it Toco0g03 (TSS, C.O,D) Fica.1)
Envirotn Irnca &I C4\CAY 1 +s Ub t p # 14 - 36561 (E"t' el jni else.)
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall Z 114_� or (] No discharge this Deriod3
Date Sample
Collected)
(mo/dd/yr)
Outfall No.
TSS
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
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
1 V22 • 14
SDO # 10
C1.6
l8 FFM
11 CF LL
US L
<0.04fnvj
L < 0.010 m4l.
c o.olo
so.610
7.78
Xr
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
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Part B: Vehicle
Maintenance
Area
Monitoring Results: only for tacilities
averaging
> 55 gai Or new mots
Date Sample
Collected'
(mo/dd/yr)
Outfall No.
PH
TPH using method
1664A SGT -NEM
TSS
Total
Rainfall'
Check
if No
Flow
This
Period
Average New Motor Oil Usage
6-9
15 mg/L
100 mg/O
-
-
Footnotes from Part A also aooly to this
Part B
x oil/month.
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? YESE]NOIR
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov 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 Dischame" 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.
N 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."
(Signature of Permitteeq
Permit Date: 10/1/2011-9/30/2016
(Date)
Last Revised 12/02/11
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