NCG140051 DMR SW (2)

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STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N � "`�I) c.6-MA1" IVSD
FACILITY NAME: Gastonia (Dallas) OCT 2 2Q1�
PERSON COLLECTING SAMPLES: Rik Jones
CERTIFIED LABORATORY: Prism Lab # 402 CENTRAD FILES
OPTIONAL INFO: SP CTInN
Part A: Stormwater Monitorine Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Gaston
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
Date Sample
Collected
Outfall No.
(mo/dd/yr OR
NO FLOW)'
pH
TSS
(Standard
(mg/L)
Units)
In Tier 2
Event Total
4 Monthly # of Months in Tier
Duration Rainfall 2
Monitoring? 2 Sampling
(minutes) (in) (y/n)
n
- -
6-92 1002'3
001 09/28/15
No Flow
1 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.
2 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/l.
4 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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Part R- Vehicle Maintenance Activitv Monitorine Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall Date Sample
No. Collected
(mo/dd/yr)1
pH
( Standard
Units)
TPH using method
1664A SGT -HEM
(mg/L)
Total Suspended Event
Solids Duration
(mg/L) (minutes)
Total New Motor Oil In Tier 2 # of Months
a Monthly
Rainfall Usage in Tier 2
Monitoring? 2
(in) (gal/month) (y/n) Sampling
6-9
15
100 , -
- - - -
001 9/28/15
No Flow
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES [:IN 0
REGIONAL OFFICE CONTACT NAME: Mooresville NCDENR
Mail Orieinal and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") 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 qualif d personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons di ctly r ponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am �raA that t ersignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date: 7/1/2011-60/30/2015
(Date)
Last Revised 7/13/11
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