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HomeMy WebLinkAboutNCG060126 DMR SW (9)SEMI-ANNUAL STORMWATER DISCHARGE MONITORING; REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted P-1101 2017 CERTIFICATE OF COVERAGE NO. NCG06 0 1 a (✓ FACILITY NAME 6,0-1.., f z�4 10, � COUNTY iN PERSON COLLECTING SAMPLES ��ew Ilam LABORATORY--r,,,�- k,,e / C,,o.mc�- - Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR I FACILITY ACTIVITIES INCLUDE (check all that apply): E] se/process meats use animal fats/byproducts DISCHARGING TO SALTWATERS? [-]YES [] O PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1 or ❑ No discharge this period' Outfall No. Sample Collected, TSS, pH, COD, Oil and;Grease, Fecal Coliforml, Enterococcil, mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 —9.0 120 30 1000 500 DUI 00 Flaw c� 2 0 C cw 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on-site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal,, of new motor oil/month. Outfall No. Sample Collected, Oil and Grease, mo/dd/yr mg/L TSS, mg/L pH, New Motor Oil Usage, Standard units Annual average gal/mo Benchmark - 30 100 or 50' 6.6-9.0 - 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on-site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if es complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 "'FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B 0 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 ❑ NOQ/ 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, NC 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." (Signature of Pbrmittee) t2a /; (Date) Additional copies of this form may be downloaded at: http://portal ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMVVATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted It ) 11 2_017 CERTIFICATE OF COVERAGE NO. N0006 c; ) �__U, FACILITY NAME P, —J T,4cL 14er.1 COUNTY PERSON COLLECTING SAMPLES LABORATORY %,a1'Ldl-zrl Lab Cert. # Part A: Stormwater Benchmarks and Monitorine Results SAMPLE COLLECTION YEAR Zc� 15 FACILITY ACTIVITIES INCLUDE (chec II that apply): ❑ use/process meats a use anim�al f�a�ts -byproducts DISCHARGING TO SALTWATERS? []YES [O PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 or ❑ No discharge this period' Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform', Enterococcil, mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml Benchmark - 100 or 504 Within 6.0-9.0 120 30 1000 500 0C I N 0 Yt„Uj 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on-site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no (if es complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, Oil and Grease, mo/dd/yr mg/L TSS, mg/L pH, New Motor Oil Usage, Standard units Annual average gal/mo Benchmark - 30 100 or 504 6.6-9.0 - 1 Only applies to facilities that use/process meats. 'The total precipitation must be recorded using data from an on-site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 'ra,,SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B/. 0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO E IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-1NO D/ 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 endo monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 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." (Signature of�jbermittee) r7 ✓ c V, 6, 201 `1 (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/­npdessw#tab-4 --,SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 118r 12° I L, - CERTIFICATE OF COVERAGE NO. NCG06 FACILITY NAM fE COUNTY , t, PERSON COLLECTING SAMPLES LABORATORY]-., I,eeQ,/C-PvA�-k— Lab Cert. # 4Z � `- Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR �O 7 FACILITY ACYWITIES INCLUDE (=nimal that apply): se/process meats fats/byproducts DISCHARGING TO SALTWATERS? DYES [N'0 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 or ❑ No discharge this period' Outfall No. ,Sample Collected;.' , , 'TSS,-' Oil and Grease; Fecal Co*hfdrmr,_, - . Enterococci', mo/dd/yr 'rig/L. Standard units mg/L. mg/ 'Colonies per'100 'I- Colonies per 100 ml. ` Benchmark, ` 100,or 504 Within 6.0 - 9.0 _ '120 , ," ; . 30 1000- `. Soo, 100 or 504° 6.0 - 9.0 - VC -2- o ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on-site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No.-, 'Sample Collected, Oil -and Grease, mo/dd/y'r '� rrtg/L TSS, s .pH, = mg/L" New Motor Oil Usage, Standard units` Annual average gel/mo, Benchmark, 30 100 or 504° 6.0 - 9.0 - 1 Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on-site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part B) SW -249 Last Revised: October 18, 2012 Page 1 of 2 *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 AME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-1No 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 for 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, NC 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." (Signature°of Permittee) I I �01� (Date Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4 SV;IJ-249 Last Revised: October 18, 2012 Page 2 of 2