NCG240003 DMR SW (4)

Quarterly Stormwater Discharge Monitoring Report , -
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted 5-13 Ito
CERTIFICATE OF COVERAGE NO!l�11
FACILITY NAME W i Gk 1
COUNTY WWVNWMk
PERSON COLLECTING SAMPLES re;rn
LABORATORYWCSt Lab Cert. # 4Co'o9o3
Comments on sample collection or analysis: _ ,A
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE QUARTER M Jan -March ❑ April -June ❑ July -Sept ❑ Oct -Dec
or ❑ Monthly' (month) --
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA •
❑Zero -flow [_]water Supply ❑SA
®Other CI&SS C; SW
Total event rainfall 2, or Rf No discharge this period'
Date Sample
Collected'
(mo/dd/yr)
Outfall No.
TSS
COD
Fecal
coliform •
Total
nitrogen
Total
phosphorus
Total
copper.
Total Total
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 •
.0.63'11mg/L' 0:067 mg/L r
6-9
-March
SDo
�l_W_
CEi�T L FILE
U �.
i
' Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance'forthe same parameter at the same outfall.
'The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement.
s 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
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Part B: Vehicle
Maintenance Area Monitoring Results: only
for facilities
averaging
> 55 gal, of new mot
4.14`,i�+1;
Date,Sam
”
• \ 4�rL
Outfall.No:
- U. :�=:.i� ___ 3r
r : 6-9
i�, `t , '{� ",;;y 'i. - W��4, •illy^,_
-- u:�'4L%=" ;(�:• .a. 'iS L -x- "e:' ,� 3" 4nxu;'
usin9 method
TSS
y, .,;TMS M±?<n^h;>,: «i. -- - "�:`'v 'tf'�..•ai
r'/ e�'K+. "?f a.1 :',1w
°lv'; ..i. i,t x,,
TotfaalP,TPH
-Rain
iii`=3e�'' .7 :-
r `v.." ,^xi
Flowe
This-,;, �-
'�i «iv'I.
�.L... r`.u; '`>;" -.n� x;iF„. `e
.
Averagetor Oi'Viag- e
-
2, _ _ _ 3! _
=`15 mg%L�;.', .; =' 100 mg/La
Footnotes from Part A also aooly to this
Part B
or oil/month.
FOR PART AAND PART B MONITORING RESULTS:'
•
A -BENCH MARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 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 ANYONE OUTFALL? YES ❑ NO tZ
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMRAncludina all "No Discharae" reports within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharae" 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 Fri 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
4-11-110
(Date)
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
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