NCG060028 DMR SW (2)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit a raI Permit No. NCG060000
Date submitted S( ✓ l ' n
CERTIFICATE OF COVERAGE NO - la SAMPLE COLLECTION YEAR o?O/6
FACILITY NAME ifig, r,-(r CO, FACILITY ACTIVITIES INCLUDE(check all that apply):
COUNTY ,4 ecleC.eei-ieevie Cr- D use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES s,eGrap,/ Se•.41.0--' DISCHARGING TO SALTWATERS? DYES KI NO
LABORATORY S,4t5; ,C. euv/X-0.444-,t' I5Cert.#
PLEASE REMEMBER TO SIGN ON THE REVERSE -9
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2/.og!or ❑No discharge this period'
Outfall,Na. ,. ;Sample Collected, 'TSS.;
apH� ,:,'- n" COD fa Oil'„”
,� ,t. •,,w," ,",,,.- and'•Greas
., ..„ e;;.,,:r-, ' Eec G i or ,T EnterQc' c i
`5<`
-IflO-
d
/ rvm
Y- . tanda'i�a i
�`
:--►nig/ .,}„,,:=;r`� SzColonies';
i44 41: ,,Colonies1per`10t). .�°.
'.�
Benchmark_ i ..., -
�,`7.00�or-50,.
----— t
� � �� �- � S -7- 27 v .. ��
(0 y7 .�
- 2 71,71 6 t7 72-2 �
AJG Q
1 Only applies to facilities that use/process meats. DWR L FILES
2The total precipitation must be recorded using data from an on-site rain gauge. SECTION
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 yes, complete Part B)
_Part B:Vehicle Maintenance Area Monitoring Results: only for facilities averaging>55 gal of new motor oil/month.
r• :,' '' ` ;:��`„P
°. m” ..xa* Mi � °rAI
Vew'IVla,y /as, g .. Standari.unts�,,,arrnual,ovtorage
gal/ieo
,. ,..
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
4 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.
SWU-249

*FOR PART A AND PART B MONITORING RESULTS:
e 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`0
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an ariainatand-ane copy-of this DMR.-including-ale"No Discharge"reports, within-30-dans-of receipt of the lab_resuits 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
nprson or hers• .s o ana•e the s stem or those .ersons directl 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 a se
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (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: Oc .r 18,2012
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