NCG210379 DMR SW (3)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR GenTal P rmit No. NCG210000
Date submitted `l��`1i�
CERTIFICATE OF COVERAGE NO.NCG21 0 3 1 1 //SAMPLE COLLECTION YEAR l IP
FACILITY NAME Arcola. . mbec- G. �nC. SAMPLE PERIOD [i Jan-June ❑July-Dec
hlyi
POUNTYERSON WOTING Sl or' DISCHARGING TO❑C SS t❑ORW ❑HQW ['Trout(month)
❑PNA
PERSON COLL ING SAMPLESn �� G'.q �• Nci.CZ"lS
LABORATORY�CQ A dtt.: a.%/Lab Cert.# 4aa7O 11a OD ❑Zero-flow ❑yrater Supply OSA
Comments on sample collection or analysis: [v]Other C NSW
PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A:Stormwater Benchmarks and Monitoring Results(Monitoring is required only if the facility stores exposed accumulations of sawdust,wood chips,
bark,mulch,or other similar material on site for longer than seven(7)days.)
❑No discharge this penod?2
Outfall No.` Date,Sample 24-hour rainfall, -
Collected1 amount, -
'Chemical Oxygen�Dem and `A 'Total Suspended Solids'
(mo/dd/yr) Inches3< r
Benchmarks=__> 4 120 mg/L,°` ;' 100 mg/Lor 50 mg/L4
ooa fui3o�rlp .30 IIL XX pt/L.// "2 XX m$1.1_.II
REeEIVED
e4 9 2616
(.3E.Ni RAI, FILES
1 Monthly sampling(instead of semi-annual)must begin with the second tbfklitlikaircilekhk exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
3The 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.
4 See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note:Results must be reported in numerical format. For example,do not report Below Detection Limit,BDL,<PQL,Non-detect,ND,or other similar non-
numerical format. When results are below the applicable limits,they must be reported in the format._"<XX mg/L",where XX is the numerical value of the
detection limit,reporting limit,etc.in mg/L.
Note: If you report a sample value in excess of the benchmark,you must implement Tier 1,Tier 2,or Tier 3 responses. See General Permit text.
Permit Date:8/1/2013-7/31/2018 SWU-245,last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new oil per month.
❑No discharge this period?2
Date Sample ='24-hour rainfall .
Outfall No. ,' Collected' , -amount, - Non-polar O&G by EPA
Total Suspended Solids
" . (mo/dd/yr): . ` Inches . F 1664(SGT-HEM) „
Benchmarks===> , - , - .a 15 mg/L 100 mg/L or 50 mg/L4'-,
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark,you must implement Tier 1,Tier 2,or Tier 3 responses. See General Permit text.
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 DEMLR REGIONAL OFFICE? YES ❑NO❑
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,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 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 direct) 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 re significant penal i for submi iinn�g�falseinformation,including the possibility of finesitand imprisonment for knowing violations"
C 1 / l/�' — 1 0�I
(Signature of P rmitte (Dat
Permit Date:8/1/2013-7/31/2018 SWU-245,last revised 7/31/2013
, Page 2 of 2
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