NCG030098 DMR SW (21)

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality/General Permit No. NCG030000
Date submitted (tfr,199,�5
CERTIFICATE OF COVERAGE NO. NCGO3 0,07 SAMPLE COLLECTION YEAR 'C.. /ice
FACILITY NAME / red—tel-e_ SAMPLE PERIOD ❑Jan-June ❑July-Dec
COUNTY b Of or r j Monthly' 30. (month)
PERSON COLLECTING SAMPLES rOn,--t-50 �'.— DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Pet-,c" /, 6 Lab Cert.# 6'2 RECEIVED ❑Zero-flow ❑Water Supply OSA
p Other ,/c4,54 C
Comments on sample collection or analysis:
9k1- 2a.,� 1-n low (Pop up °�5"k'%At) JUN 3 0 2016
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 .3
CENTRAL FILES
Part A:Stormwater Benchmarks and Monitoring Results DWR SECTION •
❑ No discharge this period?2
Non-Polar O&G/
Date Sample . 24-hour rainfall pH, Total Toxic
Outfall No. Collected' amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organics
(mo/dd/yr) Inches3 Hydrocarbons
Benchmarks===> 6270} !e - 100 mg/L or 50 mg/L4 6. . 0.0070.03
0—90 mg/L mg/L 0.067 mg/L 15 mg/L 1 mg/L
0441I C. /« , /3 q08 -7/3 .n 37 ,co ,o9/ 3 5 /VA
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark 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,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic
crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent
Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11;for semiconductor manufacture use
the definition as found in 40 CFR 469.12;for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use
the definition found in 40 CFR 469.31).
PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012
PAGE 10F 3

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STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
GENERAL PERMIT NO.NCG080000 - SAMPLES COLLECTED DURING CALENDAR YEAR: (90/ 6
CERTIFICATE OF COVERAGE NO. Ctt ' (This monitoring report is due at the Division no later than 30 days from
^ `� the date the facility receives t e sampling results from the laboratory.)
\---.P\6\(\‘`,..-700\k--\ -1
FACILITY NAME -.''6l'1‘1•.7O 1 k--\ -1 M _,.,` COUNTY UJ 44)-`,-4 r1
PERSON COLLECTING SAMPLES PHONE NO.
CERTIFIED LABORATORY Lab#
Lab# PLEASE SIGN ON THE REVERSE- RECEIVED
Part A:Vehicle Maintenance Areas Monitoring Requirements JUL 120'i6
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?-s
(if yes,report your analytical results in the table immediately below) _no
ISCENTRAL TION
;Outfall Date DWl SECTION
i '" :,,;,' ,,.,;005 "nlr r. ;�; ,,., .t,p�rt,,q�,t;�,, -c. ,.+ ,. -
„�,, '�';1�•: 3,- .t''tr• !�r! �'•0000u'r _ i �r, �' �- �'`'� 56,", ,., ,1 :,,,I,
005 :r t„,;, y,-,,,.�i,l' •',L,,'�ri
- '�No.��� ;��� -Sam `�' ,,• .,, ,�,;,�,,.�. ,,, ;�•,:�',,•
pleCollected' '. ';Total'Sus"ended;Solids'• -;- .��, r.� • I
.,� `:,,� .. 8.: P ,e`i, I; ;,�,�., IIs �N�•, ;,nr,. �'�`� ;,,,3:„3011,and� ease ,,� e' O
'�Y�I r,• ',- ._;;,a 1 .,�,. p- ",it= 1• �'�, f +,��•.,W',1V);Otpr',Oil;USa
• � .,i.., 'I" I,I lc.';,.' '�L���;'r .,1' ,I!,,'f •q'.w'`•�ii.-'fir�,i'•;{}
•1 I
,' ;i,� ':il;?'S�taYt'dard,lumts,;_•,.:;1�; �.,�,
Benchmark''!,: , ' _ :; - ;,., ,�) g Anntial ayerae; aUnio;t,
i'C r�100� ''!'� Y it1049:00V;:'
n
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•
Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
. :Outfall ;, • ;d,'
� � ;Dates ',j�' ,,••-;,,:'�� r+';'' ;;,;00556r''r, °t �;J�;I•'i�iY',��i��,�'i��`°•ie00530i�;71''1'„�2�Np�;i�'l !tv' ;i�lii i��� -0 400' �1•:'„ ','
, ' "No: ,Sample.Colected;`,,,;, G se•' a''-Total Si 4
;,:Oil•and rea , :;'r,;�c-�;h,, 's ended•' ohds'��°� � ,
� ' ;1 `Ai�ndN, Y'i(r..p 1 .r• ' �2 1-''-' ;'1,•i;'.
;,i', ;i,., I '” ':m0/dd' r'•' i i i'°r ,'; :.,f.:: ''L,• !r't� �� sil. z„t i.
Permit;Limit`„ :, 30;a,: �;•-.- r:',:„e,,;,_,,:'
gyp,.,.Ly", ,i�
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn: DWQ Central Files
Total Event Precipitation(inches): 1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Date (list each additional event sampled this reporting period,and rainfall amount)
Total Event Precipitation(inches):
SWU-250-102107
Page 1 of 2

"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 po 'bility of fmes nd 'mprisonment for knowing violations."
tg ( I
(Signatu of '•rmr :e) (Date)
SWU-250-102107
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