NCG210411 DMR SW (5)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 02-?I/4
CERTIFICATE OF COVERAGE NO.N ___ SAMPLE COLLECTION YEAR ZOICO
FACILITY NAME Oon►fvu' Pa C`ee•w.pe t,1 1-2-4 - t3ro4dl. Rt,rec _ SAMPLE PERIOD ` Jan-June ❑July-Dec
COUNTY Qoc ga or E]Monthly1 (month)
PERSON COLLECTING SAMPLES T,.. PSK � �D DISCHARGING TO CLASS ❑ORW OHM ❑Trout ❑PNA
LABORATORY t + -Tett►L465$74.c. Lab Cert.# SO UVJ 0 20 ❑zero-flow ®Water Supply OSA
Comments on sample collection or analysis: 16 ❑Other
�eivrto
r®L�lV8 PLEASE REMEMBER TO SIGN ON THE REVERSE -)
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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 period?2
Date Sample 24-hour rainfall
Outfall No. Collected) amount,
(mo/cid/yr) Inches; Chemical Oxygen Demand Total Suspended Solids
Benchmarks===> - - 120 mg/I. 100 mg/L or 50 mg/L4
05/31/16 .q0 II 28n,5 I0541.4o5
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 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 ma/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, Tler 2,or Tler 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.
0 No discharge this period?2
Date Sample 24-hour rainfall
Collected1 amount, Non-polar No. O&G by EPA
Total Suspended Solids
(mo/dd/yr) _ Inches3 1664(561-HEM) _
15 mg/I. 100 mg/L or 50 mg/1.4
Benchmarks===> -
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 Tler 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 ER 3: HAS
CES IN A ROW FOR THE MEPARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 ORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT NY ONE OUTFALL?UIREMENTS. SEE PERMIT PART
YESIIO SECTION
• TIER 3: HAS YOUR FACILITY HAD 4 OR M
IF YES,HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑NO 0
REGIONAL OFFICE CONTACT NAME: •
Mail an original and one cony of this DMR includina all"No Discharsre"reports within 30 days of receipt of the lab results for at end of monitorina period
in the case of"No Discharge"reports)to:
Division of Water Quality
Attn:DWQCentral 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
on my inquiry of the person or persons who manage
those that ns irpersonnel rpi properly gather and evaluate the the information,the Information submitted is,on submitted. o the best of my knowledge and belief,true,a curate,he system,or
and complete. I
those persons directlyreresponsible for gathering
am aware that there are ': • ,t penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
A / 7///Z9lb
(Date
(Signature of Permittee)
SWU-245,last revised 7/31/2013
Permit Date:8/1/2013-7/31/2018 Page 2 of 2