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HomeMy WebLinkAboutNCG060357_MONITORING INFO_20181127STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. IV C� �CP � 35r7 DOC TYPE ❑, HISTORICAL FILE CriJMONITORING REPORTS DOC DATE ❑ C3bl $ I ( a9 YYYYMMDD SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 � EC �� ' Date submitted October 2018 NOV 2 7 2018 CERTIFICATE OF COVERAGE NO. NCGO60357 SAMPLE COLLECTION YEAR 2018 CENT!�k FILE FACILITY NAME Mother Murphy's Laboratories, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply): S�CTlp+r COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Jeff Gerlock DISCHARGING TO SALTWATERS? [—]YES ®NO LABORATORY Meritech Lab Cert. # 165 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 4.13' or ❑ No discharge this period] Outfall No. Sample Collected, mo/dd/yr, TSS, ag/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml, Enterococcil, Colonies per.100 ml Benchmark - 100 or 50 Within 6.0— 9.0 120 30 1000 500 OF-1 10/11/2018 3.0 5.42 <15 <5 NA NA OF-2 10/11/2018 No Flow 1 Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. 45ee 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 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr - Oil and Grease, mg/L TSS, ; mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50° :! 6.0-9.0 - 1 Only applies to facilities that use/process meats. zThe total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at aDA outfalls, you must still submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes, complete Part 8) SWU-249 Last Revised: October 18, 2012 Pagel of 2 *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 ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ A,O ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR includin all "No Dischar e" 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, NC 27699-1617 —11 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTEG: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or sup?rvision 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 pos �' es and imprisonment for knowing violations." (Signature of Permittee) /—z (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#ttab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 t RECEIVED MAY 0 3 2018 CENTRAL FILES DWR SECTION SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted April 2018 CERTIFICATE OF COVERAGE NO. NCGO60357 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Mother Murphy's_Laboratories, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Guilford ❑ use/procr-ss meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES JeffGerlock DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY Meritech Lab Cert. it 165 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' 0.83" or n No discharge this period) Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or SO Within 6.0-9.0 120 30 1000 Soo OF-1 3/6/2018 5.0 6.24 <15 <5 NA NA OF-2 3/6/18 No Flow Only applies to facilities that use/process meats. =The total precipitation must be recorded using data from an on -site rain gauge. 3 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. 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. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TsS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark 30 100 or 50 6.D — 9.0 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at anv 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. S WU-249 Last Reviwd: October 19, 2012 Page l of 2 r "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 OUTFAtL 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all `No Discharge_reeorts, within 30 days of receipt of the lab results 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 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 Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wcl/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 19, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Quality General Permit No. NCG060000 �� Date submitted September 2017 SEp 28 2G17 CERTIFICATE OF COVERAGE NO. NCG060357 SAMPLE COLLECTION YEAR 2017 CENTRAL FILES FACILITY NAME Mother Mur h 's Laboratories Inc. FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTIONi COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Jeff Gerlock DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY Meritech Lab Cert. # 165 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 1 0.49" or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliforml, Colonies per 100 ml Enterococcil, Colonies per 100 ml Benchmark - 100 or 504 Within 6.0-9.0 120 30 1000 S00 OF-1 9/12/2017 <2.5 7.66 116 <5 NA NA I Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 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. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 3 Only applies to facilities that use/process meats. 2 The total precipitation must be recorded using data from an on -site rain gauge. 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. (i'f yes, complete Part B) SWU-249 Last Revised: October 18, 2012 Page I of 2 *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 ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ 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 lob results tor 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 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 Permittee) 9-26-2017 (Date) Additional copies of this form may be downloaded at: http://Porta1.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted April 2017 CERTIFICATE OF COVERAGE NO. NCG060357 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Mother Murphy's Laboratories, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Jeff Gerlock DISCHARGING TO SALTWATERS? DYES ®NO LABORATORY Meritech Lab Cert. # 165 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE -) Total event rainfall 2 0.24" or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 Soo OF-1 3/13/2017 28 6.8 646 <5 NA NA RF('i-1111—I ) I' J Only applies to facilities that use/process meats. uy-w' ace, iv„ 1 - 2The total precipitation must be recorded using data from an on -site rain gauge. 1P'MRAAT&l PROCESS€,"� U I� j 3 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. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L . pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0-9.0 - Oniy applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 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. {ff yes, complete Part Bj SWU-249 Last Revised: October 19, 2012 Page 1 of 2 *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 SECTIONS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ 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 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 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 Permittee) 4-4-2017 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw##tab-4 S W U -249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted December 2016 CERTIFICATE OF COVERAGE NO. NCG060357 SAMPLE COLLECTION YEAR 2016 FACILITY NAME Mother Murphy's Laboratories, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Jeff Gerlock DISCHARGING TO SALTWATERS? ❑YES ®NO LABORATORY Meritech Lab Cert. # 165 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 0.7" or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci', Colonies per 100 ml Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 500 OF-1 5/21/2016 6 63 - 36 <5 NA NA OF-1 12/06/2016 20 5.9 240 <5 NA NA a_-+r--i Rr 1,ECL1 V e 'Only applies to facilities that use/process meats. Ji1 V V -, 2The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL FILES 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkrrd0f� khgf,4 -.TION °See 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 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 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. (if yes, complete Part B) S W U-249 Last Revised: October 18, 2012 Page I of 2 *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 DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copV of this DMR including all "No Discharge" rel2orts, within 30 days of receipt of the lab results or at end o 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 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." 1-3-2017 (Date) Additional copies of this form may be downloaded at: http:/4portal.ncdenr.org/web/wcl/ws/su/npdessw#tab-zi S W U-249 Last Revised: October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted Feb 2015 CERTIFICATE OF COVERAGE NO. NCG060357 SAMPLE COLLECTION YEAR 2015 FACILITY NAME Mother Murphy's Laboratories, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Jeff Gerlock DISCHARGING TO SALTWATERS? [—]YES ®NO LABORATORY Pace Lab Cert. # 37706 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z 0.39" or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 OF-1 1/12/2015 5.0 6.7 <25 <5 NA NA Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 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. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here. 45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. (if yes• complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 of 2 *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. • TI£R 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ 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, 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 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." �N'!,6 (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wcllws/su/npdessw#tabb-44 SWU-249 last Revised: October 18, 2012 Page 2 of 2 February 2015 Central Files NCDENR Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 G.13"SF�Ft CIG�y 1)1V Subject: Report of Stormwater Sampling — First Half 2015 Mother Murphy's Laboratories, Inc. 2826 South Elm -Eugene Street Greensboro, Guilford County, North Carolina NCDENR Certificate of Coverage #NCG060357 Ladies/Gentlemen: Attached is a stormwater sampling report for the subject facility. if you have any questions regarding this submittal, please contact the undersigned at 336-431-5454. Sincerely, wlava Jeff Gerlock, L.G. NC Licensed Geologist #1141 Attachment — Semi-annual Stormwater Discharge Monitoring Report form (2) Cc: Mother Murphy's 306 Eden Terrace, Suite C, Archdale, NC 27263 - Phone/Fax: 336-431-5454 ` SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted Feb 2015 CERTIFICATE OF COVERAGE NO. NCG060357 SAMPLE COLLECTION YEAR 2015 FACILITY NAME Mother Mur h s Laboratories Inc. FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Jeff Gerlock DISCHARGING TO SALTWATERS? [—]YES ®NO LABORATORY Pace Lab Cert. # 37706 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 0.39" or ❑ No discharge this period Outfall No. Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 OF-1 1/12/2015 5.0 6.7 <25 <5 NA NA 1 Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 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. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes ®no (ifyes, complete Part Bj Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No. Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - ' Only applies to facilities that use/process meats. 2The total precipitation must be recorded using data from an on -site rain gauge. 3 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 Last Revised: October 18, 2012 Page l of 2 *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 DWQ 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 eriod in the case o "No Dischar e" 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 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." (Date) Additional copies of this form may be downloaded at: http.-I/portal.ncdenr.org/web/`wq/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2