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Home My WebLink AboutNCG210424_MONITORING INFO_20150630STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. w UC a r o4a4 DOC TYPE ❑ HISTORICAL FILE (MONITORING REPORTS DOC DATE ❑ a ote5 Q u 3 D YYYYM M D D VI, Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted � - Zz r /J� CERTIFICATE OF COVERAGE NO. NCG21 O N Z a/ FACILITY NAME t�d -w+�' W �a� i6�' Q� v�;!•lo�` G COUNTY ts, c Qo«.G11 PERSON COLLECTING SAMPLES K�+�f` I'► 0�9�'' LABORATORY Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly) _ (month) p DISCHARGING TO CLASS ❑ORW ❑HQW []Trout❑PNA i\�Vr-II V E ❑Zero -flow [—]Water Supply ❑SA JUN 3 0 2015 ❑Other_C--- A-- �r o C1+;s .i S...olkst ,$ fb••r/ +o'wr;�.S $�� Ic erid CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION Fm� Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood cliips, bark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No discharge this period?z outfall No. Date Sample Collected ' (mo/dd/yr) 24-hour rainfall amount,_ Inches - Chemical Oxygen Demand Total Suspended Solids' Benchmarks 120 mg/L . _ 100 mg/L or 50 mg/L4 oor 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z 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. " 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 ,A Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =_=> _ - 15 mg/L 100 mg/L or 50 mg/0 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 1, 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 oriainal and one coon of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results (or at end of monitorina period in the case of "No Discharae" renorts) 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 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) Permit Date: 8/1/2013-7/31/2018 6'/2_rlJ- (Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 6 'y2Z"1X_ CERTIFICATE OF COVERAGE NO. NCG21 0 SI 2 Y FACILITYNAME X'01`-h1` G COUNTY /"C Qowsl/ PERSON COLLECTING SAMPLES JZ-01- &1�00'50+- LABORATORY Lab Cert. ii Comments on sample collection or analysis: v CA i s 0/ Sow 4r' s f- f fn/rr/ p%a.rr S<�. fc Par/o SAMPLE COLLECTION YEAR Z0 1'V- SAMPLE PERIOD ZJan-June ❑July -Dec or ❑ Monthly) _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other 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 period?' Outfall No. Date Sample Collected� 1 (mo/dd/yr) 24-hour rainfall• amount, . Inches3 ` Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> - 120 mg/L 100 mg/L or 50 mg/O D0� 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z 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. ° 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 m 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 Outfall No. Date Sample 1 Collected (mo/dd/yrj 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/0 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 11 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 coon of this DMR, including all "No Discharge" reports, within 30 dovs 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, 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:B/1/2013-7/31/2018 G (Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted S-,2.2 —/S— CERTIFICATE OF COVER9GE NO. NCG21 D tf ;z y FACILITYNAME 70hy f.�cr' WaooTFGer IC7iwrJ/ �G COUNTY fine Da•-•-/1 _ - PERSON COLLECTING SAMPLES ��srf. /�o►clra•. LABORATORY Lab Cert. # Comments on sample collect' n `or analysis: � o CAio5 or SA��SI x taer;l pf►'/I �4w��C Pfi1d� SAMPLE COLLECTION YEAR .2 O / J" SAMPLE PERIOD LK Jan -June ❑ July -Dec or ❑ Monthly' (monthl DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other &1-"A&- r r PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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.) F71No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 3 Inches Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> _ - 120 mg/L 100 mg/L or 50 mg/L4 00,3 ' 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. ° 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?z Outfall No: Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar Ci&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/L° 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 ANYONE 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 Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period in the case of "No Discharae" 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /T" (Signature of Permittee) 6A (Date) Permit Date: 8/1/2013-7/31/2018 SWU-24S, last revised 7/31/2013 Page 2 of 2 t Semi-annual Stormwat-er Discharge Monitories Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted /2 -.2 f-/i CERTIFICATE OF COVERAGE NO. NCG21 d Y 2 y FACILITY NAME �7el l- JA14w X„c , GJvo0T__F� A+_ %9 r'rer/-y s•+ COUNTY /" c IOowe ll PERSON COLLECTING SAMPLES LABORATORY Lab Cert. f# Comments on sample collection or anall�Isis: joS 0/ sfnrl0' 9. r s-f. e C Peri'•� SAMPLE COLLECTION YEAR /y SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month] DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑ Water Supply ❑SA ❑Other Cw•+�► /�+'vcr JAN 0 5 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required'ShlyN`tlrPWh� 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 • Outfall No. = Date Sample Collected' " _ (mo/dd/yr) 24-hour rainfall amount, Inches ..� Chemical Oxygen Demand - Total Suspended Solids Benchmarks =-_> - _ - 120 mg/L 100 mg/L or 50 mg/0 00/ C7 C= 000 Mac 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z 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. " 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?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches Non -polar O&G by EPA 1664 (SGT-HEM} Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/L° 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 EXCEEDANCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the tab results (or at end of monitorina period in the case of "No Discharae" 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 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." M1'14�144_ (Signature of Permittee) Permit Date: 8/1/2013-7/31/2018 f.�? - 2 9 �y (Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted _ CERTIFICATE OF COVERAGE NO. NCG21 D 4 Z I/ FACILITY NAME ,Tali- wcr ,�a'nc. f,.lopa/ F;i.tr Ai vt.f ion+ COUNTY Mc ,Dowel f PERSON COLLECTING SAMPLES Xt! or ter+ LABORATORY Lab Cert. # Comments on sample coll9ction or analy is: ;/t% c%71P5 or S.wp/rifiT.! f,ertoQMr,-j SAMPLE COLLECTION YEAR %01 N SAMPLE PERIOD ❑ Jan -June X July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [_]WaterSupply ❑SA ❑Other C44L4tw,6 . /ZA1r,,0 ---- PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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?z putfall No. Date Sample Collected' (nio/dd/yr) 24 hour rainfall amount, Inches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks ==_> _ - 120 mg/L 100 mg/L or 50 mg/L4 (' D 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 reportBelow 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 me/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 1, 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?' Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches 3 Non-polar'0&G by EPA 1664 (SGT-HEM) . Total Suspended Solids Benchmarks =_=> _ - 15 mg/L 100 mg/L or 50 mg/0 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 8 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 oriainal and one cony of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lob results for at end of monitarina period in the case of "No Discharoe" 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 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." ure of Permitteel Permit Date: 8/1/2013-7/31/2018 (Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted q`7 y CERTIFICATE OF COVER %GE NO. NCG21 oy Z Y FACILITY NAME T+1w"' .r•c, Div,vto' COUNTY Uric Dowc // PERSON COLLECTING SAMPLES At0' I'kv--,Sp^ _ LABORATORY Lab Cert. It Comments on sample collection or anaylysis: SAMPLE COLLECTION YEAR ;;'0f 3 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other elaf- -A- PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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?Z Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks =__> - - 120 mg/L 100 mg/L or 50 mg/LQ po3 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. 3 The 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 me/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 5WU-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 ail per month. ❑ No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, IncheS3 Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/0 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainol and one copv of this DMR. includina all "No Discharae" reports, within 30 days of receipt of the lab results for of end of monitorina 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 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) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted CERTIFICATE OF COVE�AGE NO. NCG21_ Y 2 q FACILITY NAME Tdlr we" X1-6 1,JpooTJf%6w Qi✓. �✓CI COUNTY &cDdP-e-II PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: ,�!/o+ C� rps o♦ 5+�+ ofM-s f" 5 hvi.� �».,� g...p/e /�sri e� SAMPLE COLLECTION YEAR r2-O/y SAMPLE PERIOD ® Jan -June ❑ July -Dec r o �thlyl (morathl IrS It�l LA�S� ❑ORW ❑HQW ❑Trout ❑PNA JUN 3 0 ng ❑zero -flow ❑water supply []SA ❑Other C&I�Aw6a- J2ivGr~ CENTRAL FILES DWQIBO( )LEASE 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 period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 .. Chemical.Oxygen Demand Total Suspended Solids Benchmarks =__> _ - 120 mg/L 100 mg/L or 50 mg/L4 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, 8DL, <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_mwhere 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?' Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L° 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 monitorina 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 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) Permit Date: 8/1/2013-7/31/2018 d -_20-/y (Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 6 -i 7��Y CERTIFICATE OF COVE AGE NO. NCG21 O Y L/ FACILITY NAME COUNTY I'y' a pave l PERSON COLLECTING SAMPLES LABORATORY T Lab Cert. # Comments on sample collection or analysis:: j/f%O CArr3 e-f ,S.-wo%..:7J` s f-Of rd p�`r'At J anp/c P1wla SAMPLE COLLECTION YEAR 0 /y SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly! (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow [—]Water Supply ❑SA ❑Otherj�a1+U 6- It *,-cr PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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?z Outfall No. Date Sample = 1 Collected (mo/dd/yr) -24-hour rainfall' -amount, Inches3 ,` ' Chemical Oxygen Demand -Total Suspended Solids Benchmarks 120 mg/L 100 mg/L or 50 mg/L4 0 0 2- 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. ° 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, "<XXmg/L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. !Vote: 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 1of2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar 0&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks 15 mg/L 100 mg/L or 50 mg/L" 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 1, 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one cony of this DMR. including all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQCentraI 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 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." 44/"1 % ;ure of Permittee) Permit Date:8/1/2013-7/31/2018 6' i21 /L/ ( Date) SWU-245, last revised 7/31/2013 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted CERTIFICATE OF COVER GE No. NCG21 D ' N FACILITYNAME df�Wc' �r'G �vo� ��' Diviiia— y✓G .T F COUNTY el"C Dow t-1 PERSON COLLECTING SAMPLES jCe a h yN orb .• LABORATORY Lab Cert. # Comments on sample collection�}} or analysis: CI CA. S V.-5'&V �"St- r'Tl �ari� fs.- fc1oel�or/ SAMPLE COLLECTION YEAR D �Y SAMPLE PERIOD [X Jan -June ❑ July -Dec or ❑ monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA [_]Zero -flow ❑Water supply ❑SA ❑Other -647 aw h& !4 j ver PLEASE REMEMBER TO SIGN ON THE REVERSE 4 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?z Outfall No. Date Sample - 1 Collected (mo/dd/yr) 24-hour rainfall amount, •inches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks -_-> _ - 120 mg/L 100 mg/L or 50 mg/L° 003 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfail. 2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The 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 me/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 dischorge this period?z Qutfall No. Date Sample Collected, (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/0 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 oriainol and one coon 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" reearts) 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Permittee] Permit Date:B/1/2013-7/31/2018 (Date) SWU-245, last revised 7/31/2013 Page 2 of 2