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Home My WebLink AboutNCG080960_MONITORING INFO_20190117STURMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. IV qttO [DOC TYPE FILE �� -'MONITORING `F? REPORTS DOC DATE ❑ YYYYMMDD Serni-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted �/��• 17./� CERTIFICATE OF COVERAGE NO. NCG08-0 '? 6 Q FACILITY NAME �Ci7✓d�72N%c' G� 6�!✓c" �tii��k�Q COUNTY PERSON COLLECTING SAMPLES ML4ef_ef LABORATORYLab Cert. # Comments on sample collection or analysis: E,Qf!%i32an//Y1E.✓�-C �c�?r�TJ-�s.,�/VG- ._.._ SAMPLE COLLECTION YEAR -;2-d /cf SAMPLE PERIOD ❑ Jan -June July -Dec or ❑ Monthly)_ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑TroutPNA. RECEIVED ❑Zero -flow ❑Water Supply ❑SA ❑Other JAN 22 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 CENTRAL FILES Did this facility perform Vehicle Maintenance Activities using more than 55 gallons ofv' newRrorToi} trer month? _yes Xo (if yes, report your analytical results in the table immediately below) Part A:.Vehicle Maintenance Areas Monitoring Requirements (If applicable) No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530. 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15 - aPart B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100 see permit 6.0 — 9.0 40 o l 6� Q -� Diu , ;z 601 09 ZZ -� S-AAgZ4 I 1K. -2 -7, Sr-5-- For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date (first event sampled) �T� _ Total Event Precipitation (inches): i Date 1:�L/;frlst each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): ;:Z3. F3 _ItArD 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 It 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,_ineludinoall "No Discharge" reports, within.30_days ofreceip_t of the lab results (or at end of m_onitorimg 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 Pe (x C. (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.ore/web/wg/ws/su/npdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2 Serrmieannual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCGO80000 Date submitted CERTIFICATE OF COVERAGE NO. NCG08_Q Y _6 Q SAMPLE COLLECTION YEAR FACILITY NAME %�h/72 p 1h/� '",r2�.v�G SAMPLE PERIOD an -June ❑ July -Dec COUNTY or Monthly' month PERSON COLLECTING SAMPLES P jN RISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout PNA LABORATORY Lab Cert. # Comments on sample collection or analysis: ❑Zero -flaw ❑Water Supply ❑SA AUG 0 9 2018 ❑Other CENTRAL Fl"S f GUJ� SECTIONPLEASE REMEMBER TO SIGN ON THE REVERSE 3 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xno (if yes, report your analytical results in the table immediately below) Part A:.Vehicle Maintenance Areas Monitoring Requirements (If applicable) XNo discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 00530 00400 00556 Total Suspended Solids, mg/L pH, Standard units Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L New Motor Oil Usage, Annual average gal/mo Benchmark - 50 or 100 see permit Within 6.0 — 9.0 15. Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) Outfall No. Date Sample Collected, mo/dd/yr 00556 00530 00400 Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L pH, Standard units Permit Limit - 15 50 or 100.. see permit 6.0 — 9.0 For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here. SWU-250 last revised April 11, 2013 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date . (first event sampled) Total Event Precipitation (inches):_ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): 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 AAND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART If SECTION B, • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER 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 orLgiinal 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 u 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 Perm' ee) DEG (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wglwsLsulnpdessw#tab-4 SWU-250 last revised April 11, 2013 Page 2 of 2