Loading...
HomeMy WebLinkAboutNCG160055_MONITORING INFO_20180611STORMWATER DIVISION CODING SHEET NCG PERMITS -------------- PERMIT N0. �v C� I � crp 5 5 DOC TYPE ❑HISTORICAL FILE �-MONITORING REPORTS DOC DATE ❑ do 1 fl�O YYYYMMDD f" 4z Semi-annual Stormwater Discharge Monitoring Repolrt_(DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted _�7,�/P-020/6 CERTIFICATE OF COVERAGE NO. NCG16 D O -.T- s FACILITY NAME S.T. TZ-A/ dgWP Rl�7 450'/_-i;_AZa PZ AP/W+-7- COUNTY Lc-E PERSON COLLECTING SAMPLES TR UJN euofl? J LABORATORY Lab Cert. # 1 / Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 02015 SAMPLE PERIOD Z Jan -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 4 Outfail No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids Benchmarks ===> _ - 100 mg/L or 50 mg/L No discharge this period?2 RECEI\!Fr. JUN 11 170:: CENTRAL. FILE. DWR SECTION RECEIVED JUN 11 2018 CENTRAL. FILES DWR SECTION 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. 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 m L" where XX is the numerical value of the detection limit, reporting limit, quantitation 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: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 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, Inches3 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 mgnitorinq period in the case of "No Discharge" renorts) to: Division of Water Resources Attn: DWR 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 sign ificantyenalties for5ubmitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of (Date) Permit Date'10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 ME Semi-annual Stormwater Discharge Monitoring _Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted S- S-cA017 CERTIFICATE OF COVERAGE NO. NCG16 0 4 : 5- FACILITY NAME S,_T. i+l%tx�z, Sf1FD�(L$� COUNTY LE' PERSON COLLECTING SAMPLES Z7?VIAI K_7tJ1?RlN _ LABORATORY Z W/arPOZ4e_ _ Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR p2017 SAMPLE PERIOD KJan-June ❑ July -Dec or ❑ Monthly'_ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow [:]watersupply []SA ❑Other MAY 2 5 ��i7 CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE DWR SECTION outfall No.:. Date Sample -" 1 :_ _Collecied mo dd r 24'hour rainfall- _> __amount, Wlnches3 Totads l Suspended-Soli _eench►rtarks -==> :. _ .:` , .... - ::. �. 100'mg/L or 50--mg/L ,_' Jr-8,-,26.2 T6' 7.0 m No discharge this period?Z 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. ' 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation 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: 10/1/2014-9/31/2019 5WU-252, last revised 9/17/2014 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?' Outfalf No: - Date Sample Collected 24 hour rainfall arnotant' 3' Indies .: N Non polar 0&G by EPA" - i664 SGT=.HEM) . Total Suspended:Solids - =Benchmarks= ==>- - _ _ - 15.mg%L 100'mg/ L or 50 mg/0T 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 AAND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 Resources Attn: DWR 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 them-armsignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �_� 111&4 --- 67-1, =e2O 1% (Signature of Pe ittee) (Date) Permit Dat6."10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 f Semi-annual Stormwater Discharge Monitoring Report DMR for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 7-a;29- 4/6 CERTIFICATE OF COVERAGE NO. NCG16 G 6.5 FACILITY NAME &Z: wJew72M'z 7— COUNTY .L-C"Z- PERSON COLLECTING SAMPLES =RIIIAJ if U4PRIA" LABORATORY Af16Po4S19._ Lab Cert. # /) Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR e(016 SAMPLE PERIOD ❑ Jan -June J® July -Dec or ❑ Monthlyl I (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zeiro-flow ❑Water Supply ❑5A ['Other I PLEASE REMEMBER TO SIGN ON THE REVERSE i ❑ No discharge this period?2 Date Sample 24-hour rainfall': i Outfall No. 1 Collected amount, eRECEIVED (mo/dd/yr) lnclies' Total�Suspendd Solidi ,- ED Benchmarks =__> 100 4. mg/L or 50 mg/L .. ' AUG 0 1 7- p;-2A/b 1 `i 04L j CENTRAL FILES DlnjR SECTION ! oz I Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same param' et`er at -the same outfall. z For sampling periods with no discharge at.any single outfa11, you must still submit this discharge monitoring re part with'a check manii 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. r i Note: Results must be reported in numerical format. For exam le do not re ort Below Detection Limit, BDI., <PQL, Non -detect, ND, or other similar non - numerical format. When results are below the applicable limits, they must be re' orted in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. I 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: 10/1/2014-9/31/2019 1 SWU-252, last revised 9/17/2014 Page 1 of 2 E I Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. a ❑ No discharge this period?` Date'.5ample 24 hour,rainfall. _ Outfall No .; . .. CollectedE.- amount, _;.� Non polar 0&G .•. e Total Sus nded Solids _ _.:. _. (mo/dd/-yr) . .� Lnclies3 , _ -= 1 664; SGT-HEM Benchmarks => - _ _. _ i Is mg 100 mg/L or SO 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. t See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. l • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES [:]NO REGIONAL OFFICE CONTACT NAME: I Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 daVs of receipt of the lab re I suits for at end of monitorina period in the case o "No Discharge" reports) to: j Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 I 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 r gathering the information, the information submitted is, to the best of my knowledge and belief; true, accurate, and complete. am aware that re , re signifi5ofit penalties foryjbmitting false information, including the possibility of fines and imprisonment fay knowing violations." (Signatu e: 10/1/2014-9/31/ 2019 (Date) SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report (DMR for North Carolina DEMLR Genera�/o ermit No. NCG160000 - Asphalt Date submitted - SDI S CERTIFICATE OF COVERAGE NO. NCG16 O o 5- FACILITY NAME 51�11�JDT P, Si4,t1FMD /�S�i4-r COUNTY &� PERSON COLLECTING SAMPLES i LABORATORY 10)Yd 013iPe__ Lab Cert. tf Comments on sami ple collection or analysis: Part A: Stormwater.Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ fan -June - Q'JuIV-Dec or ❑ Monthly'_-_ (month]' DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow []Water Supply []SA ,Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period?z Outfall No Date Sample Collected; r (trio/do/Y } 24 hour rainfall amoun#, -. Inches s ;Total Suspended Solids Benchmarks' > z r 100 hi- L or 50mg/L RECEIVED NOV 16 ZU15 CENTRAL FILES DWR SECTION I 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. 4The 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 rh L" where XX is the numerical value of the detection limit, reporting limit, quantitation limit, etc. in mg/L. !Vote. 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: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B., Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month., n No discharge thisioeriod?2 F� Date Sample F 24 hour rainfall OutfaEl No �A amount, N npo!zr: &Gb�'TPA i'_ !�Ef.';Tota uspend&&Sdllds ­­- hfd/ nc es T HEM eac marks -A S� IL b �rng Footnotes from Part A also apply to this Part B Note: If you report a sample value in excess of the benchmark, you mustimplement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B'MONITORING RESULTS: 0 A SINGLE BENCH MARK-EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. - 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. 0 TIER3: HAS YOUR FACILITY HAD 4 OR. MORE,BENVCHMARK EXCEEDANCES FOR THE SAME 'PARAMETER AT ANYONE OUTFALL? YES []NOE]- IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ No REGIONAL OFFICE CONTACT NAME: Mail an original and one copV of this DMR, includincl all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitorina period in the case of "No Discharge" reports) to: Division of -Water, Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under pen"al I ty of law, that this document I and a ll..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 i'nqu"-iry 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 thaj_re significant penalties for supmitting false information, including the possibility of.fin.e§,an_d.-impris6nment for knowing -violations." j (signature cif,Pei ttee) (Date) Pprmi e. 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Dischal e Monitoring Report LDMR for North Carolina DEMLR General Date submitted CERTIFICATE OF COVERAGE NO. NCG16 O o 6- FACILITY NAME COUNTY 4; PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results rmit No. NCG160000 - Asphalt SAMPLE COLLECTION YEAR d015__ SAMPLE PERIOD ❑'Jan -June JKJuly-Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ,Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period?z outfall No. Date Sample _ _.. Collected (mo/dd/yr): 24 hour rainfall amount,,; a Inches Total Suspended Solids genchinarks 3/- aoi5 /L 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 dischargeatany 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 me/L", where XX is the numerical value ofthe detection limit, reporting limit, quantitation 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. 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 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 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 AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS RECtUIRED BY THE PERMIT? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an anginal and one copy of this DMR, including al! "Na 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 Resources Attn: DWR 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 re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (5ignat�e^af Per ttee) f .Permi D e:10/1/2014-9/31/2019 (Date) SWU-252, last revised 9/17/2014 Page 2of2 Semi-annual Stormwater Discharge Monitoring Report (DMA for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submittec _ _ _ /.3L' •20/S' CERTIFICATE OF COVERAGE NO. NCG16 D O S FACILITY NAME F-,0?Q /R'//Ae-T COUNTY zl PERSON COLLECTING SAMPLES &I/YA) dIJA0/411 LABORATORY_ _/yIK1PA� Lab Cert. # / Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR aka/ S SAMPLE PERIOD .N Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ' ❑Zero -flow ❑Water supply ❑SAS QOther PLEASE REMEMBER TO SIGN ON THE REVERSE No discharge this period:? Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches} Total Suspended Solids Benchmarks =__> - - 100 mg/L or 50 mg/L RECEIVED JUL 2 4 ZU-;5 CENTRAL FILES DWR SECTION 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, quantitation 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 Genera! Permit text. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B:,`Jehicle 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 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 AND PART B MONITORING RESULTS: • A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES [:]No ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including al! "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 Resources Attn: DWR 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 pers ly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am awa that there re significant p alties or submitting false information, including the possibility of fines and imprisonment for knowing violations." /� .2o1S (Signatur ermittee) (Date) Pew Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report DMR for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date. submitted >6 _c27.=oaf CERTIFICATE OF COVERAGE NO. NCG16 41 O � FACILITY NAME '57,7_ _q!P7M_X/ D. COUNTY PERSON COLLECTING SAMPLES 2'i2V/ Cj tlgR LABORATORY -S T Lab Cert. it Comments on sample collection or analysis: " Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR v�?O/"/ SAMPLE PERIOD ❑ Jan -June .,July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW -❑Trout ❑PNA ❑Zero -flow [—]Watersupply ❑SA ®'Other PLEASE REMEMBER TO SIGN ON THE REVERSE --> ❑ No.dischorge this period?Z � '-m= Outfall Na -' Date Sample � r =Collect&& - (nio/lid%yrj , 24 haur rainfall amo ni, IncFies3: � Y� � s - Total Suspended Solids -Benchinarks -_'_> 100 mg/L or 50 mg/L == _. b ice-/ S Cag go At L RECEIVED CENTRAL FILeS DWR SECTION 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 remrt_ed_in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, quantitation 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: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 1 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No dischorae this Deriod?Z Outfall No Date Sample 24 hour rainfall s -F Collectedl _ amount Non -polar O&G by'EPA x a' _ - — Total Suspended Solids-. .Winches- -1664•.(SGT HEM) l eenchmai* 1 r t. 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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. + 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 AS REQUIRED BY THE PERMIT? YES ❑ N0 J4 REGIONAL OFFICE CONTACT NAME: _ Mail an original and one cape of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina oeriod in the case of "No Discharae" reports) to: Division of Water Resources Attn: DWR 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 a there are signifiZpe-nes for submitting false information, including the possibility of fines.and imprisonment for knowing Violations." (Signs of Permittee) (Date) t Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCGME 1050 SAMPLES COLLECTED DURING CALENDAR YEAR: oY (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME /� COUNTY 1-CL PERSON COLLECTING SAMPLES T /A.1 VAQIAJ PHONE NO. ( 2 } .29O- 57/Z,' CERTIFIED LABORATORY Lab #_ `/B/ Lab # Monitoring Requirements } , ,_ . No ';:, LSample Cailected,, aTotal Rainfall,S �>.:00530.�' 00400- � � i Total Suspended Solids, tng/1 3 �Y _..,L�pH,�t • ��;�; 'Standi rd,unitsu t .r�.: ,.:,TotalhPetioleum Hydrocarbons, mg/! a EPA 1Vletliorl 1664' SGT-HEM .� ..� , - 3 - 7 5- S', 35- If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Mail original and one copy to: RECE % ED Division of Water Quality 1J Attn: Central Files , 1617 Mail Service Center S� Raleigh, North Carolina 27699-1617 CENTRAL FILE DW0180G 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 qualifie el properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons ectly respo ible for gathe 'ng the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awa 4 at there are nificant�ena/ Tees Vbmitting false information, Including the possibility of fines and imprisonment for ]snowing violations." of 9- 2 -C�&i (Date) SWU-253-051409 Page 1 of 1 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCG16©O❑©© SAMPLES COLLECTED DURING CALENDAR YEAR: o/ (This monitoring report is due at the Division 'no later than 30 days_ from the date the facility receives the sampling results from the laboratory.) FACILITY NAME COUNTY LEg PERSON COLLECTING SAMPLES 2"R2W U / PHONE NO. C19E23 .29 a - 57i 2 CERTIFIED LABORATORY Lab # `40/ Lab # Monitoring Requirements � Qu�all �, 1 - No ��+l tF,li.'". _. f.a.�'`£w� _* e,a 9 Date�� � ,,: Sam le Collected,: y.., .. .�akr� t ..-�' x 'y OS,.kS ;! .�. �- :, ,4 .<t � �a Total°°Rainfall -;n' - "'�"'4 ", ' 0 0 �' ��,�� �r�„�0 53 .��.�a wi =�� i Total Suspended Solids, tng/l : �? -b ,HAY d •,>x' rra -�.r �..i ;c�r00400 , a� TS �, ..r� � ,� ,','t "SpH " ` x; r, .. vs:=��" .s.�n•�.!' %%,�' .sw rx T.' -.' s rStaadard,units ,r tsA' ..�y�` .. � r?�` f`s00556 ' = ;Total Petrolem'H drocartions y��n, ...4; •u -.z-'�-,ate,. Y.: - - � „,,' . ���E�A"�Metlixodt16b4 SGT=HEM i M�;lVV '6.0. _7.0-�..19ti..,. �h�4:LA� - 3 - S 1 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit, Mail original and one copy to: Division of Water Quality Attn: 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 qualift el properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those personsj� ectly reppo ible for gathering the ormation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awardthat there are nificant pen 'des Y/bmitting false information, including the possibility of fines and imprisonment for knowing violations." of 9 - -01oi (Date) SWU-253-051409 Page I of 1 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO. NCG169❑F�j® SAMPLES COLLECTED DURING CALENDAR YEAR: 4�90/ (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME _5: I�XEAj (,46? , 5W=490 A —COUNTY L-E� PERSON COLLECTING SAMPL PHONE NO. ( `� /Z CERTIFIED LABORATORY—, 1"Z&09e_ Lab # // Lab # Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/ r Total Rainfall, inches 00530 00400 00556 Total Suspended Solids, mgll pH, Standard units Total Petroleum Hydrocarbons, mgfl EPA Method 1664(SGT-HEM) Benchmark - 100 Within 6.0 - 9.0 15 57,Z C 5.00 1 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Mail original and one copy to: J Division of Water Quality REZUEVD Attn: Central Files MAR 1617 Mail Service Center fi �f4 Raleigh, North Carolina 27699-1617 GE14-1R4 FILES 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 t�l aethere ar significantyenafs for�u#11tting false information, including the possibility of fines and imprisonment for knowing violations." -3131 (Dat SWU-252-051409 Page I of 1 STORMWATER DISCHARGE OUTFALL (SDO) GENERAL PERMIT NO. NCG160000 DISCHARGE MONITORING REPORT (DMR) CERTIFICATE OF COVERAGE NO, NCG1690®® FACILITY NAME _ a/- JA1 MZ -?V PERSON COLLECTING SAMPL CERTIFIED LABORATORLab # Lab # Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: OQ0114-1 (This monitoring report is due at the Division no later than 30 days fror6 the date the facility receives the sampling results from the laboratory.) COUNTY L PHONE NO. (.2. -2214 -,5-9/Z Outfall No. Date Sample Collected, mo/ddl r Total Rainfall, inches 00530 00400 00556" Total Suspended Solids, mgll pH, Standard units Total Petroleum Hydrocarbons, mgll EPA Method 1664 SGT-HEM .; Benchmark - - 100 Within" "6.0' .9 0 . 15, . If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: 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 t k-there ar significantyenalfres for suhrilating false information, including the possibility of fines and imprisonment for knowing violations." (D at SWU-252-051409 Page I of 1