NCG060102_MONITORING INFO_20191119

�D
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG b�b l D a
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ a i % l l
YYYYM M D D

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1 1-1`f -19
CERTIFICATE OF COVERAGE
E NO. NCG060 l 0 !
FACILITY NAME peolart iienBu.5lttef6 LLC-C Aor 4jeA Mi II
COUNTY OOYP—
PERSON COLLECTING SAMPLES UW9IXj Green
LABORATORY MQ,YI�P..t. %I •=NG• Lab Cert. # 1(05
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 01019
FACILITY ACTIVITIES INCLUDE (check all that apply): RECEIVED
❑ use/process meats ❑ use animal fa /bypro"'v 19 2019
DISCHARGING TO SALTWATERS? ❑YES O
I�nEWrt�r�L Fl<es
PLEASE REMEMBER TO SIGN ON THE REVERS94 ` SECrloN
Total event rainfall or ❑ No discharge this eriod3
"' OutfalL No
c- +- r';
kSarrip Collected,
mo/dd/yr '.
TSS;,.
:-mg/L,
100.or50. .
.' pH =:
Standard units
i..Within,6"0 9:0
`COD
; .,.>, mg%L
I -r+5 '1120 ,. ,
Oil and. Grease
mg/L• a rf•� ..
+ '.: '._'30-r' "; F ':.
` _ Fecal Cohform'
Colomes,per-1001m1
-.»:{1000r.
- �Enterococci
`;:Colome"sjper-1001m1 j<
y
... ...S00 _ - r a
1
tot I
9�
b.9
115
q
A
I
. 1Y aNNuo w Iduuues uiai 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.
°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 (Ives, complete Part B)
Part B: Vehicle Maintenance Area Monitorine Results: only for facilities nvprnpinp > SS aal of np.m mntn, nil/ n th
': Outfall'No'
ua• < ' '�
.....-.:-. -
Sample Collected
�` ' rno/dd/yc .-
'1.
.Oil and Grease
.. c
mg%G
_ -
r TSS,i:.
:. _ mg/.L,
- pH'
_ Sta'ndardiun ts,�-
-
-.'New Motor-0d Usage :,
Annual,av`eiage gal/ma'-
rBenchmark`
�.-.. -..:. - _
^ -r, - 30':.. ;
.; _. _�-. 4 ...
• -x.' oCi orso,
.6.0' `9 0;'
- _
1 o Ilo 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 ate 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-2=49 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
C 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 period to 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 forgathering the in 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.orglweb/wq/ws/su/npdessw4t@b-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2