NCG060117_MONITORING INFO_20191217

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�/CG n 1 l
DOC TYPE
❑ HISTORICAL FILE
f� MONITORING REPORTS
DOC DATE
❑ �� �o�
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted l A- / 3 'iV/9
CERTIFICATE OF COVERAGE NO. NCG06-D1 ! Z SAMPLE COLLECTION YEAR ap 1
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all.that apply):
COUNTY ❑ use/process meats use animal fats/byproducts
PERSON COLLECTING SAMPLES L-_v o nrn 6 i''l%fEh DISCHARGING TO SALTWATERS? DYES [ijI b
LABORATORY Pia, c15 Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A• Ctnrmwater Renrhmarks and Monitorine Results Total event rainfall or ❑ No discharge this period'
-OutfalLNo.
..Sample Collected,
mo/dd/yr :
TSS,
mg/L
pH, '' '
- .Standard units
- `COD,
mg/L - .
-Oil and Grease,
_ - .. mg/L _
Fecal.Coliform',
Colonies per 100 m1 -
Enterococci , -
._ Colonies per 100 ml
Benchmark
--
100 or 50
Within 6.0-9.0
120
30
-1000''
:. -500
/-/�-)
3 ,
' 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.
°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 Lino (ifyes, complete Part B)
Part R• Vehicle Maintenance Area Monitorine 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.
ZThe 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.
RECEIVED
DEC 17 2019
:ENTRAL FILES
DWR SECTM
SWU-249 Last Revised: October 18.2012
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*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 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."
�a 13-19
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
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