NCG060161_MONITORING INFO_20191028

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Nc Q0 a l
DOC TYPE
❑ HISTORICAL FILE
D� 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 1 �rt=t �ci
CERTIFICATE OF COVERAGE NO. NCG06 O 1_ 6 L SAMPLE COLLECTION YEAR 1 9
FACILITY NAME �k reen� +aDllS i.J L L-LL FACILITY ACTIVITIES INCLUDE (check all tC� 41applFI� L
COUNTY ❑ use/process meats al f use animats/byproducts
PERSON COLLECTTINGSAMPLES—h(0.ca W o \ �C- DISCHARGING TOSALTWATERS? YES ®Bib Z 8 2019
LABORATORY y0.C.e ar'ALk4 kis-ti 1 Lab Cert.1t 0Q 40
Part A: Stormwater Benchmarks and Monitoring Results --
PLEASE REMEMBER TO SIGN 4 %r E'TRAL SILES
Total event rainfall?J. zSor ❑ No discharge this period
`OuifallNo
'SampieCollected,
•Ne..,rt i i-< r.:.
mo/dd/yrc
i';'�TSS 4o""i''
.i4., 'L' 1 "r
m /L
'pH;
-:F+�' :: 5,�xr. rt,. `
Standard units .
COD,"'
_ _'' r* nif _• e
mg/L,
011andGrease,
mg/L" '
,.FecalColiform,
, v, ..: v
Colonies per100 ml
Enterococd
. :'p
Colonies per S00 mf
Benchmark ..s
..•`100or,50:+��,.Wlthm,60
' '
• + •y w
.90-
,...
.-.:. .120r,.�:'.:'s';..'.
..,
.3a.".;.,..:.::.-
..:� 1000:....; t'-..
..500 ....
t
2
5.35•
25:0
,
P I Vk
' Only applies to facilities that use/process meats. _
ZThe total precipitation must be recorded using data from anon site rain gauge +
3 For sampling periods with no discharge at any outfalis. You must sill submii.this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensi've'receivin,g water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance. Activities using'more ttian'SS'gallons of new motor oil per month? ❑yes [Z no
Part R• vphirip Maintenance Area Monitoring Results: only for facilities averaging > 55 Ral of new motor oil/month.
�OuLfall No Y
.+n Sample'Coliec.....
" Ori and GreasdSW,N
s T55; "'
4i.,;zStandard:units,
pH,
3 .... '
New Motor Oil Usage,
Annual,average,gal/rrioti.
Benchmark_,`
30
0°or50ua c.
6O.a9:a`.''
(if ves, complete Part B)
' Only'applies io faciliiies thatvse/process meats.'
2 the total -precipitation niustbe recorded using data from an on-eiterain' gauge.' ` -
3 For sampling; periods with no.discharge at any outfalls,;you:muststill submit -this discharge,monitoring report with:a checkmark here.
4See General. Permitaext, Table 3,.identifying.the especially sensitive receiving water classifications where the more protective benchmark applies.
SW U-249 Last Revised: Octoher 18, 2012
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�FOR PART AAND PART B MONITORING: RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGE IRS•TI ER 1 REQUIREMENTS.' SEE, PER MfT:PART 11 SECTION B.
•.4 2'EXCE E DANCES IN A ROW- FOR THE -SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER'3: HAS YOU R'FACI LITTHAD 40R MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES r] NO 0
IF.YES, HAVE YOU CONTACTED THE DWQREGIONAL OFFICE? YES F_.j NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one:copv of this DMR, incl I uding all "No Discharge" . , re orts.'Mthin'30 d6v'. s-bf r&ceipt bf the k* results (or at end of
monitoring period.in the case of "No Discharge! reports) to:
YOU MUST -SIGN THIS CERTIFICATION FOR ANY 1NF0RMAT10N-REP0RTEDr*
"I certify, under penalty of law, that this document and all attachments were prepared .. under my direction or
r supervision
supery . isi I on inlaccordance with a
system 6,§igned to assure that qualified personnel properly gather and evaluate the information submitted'.. Based on, my inquiry of the
person or persons_who manageethe system, or those -persons dirk.tIY,respo_nsibIe_f6r gathering1the, inf , 6 rhation,the informationsubmittedis,
to the best of my knowledge and belief, true, accurate', and com'lpl,Oe. I am aware that there are significznt.penaliies fo(submitting-'false
information, )riclbding-ihe'.possibility offin'es and imprisonment f6Kknowing violations.
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/­­wd/­`ws/­su/npdessw#tab-4
SWU-249, Last Revised: 0 "w 18, 2012
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