NCG060186_MONITORING INFO_20190724

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG lJi U l 0
DOC TYPE
❑ HISTORICAL FILE
1Y MONITORING REPORTS
DOC DATE
❑ a o ay
YYYYMMDD

SEMI-ANNUALSTORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCGO60000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 O 1 wd L S PLE COLLECTION YEAR �0 014
FACILITY NAME r L LITY ACTIVITIES INCLUDE (check all that apply):
COUNTY .5 crt• q (1IQ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES �¢.t e.M-/ 13 0,-0 t - ^ 1111 2 4 2 DISCHARGING TO SALTWATERS? []YES
N&
LABORATORY �A1ct-- Lb Cert. 4 `FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall or �No discharae this oeriod3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcl ,
Colonies per 100 ml
Benchmark
-
300 or 50
Within 6.0-9.0
120-
30
1000
500
Oat
0 9
a
0 0 '.X
C)
' Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You most 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 Q no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
OII and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or s0
6.0— 9.0
-
' OnIY applies to facilities that use(nrorxss meats.
2The 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, liable 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
S W U-249 - Last Revised: October l ii, ?0! 2
]'age I of 2

*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* 2 EXCEE 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 YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ENO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES PNO ❑
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: D-WR_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."
(Signature of
07 / C7/9 .
(Daye)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.ore/web/wq/ws/su/npdesswgtab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2