NCG060186_MONITORING INFO_20191204

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG b
DOC TYPE
❑ HISTORICAL FILE
E� MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO60 i _ is
FACILITY NAME in 4" Ferns LL f—
COUNTY -$urr�
PERSON COLLECTING SAMPLES __mere n.' 130. rtT.
LABORATORY_ Met I.e.1, Lab Cent.# /&S
SAMPLE COLLECTION YEAR 3L0
FACILITY ACTIVITIES INCLUDE_;(check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES 2NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' . 5 8 or n No disrhnroe this nerinda
Outfall No.
Sample Collected,
mo/dd/yr
- TSS,
mg/L
pH, -
Standard units
COD,
mg/L
Oil and. Grease,
mg/L
Fecal Coliform ,f
Colonies per 100 ml
-Enterococci',
Colonies per 100 ml
Benchmark
- -
1006r50
Within6.0-9.0
- 120-
30 -
1000
Soo
00
/o -f(o-I
110
Cc .,iiq
a Z
G
002
-I -1
.01
3910
L
003
f 0•1 -lg
i a
%•o
o
<
Only applies to facilities that use/process meats. DEC 0 ¢ /illy
'The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at anv outfalls. You must still submit this discharge monitoring 'reportwith afcheckmarklherO.
°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 gno (if yes, complete Part B)
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
Oil and Grease,
mg/L
TSS,
mg/L-
I pH, .
Standard units
New Motor Oil Usage,
I Annual average gal/mo
Benchmark
-
30
100 or 504
6.0-9.0
-
' 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 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.
SWU-249 ..--. - _ LastRevised. 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 ANY ONE OUTFALL? YES .WNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F(zrNO ❑
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.'c
1617 MailService 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
(D te)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdesswgtab-4
SWU-249
Last Revised: October 18, 2012
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