NCG060290_MONITORING INFO_20200102

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
C- G
DOC TYPE
HISTORICAL FILE
❑'MONITORING REPORTS
DOC DATE
o�l�a
❑
YYYYM M D D

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
r 1
CERTIFICATE OF CQUERAGE NO. NC 06 O Z Ct t'i SAMPLE COLLECTION YEAR ZeC7 f g
FACILITY NAME n(p0�S FACILITY ACTIVITIES INCLUDE (check all that apply
COUNTY f ❑ use/process meats ❑ use animal fa /byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES
O
LABORATORY 64 ✓F/rA.XA-- ) Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE R RSE
Part A: Stormwater Benchmarks and Monitorinp Rpa3ltc T_.,d .,..,.-. -_:_ _ i / //
Outfall No.
Benchmark
Sample Collected,
mo/dd/yr
-
,
mg/L
S00 'orSO
p,
Standard units
Within 6.0 - 9.0
,
mg/L
120
�•�' •"�
Oil and Grease,
mg/L
30
"J." yr LJv wu
Fecal Coliform ,
Colonies per 100 ml
1000
uncnurge, rms penoa
Enterococci ,
Colonies per 100 ml
Soo
2-0
y
.,.", ..11"1, ... urns we/pi Ices medts.
r The total precipitation must be recorded using data from an on -site rain gauge. //�t , f f
3 For sampling periods with no discharge at � outfalls. You must still submit this discharge monitoring rErparti' a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classificatiohs 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 (if ves, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilitipc avprapina > ss pal of no,., ........r ,.;t r..,.. +6
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 5046.0-9.0
-
vniy appnes 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 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 Last Revised: October 18. 2012
Page 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 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 for 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."
l2 Z.o1�(
(Date)
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.orgZweb/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18. 2012
Page 2 of 2