NCG080015_MONITORING INFO_20190701

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
lvC V b S
DOC TYPE
❑ HISTORICAL FILE
C)�MONITORING REPORTS
DOC DATE
❑ U) D -7 O
YYYYMMDD

w,�
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted �p' 2 S 19
CERTIFICATE OF COVERAGE NO. N0008 C O 5
FACILITY NAME �4AS Tt a_-5,Z
COUNTY LAr k rr Ar
PERSON COLLECTING SAMPLES
LABORATORY An v .-L �e-4- •'I Lab Cert. N
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMP.Lf COLLECTION
RC���1sAMPLE PERIOD Jan -June ❑ July -Dec
[G� �99nn qq or ❑ Monthly'. Imonthl
�U� 1 D1MARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
CEN I tUAL FILES ❑Zero -flow ❑Water Supply ❑SA
D,VVR SECTION Ue6er
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
kNo discharge this period'
Outfali
;
Date
•..Sample,Collected,
00530'
00400
00556
Total Suspended
pH,
Standard units,
Non -Polar Oil and Grease/TPH EPA
Method. 1564.(SGT'HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
eencflma�k yiry
_
50'.or.100"see;IP&mit.
Within 6:0-9.0
is
/
7
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes n0
(if yes, report your analytical results In the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
r outfall
No.
Date
Sample Collected,)
00556
00530
00400
Non=POl&;Oil,and Grease/TPH°EPA Method
Total Suspended Solids,
pH,
Stand'A'units
Permit limit'
"'
15
50 or 100 see: erniit
6.0 — 9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last reviged October 2i, 2012

STORM EVENT CHARACTERISTICS:
Date _LL (first event sampled)
Total Event Precipitation (inches): U
Date (list each additional event sampled this reporting period, and rainfall amount)
0 Total Event Precipitation (inches):
I , . ,') i
Note: elf �jou report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A 8ENCHMARK 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 9,
IF YES, HAVE YOU CONTACTED THE DWQ REGIOtJAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: M)1 ,A 12rlee. L 1'
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
r
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files '
1617 Mall Service Center
Raleigh, North Carolina 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
6-2$ /5
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/`ws/­su/npdessw#tab-4
SWU-250
last revised October 25.2012
Pace 2 of 2