NCG080589_MONITORING INFO_20190703

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ C)o d 3
YYYYMMDD

W.p"
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted t'O - Iei - I q
CERTIFICATE OF COVERAGE No. NCGO8 O 5
FACILITYNAME WRSTE 2rkdval :rt (MEvJ S6RW)
COUNTY CCAJEN
PERSON COLLECTING SAMPLES v %rlGc-Fo
LABORATORY VMC-O LAb. La Cert. #(t-- r3 33g-O i
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR a 01 of
SAMPLE PERIOD EU]-AnAune ❑ July -Dec
or ❑ Monthly' fmonth)
DISC�H+gB�c,N�G-TO LASS QORW ❑HQW []Trout [2
RECEi l`7-1, []Zero -flow ❑Water Su
pP Y ❑SA
JUL 0 3 Z019 Zdt�her
CENtiT,tr\l­ FILT&ASE REMEMBER TO SIGN ON THE REVERSE 4
OWR SECTION
Fit!Tlo discharge this period'
" Outfall
t;,tyNok+.f ,bSample�Collected,
y„ „ srgZ y
Date' I
Gs ti; mo
- '00530' '
00400
00556
Total Suspended
Solids„mg-A-,
PH,
;Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664;(SGTrHEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Be`nchmackFrV
c „ u i
-.50'or.100 see permit-
. Withiri+6:0 — 9.0
15
6 - 12 - J 9
�a
I a. i
�. w
i 40 9,. 1
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(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
- r0utfalh
No.
Date ,." if.,:
sanfple Collected ff}
Tmo%dd'/,Yr+;r„to;
00556
00530
00400
Nori-Polar,OiliandtGie' se/TPH'EPA'Method
t .�'s26T"HEM),,mg'jttr�.,Stanil"aid`units
64(SG
Total Suspended Solids,
pH,
"Perfnifiiinit
- - = "' •' );
;'; is ': ,- -15'
50'ror.100 see;'peritiit
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.
S WU-250 last revised October 25. 2012

STORM EVENT CHARACTERISTICS:
Date 6'f?^l9 (first event sampled) O s It
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
@ total Event Precipitation (inches):
!' • 1 ,,
Note: Ilf lJOu report a sample value In excess of the benchmarl(, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 e.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO M
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this OMR 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 Flies '
1617 Mail Service Center
� Raleigh, North Carolina 27699-1617
'YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"9 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."
Permittee)
6 - i1-/ g
(Date)
Additional copies of this form may be downloaded at: hip //portal ncdenr orglweb/wg ws/su/nodessw#tab-4
SWU-250
last revised October 25, 2012
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