NCG080715_MONITORING INFO_20190718

i -i2-0
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
CVMONITORING REPORTS
DOC DATE
❑ �D 6 %
YYYYM M D D

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MCDENR
Slorunnwater Mscharge Ounitffafl (S®O)
Qu agitainve �/ti o nnt®>r>i>rng Report
For guidance on filling out this form, please visit: http://portal ncdenr org/web/wq/ws/cu/npdessw#tab 4
Permit No.: N/C/ /®/ 6/ U/U/U/(j/ or Certificate of Coverage No.: N/C/G/ O/ R/Vl 7/ l/ S/
Facility Name: T(
County: �� e
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
RECEj\/ED
Was this a 'Representative Storm Event" or"Measureable Storm Event" as defined by tlie��e� Jr t?
(See information low.) k 1
CENTRAL FILES
❑ Yes No D\NR SECTION
Please verify whether Qualitative Monitoring must be performed during a "representative storm
even Cor "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does riot apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office. i
By -1is si nat e, Lei ' y at this report is accurate and complete to the best of my knowledge:
nnittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall description:
Outfall No. StNcture (pip dit h,
Receiving Stream: K�J SLe
Describe the industrial activities that occur within
2. Color: Describe the color of the d
(light, medium, dark) as descriptors: _
3. Odor: Describe any distinct odors that tlhe
weak chlorine odor, etc.):
etc.) DlTC t
r
Outfall drainage area:
colors (red, brown, blue, etc.) and tint
a�Frhave (i.e., smells strongly of oil,
4. Clarity: Choose the number Alwhichbest describes the clarity of the discharge, where 1 is
dt
clear and 5 is,veiy clot dy —pr S
�j v i 1 2 3 4 5
S. l:loatiaag Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
`J
4
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5 .
7. Is there any foam in the stornxvater discharge? Yes No
8.. Is there an oil sheen in the stormwater discharge? Yes No
9. , Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators off SStormwater Pollution:
tV
List and describe ' `� rA "e.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may he indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified t0/25/2012

Semi-annuai Storm water Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. N00080000
®ate submdtted2
CERTIFICATE OF COVERAGE NCO. NC 08�,�j�/�'}
FACILITY NAME �� ,. G tP,
COUNTY c cLetn ,CJ
PERSON COLLEC LING SAMPLES
LABORATORY - C�i �,/Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION Y R �0 1 a
SAMPLE PERIOD an -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
50 or 100 see permit
Within 6.0— 9.0
5
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 .
Outfa1
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
15
50 or 100 see permit
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 W U-250
last revised 0� 'per 25, 2012

STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches): �
(Vote: If you report a sample value in encess of the benchmarlr, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit rent.
FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCE-DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTI
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cop" 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 Quality
Attn: DWQ Central Files -
1617 Mail 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 ar 1 ifi Tt VIalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
rmittee)
(Date)
Additional copies of this form may be downloaded at: http://portal ncdenr/portal orP/web/wq/ws/suZnpdessw#tab-4/web/wq/ws/suZnpdessw#tab-4
SNVU-250
last revised October 25. 2012