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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��� J
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted August 8, 2019
CERTIFICATE OF COVERAGE NO. NCG080955
FACILITY NAME Waste Industries - Wilson
COUNTY WILSON
PERSON COLLECTING SAMPLES 1 D Frei/ SwSG
LABORATORY Pace Analytical Lab Cert. # 12/ 633
Comments on sample collection or analysis: pH measured infield by
SwSG (Lab Cert No. 5054)
• W
SAMPLE COLLECTION YEAR 2019
�LJ
REIiE,V PILE PERIOD ❑ Jan -June O July -Dec
or ❑ Monthly' (month)
AUG 1 9 2019DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑ Water Supply ❑SA
CENTRAL FILES 2 Other C, SW, NSW
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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 A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
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
SO or 100 see permit
Within 6.0 -9.0
15
001
01/24/19
107
7.62
< 4.8
+/- 225
001
07/23/19
1 18.9
6.71
< 5.0
+/- 225
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
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 100see permit
6.0 — 9.0
1 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 revised April 11, 2013
Page 1 of 2
STORM AT CHARACTERISTICS: 10
0
Date 01/24/19 (first event sampled)
Total Event Precipitation (inches): 0.83"
Date 07/23/19 (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches): 1.92"
Note: If you report a sample value in excess of the benchmark, 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 B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO O
IF YES, HAVE YOU CONTACTED THE NCDENR (Stormwater Permit Unit) 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 lob results (or at end of monitoring period in
the case of "No Discharge" reports) to:
NCDEQ/ Division of Water Resources
Attn: DWR 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 are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
1-(�
(Dale)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2