NCG090021_MONITORING INFO_20190819

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
N C, V b 10 b� �
DOC TYPE
❑ HISTORICAL FILE
L� MONITORING REPORTS
DOC DATE
❑ ��� �% n
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG090000
Date submitted OS I 1 SI ZCD 9 qq
CERTIFICATE OF COVERAGE NO. NCG09 O O 2(
SAMPLE COLLECTION YEAR
A lJ A-T't' S -t-i—i C, SAMPLE PERIOD ❑Jan -June ®July -Dec
FACILITY NAME E=is t1 S_
COUNTY &T> 1 L, R��2�'s or ❑ Monthly' rout
PERSON COLLECTING SAMPLES h 9N1 = �CDI DISC � O CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY 9-e-S2nfy- L1 Lab Cert. It sv C 34-, n!G$ 3 cS1 CC" V ❑otherlow ❑Water Supply [:]SA
Comments on samp a co lection or analysis: c� t �G' AUG 1 2019 ®Other 1v o r, l $ Fe c� c a r C
�n r'�yvl� G� Ca.v�rJn,g tC `�'Pr�j�A Ci10Vl rng �12i J
CEN I RAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall' ❑ No discharge this period22
Outfall No.
I
Date Sample Collected'
(mo/dd/yr)
Total Cadmium4,
mg/L
Chromium III, Total
Recoverable,
mg/L
Total Lead,
m L
g/
pH,
Standard Units
Total Suspended Solids4,
mg/L
Benchmarks
-
0.003 or 0. 002
0.905
0.075
6.0-9.0
00 r 50
Parameter Code
-
01027
C0034
01051
00400
C0530
��Z3 (
<o• ooZ
Grp oaS
moo• ocs
6. 24
31•
'L
L I 1
LC• o* 2
pc.
Lb• ooS
. Sr
SI O
f
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same out al .
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible'for a waiver of the rain gauge requirement.
4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<XX mR/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
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.
Permit Date: 11/1/2018-05/31/2021 SWU-255, last revised 11/1/2012
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar Oil and
Grease,
mg/L
Total Suspended Solids' -
mg/L
New Motor or
Hydraulic Oil
Usage,
gal/mo
Benchmarks
_
-
15
100 or 504
Parameter Code
-
46529
00552
COS30
NCOIL
Footnotes from Part A also apply to this Part B
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 8 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 ❑
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original 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, 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 thpr-are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." .
dA
Permittee
Date
SWU-255, last revised 11/1/2012
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