NCG210046_MONITORING INFO_20190830

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
gC-) (� D 7
DOC TYPE
0, HISTORICAL FILE
l.T MONITORING REPORTS
DOC DATE
❑ jn�� �D
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report t'
for North Carolina DEMLR Gener I Permit No. NCG210000
Oate submitted
CERTIFICATE OF COVERAGE NO. NCG21 0 SAMPLE COLLECTION YEAR a01I
FACILITY NAME SAMPLE PERIOD ❑ Jan -June July -Dec
COUNTY ryer RECEIVEDor ❑Monthly'• (month)
PERSON COLLECTING 5 MPLES (A F ICe. �"Y'd SCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY r1c LabCert.# i AUG 3 0 W9 ❑Zero -flow ❑WaterSVply ❑SA
❑Other Sa�tGcr Jn'csrc l
Comments on sample collet o�n/or analysis: 1
Prwe�wiea 9 �Y.ZS �� CENTRAL FILES
WR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (1) days.).
❑ No discharge this period??
Date Sample 24 hour rainfall
Outfall No. 3
Collected amount'..".,
-
3 •Chemical oxygen Demand Total Suspended Solids
Imo/dd/Y� Inches:.,
eenctim6rks. __> . 120 mg/L 100 rimg/L or 50 rn
1 O 2I 1 1 S,0 Z,
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The 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.
See General Permit text, Table 3, identifying'the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, 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 mg/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: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
LL,�'No discharge this period?.`
Data Sample 24-hour rainfall
Outfall No. Collected' amount, Non-polae0&G by EPA
3 Total Suspended Solids .
,Inches..f.' :-..1664.(SGT-HEM),'.- s,
'Benchmarks-==> , -.`. j < 15,611/L ;''` '100mg/Lor, Somill
.'.:.
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 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOURTACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FORITHE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO l�
IF YES, HAVE YOU CONTACTED THE DEMLR 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 lab results (or at end
in the case of "No Discharge" reports) to:
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 th h e re ' ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of r ee) (Da )
Permit Date: 8/1/2018-7/31/2023
SWU-245, last revised 8/6/2018
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