NCG210408_MONITORING INFO_20190717

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C� 1 D
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ D -7/ 7
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR Ge eral Permit No. NCG210000 LtjfW2-z
Date submitted 7110111
CERTIFICATE OF COVERAGE NO. NCG21 Q
FACILITY NAME Sh+,2(.✓I l Xaer — na(l H;l
COUNTY 1—
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR cam[ O / 9
SAMPLE PERIOD Man -June El July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW OHQW []Trout ❑PNA
RECEIVED ❑Zero -flow E]WaterSupply E]SA
❑other
JUL 17
2019
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE --)
DH(R SEC
T
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if Riacility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
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Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/0
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AL
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lo r
iU ot
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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.
'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.
' 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:8/1/2013-7/31/2018
SWU-245, last revises 7/31/2013
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Part B: vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gai of new oil per month.
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Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches a
Non -polar O&G by EPA
1664 (5GT-HEM)
Total Suspended Solids
�
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L`
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 AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOP 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 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 for at end of monitoring period
in the case of No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Nes
1617 Mail Service Center
Raleigh, Nordin Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under Denalty 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
Permit D2te:"8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
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