NCG210408_MONITORING INFO_20200109

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Galb���?
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Semi-annual StormWater Discharge Monitoring Report
for Norh Carolina.DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG2p1 O
FACILITY NAME S✓LtCr i10—tionc.� pGrit/� ' �tltJ r`{r'l
COUNTY {ate ✓h Q
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #t
Comments on sample c lection or analysis:
SAMPLE COLLECTION YEAR . -n-d
SAMPLE PERIOD i 1 Jan -June U July -Dec
or I 1 Monthly- (month)
DISCHARGING TO CLASS I IORW 0HQW FJTrout UPNA
(Zero -flow, 1-]WaterSupply ❑SA
FlOther
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 (7) days.)
Outfall No.
Date Sample
Collected-
j (mo/dd/yr)
24-hour rainfall
amount,
I Inches' I Chemical Oxygen Demand
I
( Total Suspended Solids
Benchmarks =__>
n/
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I
- 120 mg/L
IpR.�ioil
I 100 mg/L or 50 mg/L`
i
I j
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JAN 15 2020
CENTRAL FILES
DWR SECTION
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z for sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data trom 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 protecive 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!, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/20-
Page - ; 2

( I(
?art B. vide Maintenance Area Monitoring Resuits: only fOr facilities averaging > gai of new oil per month.
Al —
I I
Outfail No. Date Sample
Collected-
(mo/dd/yr)
i 2c-hour rainfall
amount,
I Inches;
_J • �v uuunit yC LIIIJ IlC/IUU!
I
Non -polar O&G by EPA i
1664(SGT-HEM) Total Suspended Solids
I Benchmarks =__>
iS mg/L I 200 mg/L or SO mg/L`
I
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I
�
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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 ?ART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B.
• 2 "tXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECT ION a.
• TIER 3: HAS YOUR FACILITY HAD e OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFAL L? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES LI NO ❑
REGIONAL OFFiC"c CONTACT NAME: -
Mail an oriainal and one copy of this DMR, including all "No Discharge" reports within 30 don 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 SIGNS THIS CERTIFICATION FOR ANY INFORMATION REPORTED-
" certify, under oenaity 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 inquiryof the .person or persons who manage the system, or
those persons directly responsible forgathering the information, the information submitted is, to the best of my knowledge and 'belief, true, accurate, and complete. I
am aware that there are sign cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date:8/'-/2013-7/31/2018
1
(3 ate)
S.NU-245,!as-, revised 7/31/2013
?age 2 of 2

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STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) f SPPP Annual Update DATA REVIEW FORM
Calendar Year
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
MI
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County: 6r-e20C_-_
Phone Number: (91 0 ) 60q-0//U Total no. ofSDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No'K
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No �]C
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
REC'F(\/Fp
JAN 15 2020
CENTRAL FILES
DWA SECTION
Parameter; (units)
Total`
Rainfall,
inches ..
Benchmark
Date Sample'
Collected
N/A
`
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,m . u �..
eyr,�
Vie,..
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u=.- .3`
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SWU-264 - Generic Annual DMR
Last revised 5/172013

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Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑
C
Parameter, (units)
+Rainfall `
_
Benchmark
Date Sample
,, Collected
N/A
',
aaa 116
-n'._ �'+
17=111
, o
J;s.
d -�
.
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SWU-264 - Generic Annual DMR
Last revised 5/172013

I certify, under penalty of law,Ahat 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 informationsubmitted. 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
Date ) /
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
(704) 663- 1699
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
, \\ "To preserve; protect_.
On,and enhance
North Carolina's water..:'
SWU-264 - Generic Annual DMR
Last mvised V172013