NCG210410_MONITORING INFO_20200115

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
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DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ o��c� (� U I CJ
YYYYM M D D

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina.DEMLR General Permit No. NCG210000
Date submitted IZV o'l0
CERTIFICATE OF COVERAGE NO. NCG21ja SAMPLE COLLECTION YEAR P'0/9
FACILITY NAME TA.f,,rAG,rJan-June'July-Dec
PERIOD
COUNTY N//e-vi or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES RECEj ffRGING TO CLASS ❑ORW ❑HQW [-]Trout❑PNA
LABORATORY_ �� Lab Cert. # f[ ll �� �CL�JJ []Zero -flow []Water Supply ❑SA
Comments on sample collection or analysis: JAN 15 2020 gOther C/a, ss C A 50
- .-4LE: PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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.)
No discharge this period
' Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
I 120 mg/L
100 mg/L or 50 mg/0
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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.
2 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, identilying 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 Data: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 o` 2

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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
iK No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
a
Inches
Non -polar O&G by EPA
I 1664 (SGT-HEM)
I
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 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 CONTACT ED THE DEMLR REGIONL �1FICE? YES NO
REGIONAL OMCE 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 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 incuiry 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 Date: 8/1/2013-7/31/201g
(D e)
SWU-245, last revised 7/31/203-3
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year aLOilg
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG® /❑©Qo©
This monitoring report summary of the calendar year should be kept on We on -site with the facility SPPP.
Facility Name:
County: ✓1
Phone Number: (aSot )
Outfall No.
Total no. of SDOs monitored
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
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 DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
1//
Yes ❑ No;K
Yes ❑ No P
Yes ❑ No PS
RECEIVED
JAN 15 2020
CENTRAL FILES
DWR SECTION
Parameter, (units)
Total
Rainfall,
inches
Benchmark
N/A
Date Sample
Collected,
mm/dd/yy
SW U-264-Generic-13Dec2012

Additional Outfall Attachment
Outfall No. a_
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 p
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 ❑ Non
Parameter (units)
• MMMM
r------- 177 -.
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SW U-264-Generic-13Dec2012

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 �J L
Date ) / % /Q_
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVIL^LE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
,V1'INSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
/ 1 7opreserve, protect
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
(alJQ1 and enhance
[phone]
[phone]
tv Nonh Carolina's water.."
S W U-264-Generic-13 Dec2012