NCG240015_MONITORING INFO_20190920

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v �7
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
_ )
YYYYMMDD

1•
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submittedIf -ao - i9
CERTIFICATE OF COVERAGE NO. CG 4 SAMPLE COLLECTION YEAR
/— SAMPLE QUARTER ❑ Jan -March ❑ April -June ❑ Jul Set Oct -Dec
FACILITY NAME �WS o � Q/'/YSGu.'G y- P ❑
COUNTY_` �t/YUS j or El Monthly'— (month)
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
- LABORATORY Lab Cent. N R CF—iV G® ❑Zero -flow ❑Water supply ❑SA
Comments on sample collection or analysis: ❑Other
SEP 2 4 2019
CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall or [ No discharge this period
Date Sample
Collected'
(mo/dd/yr)
'
Outfall No.
TSS
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH
Parameter
benchmarks =__>
100 mg/0
120 mg/L
1000 col./100 mL
30 mg/L
2 mg/L
0.007 mg/L
0.03 mg/L
0.067 mg/L
6-9
S,D o
` Monthly sampling (instead of quarterly) must begir. with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2The 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.
3 For sampling periods with no discharge, you must still submit this discharge monitoring report with a checkmark here.
°The T55 benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is 50 mg/L
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
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(®
Part B: Vehicle
I* (®
Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample_
collected'
(mo/dd/yr)
Outfall No..
-
PH
T_PH using methodu
1664ASGT-HEM
- '
TSS
-'
..Total - .
Rainfalh
-
Check
if No.
.Flow
- This
Period"-
_
.. :,r
- Aveiage,NewMotorOil Usage
6-9
15 mg/L
100 mg/0-
-
-
Footnotes from Part A also apply to this Part B
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 CONTACTED THE DWQ 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 oeriod
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 he 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 I31se information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
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