NCG080607_MONITORING INFO_20141202

M/7.AD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
El HISTORICAL FILE
C}� MONITORING REPORTS
DOC DATE
❑ IV /,g-- o a
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE No. N0008 0 6 6
FACILITY NAME NG A')T-
COUNTY tne-c-- U-n k> c­)
PERSON COLLECTING SAMPLES
LABORATORY Fri M Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR a 0 1 L]
SAMPLE PERIOD F] Jan -June Xluly-Dec
or F] Monthly' (month)
DISCHARGING TO CLASS OORW ❑HQW F]Trout OPNA
DZero-flow oWaterSupply OSA
JFj C V
— jFt) 00ther
DEC 0 2 2o14 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
C6N&A -
ovv�?T,s I- FILJ�s El No discharge this period'
ECTION
Ag�.N,! 0..,;;�
Date'g�w'i
-d
---7-'.-Tota Suso..e�,.Ip,
'15FQ_
H
P-
a
Ngh-.P I
p!ar;Ol i.an Gr
-'!'t5Ai"66�4.jSGT-.HE M v-,
t
�`We-­%ik-� 6f-d-r-bi ;Usa;ge-4a"
AA :pverage��ga mo,-
W"ri WrQk-,
L�'09r,;- permi%
�see�
it 6. 0 95.
Fin:
fi '-4' ­ . -� R
� r -n
Do
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? V/yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
No
­�­Dat
Sa nip'. i�e'-,' 11 i-d
,qo le: -Collected
% �mo/dcljy
00400
N664706la ir.b i 1;Ad JS iiAsV/Tj0 H hj- a
-P•, T-H M
Cl—
6 i'� I b PY if�w
-A
-�StanclarcE units
,,6MWeit �6r4664ee�pei permit
6.QM
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-2501 iasl revised 0 ur 25, 2012
Page I of 2

}
STORM EVt,vT CHARACTERISTICS:
Date ) 7abv/4(first event sampled)
Total Event Precipitation (inches): • t
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 11 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 ANY ONE 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 a!l "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 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 that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
1 I 1-ali
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgZws/su/npdessw#tab-4
S W U-250
last revised October 25, 2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted _ /y/ A. r Z o (4)
CERTIFICATE OF COVERAGE NO. NCG08 Dj� ei 2 {
FACILITY NAME /VC. A- r- /V&--Lenz L Guar d
COUNTY ry1Q-G-k LQrsbarc., _
PERSON COLLECTING SAMPLES Me, 'Ijr-iaj-�tn
LABORATORY_ fr , S rr--r Lab Cert. # ` 02-
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR _ -0W 4
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEi� /�® ❑Zero -flow ❑Water Supply []SAj �J ❑Other
APR 21 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWQII30G ❑ No discharge this period
Outfall
'Date '.
.00530 - ..
00400 _
_'. .00556
No
Sam le Collected , ,
p
Total Sus --
p ded
-
pH;`
"
Non=Polar Oil and Grease/TPH EPA
NewMotor Oil Usage, "
"
_
mo/dd./yr
"Sol,ids m g/
Standard units
Method 1664" SGT,HE"
( M), mg/L
Annual average gal/m.o.
Benchmark"
rT, _ ; '.
so
Withinermit Within6:0-9.0`
15.
tSD�
'7Ao! 41
/6aa
Z.
bid this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? J yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall. = tlDate 00556 00530.: 00400
No
p ... _ :. _. / P- Sam le,Collected .Non -Polar Oil'and Grease TPH�-EPA Method - Total Sus ended. Solids, pH,
mo/dd/yr 1664(SGT=HEM),:mg/L .. mg/L Standard units
Permit Limit . Js- '50 or 100 see permit . 6.0 — 9.0
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-25[40 9 last revised �r 25, 2012
Page 1 of 2

STORM E CHARACTERISTICS: O
Date (first event sampled)
Total Event Precipitation (inches): 1 103
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 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 ANY ONE OUTFALL? YES ❑ NQ&
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 (or at end of monitorina 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 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 Permittee)
17A,Rr-2,bjy-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncden-r.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised October 25, 2012
Page 2 of 2