NCG090021_MONITORING INFO_20190214

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Cc, b q oO a )
DOC TYPE
❑HISTORICAL FILE
L� MONITORING REPORTS
DOC DATE
o a n► 5 ua � y
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG090000
Date submitted Q z-I IS j Z.r, 2 a
CERTIFICATE OF COVERAGE NO. NCG09 O Q 1- SAMPLE COLLECTION YEAR 2-0 `4-C>
FACILITY NAME A � o t, .4;�s T C SAMPLE PERIOD ® Jan -June ❑ July -Dec
�� �� � ��—T or monthly' (month)
COUNTY _ q .ht k F_a Y ds C -� ❑ORW ❑HQW ❑Trout ❑PNA
r DISCHARGING TO CLASS
PERSON COLLECTING SAMPLES �4 Q.� S��P_��,t
LABORATORY Re.se�,,! a, &-A+na.l*nm.kLab Cert. f# MG .� _34 . NG$ 9,7 �+ / �-^� ❑Zero -flow ❑Water Supply [:]SA
ECE 11� 9�. Other i�l Comments on sample colle_c�tio�n or analysis: n
t� —,Qu-,, e r P C e 1 ye-rS ✓-, 0 `2- es S' L Cis
FEB 14 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE -�
Part A: Stormwater Benchmarks and Monitoring Results CE I PAL FILES
DWR SECTIQN
otal event rainfall' O- 5- v1 ❑ No discharge this period ?2
Outfalk No.
pate Sample Collected'
(mo/dd/yr)
Total Cadmium',
mg/L
rable Chromium III, Total
Recove
mgra '
Total Lead,
mg/L
pH,
Standard Units
Total Suspended Solids',
mg/L
Benchmarks
-
0.003 or 0.002
0.905
0.075
6.0-9.0
100 r 50
Parameter Code
_
01027
C0034
01051
00400
C0530
1
O 3I
o• O o 2
Lo
7
E"
LC> 00 -L-
' 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 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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. 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: 11/1/2018-05/31/2021 SWU-255, last revised 11/1/2012
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No dischorge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Non -polar Oil and
Grease,
mg/L
Total Suspended Solids'
mg/L
New Motor or
Hydraulic Oil
Usage,
gal/mo
Benchmarks
_
-
15
100 or 504
Parameter Code
-
46529
00552
C0530
NCOIL
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 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 Il 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal cony of this DMR. includina all "No Discharae" 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 responsibl for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that are signi f ica�t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ure of Perm
Permit Date; 11/1/2018-05/3t/2021
?--(�,! Z
Date
SWU-255, last revised 11/1/2012
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