HomeMy WebLinkAboutNCG120104_MONITORING INFO_20181120Min
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
[�. MONITORING REPORTS
DOC DATE
❑� U� � I a V
YYYYMMDD
•
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
y� Date submitted /t _ /S-.x0/$
CERTIFICATE OF COVERAGE NO. Nr.'
FACILITY NAME 6FW5 0 %urn
COUNTYC",Ze-rUS-
PERSON COLLECTING SAMPLES Lclr/5
LABORATORY Ret&,* Lab Celt. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR /0%6 ao18
SAMPLE QUARTER ❑ Jan -March ❑� e ❑ July -Sept Q Oct -Dec
or ❑ Monthlyl (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
FINED ❑Zero -flow ❑Water Supply Lj A
❑Other
NOV 2 0 2018
CENTRAL FILL
DWt SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall Z -IX„ � or ❑ No discharge this period3
Date Sample
Collected'
(mo/dd/yr)
flutfall No.
T55
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH -
Parameter
benchmarks =__>
100 mg/L
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
�o z6
1 Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
zThe 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.
4The TSS 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
Page 1 of 2
A
Part B: -Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
Collected'
(mo/dd/yr)
Outfali No.
pH
TPH using method
1664A SGT-HEM
TSS
Total
Rainfallz
Check
if No
Flow
This
Period3
i
Average New Motor Oil Usage
6-9
15 mg/L
100 mg/L
-
-
Footnotes from Part A also apply to this Part B
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION s.
• 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 oriainal and one cony of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharae" 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 11WORMATION 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."
0tt fiC/
4411�
(Signature of Permittee)
Permit Date: 10/1/2011-9/30/2016
L( - /S - ,70/,R
(Date)
Last Revised 12/02/11
Page 2 of 2
n
water D
Re
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted // - !.--oho 18
CERTIFICATE OF COVERAGE NO�CG 2_._ _
M
FACILITY NAE p
COUNTY
PERSON COLLECTING SAMPLES /S
LABORATORY /74 °_ Lab Cert. t#
Comments on sample collection or analysts:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o?P/
SAMPLE PERIOD ❑ Jan=June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PN/A
❑Zero -flow ❑Water Supply L�EA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks =__>
_
120 mg/L
1000 count per 100 ml.
100 mg/L or 50 mg/L
.2f, As
ri
IJl>
3 as
o Z
qp. a Aqt
6D o
6/
r wAtD
13 c
b ,+r 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.
A See General Permit text, Table 3, identifying 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, <PQ,_, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX
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: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2
0 •
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==_>
_
-
1S mg/L
100 mg/L or SO mg/L
6.0 - 9.0 SU
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 1, 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 ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
a
Mail an original and one copy of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitorina Deriod
in the case of "No Discharae" 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:
"1 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)
Permit Date: 11/1/2012-10/31/2017
/I - /S - a?_d/l�
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2
W
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted Se 4-e.yr-6cv' /8 AO(S
CERTIFICATE OF COVERAGE NO. NC 24 0 O SAMPLE COLLECTION YEAR ,?o /$
FACILITY NAME S v SAMPLE QUARTER ❑ Jan -March 0 April -June 10/july-Sept ❑ Oct -Dec
COUNTY ELY
qr ❑ Monthly' (month)
PERSON COLLECTING SAMPLES SS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SEP .2 1201$ ❑Zero -flow ❑Water Supply ❑SA
CENTRAL FILES ❑Other
DWR SECTION
Total event rainfall 2 or [J'No discharge this period3
Date Sample
Collected'
(mo/dd/yr)
Outfall No.
TSS
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH
P rometer
benchmarks ===>
100 mg/L°
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
1 Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z The 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 TSS benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is SO mg/L.
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
collected 1
r»o dd r)
Outfall No.
pH
TPH using method-.
1664A SGT-NEM
TSS,
Total -
'-Rainfall z
Check
if No
Flow:
This
Period�-
°. .
y
Average. New Motor.0i1 Usage
6-9
15 mg/L
_106 mg/0
y-
-
Footnotes from Part A also apply to this Part B
FOR PARTA 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 oriainal and one copy of this DMR, includina all "No Dischgrae" reports, within 30 days of receipt of the tab results for at end of monitorina period
in the case of "No Discharae" 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)
Permit Date:10/1/2011-9/30/2016
(Date)
Last Revised 12/02/11
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted I - O g - -.10ea
CERTIFICATE OF COVERAGE NO. 12Q Q
FACILITY NAME ulS O ai
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION AR 02018
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month}
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
[K No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchm ks
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L
I VLU
fl II
FILES
4 E n,
' 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.
3 The 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, identifying 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 m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Pier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2
a. ..
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new ail per month.
No discharge this period?2
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
1S mg/L
100 mg/L or SO mg/L
6.0 — 9.0 SU
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 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 all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharae" 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)
Permit Date:11/1/2012-10/31/2017
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2
lh_;
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water quality General Permit No. NCG240000
Date submitted Lt= 6'
CERTIFICATE OF COVERAGE NO NC 24 0 Y 0 _# SAMPLE COLLECTION YEAR 020/g
FACILITY NAME l,JS 4 6U114 SAMPLE QUARTER Jan -March ❑ April -June ❑ July -Sept ❑ Oct -Dec
COUNTY i' or ❑ Monthly" (month}
PERSON COLLECTING SAMPLES �$CHARGING)TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
�.
LABORATORY Lab Cert. # ❑Zero -flaw ❑Water Supply [V]SA
Comments on sample collection or analysis: APR 10 2018 ❑Other
' ENTRAL. FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z or �o 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
Parajneter
benchmarks =_->
100 mg/L4
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
1 Monthly sampling (instead of quarterly) must begin 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.
4The TSS 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
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
yt=
Date Sample
1
Collected
(mo/dd/y`r)
Outfall No.
pH
TPH using method
T.-
1664A SGH£M
TSS
Total
RainfallZ
Check
if No
Flow
This
Period3
Average New Motor Oil Usage
6-9
15 mg/L
100 mg/L
-
Footnotes from Part A also apply to this Part B
FOR PART AAND 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 ATTHE SAME OUTFALLTRIGGER 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 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)
Permit Date: 10/1/2011-9/30/2016
Last Revised 12/02/11
Page 2 of 2
Semi-annual Stormwater Dischame Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted . A u6f:::� Z ego 1
CERTIFICATE OF COVERAGE No..NCG12 D i 04
FACILITY NAME . 017r15 � r
COUNTY CeUbArrre S
PERSON COLLECTING SAMPLES
LABORATORY_ _ Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR a077
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [?SA
R F� � 11/F D ❑Other
JAN 0 9 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
l' 1r:0R ATuN PROCESSING UNIT �No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Fecal Coliforrn
Total Suspended Solids
Benchmarks =_=>
_
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L4
5Do 1
!s A
Spo z
rQ A
s� 0 3
N 1,A
' 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.
4 See General Permit text, Table 3, identifying 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 me/L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
)Vote: 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: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2
-Fart B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfalf No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
15 mg/L
100 mg/L or 50 mg/L
6.0 — 9.0 SU
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 it 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, includina 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. l
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
-a -ari8
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality G21o
neral Permit No. NCG120000
Date submitted /O i�/'7
CERTIFICATE OF COVERAGE NO. NCGd
12 0 1 '
FACILITY NAME Gcc)S o/' /4;;7- 56�4
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Pize-G Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
OCT 17 2017
SAMPLE COLLECTION YEAR �O / CENTRAL FIBS
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' Imonth)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw [:]waterSupply ► SA
❑Other
PLEASE REMEMBER TO SIG✓1! ON THE REVERSE 4
No discharge this period?z
Outfall No.
—Date-Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Fecal Coliform
Total Suspended Solids
Chemical Oxygen Demand
Benchmarks =__>
_
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L
'7 14 /7
r r
3 f L
;,P6 ca GFr! /p
16.6 ry [_
�3
y/ Z 7
1 ''
M
13Ov c�u �o o
i. o 14
' 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, identifying 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. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 11/l/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
bate Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
15 mg/L
100 mg/L or 50 mg/L
6.0 — 9.0 SU
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
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 S.
• 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 all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharae" 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 property 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)
Permit Date: 11/1/2012-10/31/2017
loll 1,701 7
(Date(
SWU-248, last revised 10/25/2012
Page 2 of 2
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted
CERTIFICATE OF COVERAGE NO. N /U_ / D
FACILITY NAME a15 0� /Scc
COUNTY e Qlr•[(S _
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
RECEIVED',
OCT 17 2017
C`N l RAi FILES
SAMPLE COLLECTION YEAR 0?0 f % 'j",R SECTION
SAMPLE QUARTER ❑ Jan -March ❑ April -June ✓July -Sept ❑ Oct -Dec
or ❑ Monthly) (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ► 5A
❑Other
OLT 0 6 2017
CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total-event-rainfall-2or [✓rNo discharge this period
Date Sample
Collected)
(mo/dd/yr)
Outfall No.
TS5
COD
Fecal
coliform .
Total
nitrogen
Total
phosphorus
Total
copper
Total-
lead
-
Total
zinc
pH
Parameter
benchmarks =__>
100 mg/L°
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
1 Monthly sampling (instead of quarterly) must begin 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 maybe 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.
4The TS5 benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is SO mg/L.
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
-
Date Sample
Collected)
(mo/dd/yr)
Outfall No.
pH
TPH using method
1664A SGT-HEM
TSS
Total
Rainfallz
Check
if No
Flow
This
Period;
Average New Motor Oil Usage
6-9
15 mg/L
loo mg/0
Footnotes from Part A also apply to this Part B
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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an ariainal and one CODV 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 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
xfu.-,� 11)12 LjQL7
(Date)
Permit Date: 10/l/2011-9/30/2016 Last Revised 12/D2/11
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted 9�-.26//7
CERTIFICATE OF COVERAGE No. NCG12 0 D o 0 / C I 1201vl SAMPLE COLLECTION YEAR 017
FACILITY NAME &gC&NV4X Vr4 7c' 604u7I0-LS AML SAMPLE PERIOD ❑ Jan -June my -Dec
COUNTY /l?ECKLCHa" RR Gr or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY-ACL ,4MI-XTIC. & Lab Cert. # 53 tf� RECEIVED ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: gOther C#,V C!R&e&
OCT 0 � z��r
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL!_ FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
No discharge this period?,
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/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 3, identifying 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. Conversely, where fecal Coliform results exceed the dilution upper limit, report the result as ">XX".
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: 11/1/2012-10/31/2017 5WU-248, last revised_10/25/2012
Page 1 of 2
4
4
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
•Outfall Na.Sample..:.
,
Collected
(mo/dd/M.
,-24-hour rainfaEl• -
amount,
.Inches;
... .- ..
Non -polar O&G/TPH by
EPA' 1664 (SGT-HEM)
,:: ,.� ..... r,.-:.-.-. ..
Total Suspended Solids
=.
..-�• -.
pH
Benchmarks
15 mg/L
100 mg/L qr 50 mg/0.
6.0 - 9.0 SU
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_P-ermit-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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, includina all "No Discharae' reports. within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharae" 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."
(SignatufFg'of Permittee)
Permit Date: 11/l/2012-10/31/2017
-a i7
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2
_A
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted 7-,2(, -, U/ 7
CERTIFICATE OF COVERAGE NO. NCG 12 -Q - D 4
FACILITY NAME u6_5�� IS�LC_
COUNTY ztr{_L15
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE QUARTER ❑ Jan -March April -June El July -Sept ❑ Oct -Dec
or ❑ Monthly) (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
❑Other
Total event rainfall 2 or Vo discharge this period3
_Date sample -
Collected'
(mo/dd/yr)
Outfall No.
TSS
COO
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH
Parameter
benchmarks =_=>
100 mg/L
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
1 Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z The 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 TSS 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
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
Collected
(mo/dd/yr)
-
0utfall No.
pH
TPH using method
1664A SGT--HEM
TSS
Total
2
Rainfall
Check
if No
Flow
This
Period
Average New Motor Oil Usage
6-9
15 mg/L
100 mg/L
-
-
Footnotes from -Part A also apply to this Part B
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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one covv of this DMR, includina all "No Discharae" resorts. within 30 days of receivt of the lab results for at end of monitorina period
in the case of "No Discharae" reDo►tsl 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)
Permit Date: 10/1/2011-9/30/2016
7-,;21o,. -2P/7
(Date)
Last Revised 12/02/11
Page 2 of 2
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted -,44 - �J/ 7
CERTIFICATE of COVERAGE NO. NCG 12 O f Q
FACILITY NAME
COUNTY rGc5
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 7
SAMPLE QUARTER ❑ Jan -March April -June ❑ July -Sept ❑ Oct -Dec
or ❑ Monthly' _ (month)
DISQiA LCC1 IOC LL L�❑ORW ❑HQW ❑Trout ❑PNA
i�« t a []Zero -flow ❑Water Supply
APR 2 S 2017 ❑other
CENTRAL FILES
aWR SECTION
Total event rainfall z
or No discharge this period
Date Sample
Col
Collected)
(molected)
Outfall No.
TSS
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH
Parameter
benchmarks =__>
100 mg/L4
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
' Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
The 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 TSS 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/l/2011-9/30/2016
Last Revised 12/02/11
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
Collected'
(mo/dd/yr)
Outfall No.
PH
TPH using. method
1664A SGT-HEM
TSS
Total
Rainfall2
Check
if No
Flow
This
Periad3
Average New Motor Oil Usage
6-9
15 mg/L
100 mg/L
-
-
Footnotes from Part A also apply to this Part B
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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copv of this DMR, including all "No Discharge" reports, within 30 dovs of receipt of the lab results (or at end of monitorina period
in the case of "No Discharae" renortsl 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)
Permit Date:lo/1/2011-9/30/2016
(Date)
Last Revised 12/02/11
Page 2 of 2
• - 7
Quarterly Storrnwater Discharge Monitorinp, Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted
b
li-
CERTIFICATE OF COVERAGE_ NO. NCG 12 •D ,
FACILITY NAME ✓� ` - . '1w� uGJ
COUNTY _- C �b jrQ/1GErI
PERSON COLLECTING SAMPLES L . •^r' f
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE QUARTER ❑ Jan -March ❑ April -June ❑ July -Sept Oct -Dec
or Di Monthly' rmonrhi
DISCHARGING TO CLASS LORW LHQW ❑Trout ' LPNA
❑Zero -flow ❑Water Supply �A
❑Other
Total event rainfall 1 Z I t or ❑ No discharge this period3
Date Sample
Collected
(mo/dd/yrj
Outfall No. TSS
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total Total Total
copper lead zinc pH
Porometer
benchmarks =__> 100 mg/L
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
' Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
`The 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 wl-,ich case the benchmark is 50 mg/L
Permit Date, 10/1/2011-9/30/2016 Last Revised 12/02/11
Page 1 of 2
�,
� ._
... �
�
� �
+
r J S r
. 5 �
.. _ r .
- T
i,
5 I
h� 1 �
s• r. � I f
..
'r.
4_
f ,�
1 _
� ..
_
_ 1
'�
- �
1
7
7
. -
��
`5
r-+ J
1 •_
..��
..
rdrE Its: venicie maintenance Area monitoring
Kesulis: only
Tor Taciiiiies averaging > 5.5 gal or new mo
[Date Sample Outfall No.
o/dd/yr)
pH
TPH using method
1664A SGT-NEM
T55
Total
Ralnfall'
Check
if No
Flowollected'
ThisAverage
Period3
blew Motor Oil usage
6-9
15 mg/L
100 mg/L
--- --�-
_
----� --��
Footnotes from Part A also apply to this Part B
for oil/month.
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 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 30days of receipt of lab results for at end of monftorinu period
in the case O `No Discharge' re arts 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 impr}sonment for knowing violations."
(Signature of Permittee)
( Date)
Permit Date: 10/l/2011-9/30/2016 Last Revised 12/02/11
Page 2 of 2
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted l0 -7 - l6
CERTIFICATE OF COVERAGE NO. NVaOr(_�
2 0 / 0 1-
FACILITY NAME Lt�5 (,Cr
COUNTY Ccj" S
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR "?016
SAMPLE QUARTER ❑ Jan -March ❑ April -June July -Sept ❑ Oct -Dec
or ❑ Monthly} (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PN
❑Zero -flow ❑Water Supply ✓ SA
❑Other
Total event rainfall z or ❑ No discharge this period3
Date Sample
Co
Collected
(m llecte r)
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
/V
r-ENTRAL FILES
DWR SEC
Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'The 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 TSS benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is 5D mg/L
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
-
Date Sample'
Collected
(mo/cld/yr)
Outfall No.
pH
TPH using method
.1664A SG_T-HEM
TSS
Total
x
Rainfall
Check
if No
Flow
This
Peridd3
'
Average New Motor Oil Usage
6-9
15 mg/L
.100 mg/0
-
-
Footnotes from Part A also apply to this Part B
FOR PART AAND PART 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 cony of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharae" 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)
Permit Date: 10/1/2011-9/30/2016
/o -7-mod/,,
(Date)
Last Revised 12/02/11
Page 2 of 2
-Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted /V - l " /S
CERTIFICATE OF COVERAGE NO. NCG1-2 r0 SAMPLE COLLECTION YEAR
FACILITY NAME (!A$ 10 LLrff►je��s[ju/2(e� SAMPLE QUARTER ❑ Jan -March ❑ April -June July -Sept ❑ Oct -Dec
COUNTY (:4A3A&AZej9 or ❑ Monthly' /month)
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ORW ❑HQW ❑Trout�❑PNA
LABORATORY Lab Cert. # RECEI Vero -flow ❑Water Supply
Comments on sample collection or analysis: OCT 0 9 201Pother
CENTRAL FILES
DWR SECTION CID
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall Z or [P No discharge tlMriod3
Date Sample
Collected
(mo/dd/yr)
Outfall No.
TSS
COD
Fecal
caliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
VC
pH
Parameter
benchmarks =__>
100 mg/L
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
' Monthly sampling (instead of quarterly) must begin 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 T5S 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
Page 1 Df 2
Part R: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample "
Collected'
(mo/dd/yr)
Outfall No.
PH
TPH using method
1664A,SGT-ITEM
TSS'
. Total
Rainfall 2
Check
If No
FioW
Thls'
Period3
Average Nerd Motor Oil Usage
•
' U
6-9 - -
15 mg/L
100 mg/0
Footnotes from Part A also apply to this Part B
FOR PART AAND 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 DIIR, including all "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)
Permit Date: 10/1/2011-9/30/2016
/0 -1 -
(Date)
Last Revised 12J02111
Page 2 of 2
Quarterly Stormwater Discharge Monitoring Report_
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted
CERTIFICATE OF COVERAGE NO. N'C/G 12 <2 / D 4
FACILITY NAME 0406 �f" f`�Q1�!'�__S
CO U NTY a -
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR ;;7_D16
SAMPLE QUARTER ❑ Jan -March April -June ❑ July -Sept ❑ Oct -Dec
or ❑ Monthly'_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ❑Water Supply L�H
❑Other
2 -A 3
Part A: Stormwater Benchmarks and Monitoring Results Total event rornfal! or ❑ No discha,ge;t ds perio
Date Sample
i
Collected
(mo/dd/yr)
Outfall No.
TSS
COD
Fecal
cofiform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH
Par meter
benchmarks =_->
100 mg/L°
120 mg/L
1000 cot./100 mL
30 mg/L
2 mg/L
0.007 mg/L
0.03 mg/L
0.067 mg/L
,%06=9
Zm..ev
ms►
cl:ofl
+-1 Vt::
JUL08
?Pflfi
1 Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z The 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.
4The TSS 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: 10/1/2011-4/30/2016
Last Revised 12/02/11
Page 1 of 2
EM
r
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
P
r
Collected
(mo/dd/yr)
Outfall No.
pH
TPH using:method
a
16b4A SGT-NEM
TSS
.Total
z
Rainfall
.Check
if No
Flow
TFiis
Period3
.. Average New Motor Oil Usage
: ;.-
6-9
15 mg/L
100 rrig/L•
-
-
Footnotes from Part A also apply to this Part B
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 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 coov of this DMR, includinqal_l "No Discharge" reports within 30 days of recent of the lab results_lor at end of monitorina period
in the case of "No Discharae" 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)
Permit Date:10/1/2011-9/30/2016
7 s- f
(Date)
Last Revised 12/02/11
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted: April 8, 2015
CERTIFICATE OF COVERAGE NO. NCG120104
FACILITY NAME Greenway Waste Solutions of Harrisburg, LLC.
COUNTY Cabarrus
PERSON COLLECTING SAMPLES Andy Burris
LABORATORY Pace Analytical Lab Cert. ## 12
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD Ej Jan -June ❑ July -Dec
or ❑ Monthly' _ Imonth]
RECEIV EPYCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
1 ❑Zero -flow ❑Water Supply []SA
APR ] 7 Z015 ®Other Class C
CENTRAL FILES
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE >
❑ No discharge this period?'
-r-- -144
T:
g
-x;
-ce :F3aiu y -
Ht
=ti
i-a x
DaCotell
:s24 haomur rain,fall
� y-``t :
p�
y
.. ,: �4
rOutfhalil N4o
�iler
,a,
.wk
� �"-
�
:�outt w
r
eSactrerid
�Y
?_ �:-
�' a W
ChemicalaOxygen Qemand
Fecal Coliform
Total Suspended -Solids
3.
�. ;Inches _
y�
r u . =
'Benchmarks > `
mg/L
1000 cau_nt per 300 MU`
5100 mg/LorE50: mg/L
~ tr
- a
t_120 A
w
SB-1
3/6/2015
1.0
33.0 mg/L
9700
8.3 mg/L
SB-2
3/6/2015
1.0
45.0 mg/L
410
8.2 mg/L
SB-3
3/6/2015
1.0
29.0 mg/L
25
8.3 mg/L
SB-4
3/6/2015
1.0
65.0 mg/L
4600
13.7 mg/L
1 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.
4 See General Permit text, Table 3, identifying 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. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2
❑ No discharge this period ?2
-: -
1,�•�'7�,.,.�
�
;�•, :.. :�.. -r ...:.s:::�.._
�kz: �raiii'•":...
E>,�:. .z �„�« ..x u.7^ x
.:.:::r: ;c:r.r:� ..:^�-,-
:•t^v� s �.-,.
Date Sample ,
ti 24 hour rainfall,�
x Outfell No ��k
amoun3,A
IVon polar_&G/7H bye
Ms:' -Collected 14;
r�,
Y
EPA-1664[$GT=HEM]cru�ar�
05ot i Sus deg Solid
}IncheSr
Beachmnrks
rng/L or 50 mp�L
SU
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.
0 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 oll "No Discharge" reports, within 30 days of receipt of the tab 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)
Permit Date: 11/1/2012-10/31/2017
171
cj
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qual'ty Ge eral Permit No. NCG240000
Date submitted 3 ag ;?41/6
CERTIFICATE OF COVERAGE NO. NCC412 0 .L- Q_1
FACILITY NAME A/6
COUNTY r
PERSON COLLECTING SAMPLES
SAMPLE COLLECTION YEAR 20 //o
SAMPLE QUARTER [)'Jan -March ❑ April -June ❑ July -Sept ❑ Oct -Dec
or ❑ Monthly'_ (month]
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert. Jt ❑Zero -flow ❑Water Supply LvISA
Comments on sample collection or analysis: RECEIVED ❑Other
MAR 31 2016
Part A: Stormwater Benchmarks and MonitoringResulbWTRAL FILES Totol event roinfoll2 or XNo dischor e this period3
�3WR SECTION 9
Date Sample
Collected i
(mo/dd/yr)
Outfall No.
TSS
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH
Parameter
benchmarks =__>
100 mg/L4
120 mg/L
1 1000 col./100 mL
30 mg/L
2 mg/L
1 0.007 mg/L
0.03 mg/L
0.067 mg/L
6-9
WA
' Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z The 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.
47he TSS 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
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample-
:
Collected- -
(mo/dd/yr)
Oatfall No.
PH
TPH using method
1664A,SGT-HEM
TSs,
Total z..
Rairifall
Check
if No
Floiiv
This'
Periiod3
' .
= Average New Motor Oil Usage
6-9-
15•mg/L
100 mg/0
-
-
Footnotes from Part A also apply to this Part 8
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li 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:
Moil an original and one conv of this DMR, includina all "No Discharae" reports, within 30 dovs of receipt of the lab results (or at end of monitorina aeriod
in the case of "No Dischorae" 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)
Permit Date: 10/1/2011-9/30/2016
,21a,g &
(Date)
Last Revised 12/02/11
Page 2 of 2
Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted /a
CERTIFICATE OF COVERAGE NO. NCG 12 O I. O
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. ##
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR �� �6
SAMPLE QUARTER ❑ Jan -March ❑ April -June ❑ July -Sept a Oct -Dec
or ❑ Monthly'_ (month)
DISCHARGI CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECE[VU ❑Zero -flow ❑Water Supply L !rA
❑Other
Ur.0 29 Z015
CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 2 or [?"No discharge this period3
Date Sample
1
Collected
(mo/dd/yr)
Outfall No.
TSS
COD
Fecal
colifarm
Total
nitrogen
Total
phosphorus
,Total
copper
Total
lead
Total
zinc
pH
Parometer
benchmarks =__>
100 mg/L 4
1 120 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
' Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance forthe same parameter at the same outfall.
'The 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 TSS 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
Page 1 of 2
4
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
i
Collected.
(mo/dd/yr)
Outfall No.
pH
TPH usMg method
1664A SGT-HEM
TSS
Total
z
Rainfall
Check
if No
F..IoW
ThisAverage
Peridd3
'
New Motor Oil.Usage
"
6-9
1S mg/L
100 mg/L'
-
Footnotes from Part A also apply to this Part B
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART li 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 coot/ of this DMR, includin4 all "No Discharge" reports, -within 30 days of receipt of the lab results for at end of monitorina oeriod
in the case o "No Discharge" r"arts) 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)
Permit Date: 10/1/2011-9/30/2016
4;z//5-
(Date)
Last Revised 12/02/11
Page 2 of 2
quarterly 5tormwater Discharge Monitoring Report
for North Carolina Division of Water Quality Gene al Permit No. NCG240000
Date submitted '77/,6'
/;A
CERTIFICATE OF COVERAGE NO. NCG)�<O / D SAMPLE COLLECTION YEAR _ go I-r
FACILITY NAME � 2 �,ju�,aTffSTF OF �44 del:5.Na, ,AMPLE QUARTER ❑ Jan -March April -June El July -Sept
COUNTY u5 / or ❑ Monthly'_ (month)
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PN
LABORATORY Lab Cert. # ❑Zero -flow []Water Supply LKSA
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z
"Other
CD
or [�j o discharge this period -
❑ Oct -Dec '191
Date Sample
Colle
Collected'
(mo/ cted
Outfall No.
TSS
COD
Fecal
coliform
Total
nitrogen
Total
phosphorus
Total
copper
Total
lead
Total
zinc
pH
Parameter
benchmarks =__>
100 mg/L°
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
2015
C
DW
SECTIQN
' Monthly sampling (instead of quarterly) must begin 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 TSS 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
Page 1 of 2
,•i
T Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sam le
p
1
Collected
(mo/dd/yr)
.Outfall No.
" pH -,'
: ,TPH using iriethod .
�1664A SGT HEM
,15
`-
-•:TSS
-
Totals_
:
Rain
Check
;if No
Flow
This
Perfod3
,Y, -
3
Average New. Motor Oill:usage:
;
-
6-9
mg/L
106 MOO
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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 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 (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 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)
Permit bate: 10/l/2011-9/30/2016
(Date)
Last Revised 12/02/11
Page 2 of 2