NCG130044_MONITORING INFO_20151110

Mau
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/V
DOC TYPE
❑HISTORICAL FILE
K MONITORING REPORTS
DOC DATE
❑ aul 6 t I
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG08D- Q L SAMPLE COLLECTION YEAR oI
FACILITY NAME 5AMP ERIOD ❑ Jan -June JK July -Dec
COUNTY __'' "�dd Monthly' ��man-t_h)
PERSON COLLECTING SAMPLES � i't zu�� DISCHA9111 ❑ORW ❑HQW ❑Trout ❑PNA
��C�11 / N��/ r�_ , ❑Zero-fiow ❑Water Supply ❑SA
LABORATORY fU Lab Cert. # 6 1 V u .1 ❑Other
Comments on sample collection or analysis: NOV 1 O i'niO i~ �.
��C� SE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitoring Requirements 11<VR S�^rlr'' ❑ No discharge this period'
w Outfall o,
Na
"Date yam-
00530r�'
Total Suspended-
'00440�t
a_r
�� OOS56ti 4
Yam.. _rt
:. IVon-Polar 0il�and�G/TPH EPA`
.. .
New lVlotor Oil<Usage
,_.
5 ptllected,
rrio/dd/Yr.
Solids/L 5:
;
Standardunrts_
Method1664E(SGT-FfEM], mg/L _
,Annual,average;gall mom.
Benchmaritti-�
9
50 or:100 see; ermit
Wiihin;6.0=-
9 �. ,
3.416
o
a
'7
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ 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
.SYµ"' k 7
Outfall�pate�;
N
-u 'V '
Sample 601 ed,
✓' . ".'Y j3 -dam- - a 'i''5:,�� yd $^-:
0556,w
Nont ololFOiliand'Grease/TP1fiti?Method
}'f`Y. j.�'"a9�i'leZ-.- ar^
�,Og530 «
Total Suspended Soliiis' �Y
- -'-` _
_` ,00400 _
_
��
darun
-., ma/dd/,yr
1bG4,(5GT=11EMj mgJL r
m L=5ta
_.
_
w',£,507oi'100:see,permit6:09
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
5WU-250 last revised October 2i. ?012
HKIA its Page I ore

0 0
0
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
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 ❑ 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 jor 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 CERTIFICATION FOR ANY INFORMATION REPORTED:
_
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 gat ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are ��nificant penal for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(SignaiE W of
d-q-1,5-
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web
lwct/ws/su/nqdessw#tab-4
SWU-250
last re%-ised October . 2012
Paee 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qu lity General Permit No. NCGO80000
Date submitted o I is
CERTIFICATE OF COVERAGE NO. NCGO84- 0- Ja CL
FACILITY NAME Re`P LAI-i L i'hr-9Zk9.J
COUNTY '
PERSON COLLECTING SAMPLES— S6Fdu
LABORATORY 04C4) Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
RECEIVED
JUL 23 2015
SAMPLE COLLECTION YEAR R 015 CENTRAL FILES
SAMPLE PERIOD X )an -June ❑ July -Dec "WR SECTION
or [:]monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall
No.
Date. ,
Sample Collected,
mo/dd/yr
00530
00400
00556.
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L.
, , New Motor Oil Usage,
Annual average gal/mo
-Bencfimirk
-
50 or 100 see permit
Within 6.0 - 9.0
15"
-
D!c '
5 1
13a0
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _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.
Date
Sample Collected,
mo/dd/yr
00556
00530
•.00400
Non -Polar Oil and Grease/TPH EPA, Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg%L
pH,.
Standard units
Permit Limit
-
15
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-250 fast revised October 25, 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 4LOt,5�first event sampled)
Total Eventcipitation (inches): •_
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 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 n
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" re orts within 30 days o recei t o the lab results or at end o monitorin eriod 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 argsignificant ppalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
-? -
(Date)
Additional copies of this form may be downloaded at: h!LP.I/portal.ncdenr.org/webjwci/ws/­�u/npdessw#tab-4
SWU-250
last revised October 25, 2012
Page 2 of 2