NCG160055_MONITORING INFO_20190220

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C&
DOC TYPE
0 HISTORICAL FILE
C}� MONITORING REPORTS
DOC DATE
❑ C� � ! � � � �
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted /12 - /o - ao�9
CERTIFICATE OF COVERAGE NO. NCG16 o O S 5-
FACILITY NAME T. WOOTE)U S144Fa�0 45P
COUNTY LEA
PERSON COLLECTING SAMPLES R �DOUG FULGI4y/4 _
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
AIA
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR .20/ 4
SAMPLE PERIOD ❑ Jan -June ;K 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 -->
❑ No discharge this period?z
Outfall No.
Date Sample
Collected1
(mo/dd/yr)
24-h6ur rainfall
amount,
3
Inches _
Total Suspende&Solids
Benchmarks
100 mg/(or 5.0`mg/L
!!•�o- o�R
!
.?2
RECEiv _)
FEB 9, 0 2019
C:%.N�i"RAL FiLC
C VJ I C Yl ,
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance forthe 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 mg/ L'J where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
(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: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:
Outfall No.
Date Sample
1
collected
(mo/dd/yr)
.24-hour rainfall
-amount,
Inches
Non -polar O&G by.EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100_ mg/L or 50 mg/L
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 AAND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy oLthis 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 Resources
Attn: DWR 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 thatt"re significant penaltiesjor submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature o V*mittee)
12 -1 o -,:�6i9
(Date)
Permit Dare: 10/1/2014-9/31/2019 SWU-2S2, last revised 9/17/2014
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