NCG060290_DMR_20200630

r
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quail G neral Permit No. NCG060000
Date submitted ee Q
' CERTIFICATE OF CO ERAGE N
NO. CGiD6 O 2 �j V
FACILITY N E NC S+— SAMPLE COLLECTION YEAR IY
COUNTY FACILITY ACTIVITIES INCLUDE(check all that apply):
PERSON CO E NG SAMPLES �� ERS?❑use/process meats Eluse animal fa
LABORATORY DISCHARGING TO SALTWAT Yproducts
oOnC� Lab Cert.it 9AYES O
Part A:Stormwater Benchmarks and Monitorin Resume PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Outfafl No. Sample Collected TSS, Total event rain all 2 2 " or No dischar a this period3
Benchmark nro dd � L PK units OU and Grease, Fecal ColHorm Enterococd,
i 100Oer 6.0—g,0 120 30l Colonies r 100 ml Coloniesper 100 ml
1000 S00
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at my outfalls.You must still submit this discharge monitoring report with a checkmark
4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facilityp
perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?0 yes ❑no (if yes,complete Part
Part B:Vehicle Maintenance Area Monitors Results:on for p B)
of aU No. facilities avers in >55 gal of new motor oil/month.
Sample Collected, Oil and Grease, TSS,
pH, New Motor OIl Usage,
8endhrnark mo -dd L L Standard units Annual ave a I/mo
30 100 or SO 6.0-9.0 - RECEIVED
JUL 13 2020
CEN I t fil_FILE
DWR SECTION
applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls,you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249
Last Revised:October 18,2012
Page 1 of 2

*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 Ei NO
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑NO El ❑REGIONAL OFFICE CONTACT NAME:
Mllanoriin / n n c tl 1 1 l"N DI a
monitoring oerlod in the case of"No Discharae"reoortsJ to: are orts within 30 da s o re el t o the lab results or at nd o
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICAT ON 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
system designed to assure that qualified personnel properetly with a
person or persons who manage the system,or those persons directly responsible for g ther ne informatg the ion information,thesbmitted. Based i on my inquiry nfmation b the
to the best of my knowledge and belief,true, accurate,and complete. I am aware that there are significant penalties forr ubmitt n f ltted is,
information, including the possibility of fines and imprisonment for knowing violations." g alse
(Sign tire Permitt
(Date)
Additional copies of this form may be downloaded at: htto://portal.ncdenr.ore/web/waives/su/npdesswittab-4
SWU-249
Last Revised:October 18,2012
Page 2 of 2 •