NCG090021_DMR_20201006

• Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG090000
Date submitted (0 I E, + 20 2-e.
CERTIFICATE OF COVERAGE NO. NCGO9 © o 'Lj_ SAMPLE COLLECTION YEAR 1-0'2---°
FACILITY NAME A KZ o Ni o F3 E L. CO A TTJ.1 CTs. -7--1-4 G, SAMPLE PERIOD ❑Jan-June ®July-Dec
COUNTY G.U r'L 1=(3)2... or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES 12.0 D.4 c: .c s' P5' fz.. DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY (2,Ect=ARc.,N�'ANcn Lab Cert.# N C 4 CE. N G$3' 70 1 ❑Zero-flow ['Water Supply ❑SA
Comments on sample collection or analysis: r s, r r.. Other N o%.D L.I.cTE �l�A SS
LAG (Zc stiv_°i c RF c,FTv .- c cD� I 1.-3 (�-z-c� ._.�
OCT 12 2020 PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A:Stormwater Benchmarks and Monitoring Results CEN i tv:\, ,l.E
DWR S ECtbfiii,ievent rainfall 3 0' 2-SS-;01❑ No discharge this period?2
Date Sample Collected' Total Cadmium'', Chromium HI,Total Total Lead, pH, Total Suspended Solids'',
Outfall No. Recoverable,
(mo/dd/yr) mg/L mg/L mg/L Standard Units 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
OuTFAUL- t I 091 (. . (20 < o• cu(,2 n' 01 6 0 .O ►.S' • -3-S \S"3
0vTPR4,-' x.. 041 l'-4-) '2-43 - Oct. <0• ocs' < 0• oczc-- •S o S-
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.
'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 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 me/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
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new oil per month.
❑ No discharge this period?2
New Motor or
Date Sample 24-hour rainfall Non-polar Oil and Total Suspended Solids' Hydraulic Oil
Outfall No. Collected amount, Grease, mg/L Usage,
(mo/dd/yr) Inches mg/L gal/mo
Benchmarks - - 15 100 or 504 -
Parameter Code - 46529 00552 C0530 NCOIL
N �A
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 DEMLR REGIONAL OFFICE? YES ❑NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original 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 awa at they are si ificant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
c
S gnature of Permittee Date i
rmit e: 11/1/2018-05/31/2021 SWU-255,last revised 11/1/2012
Page 2 of 2