NCG030440_DMR_20210115 (2)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted /-15 dza I
CERTIFICATE OF COVERAGE NO. NCG03 C7_�/_�_/ Q
FACILITY NAME T mkuSiaeI -Try r Py_4
COUNTY N, K v
PERSON COLLECTING SAMPLES -SaN­k �Inw
LABORATORY Qhcc ri}Nh )4f 4wI Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �20 z 0
SAMPLE PERIOD ❑ Jan -June [a'luly-Dec
or ❑ Monthly' (month)
CHARGINGTOCLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flow ❑waterSupply ❑SA
���•--
l30ther G
F �3
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 4 a
❑ No discharge this period?2
Outfall No.
Date
Sample
Collected)
mm/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended
Solids
pH,
Standard
units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total
Toxic
Organics
Benchmarks
-
-
100 mg/L or So mg/L4
6.0 — 9.0
0.010 mg/L
0.074ng/L
O.IRLLmg/L
15 mg/L
1 mg/L
DvfFa)lOal
1�-/yam'
S"
D.O
�,/
0,0
0.0
o 9s
0.0
14A
odt all oo
J--/y.
S"
0,0
0
0.O
0.0
05/9
D•0
AA
' Monthly sampling (instead of semi-annual) mustbeginwith the second consecutive benchmark exceeuanceforthesame parameterattne
same outfall.
z For sampling periodswith no discharge at any single outfall, you muststill submitthis discharge monitoring reportwith a
checkmark here.
I The total precipitation mustbe recorded using data from an on -site rain gauge. Unattended sites may beeligibleforawaiverofthe rain
gauge requirement.

4 See General Permit, Table 3identifyingthe especially sensitive receiving water classifications where the more protective benchmark
applies.
5 Total Toxic Organics sampling is applicable only forthosefacilities which perform metal finishing operations, manufacture semiconductors,
manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definitionof Total Toxic Organics is that
definition contained in the EPA Effluent Guidelines forthe facilitysubjectto the requirementtosample (for metal finishing use the definition
as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture
use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement
for total toxicorganics (TTO) monitoring maybe waived. The solvent management plan shal I include a list of the total toxic organic
compounds used and the otherelements listed in the General Permit. Forthose facilities electingto employ the TTO monitori ngwaiver, the
dischargershall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible forma nagingcompliancewiththe permit monitoring requirement for TTO, I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwa ter or areas which are exposed to
rainfa I I or stormwater runoff has occurred since fiIingthe Iastdischargemonitoringreport. I further certify that this faciIityis implementing the
all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Printname)
Title (Printtitle)
(Signatur / (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, orothersimilar
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.

J

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, ;ier 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.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collectedi
mm/dd/yr)
24-hour rainfall
amount,
IncheO
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
* See General Permit text, Table 5, i dentifyi ng the especiallysensitivereceivingwater class ificationswhere the more protective benchmark applies.
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 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 4OR 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 Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files

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