NCG060102_DMR_20210104

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted U-* nuarV c4 Qj)a I
CERTIFICATE OF COVERAGE NO. NCG06QL O 2. SAMPLE COLLECTION YEAR gOv�L.O
FACILITY NAME Car►dor fi'AVnil I - PerFKe Ayt', &X. S► M LLr—FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 14(Dore, ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES [R60
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitorinv Ro<rlltc
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
T..F..l .. L-.II2 - nr__
Outfall No.
Sample Collected,
--�
TSS,
--------
pH,
COD,
�.,..., =�=11� I uul�un
Oil and Grease,
yr L�J rvu
Fecal Coliform ,
ulacnurge rms pertoo
Enterococci1,
mo/dd/yr
mg/L
Standard units
mg/L
mg/L
Colonies per 100 ml
Colonies per 10o mI
Benchmark
-
100 or Se
Within 6.0-9.0
120
30
1000
5pe
J
-
,.�'
zThe total precipitation must be recorded using data from an on -site rain gauge.
nFor sampling periods with no discharge at anyoutfalls. You must still submit this discharge monitoring report with a cheeckmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities avera in > 55 al f t 'I
Outfall No.
Benchmark
Sample Collected,
mo/dd/yr
-
Oil and Grease,
mg/L
30
g g
TSS,
mg/L
100or50
g o new mo
pH,
Standard units
6.0-9.0
or of /montrl.
New Motor Oil Usage,
Annual average gal/mo
-
u....udcu idol u /PI VL UCD II Md Lb.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
aFor sampling periods with no discharge at anyoutfalls, you must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if ves, complete Part B)
SWU-249
Last Revised: October 18, 2012

*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 yB.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ u
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 (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, NC 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 are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
�{ goal
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249 l
Last Revised: OE r 18, 2012
Page 2 z)f 2