NCG210034_DMR_20210108

RSCEI I, f
6l)
'AN 2 5 202,
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG210 L_' SAMPLE COLLECTION YEAR 2 0;1 0
FACILITY NA E r O UM b Cr ['terry I%On 11 SAMPLE PERIOD ❑ Jan -June July -Dec
COUNTY. _ or ❑ Monthly' (month)
11() }�y r J�
PERSON COLLECTING SAMPLES[ r` cr a Pi 1 P_ckrns DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Mtif i 4 EGh Lab Cert. ItZero-flow ❑WaterS��uf�pIJ�. ❑S
Comments on sample collection or analysis: WOtherLjCl.1_5_C FaX A, /-
PLEASE REMEMBER TO SIGN ON THE REVERSE -a
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
F{ No discharge this aeriod?2
Outfall No.
bate Sample
Collected
(mo/dd/yr)
24-hour rainfalr
amount,
inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ==>
120 mg/L
100 mg/L or 50 mg/L
0
4
` Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must stilt 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.
A 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, 8DL, <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 Fier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
ri AM Merhnr— thic nartnr172
Outfall No Date Sample 24-hour rainfall
Collecte& amount,
mo/ddJ Inches
Non -polar O&G by EPA
1664 (SGi HEM)
Total Suspended Solids
Benchmarks
15 mgJL
I a 0 mg/L or So mg/L
-
G
tJ
G 5`"
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 71er 1, Tler 2, or Tler 3 responses. See General permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER i 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEOENCES 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:
all an original and one cony of this AMR. Including all "No Discharge" reports within 30 days of recelot of the lob results for at end of monitodna period
In the case of "No Discharge reportsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST -SIGN TFlIS=CERTIFiGTr10N FOR AT1Y'INFOAMATION 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. 1
am aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
(Signaturf of Permittee) (Date)
Permit Date: 8/1/2013-7j31J2018 SWU-245, last revised 7/31J2013
Page 2 of 2