NCG240004_DMR_20210106

uarteri .Stormwater Discharge Monitorin.g. Report
for North Carolina Division of Water Quality General Permit No, NCG240000
Date submitted ]— 6 `02
CERTIFICATE OF COVERAGE NO. NCG24_�Q00e7l
FACILITY NAME ` `eIG✓a
COUNTY s. - ^.
PERSON COLLECT NG SAMPLES
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2020
SAMPLE QUARTER ❑ Jan -March ❑ April -June ❑ July -Sept
or ❑ Monthly month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
Zero -flow QWater Supply ❑SA
ZitheI
Oct -Dec
1 Monthly sampling (instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter dL L,1C aa111c UUL101L.
zThe 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.
3 For sampling periods with no discharge, you must still submit this discharge monitoring report with a checkmark here.
4The TSS benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is 50 mg/L.
Permit Date: 10/1/2011-9/30/2016 Last Revised 12/02/11
Page 1 of 2

)r oil/month.
1
Footnotes from Part A also apply to this Part B
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.,SEE PERMIT PART IISECTION B..
0 2 EXCEEDANCES 1N A ROW FORTHE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART R SECTION B. `I
Y 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an orlalnal and one coav of this AMR, 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" resorts) 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 Informatlon submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penaltles for suomitting false information, including the possiblilty of fines and imprisonment for knowing violations."
re of PermVee) C
Permit Date:10/1/2011-9/30/2016
S
(date)
Last Revised 12/02/11
Page 2 of 2

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