NCG120019_DMR_20210329

Semi-annual Stormwater Discharge Monitorine Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted 3 - 2a - 7_o21
CERTIFICATE OF COVERAGE NO. NCG12 O Q
FACILITY NAME ! �C'p 4
COUNTY nr^
PERSON COLLECTING SAMPLES Ja rl d
LABORATORYS�i s✓,'P a wt Lab Cert. #_ 37753—
Comments on s imple collect on or analysis:
Part A: Storm7ater Benchmarks and Monitoring Results
04tfall No. Date Sample 24-hour rainfall
i Collected' amount,
(mo/dd/yr) Inches'
Benchmarks ===>
,r
SAMPLE COLLECTION YEAR 2CPZ l
SAMPLE PERIOD Jan -June July -Dec
or Lj Monthly'_ (month)
b -- (DISCHARGING TO CLASS ❑ORW ❑HQW QTrout []PNA
QZero-flow OWaterSupply [:]SA
APR 05 202) ❑other
CEN7.FUAL FILES
DVVR SECTIOi I
Chemical Oxygen Demand
120 me/L
t
PLEASE REMEMBER TO SIGN ON THE REVERSE -9�
Fecal Collform
1000 count per 100 mL
z
Total Suspended Solids
100 mg/L or 50 mg/C
Monthly sampli, g (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling pe liods 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 Per text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
dote: Results must be reported in numerical format. For exampledo not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
iumerical 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
letection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
late., 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.
ermit Date:11/1/2012-10/31/2017
SWU-248, last revised 10/25/2012
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
F� No discharge this period ?2
Outfall No:
..
Qate,Sample.
Colleted
(mo/dd/yr) •
..4-hQu rai�ifalh.
amours,
::fiches
Non-pole-p49,,r/TPH by..
-EPA 1604'�(S.GT=HSM�
TatofSuspehsled 5ohd�
,
pH
Benchiinarks = =_>
_
i5 ntg/1.
`_: toQ mg/l.nr'50 rn k.:
6.Q - 9:O:SU...
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 li-SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an oriolnal and one coovof-this DMR, lncludina all "No Discharae" revorts, within 30 dayss-of iecelot of the lab results for at end of monitorina period
In the case of- o Dsscharae" revortsl 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 forgathering 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."
3- v?
(Date)
Permit Date:11/l/2012-10/31/2017
SWU-248, last revised 10/25/2012
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