NCG120104_DMR_20210105

for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted / -S -P?o z /
CERTIFICATE OF COVERAGE NO. NCGj to / T� g SAMPLE COLLECTION YEAR 426"
FACILITY NAME CAW$ e0 Ktl� rSpts/O SAMPLE PERIOD [],'an -June ►' July -Dec
COUNTY 0*wig or ❑ Monthly' (month)
PERSON COL1f 4, CZSAMPLES i_e (\ I i PISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY �tG< Lab Cert. # ❑Zero -flow ❑Water supply WA
Comments on sample collection or analysis: 0 1 2021 ❑Other
F��B
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE a
n No discharae this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Fecal Coilform
1
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
2000 count per 200 mL
Ir
100 mg/L or so mg/L
5po J.
-1(a -ao
A0I WA
11W
10?08
1 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 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 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, BDL, <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. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/2S/2012
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a
Part B: ehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
n Ain dicrhfrrrna Chic nori~122
Outfall No.
Date Sample
Collectedi
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
1S mg/L
100 mg/L or SO mg/L
6.0 — 9.0 SU
T_
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 I, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
0 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and oneaoPy of this DMR includin all "No Discharge" reports within 30 days o recei t o the lab results or at end o monitoring
period
in the case of "No Discharge" reports) 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 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)
Permit Date: 11/1/2012-10/31/2017
•r•��o?l
(Date)
SWU-248, last revised 10/25/2012
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