NCG060185_DMR_20201218

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources eneral Permit No. NCG060000
Date submitted Or P $ An
CERTIFICATE OF COVERAGE NO. NCG06_0,12_5-
FACILITYNAME Wn ;Ir,c gins Ut
COUNTY
PERSON COLLECTI G SAMPLES '3ereny l3owrw
LABORATORY lMpc-. }& C L Lab Cert. #
Part A: Stormwater Benchmarks and Monitorine Results
SAMPLE COLLECTION YEAR
JA
FACILITY A IVITIES INCLUDE (check all that apply): N 2 b 2021
use/process meats ❑ use animal fats/byproduct
DISCHARGING TO SALTWATERS? DYES h. r r
�JLO a
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Tntnl nvonf rninfnll^r
Outfall No.
Sample Collected,
mo/dd/vr
TSS,
mg/L
-
PH,
Standard units
COD,
mg/L
-___. _. _.._. _...�_..
Oil and Grease,
mg/L
... ,-..,
Fecal Coliform ,
Colonies per 100 ml
. ............ y.. ...,ter."...,,
Enterococci ,
Colonies per 100 ml
Benchmark
-
100orS0
Within 6.0 — 9.0
120
30
1000
Soo
no
no
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See 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? ❑ yes [R'nno (if ves complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or s0
6.0-9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
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*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,OUTF,ALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORT E SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [—]NOfff
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 Resources
Attn: DWR 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)
la I s 6
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.or7/web/wa/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
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