NCG060185_DMR_20210422

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NtG060000
Datesubmitted
CERTIFICATE OF COVERAGE NO. NCG06Q LS SAMPLE COLLECTION YEAR 202.1
FACILITY NAME Inc F. rws ILL C FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 4urrd L& ttse/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES nfyjli, DISCHARGING TO SALTWATERS? ❑YES [NO
LABORATORY Mer:neck La[l Cart.# 1& 5_
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitorine Results
RECENEp
MAY 0 3 2021
GEN l' RAL FILES
DWR SECTION
Outfall No.
Benchmark
Sample Collected,
mo/dd/yr
-
TSS,
mg/L
100 or 50
pH,
Standard units
Within 6.0-9.0
COD,
mg/L
120
•...
Oil and Grease,
mg/L
30
nq..,. . . U, U /vU
Fecal Coliform ,
Colonies per 100 ml
1000
Ulpulu[yC LUI] fJer1UU
Enterococcl ,
Colonies per 100 ml
S00
C
117ZOO
•, ..I.V­1 .., 611a. u C/F,1 LC�] IIICaj].
The 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 checkmarx 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 �o (if ves, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil th
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
mon .
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30 -
190or50
6.0-9.0
-
V
;nr appuo w Ia.dnu CO LIIaL UOC/FIIULCDJ ILIedib.
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 Lest Revised: October 18, 2012
Page I of 2

*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 THErSAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II 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:
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
monitorina 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 of fines and imprisonment for knowing violations."
A�44y '0?07- 0�!
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/­ws/su/npdessw#tab-
SWU-249 Last Revised: October 18, 2012
Page 2 of 2