NCG060186_DMR_20210224

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NGG060000
Date submitted a-ay-dl
CERTIFICATE OF COVERAGE NO. NCG06 0 1 fL SAMPLE COLLECTION YEAR d 0
FACILITY NAME Wi JAB rrm s LL L FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY So rri ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES erg , / .r DISCHARGING TO SALTWATERS? ❑YES [R 0
LABORATORY Mee: +e l_ Lab Cart. # /his
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' or ❑ No d' A tA' 43
Outfall No.
Sample Collected,
mo/dd/yr
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Isc urge Is peso
Enterococcf ,
Colonies per 100 ml
Benchmark
-
tmg/L
Within6.0-9.0
120
30
1000
S00
60
Only applies to facllltles 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.
'See General Permit text, Table 3, identlfying the especially sensitive receiving water classiflcations 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 [?'no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitorine Results: nniv fnr farilitiac avarnaina N vc aal ^f ., ,., ..,.,.,....01...,....r.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
I Annual average gal/MD
Benchmark
-
30
100or50
6.0-9.0
-
unry applies to raaunes tnat use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at amt outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permittext, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RIFC,Sri/prr
MAR 0 8 202,
DVI 11L FI1.F.S
R SECTIOP..I
SWU-249 Last Revised: October 18, 2012
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I
*FOR PART A AND PART B MONITORING RESU�TS:
i A BENCHMARK EXCEEDANCE TRIGGERSITIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAI ff PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
O TIER 3: HAS YOUR FACILITY HAD 4 OR �ORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES RhO ❑
REGIONAL OFFICE CONTACT NAME: Mr. G✓�.'a.r
i
Mail an original and one copy of this MR,;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 J1
YOU MUST SIGN THIS CERTIFICATION FOR 6NY 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)
(Date)
Additional copies of this form may be downloaded at: http:Hportal.ncdenr.ore/web/wq/ws,(su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
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