NCG130099_DMR_20210329

North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
Date submitted 1,21 -,� 9
CERTIFICATE OF COVERAGE NO. NCG 1°b00Q9 SAMPLE COLLECTION YEAR G�
FACILITY NAMEyk%LJt V_k1_L t ,v,6, ` A 1U NG 6rg,nch F� �+I COUNTY UJn�"E'* EP, —�E /pr,
PERSON COLLECTING SAMPLES SVo_wr V3 ,I3o APR 0 PLEASE REMEMBER TO SIGN ON THE REVERSE 3
LABORATORY C Y\P.t� Lab Cert. q °� 9 5 2021
C:EN I iVAL FILES
DVJR Y-C r'r�
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for faciltttes U5j an average of > SS gal of new motor oil per month.
Total event rainfall I I or ❑ No discharge this period'
utfall No.
Sample
Collected,
mmjdd/Yr
Tout Suspended
Solid§ (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method1664 SGT-HEM)
IN applicable) "
Oil and Grease, mg/L
{if appficahle)
pH, Standard tttdts
(only If aapikablel
New Motor Oil or
Hydraulic Oil Usage,
Annual average'gait/mo
Benchmark
100 or 50'
15
30
Within 6.0— 9.0
1
I I
,XOt
r 5
is) al
2, DD
Cb,9l
+ 50
I acooaN
so
The total precipitation must be recorded using data from an on -site rain gauge.
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 that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
`FOR 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 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 ANYONE OUTFALL? YES NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO [�J/
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Lust Revised- June 1, 2018
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lViail an crri marl and one o-of
this D#i1tR Including
all
"No lisc%a e" Eqe2rts avlthirr 30 days of _recei t gof the lab results or at end o
monitodnq geriad i» the case of
"'No Dischar e'` reports)
to DWR.Central Files:
*Note this address is correct for Central Files (DWR) and is NOT supposed to be t EMLR.
YOU MUST SIGN THIS CERTIFICATION FOR ANY WFORMATION 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 theinformation 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 beliefs true, accurate, and complete. l am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations,"
3j a� a I
of Permittee
(signature _) (aare)
Additional copies of this form may be downloaded .at
htt s://de .uc. ov/about/divisionsiener •-mineral-iand-resources/n des-stormvvater- s
No` StQnnu ter Prdgrain NPDES Permit Vehicle/Equipment Ma;^itenance activities SDMR last Revised: .lune 1,- 7018
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