NCG080198_DMR_20200331

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE No. NCG08 6 / -'� E
FACILITY NANqE L15K uCKINc� 1Aic.
COUNTY PAI So NJ
PERSON COLLECTING SAMPLES I\fE
LABORATORY Lab Cert. #? s
Comments on sample collection or analysis: JUN 1 1 2G20
r, � , i
S`�CT10i 1
Part A: Vehicle Maintenance Areas Monitoring Requirements pN, (?
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ®Monthly' 41g2(month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
R No discharge this period'
Outfall
Date .'. `
00556
00530
00400
No
Sample Collected,
Non Polar0�l and Grease/TPH,EPA Method
Total Suspended Solids,
pH,
mo/dd%yr
1664 (SGT-HEM)mg ,Standar`.d
units
Permit%Cimit
1s
s0 or`100 see,permit
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-25r\`
lr wised
.r 25, 2012
PaEe 1 of 2

STORM EVG: e' CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date. (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark you must implement Tier 1, Tier 2. or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
0 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 one co at this DMR includin all "No Dischar e" re orts within 30 da s o recei t o the•lab results or at end o monitoringerlod in
the case of "No Discharge" retorts) 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 respoillble for gatherin a formation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are sig cant penalt r sub ittiyfalse information, including the possibility of fines and imprisonment for knowing violations.".
re of
3 & o
(Date)
Additional copies of this form may be downloaded at: htti2:Hportal.ncdenr.ore/web/wq/ws/su/`nndessw#tab-4
SVVU-250
last revised October 25.2012