NCG240004_DMR_20200713

Quarterly Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG240000
Date submitted '�7 1/' o
CERTIFICATE OF COVERAGE No. G24QOQ7-
FACILITY
COUNTY + o!/�
PERSON COLLECTI G SAMPLES
LABORATORY Lab Cart. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR
SAMPLE QUARTER ❑ Jan -March [q A� prll-June ❑ July -Sept ❑ Oct -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero•flow ❑Water Supply ❑SA
[aQiher'27 7
.)u
Part A: Stormwater Benchmarks and Monitoring Results 10� T10^Total event
or
1.1*1 IJPJ
this
' Monthly sampling (Instead of quarterly) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' For sampling periods with no discharge, you must still submit this discharge monitoring report with a checkmark here.
"The TSS benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is 50 mg/L.
Permit Date: 10/1/2011-9/30/2016
Last Revised 12/02/11
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Dr oil/month.
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 OUTFALL TRIGGER TIER REQUIREMENTS. SEE PERMIT PART II SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mall an orlalnal and one coov of this DMR, includina all "No Dlscharae" reports within 30 days of receipt of the lab results for at end of monitoring period
In the case of "No Discharge" reports) for
Division of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared undef my direction or supervision in accordance with a system designed to
assure that quallfied personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons d ectly responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware tW t re are significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations."
(SlipAture of Permltte0) "
Permit Date: 10/1/2011-9/30/2016
Last Revised 12/02/11
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