NCG080411_DMR_20211001

Semi-annual Stormwater Uischarge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 10 I ni 1 2021
CERTIFICATE OF COVERAGE NO. NCG084 k _�_ _L_
FACILITY NAME
COUNTY
PERSON COLLECTIN SAMPLE
LABORATORY Fong-, Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2 0 2.1
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED []Zero -flow ❑water Supply ❑SA
OCT 11 2021 00ther
CENTRAL- FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION ❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
50 or 100 see permit
Within 6.0 — 9.0
15
# I
210
Io.�D
2 -7�0
150
+;L2.
b - 9-
120
2..-4o
So
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
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
15
50 or 100 see permit
6.0 — 9.0
#$ I
Cl-()•2
2--413
2
t$2
9-21
212
0
t For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
last revised October 25. 2012
Page I of 2

STORM Eo .,4T CHARACTERISTICS:
Date -09. A- L (first event sampled) .
Total Event Precipitation (inches): L R %NCy e's
Date f9---aft-21- (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches): l - ct ►ac-�•
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
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 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 oll "No Discharge" reports, within 30 days of receipt of the lob results forat end of monitoring period in
the case of '�No Discharge" reportsl 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 responsible for gatheri g the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are signjicant penal s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
1O-o1.202..1
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wQ/ws/su/npdessw#tab-4
SWU-250
last revised October 25, 2012
Pape 2 of 2