Loading...
HomeMy WebLinkAboutNCG060235_DMR_20200615SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG060 2, 3 67— SAMPLE COLLECTION YEAR 6./iS/20,20 FACILITY NAME ^ No; �iLz0.ZLL FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY 2 ECEIVROprocess meats ❑ use animal fats/byproducts PERSON COLLECTING SAMP ES t t "I DI c�fA ING TO SALTWATERS? [:]YES❑)r NO LABORATORY—koe at rCc1 ( Lab Cert. #�% JUL 1 2�2� CENTRAL FILE!,?�EASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION __A D ,,i. Tntnl event rainfall ( in or n No discharge this period3 Part A: Stormwdter Outfall No. r DUHCMnann Sample Collected, mo/dd/yr anu invu,101 u"g TSS, mg/L -...,...... pH, Standard units COD, mg/L - -- Oil and Grease, mg/L — Fecal Coliform', Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 300 or 50 Within 6.0 — 9.0 120 30 1000 500 N D nJ I A iJ ' Only applies to facilities that use/process meats. ZThe 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, identifying the especially sensitive receiving water classifications 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 Ono (if yes, complete Part B) A_ n an ;+. ; .., Daridtc• niv fnr fnrilitipc avpraeine > 55 eal of new motor oil/month. rmLD. vcniuc,riauuom.,.."-.. Outfall No. .... ...............a Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 — 9.0 - ' Only applies to facilities that use/process meats. ZThe 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, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWU-249 Last Revised: October 18, 2012 Page I of 2 *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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original andone:cowof this DAM including, all "No Discharge" reports, within 30 danof receipt of the lab results (or at end of monitoring period -in the. arse of "No Disctiarae" ,reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 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 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 sign ificant.,penalties for submitting false information, ir}elu�lc, ing the possibility of fines and imprisonment for knowing violations." of: Permittee) 7ko (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 S W U-249 Last Revised: October 18, 2012 Page 2 L.;' 2 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance oat filling out this form, please visit: httt�a/t���rtal.ncdcnr.or�►/web/s��hvti/tiuhlpdcstiu#tab-1 Permit No.: N/C/� Facility Name: County: Inspector: Date of Inspection: Time of Inspection: 1 1—I l l l l or Certificate of Coverage No.: N/C/G/0/ l iS/120 11r1,15-14-01 Total Event Precipitation (inches): Phone No. lg 7 7j -- S .2 �aZ .1 k -I- Was this a Representative Storm Event? (See information below) Ef Yes ❑ No Plectse check }your permit to verify if Qualitative Monitoring Hurst be performed during a representative storm event (requirements vaty). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this sigpatuy6, I cepify tot this report is accurate and complete to the best of my knowledge: (Signat eru of Permittee or Designee) 1. Outfall Description: , Outfall No. S ructure i e ditch etc �� Receiving Stream: C f-eeL Describe the ' dust 'al activities that occur within the o %atfll dram4 e a�r�a: 4cccrt rs CC i►,S u7'td 2. Color: Describe the color of the di char�e using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: t u� d ee,r- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _lJ A Page 1 of 2 SWU-242-20120613 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: I 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 0Nq S. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-20120613