NCG160210_Monitoring Report_20220308

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 19
CERTIFICATE OF COVERAGE NO. NCG16 D e2 / O
FACILITY NAME �Gr/ 11/w7eeiaC4
COUNTY /j11G�j�gn_v
PERSON COLLECTING SAMPLES ZARRJ �i4v S
LABORATORY pop✓/ Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVEC,
SAMPLE COLLECTION YEAR -2xo DENR-DEM—.
SAMPLE PERIOD ® Jan -June ❑ July -Dec -and Quality seaw.
�„ xesville Regional Ofiu..
or El Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW L_JHQW ❑Trout []PNA
❑Zero-flourWater Supply E]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -31
❑ No discharge this period?'
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
EBenchmarks
a ao
8
100 mg/L or So mg/L3
2S rn ti
RECFI1IF-C)
MAR 8 0 2020
CEN I RAL FILER
DWR SECTION!
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
ZFor sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'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.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX mg/L where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
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.
Permit Date: 10/l/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Outfall No.
Benchmarks ===>
Footnotes from Part A also apply to this Part B
Date Sample
Collected'
(mo/dd/yr)
F-1 No discharge this period?Z
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
_
15 mg/L
100 mg/L or 50 mg/L
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:
o A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
m 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES []NO
❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT?YES [] NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orictinal and one copy of this DMR Including all "No Dischar e" reports, within 30 days of receipt of the lab results Jor at end of monitoring Period
in the case of "No Discharge" reports) to. -
Division of Water Resources
Attn: DWR 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 responsible4or gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
(Date)
Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2