NCG160173_DMR_20220622

Semi-annual Stormwater Discharge Monitoring Resort (DMR)
f;. for North Carolina DEMLR Gene al ermi o. NCG160000 - Asphalt
�. Date submitted
CERTIFICATE OF C_ YERAGE NO. NCG166
FACILITY NAMEI
COUNTY
PERSON COLLECTING SAMPLES ��� �"� <T
LABORATORYWA`IF'�' Q--� Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIODJan-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA
❑Zero -flow [-]Water Supply [:]SA
ther CZ A-�6 C
Outfall No. Date Sample 24-hour rainfall-
Collectedl amount,
Total--Sj
(mo/dd/yr). Inches! ..
nchmarks -> 100 m
ended Solids.
or 50 mg/u,
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
No discharge this period?'
RECEIVED
JUN 2 6 zu?
pWR SECS ON)
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a check mark here.
3The 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
4requirement. See General Permit text, Table 1, 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 me/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: 08/01/2019-05/31/2024 SWU-252, last revised 09/04/M19
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
I:' -
No ❑ discharge this period?2
Date Sample 24 hour rainfall c New Motor OBI or Hydraii�lic
Outfall No=
b . Collecteii1 ;amount; Non polar;0.&G by,EPA r =Oil Usa" aAn Pal avers e
no tld r Inches3° 166b4 (SGT:HEM) Tot I Suspended SOhds g '�
mo ,.
., i__.Y n- A _1-- -L.a. LL7_ n_..t n
OtnOtco 11 v111 ral 1. M aPv CIIJFJIy w LIMP 1-01 M. o
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:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• 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 BYTHE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or 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 INFORMATIONREPORTED:
"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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(e,> 1g,9199
(Date) 11
Permit Date: 08/01/2019-05/31/2024 SWU-252, last revised 09/04/2019
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