NCG210406_DMR_20230127

Semi-annual Stormwater Discharge Moni ng Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted h-j 11 ZOZ�;
CERTIFICATE OF COVER A E No. NCG21¢ (�
SAMPLE COLLECTION YEAR
I SAMPLE PERIOD Jan -June July -Dec
FACILITY NAME LC /T �� or Monthly' (month
PERSON COLLECTING
COUNTY l r,/TrDISCHARGING TO CLASS _ORW CHQW [:]T
rout PNA
LABORATORYL9-R`�,r_�_�'TSAMPLES � YY�� or� 4'�, ['--
PS N % b Cert. # �� 'Zero -flow Water Supply ;_SA
Comments on sample collection or an Other
PLEASE REMEIV10ER TO SIGN ON THE REVERSE 3
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required on y if the facility stores exposed accumulations of sawdust, wood chips,
bark, mu cn, or other similar material on site for longer than seven (7) days.)
^I No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand Total Suspended Solids
Benchmarks =__>
-
120 mg/L 100 mg/L or 50 mg/0
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L 20 -7,
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Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must sti l submit this discharge monitoring report with a checkmark here.
3 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 me/L", where XX is the numerical value of the
detection limit, reporting 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: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2
REC1f' jvEr,,
FEB 10 2023
CENTRAL F1L 5
DWR SECTIO�I

Part B: Veh laintenance Area Monitoring Results: only for facilities averaging > 55 g; iew oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
a
Inches
Non -polar O&G by EPA
1664 (SGT-HEM_)
Total Suspended Solids
Benchmarks ==_>
-
15 mg/L
100 mg/L or 50 mg/L°
i
I
Footnotes from Part A also apply to this Part B
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 AAND PART 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 DEMLR REGIONAL OFFICE? YES ❑ NO rVN
v
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this OMR, 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:
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 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."
Spaqg�&aI ad 3
(Signature0 of Permittee) ( ate)
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
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