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Home My WebLink AboutNCG060288 DMR SWIt SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted CERTIFICATE OF COVERAGE NO. NCG06 0 a S `!i FACILITY NAME AAy /414,1 FGr 5 LG L COUNTY a,411W / PERSON COLLE ING SAMPLES 04, Kr LABORATORY Z�Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results 0 RECEIVED MAY 20 SAMPLE COLLECTION YEAR C�0/J_ CENTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION ❑ use/process meats ❑ use animal fats/byproduECEIVE® DISCHARGING TO SALTWATERS? ❑YES 0�10 MAY 2 0 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE -), CENTRAL FILES Total event rainfall1 �' or ❑ No discharge thiiss perriocFCTION QutfaP No. Sam_ ple Collected...: mo/dd TSS, m L PH, :. Standard units CqP, 1 Wend"Corse, ". 4PI Coliform ,."_ frpcQ= m 1 Colonies r 100 ml Coionies 'er 100 ml Benchmark 100 or 50 Within 6.0 - 9A 120 30 '1000 500 as; 3 45 �, D ' Only applies to facilities that use/process meats. 2The 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 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. OM fall Ido• Sample Collected..', Oil �u1d G�e*e, all. mg/L TSS,. pH, New Motor Oil Usage- mg/1 Standard units Annual average gal/mo Benchmark - 30 100 or 50 6.0-9.0 - ' Only applies to facilities that use/process meats. 2The 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. if es complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 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 ANY ONE OUTFALL? YES ❑ NOW 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 all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU 16 0 Last Revised:.Oct'IL 18, 2012 e2of2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 5--:-151-6 CERTIFICATE OF COVERAGE NO. NCG06 a ' SAMPLE COLLECTION YEAR FACILITY NAME Aox/ LG L FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY i ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLE ING SAMPLES 04, Ka4X DISCHARGING TO SALTWATERS? ❑YES 2k40 LABORATORY Z�GLab Cert. # PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results 0 Total event rainfall z i or ❑ No discharge this period' Outfall No. Sample Collected, TSS, L pH, COD, Oil and Grease, fecal Coliform ,Enterococci , . . mo/dd r mg/L Standard units L m L _ Colonies per 100 ml ' Colonies . per 1W ml Benchmark 100 or Saq Within 6.0 — 9.0 120 ' 90 1000 S00 3 Only applies to facilities that use/process meats. 2The 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. 4See 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 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Op#oll No. -Sample Collected,,-, OU pad Grease, mo/dd/yr mg/L T551 mgX PH, New Motor Oil Usage,- Standard units Annual averageRM—Mo Benchmark - 30 100 *r SO 6.0-9.0 = ' Only applies to facilities that use/process meats. 2The 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. 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. if es complete Part B) SWU-249 Last Revised: October 18, 2012 Page 1 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;V 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 all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period In the case of "No Discharge" 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wci/ws/su/npdessw#tab-4 46Last Revised: Octo r 18, 2012 SWLJ 0 6e1of1