HomeMy WebLinkAboutNCG060144 DMR SWSEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina; Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. �N4ta 6j. - SAMPLE COLLECTION YEAR �ZG L �
FACILITY NAME A t lro" FACILITY ACTIVITIES INCLUDE (check all hat: apply):
COUNTY � yL� bn ❑use/process meats [9Z=animal a animal fats/hyproducts
PERSON COLLEC�QLG SAMPLES r ��,ti,� � L.��- � � �I O SALTINATERS? ❑YES « I� ,
LABORATORY - 51'1 Lab Cert. ff t R9MV96
MAY 14 St SE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
f' =M'rMA 1 r-T(UW Avant rninfnil z nr 1 All, .,I;, -.-F
Outfall No. Sample Collected, TSS,
mo/dd/yr mg/L
pH,
Standard units
...�..
CODJJ`WR
mg/L _
- ---..- . -....i-...
SEVrof1frease,
_mg/L
— I I ,.v
Fecal Coliforml,
Colonies per 100 ml
.#Junin yc uiu /JrIIVU
Enterococcil,
Colonies per 100 ml
Benchmark - _ 100 or 50
Within 6.0-9.0
120
30
1000
500
oA4 - 16 - S Q Lj
7.4
_
5
Z-1
IVIFIA_
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? [ ]es ❑ no (if ye�, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/mnnth
Outfall No. Sample Collected, Oil and Grease,
mo/dd/yr mg/L
TSS, v
mg/L
v pH, New Motor Oil Usage,
Standard units Annual average gal/mo
Benchmark - 30
100 or 504
65.0-9.0 -
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 clieckmark 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'] 13, 2012
Pagc 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 [.gam
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑�
REGIONAL OFFICE CONTACT NAME: AA: A e— Q
Mail ran original and one copy of this DMR, including all "No Discharne-".reports, within 30 days o_ f receipt of the lab results (or 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 REPORTEL):
"I certify, under penalty of law, that this document and all attachments were prepared under arty direction or supervision in accordance with a
system designed to assure that qualified personnel properly gal her 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."
(Sig�re of Permittee)
(D te)
Additional copies of this form may be downloaded at: http://portal.nc(ienr.org/xAfeb/wq/ws/su/nl)dessw#tab-4
SWU 249 Last Revised: October 18, 2012
Page 2 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina; Division of Water QUa ity General Permit No. NCGO600OO
Date submitted _ S
CERTIFICATE OF COVERAGE NO. Nfyla_ QGJ_ SAMPLE COLLECTION YEAR a b 1
FACILITY NAMEya t t g ,a \ v ��� �, 1 FACILITY ACTIVITIES INCLUDE (check a�.xhat apply):
COUNTY _ „�� pn — 11 use/process meats ❑Q ,6s—e animal fats byproducts
PERSON COLLECT SAMPLES �c��,-, ,e_, i � DISCHARGING TO SALTINATERS? []YES tJ- NO
LABORATORY slv'' Lab Cert. It t''
Ir1.L:ASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Tntnl pr,pnt rrrinfni, z r F-1 A/-
Outfall No. Sample Collected, TSS,
mo/dd/yr mg/L
pH,
Standard units
COD,
mg/L _
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
—5—rur yc un3 purtuu
Enterococcil,
Colonies per 100 ml
Benchmark - 100 or 50
Within 6.0— 9.0
12030
_
J4 4 1
1000
500
v -1G-LS
Vjg]A
N/A
Only applies to facilities that use/process meats.
2 The 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? [Oes ❑ no (if yes,, complete Part a)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new mntnr nil/mnnth
Outfall No. Sample Collected, Oil and Grease,
mo/dd/yr mg/L
TSS, V
mg/L _
v pH, New Motor Oil Usage,
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 anv 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.
SWU-249 Last Revised: October 113, 2012
Pagc 1 of 2
*FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCE.S 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 AME PARAMETER AT ANY ONE OUTFALL?_ YES ❑ NO 0�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:' P _ �► ` , '�—
Mail an original and one copy of this DMR, inClUdina all "No Discharge•, f-eports, 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 Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, tinder 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
inforrnation, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Additional copies of this form may be downloaded at: http://Portal.nc(lenr.or tireb we /ws/su/npclessw#tab-4
SWU 249
Last Revised: October 18, 2012
Page 2 of 2
SEMI-ANNUAL STOIRMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Waterual'ty general Permit No. IVCGUG0000
Date submitted „ S I / 1 S
CERTIFICATE OF COVERAGE NO. NCG Gc -
� � _ SAMPLE COLLECTION YEAR r> 1 �
FACILITY NAME A l A \ �c-c�- e,-, : FACILITY ACTIVITIES INCLUDE (check: ahat: apply):
COUNTY A „tompn ❑ use/process meats ,❑Mase animal fats/byproducts
PERSON COLLECT1AlG SAMPLES DISCHARGING TO SALTINATERS? []YES& -o
LABORATORY (� 5 tv-, Lab Cert. If G'
IPLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Tntnl avant rninfnll Z nr f I Al„ it,;
Outfall No. Sample Collected, TSS,
mo/dd/yr mg/L
pH,
Standard units
COD,
mg/L _
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark - 100 or 50
Within 6.0 -- 9.0
--�---�—
120 _
S� C° —
30
'� t
1000
500_
A.
_
- S
- 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 dischai ge 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? 4,] es ❑ no (ifyes, complete Part l3)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month
Outfall No. Sample Collected, Oil and Grease,
mo/dd/yr mg/L
TSS,
mg/L
pH, New Motor Oil Usage,
Standard units Annual average gal/mo
Benchmark - 30
100 or 504
6.0-9.0 -
' Only applies to facilities that use/process meats.
z The 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 checkmarl< here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October I }i, 2012
Page I of 2
r
*FOR PART A AND PART B MONITORING RESULTS:
Y A BENCHMARK: EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. -
i 2 EXCEEDANCE.S IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 7 REQUIREMENTS. SEE PERMIT PART II SECTION B.
C 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 DWQ REGIONAL OFFICE? YES ❑ NO Q�
.REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Dischat-ge" f eports, 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 Quality - =
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTEL):
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
systern 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."
LZ
(S1 nature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.iic(leiii-.org/tireb/wq/ws/sU/npdessw4tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2