NCG060299_DMR_20230619

SEMI-ANNUAL STORMWATER DISCHARGE MOIL FORiNG REPORT
T
for North Carolina Division of Water Quality CeneraN Permit No. NCGO6OOOrI
Date submitted G' - /? - 21
CERWICATi E OF COVERAGE NO.��NCG/06 ©� y SAMPLE COLLECTION YEAR ?OZ�
FACILi uY NAME 16S /G9G�cr� FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Gr ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTIN SAMPLES GGu [l '0W'_ .cq DISCHARGING TO SALTWATERS? AYES ghlo
LA8ORATORY_,UCG Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE. REVERSE -!>
Part A: Stormwater Benchmarks and<Mnnitnrinv eacuMe T_._, ____ ._,_ _..2 r-
Outfall No.
Sample Collected,
TSS,
- ----
pH,
COD,
vau, ���„� , .mjun
Oil and Grease,
or LJ !vo
Fewt Coliform ,
aiscnarge rros penod-
Enterocacci
mo/dd/yr
mg/L
-TOO
Standard units
mg/L
mg/L
Colonies per 100 ml
,
Colonies per 100 ml
Benchmark
or50
Within 6.0 - 9.0
120
30
1000
Soo
l)
7,61
7. O
65
9
EC._
PAIED
Only annliac to
_,-�_.__-_.__....,�.,.. ,.��, rn wcoa mcau. vuiv 44 LULj
2The total precipitation must be recorded using data from an on -site rain gauge. w RAL FILES
a for sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark 6'VR SECT N
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facil'oty perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes dno (if ves, complete Part B)
Part B: Vehicle Maintenance Area Monitorine. Results- nniv for farilitiac avarnginv � 4r ua! . f na. , .... *. -ro r..,...6
Outfall No.
Benchmark
Sample Collected;
mo/dd/yr
Oil and Grease;
mg/L
30
TSS;
mg/L
100 or 50
PH,
Standard units
6.0-9.0
New Motor Oil Usage,
Annual average gal/mo
Oniy applies to faculties that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3For 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.
SWU-249 Last Revised: October 18, 2012

""FOR PART AND PART B MONITORING RESULTS:
01 A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT MART II SECTION B.
11 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ N® ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mull an ®riQinol and one copy of this D1V1R, including all "No Discharge" reports, within 30 dais of receipt of the lad results for at endmani$®ring ,period in the case o "No Discharge" reports.) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THU 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."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wa/ws/suZnpdessw#tab-4
SWU-24•'r,
Last Revised: k _ -, 18, 2012
Pace 2 0-£ 2

' LHR
Stormwater Discharge OutbUl (SDO)
QuaRitative Monitoring Report
For guidance on filling out this form, please visit: I1r`Ln:/(rsoriW.ncc�e►g .or9, rev/vt!c�/��yC/,a/npdessw#taL-4
Permit No.: NICI61®l I D�a/ yi_yi or Certificate of Coverage No.:
Facility Name: C"Rz'r S• rob �e co
County: leicls-v Phone No.
Inspector:
Date of Inspection:
Time of Inspection: 1;do4e1j1 --
v -
Total Event Precipitation (inches): __ _ j
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
( A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this si ature, I certify that this report is accurate and complete to the best of my knowledge:
c J --A ,O A
(Signature of Permittee or Designee)
1. Outfafl Description:
Outfall No. Structure (pipe, ditch, etc.) �.'/C
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors_
3. Odor: Describe any dis ' pc odors that the discharge may have (i.e.; smells strongly of oil, weak
cf l orine odor, ete.); /VC0
''age t Gf '2
WLT-242-20 I205 i 3

4. C;lairft�y: Choose the ffamber which best describes the. clarity of the discharge, where I is clear
and 5 is very cloudy:
I � 3 4 5
r •
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge; where I is no solids and 5 is the surface covered with floating solids:
I 2 3 4 5
f. Suspended Solids: Choose the number which best describes the amount of suspended solids is
the storniwater discharge, where 1 is no solids and 5 is extre--mely muddy:
1 6) 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfali? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foamy oil sheen, or erosion/deposition may
be indicative of pollutant exposure. 'These condition's warrant further investigation.
0 '�W'J-242 .r I2,06 I

HK; EHR
St onnw per Discharge OutfaH (SDO)
QuaRtative Momftoring Report
For guidance on filling out this form, please visit: htip://portal.r.cder=r.or� web/ulq.1%xis/sufnpdessvk*tab-4
Permit No.: NIC/ 0/10/ 6/ Ploll or Certificate of Coverage No.: NIC/C/
Facility Name: _ C12Z �o6gccv
County: fC/*Phone No.
Inspector: _ 0�60 : /Vc 6 ""4 ,� W
Date of Inspection: 6.--7
Time of Inspection: /Z' ,0 �!
Total Event Precipitation (inches): _ d '
Was this a Representative Storm Event? (See information below) - /Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A. "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this7si 7ature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
I. Outfall Description:
Dutfall No. - S'(,�_ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: ��atz�r S
fait re74
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors_ �lecx _ �C;A , — --- - _ -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak-
cW,orine odor, etc.): '60 A,4„ J
svr-LT 242-20I20613

4. Clarity: Choose tsar: number which best describes the clarity of ffiE discharge, where I is clear
and 5 is very cloudy:
1� 2 3 4 5 '
S. - Floating SoEldso Choose the number which best describes the amount of floating solids in the
stormwater discharges where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
OLI) 2 3 4 5
7. Is there any foam in the stormwater discharge?
8. Is there an oil sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes 6✓
Yes
Yes Gly
Note: Low clarity, high solids, and/or the presence of foam, off sheen, or erosion/deposidon may
be indicative of pollutant exposure. These conditions warrant further investigation.
r r f r
`_ `ige- J :,
.5

j m%;DE
QuaUtafive Monit® g Report
For guidance onfilling out this four, please visit: hUllpoir ?I.ticdct:•.org/LN--ei-/wti/�Nis/su/npdessw-#tab-4
Permit No.: NICI 9 / ©I 6/ 0/ 0?/ 9/ ?/ or Certificate of Coverage No.: NIC/GI / l l l l /
Facility Name: C'%lzcs T Agc eo
County: �dls�� _ Phone No. _ J_ �— 4;�F-f— 7-227
Inspector: 1%i.�,,-,� /1fc rg►, c Ale
Bate of Inspection: — D 7 — 23 _
Time of Inspection: _ l','? .'SS 0&2
Total Event Precipitation (inches): _¢„
Was this a Representative Storm Event? (See information below) EYYes ❑ No
Please check your permit to verify if Qualitative .Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this s lature, I certify that this report is accurate and complete to the best of my knowledge:
G
(Signaiure of Permittee or Designee)
1. OuifaH Description:
Qutfall No. GJ Structure (pipe, ditch, etc.)
Receiving Stream.:
Describe the industrial activities that occur within the outfall drainage area: �f 9,0
161 &j Le Jee -16iej Al
2. Color: Describe the color of the discharge using basic colors (red., brown, blue, etc.) and tint
(light, medium, dark) as descriptors_
30 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
ctlorine odor, etc:.): /V0 04 r-
Sect-242 r0120613

fir. C krity: Choose diF number which best describes the clarity of the discharge, where i is clear
and 5 is very cloudy:
'6 2 3 4 5
S. - Floating Solids: Choose the number which best describes the amount of floating solids in the
storaiwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 02 3 4 5
6. Suspended Bonds: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is entromely muddy:
Z 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheen in the stomwater discharge? Yes o
9. Is there evidence of erosion or deposition at the outfall? Yes o
10. Other Obvious Indicators of Stormwater° Pollution:
List and describe
Note: Low clarity, high soffds5 and/or or he presence of foam, oil ,sheen., or erosion depositio EFL may
be indicative of pollutant exposure. 'these conditions warrant further investigation.
l�r
MIJ-'-14 ';-wo I'20G 1 3

i
StormwWmr Discharge Out -fail] (SDO)
Qualitative Monitoring Disport
For guidance on fulling out this forma, please visit: litID://VorL-d.ncdeur.orgZv.v,--b/,ag/ws/sulnpdessw#tab-4
Permit No.: NLC&11?k&49i9L9I11 or Certificate of Coverage No.: NICIGI
Facility Name: CA,ES'
County: Phone No. 7717
Date of Inspection: -7 ~ 2�
Time of Inspection: /Z %�/S A•�
D
Total Event Precipitation (inches) : • 0 -
Was this a Representative Stone Event? (See information below) Z'Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
l A
(Signature of Penn ittee or Designee)
1. Outfal! Descripdon: h
Cutfall No. Structure (pipe, ditch, etc.) A
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: ,.7c
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors.
3. Odor: Describe any distinct odc
cI -Torine odor, etc.): /[% G
that the discharge may have (i.e., smells strongly of oil, weals
%
.`,W ��-La•2 to t :.C� � 3
'a.g e ! of

4. Clari410- Choose diF number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
co 2 3 4 5
§. Moating Soff dso Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 '10 3 4 5
6, Suspended SoLdse Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge?
8. 1s there an off sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes l
Yes ��'o
Yes o
Note: Low clarity, high solids, and/or the presence of foam, on sheen, or erosion/deposition may
be indicative of pollutant exposure. 'These conditions warrant further investigation.
F sage. 2 .3 f -J
J
W 242- 20I 133