NCG210192_DMR_20230626

for North Carolina DEMLR General Permit No. NCG210000
Date submitted G a2lo �a3
CERTIFICATE OF COVERAGE NO. NCG21 0 L Z SAMPLE COLLECTION YEAR ,2ya 3
FACILITY NAME A11G©/✓e-©TA ;WoT?.Sui /) L SAMPLE PERIOD © Jan -June ❑ July -Dec
COUNTY q IG_ or monthly' (month)
PERSON COLLECTING SAMPLES 62ij�y 5,VAI "�, "*BASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY.51lCI+csu;1j& "01,1!ri:o4ab tert.# NG Cti21-Ai--'Yy0 ❑Zero -flow &Water Supply ❑SA
Comments on sample collecti� nalysis: NGAtd Ce4 v S77s� ��(2 20[:]Other
pEWR 3AL FILES
TIWASE REMEMBER TO SIGN ON THE REVERSE �
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?Z
Outfall Na,
Date Sample
Collected'
(mo/dd/yr)
i.
24-ho r rainfall
emiunt,
Inghes'
-
Chemical Oxygen Demand.
Total Suspended Solids
Benchmarks =__>
-
120 mg/L
100 mg/L or 50 mg/O
- as-
17
13 r v
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'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 sensitivereceiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For exams
numerical format. When results are below the applicable limits,
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you
Permit Date:8/1/2018-7/31/2023
Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
irted in the format. "<XX me/L". where XX is the numerical value of the
implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
SWU-245, last revised 8/6/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharae this neriod ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24.-hour rainfall
amount,
, Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/0
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.
i
FOR PART A AND PART B MONITORING RESULTS: i
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 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 PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEED:ENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30
in the case of "No Discharge" report
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
to:
receipt of the lab results (or at end of monitoring period
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."
(Signature of
I P`0'— 2, ea --2,3
(Date)
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
t
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