NCG120065 DMR SW (18)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qu li y General Permit No. NCG120000
Date submitted 9/ V/5-
OF COVERAGE NO. NCG12 0 G SAMPLE COLLECTION YEAR Z-"1
FACILITY NAME QQ,/t Co■ N-(� L p t SAMPLE PERIOD Jan-June ❑July-Dec
COUNTY Co tAI-*S ( or Monthly' (month)
PERSON COLLECTING SAMPLES d'O 0?--' �- 1��-` DISCHARGING TO CLASS f ORW I IHQW UTrout PNA
LABORATORY Lab Cert.# I (Zero-flow Water Supply _SA
Comments on sample collection or analysis: Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
ex
Part A: Stormwater Benchmarks and Monitoring Results S Coo.-en. 1T7
IS No discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches3 Chemical Oxygen Demand Fecal Coliform Total Suspended Solids
Benchmarks===> - - 120 mg/L 1000 count per 100 mL 100 mg/L or 50 mg/L4
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The 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.
4 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 mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely,where fecal coliform results exceed the dilution upper limit, report the result as">XX".
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: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

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