NCG210028 DMR SW (2)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 0 7/)— 4�i 5
CERTIFICATE OF COVERAGE NO. NCG21 0 SAMPLE COLLECTION YEAR 'L 0 ( 5
FACILITY NAME o.0- LJ ra e c ►gr) SAMPLE PERIOD ®Jan-June ❑July-Dec
COUNTY /44c O u)` L f �--/ or ❑ Monthly) (month)
PERSON COLLECTING SAMPLES Safi s DISCHARGING TO CLASS ❑ORW ❑HQW 'Trout ❑PNA
LABORATORY 80I.1 'err Lab Cert.# AJ(00 9.2 5 ❑Zero-flow ❑Water Supply LISA
Comments on sample collection or analysis: �� � ['Other
JUL 2 9 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is requiret.0 AI y stores exposed accumulations of sawdust,wood chips,
bark, mulch, or other similar material on site for longer than seven (7)days.)
iXt No discharge this period?2
Date Sample 24-hour rainfall
Outfall No. Collected) amount,
(mo/dd/yr) Inches3 Chemical Oxygen Demand Total Suspended Solids
Benchmarks===> - - 120 mg/L 100 mg/L or 50 mg/L°
(4)&id &./ ; A/4 N4 NA N%t
1 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.
'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.
n 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.
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:8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
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