NCG210428 DMR SW

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEIUILR Gener I Permit No. NCG210000
Date submitted /, � , 7Q/ ".
CERTIFICATE OF COVERAGE NO. N9G21 D174 �. SAMPLE COLLECTION AR (/I�/D
FACILITY NAME ►//,1�,�' /�,C/f=4-f/T 7,(A?,�` SAMPLE PERIOD Jan-June ❑July-Dec
COUNTY I Z":, .>° > or ❑ Monthly' (month)
PERSON COLLECTING SA PIES / �"2:,,d/A1-y DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert.# / RECEIVED ❑Zero-flow ❑Water Supply LISA
Comments on sample collection or analysis: ❑Other
JUL 0 9 2015
PLEASE REMEMBER TO SIGN ON THE REVERSE -�
CENTRAL FILES
Part A:Stormwater Benchmarks and Monitorin Results Monitoring is/a SECTION
!; ((Monitoring q d �INy if the facility stores exposed accumulations of sawdust,wood chips,
bark, mulch, or other similar material on site for longer than seven (7)days.)
No discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches' Chemical Oxygen Demand Total Suspended Solids
Benchmarks===> - - 120 mg/L 100 mg/L or 50 mg/L°
MM
25
ZMonthly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
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 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 me/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
Page 1 of 2

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