NCG060333_DMR_20231205 (3)

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DEC 15 2023
CENURAL FILE^
DWR ,ZEr,TION
QUARTERLY STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO600OO
L 3 33 Date submitted 1 2' S
CEFt -r1FICATE OF CQVERAGE NO. NCGO66 U U U J SAMPLE COLLECTION YEAR 102.3
FAC- t-ITYNAME —� 'q>,}S� LLC.. 'j'O r\lc.� rrsK M� FACILITY ACTIVITIES INCLUDE (check all that apply):
COU NTy v3" Srll_ p ❑ use/process meats U use animal f s/byproducts
PER 50N COLLEC NG SAMPLES r i V 1UX DISCHARGING TO SALTWA'fERS? OYES UO
LAB ORATORY_ e1�V�tLK�-e w• Lab Cert. p
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
part A: Stormwater Benchmarks and Monitoring Results Total event rainfall1-11fl— or ❑ No discharge this
period3 _
ou -
Bench
tfall No. Sample Collected, 15s, pli,
mo/dd/yr mg/L Standard units
COD,
mg/L
Oil and Grease, mg/L
Fecal Coliformr,
Colonies per 100 ml
Enteracocclr,
Colonies per 100 ml
rnark 100 or 504 1 Within 6.0-9.0
120
30
1000
Soo
+Only applies to facilitles that use/process meats.
7rhe 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.
vid this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ldno (if ves,
complete Part B)
Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
8e
outfall No. Sample Collected, Oil and Grease, TSS,
mo/dd/yr mg/L mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
nchmark 30 loo or 504
6.0-9.0
-
,Only applies to facilities that use/process meats.
sore total precipitation must be recorded using data from an on -site rain gauge.

For s a mpling periods with no discharge at Lny outfalls, you must still submit this discharge monitoring report with a checkmark here.
)ee G ene�al Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark
.Ppile s.
'FOR PART A AND PART B MONITORING RESULTS:
9 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
6 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II
SECTION B.
TIER HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑
NO j�/
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
bail an_ original and one cop; of this Dg R, includingre
all "No Disrhar•ye' ports, within 30 days or receint of the fah results (or at en d of monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
yDU 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 "
1
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4