NCG060333_DMR_20231205 (4)

QUARTERLY STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted ) 2, ! = 2. 3
:ERTIFICATE OF COVERAGE NO. NCGQ6 G Q U (2 SAMPLE COLLECTION YEAR 2 U Z 2
40 LITY NAME ` fit..
'OUNTY Sav", FACILITY ACTIVITIES INCLUDE (Lhe5k all that apply):
'ERSON COLLECTI G SAMPLES U �cre/process meats use animal f is/byproducts
1f Al`'�`
4BORATORY "�nv
DISCHARGING TO SALTWATERS? []YES [BO
t� ('yG1�C rV� Lab Cert, f# _ G(
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A. Stormwater Benchmarks and Monitoring Results
esuTotal event rainfall z L� or ❑ No discharge this
nutfallNo. Sample Collected, 1•SS,
mo/dd/yr m � pi I, COD, Oil and Grease, mg/L Fecal Coliform1, Gnterococcii,
Benchmark _ g/ Standard units mg/L Colonies per 100 ml Colonies per 100 mi
100 or 04 Within 6.0 — 9.0 120 SO 11000,%500
�r-
1 Only applies to facilities that use/process meats.
ZT'hetotal 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.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil'per month? es
complete Part B) ❑ y
Part B: Vehlele Malmo.,____ A--- RA__ 9.
-'The Total precipitation must be recorded using data from an on -site rain gauge.
L_ I no U yes,

:r sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here,
1� General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark
`!;I ies.
`I)R PART A AND PART B MONITORING RESULTS:
O 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.
c TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [)
NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES FJ NO E]
REGIONAL OFFICE CONTACT NAME:
!Lcil an original and one copy of this DMR, including all "No Discharge" reports, within 30 (lays of receipt of the lab results or at
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
MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
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
th ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
(Sign4ture of Permittee)
A-
(Date)
Ad dtional copies of this form may be downloaded at: http:Hportal.ncdenr.org/web/wa/ws/su/npdessw#tab-4