NCG060144 DMR SW (2)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qu;)Iity General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06Qj µLlSAMPLE COLLECTION YEAR
FACILITY NAME 411ey C.+ : _ s FACILITY ACTIVITIES INCLUDE (chec that apply):
COUNTY Ari S o� ❑ use/process meats use animal fats -byproducts
PERSON COLLEG SAMPLES �- �S DISCHARGING TO SALTWATERS? [—]YESk"d""
LABORATORY MS M Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitorine Results
---__---
Outfall No. Sample Collected, TSS, pH, COD,
- mo/dd/yr mg/L 4 Standard units mg/L
Benchmark - 100 or 50 Within 6.0 — 9.0 120
-3 l -l5
1 ULM CV611L IU/11fuit or L -n iva discharge this period -
Oil and Grease, Fecal Coliform , Enteroc:occi ,
mg/L Colonies per 100 ml Colonies per cl , ml
30 1000 500
n o
100 or 504 6.0-9.0 _
Onlya lies to faciliti th t /
j
PP es a use process meats.
3The total precipitation must be recorded using data from an on-site rain gauge.
3 For 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitorine Results: only fnr farilitiae avaraaina � SS n.I _f 1,01....,—i - _n i
,,,, ___,
Outfall No. Sample Collected, Oil and Grease,
mo/dd/yr mg/L
-__ ._. _... _.__-�.-.V...p _ -. b.,,.. r• •.�,. �� Il,v rvl v11/111V11L11.
TSS, pH, New Motor Oil Usage,
mg/L Standard units Annual average gal/mo
Benchmark - 30
100 or 504 6.0-9.0 _
O1-
j
rn
O
Only applies to Tacurties that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For 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.
(if es complete Part B)
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SWU-249 Last Revised: October 18, 2012
Page 1 of 2

I PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. -SEE PERMIT PART II SECTION B.
2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? _YES a—NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ✓ NO ❑
REGIONAL OFFICE CONTACT NAME:
"No
Division of Water Quality =
Attn: DWQ Central Files, = `
1617 Mail Service Center
Raleigh, NC 27699-1617
the
YUUIMU51 SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I ce �tify, 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, incl u ing the possibility of fines and imprisonment for knowing violations."
of
Additional copies i
SWU-249
(D e)
this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qu lit y General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. N 06Q L J� SAMPLE COLLECTION YEAR $
FACILITY NAME , e,S FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY AZ. pn 1 ❑ use/process meatsuse animal fwa,�ts/broducts
PERSON COLLEC G SAMPLES r•. c S DISCHARGING TO SALTWATERS? []YESLTJ p
LABORATORY Vias W, Lab Cert. # j 4/z>
Part A: Stormwater Benchmarks and Monitorine Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
T -f-1 .. ...t - ..t_jj 2
----- --- F ULUI cvcnL I [fluff Ur L✓ Ivo arscnarge this period -
Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliforml, Enterococci',
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500
� p
Only applies to facilities that use/process meats.
3The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at anyoutfalls. 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaaina 5 SS ani nf now mnrnr .,il/---+i,
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 50 6.0-9.0
L..J
vniy appues To Tacu ies inat use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For 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.
(if es complete Part BI)
SWU-249 Last Revised: October 113, 2012
Page 1 of 2

PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 2.160
IF YES, HAVE'YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME:
this
"No
Division of Water Quality J -
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
MUIMU51-SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I cei tify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designedito 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 th'e 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."
ure of Permittee)
Additional copies
sWU-249
(Date)
this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qqa it General Permit No. NCG060000
Date submitted
CERTIFICATE OF COV RAGE NO. NCG06 O 1 21 LJSAMPLE COLLECTION YEAR D) S
FACILITY N ME V0. FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY t
C [] use/process meats se animal fats/byproducts
PERSON COLLE NG SAMPLES— �S DISCHARGING TO SALTWATERS? []YES
LABORATORY' Lab Cert. # d 4 Da
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
Part A: Stormwater Benchmarks and Monitorine Results
Outfall No. Sample Collected, TSS, pH, COD,
mo/dd/yr mg/L Standard units mg/L
Benchmark - 100 or 504 Within 6.0 — 9.0 120
�Lu. CVt:FIL I11jull
Oil anEnte oco cperrod-
Fu Ivo cuscMIS
d Grease, Fecal Coliform
in /L Colonies per 100 ml Colonies per 100 ml
30 1000 500
S
D A
Onl a li t
y es o aci i ies at use/process meats.
3pp The total precipitation must be recorded using data from an on-site rain gauge.
3 For 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for farilitiec averaaina �i, Sl; ami of nn.■, . -t.,..,H1f
.� ---. ------------- ------o...p - .. t,-.... ... ...vay. Con/nwnan.
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 50 6.0 — 9.0 -
Conry applies to Tacmties inat use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at air 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.
(if es complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 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 5a0WO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end 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
YOU 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, includin the possibility of fines and imprisonment for knowing violations."
Y t/5-
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2