NCG210355 DMR SW (7)

Semi-annual Stormwater Dis%.narge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO; NCG 1 O q -
FACILITY NAME ^
COUNTY Vj II ay
PERSON COLLECTING SAMPLES Ja VS Bd L -&S
LABORATORY WUt50_t\&, Po;�Ar Lab Cert. # I'q.-
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR a0%"/
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or DSMonthlyl n2.CQ.yh bV_ - (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]Water Supply ❑SA
%Other C65ss , C,
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
F-1 No dischoroe this aeriod?2
Outfall No.
Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_ -
12//0 mg/L
100 mg/L or 50 mg/L4
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1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The 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

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
F1 No discharge this period?'
Date Sample 24-hour rainfall,
Outfall No.
Collected' amount, Non -polar O&G by EPA
(mo/dd/yr) Inches3 1664 (SGT -HEM)
Total Suspended Solids
Benchmarks =__> _ - 15 mg/L
100 mg/L or 50 mg/L°
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