HomeMy WebLinkAboutNCG060160 DMR SW (3)SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted I - 7 — 2,6/
CERTIFICATE OF COVER E NO. NCG06_0 SAMPLE COLLECTION YEAR QLD �7
FACILITY NAME —I CL�y n �������! FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY L�cSI)')� ,�� ❑ use/process meats E use animal fats/byproducts
PERSON COLLECTING iAMPLES DISCHARGING TO SALTWATERS? ❑YES LSO
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 1 or eNo discharge this period
Outfall No: - Sample Collected,, „TSS,'. ' p,H,. „COD, Oil and Grease; . F:ecal'Coliform., Enterococci•,
" mo/dd/yr mg/L ' I - Standard units mg /L mg/L Colonies per 100 ml Colonies per 100 ml
eenchmerk� 100or'S0 Wltliin6:0' `9:0 120` 30 - 1000 500 1
Only applies to facilities 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.
°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 averaging > 55 gal of new motor oil/month.
Outfall No.'' Sample.Collected ° `
mo/dd/yr `• ..
„' -; Olhand Grease;
mg/L . `-, `' '
TSS,
; mg/..� .'
pH, New.Motor 011 Usage,
= Standard units:- --Annual'average gal/.mo
Benchmark -
30
100'or 50
6.-0-9.0 -
Only applies to facilities 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 yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted i — 7- ZOILS_
CERTIFICATE OF COVERA E NO. NCG 6.0I�Q
FACILITY NAME CLQ [ 4 e`t- aS lAg
COUNTY rfS4J&4 e_AA Q
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring; Results
SAMPLE COLLECTION YEAR O W -
FACILITY
ACTIVITIES INCLUDE (che all that apply):
❑ use/process meats• use animal f s/byproducts
DISCHARGING TO SALTWATERS? ❑YES E' hO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z or n Nn disrhnrnp thic nprinW
Outfall No=Sample,Collected,. ; '`:TSS, 'coD, Oil,andiGrease; Fecal Coliform,, ;.Enterococci.-,
mo and r mg1L Standard units Trig/L mg/L Colonies per 100 ml Colonies per 100 mi"
Be'nchmaile = 1006r'560 WltFiin 6:0=9.0 "120 30 1000
2AJO
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 averaeine > 55 eal of new motor nil/month
Outfall''No:"; - Sample.Collected,' „•` 0II'a6d Grease,
mo/dd/yr `. nig/L . : ,
TSS,
s mg/,4- ', `..
V pH,. = 'New Motor 011,Usage,
: Standard units Annual average gal/mo
Benchmark - 30
100`or 50,
6.0 = 9.0 - =
- Only applies to facilities 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 yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 7— 06/5—
CERTIFICATE OF COVEPAA�E NO. NCG06 D / �p 0
FACILITY NAME V a" (
COUNTY L'UMOa44 AID
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ ZD / V
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal s/byproducts
DISCHARGING TO SALTWATERS? [:]YES [?AO
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall z nr I ✓i Nn disrhnrnp thic narinW
Outfall No: - Sample Collected,_ TSS,; ' pH, COD, :OiLandGcease; PecaI.' 011form., ..Enterococci-,
mo/dd/yr mg/L -Standard" units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchr`riark- - 100 or'SO4 ' Wltliln 6:0 9:0 126' `-30 '1000 500
Only applies to facilities 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [r yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month
Outfall''No.' ' . - 5i�mple.Collec'tetl, ' OII•and Grease,,
-Juno/dd/yr `'.� r mg/L .
TSS,
mg/,L "
pH,.J New -Motor Oil -Usage,
Standard uni s: Annual average galmo
Benchmark - 30 _
100 or So
6.0 = 9.0 L- -
y Only applies to facilities 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 yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2
*FOR PART A AND PART B MONITORING RESULTS:
0 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 EXCEEDENCES FOR E SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO V
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 for 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, including the possibility of fines and imprisonment for knowing violations."
(Sign&'Ure of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.ors/web/wa/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2