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Home My WebLink AboutNCG060288 DMR SW (2)SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 11 -Ir -13- RE13EIVED CERTIFICATE OF COVERAGE NO. NCG06 0 a SAMPLE COLLECTION YEAR A01-3NOV13 2015 FACILITY NAM 1.101, g" i�07SLLL FACILITY ACTIVITIES INCLUDE (check all that apply): CV, i,_ COUNTY _ ❑ use/process meats [ use animal fats/bypr AL FILES PERSON COLLE"TING SAMPLES Orr ,✓ ►t- ��%i%F° DISCHARGING TO SALTWATERS? AYES aNO ' CCTiO�1 LABORATORYLcWAv "f,4( 1-45 Lab Cert. 9 Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 or M No discharge this Deriod3 Outfall No. - Sample Con!" d� : TSS, 'mo as `' m L " pH, Standard units COD, L X11 and Gfease, :. Fecal CoJfiwm .Eqer _ r ,• ._, L' Colonies 100 ml Colonies per 100 ml Benchmark - r `' ' - '100 or 50 Within 6.0 = 9A '120 30 ` 1000 .500 7q, 7 3 10-10 z �9 Z d U5 - /OW z /3- 05 , 7 213 iOle 2// 41 ;?,D_ 5 � 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 fadlity perform Vehicle Maintenance Activities using more than SS gallons of new motor all per month? ❑ yes Ano Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaainir > SS gal of new motor oil/month Outfall No: tsSampk'CoUeded; ON and Grease; ` _ }' TSS, mo/dd/ ;; , z* L pH. New Motor Oil Usage, Standard units Annual a 1/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. `See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applie S WU-249 if es complete mplete Part B) y E s. � Last Revised: October 18, 2012 Porn t ^V) 0 If •FOR PART A AND PART B MONITORING RESULTS: e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: monitoring period in the case of "No Dischorae" 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 acct system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquii person or persons who manage the system, or those persons directly responsible for gathering the information, the information to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submit information, including the possibility of fines and Imprisonment for knowing violations." (Signature of Permittee) //-140 (Date) Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.orp/weblwa/ws/su/npdessw#tab-4 SWU-249 SECTION S. ] NO9 lance with a of the ibmitted is, a false Last Revised: October 18, 2012 Parte 20 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NC6060000 Date submitted // /i? -15-- CERTIFICATE OF COVERAGE NO. NCG06 0 �2 _f 5 FACILITY NAM C L L COUNTY _ PERSON COLLE ING SAMPLES OrYOvb.✓ /g� w Xgkn kl& 6I, LABORATORYj!,W,:a W,4f' C104„JfY5 Lab Cert. g 9y Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR FACILITY ACTIVITIES INCLUDE (check all that apply): I; ❑ use/process meats ❑ use animal fats/byproducts DISCHARGING TO SALTWATERS? []YES kZNO tt4 l PLEASE REMEMBER TO SIGN ON THE REVERSE -� Tntnl PVPnt minfnfl I %, / nr 1 I lUn Mcd-h"rnu f%ic n rind3 "/J-- Outfall No. Samplo Calle TSS, • . pH, COD, mo dd ' "" m L Standard units L and G[e, F6cal : Coltform , . m L Colonies per 100 ml Colonies per 300 ml Benchmark _ ` '100 or 564 Within 6.0 = 9.0 x'120 - 30 1000" SW i �141Y aNNMIC.N to Iaauues tnat use/process meats. ' The total precipitation must be recorded using data from an on-site rain gauge. a 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 SS gallons of new motor oil per month? ❑ yes no Part B: Vehicle Maintenance Area Monitoring Results_ eniy for facilities aynraaina �, ss nal of naw mntnr nill, nn+k Outfall No: Sampk'CoUacied Oq and Grease; TSs, A New Mom_ r od Usage, mo/dd/ ' - m :* L Standard unlU = 'J iinual a mo Benchmark - 30 100 or 50 6.0 — 9.0 - uniy appues to Tacmties that use/process meats. 3The total precipitation must be recorded using data from an on-site rain gauge. 4 For sampling periods with no discharge at ate( 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 applie SWU-249 if es mplete Part B) t' s. Last Revised: October 18, 2012 4 Pnrtn 7 of 7 0 Is $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 SECTIO B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO Z- IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: monitoring period in the rose of "No Discharpe" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFIC4TION FOR ANY INFORMATION REPORTED: I I "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accorVance with a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquir of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information Vbmitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitti g false information, including the possibility of fines and imprisonment for knowing violations." A— Aa� (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/weblwct/ws/su/npdessw#tab-4 SWU-249 Last Revi : October 18, 2012 Page 2.of 2