NCG060230 DMR SW (2)

ii
SEMI-ANNUAL STORN
ATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _L2:a - /y
CERTIFICATE OF COVERAGE NO. NCG06 `�21 2L c SAMPLE COLLECTION YEAR �O14
FACILITY NAME ��= „ ��� �,�� FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY �F
� pp y):
PERSON COLLECTING SAMPLES ❑ use/process meats [:] use animal fats/byproducts
LABORATORY 51,1 \` T'� ^ VgGING TO SALTWATERS? []YES QNo
c`'= �t� �is.�i Lab Cert. # _ c\q ,% E� VV
JAN U 5 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results CENT z
Outfall No. Sample Collected, TSS, �� FI Total event rainfall I �or 0 No discharge this peric
PH, TIONand Grease, Fecal Coliform , Enterococci ,
mo/dd/yr mg/L Standard units mg/L Mgt.
Benchmark _ g/ Colonies per 100 ml Colonies per 100 ml
100 or 50 Within 6.0 — 9.0 120 30 1000
QD ^ly Ic r 1.i� _ 500
' Only applies to facilities that use/process meats.
zThe 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? Q yes [-no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities
Outfall No. Sample Collected, Oil and Grease, TSS,
Benchmark
30
100 or
> 55 gal of new motor oil/month.
PH, New Motor Oil Usage,
Standard units Annual average gal/mc
' Only applies to facilities that use/process meats.
zThe 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.
SWU-249
(if ves• complete Part B)
Last Revised: October 18, 2012

*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 [i]^
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ r to
REGIONAL OFFICE CONTACT NAME: i
Mail an ori final and one copv of this DMR including oll "No Discharge" reports, within 30 days of receipt of the lab results or at end o
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."
(Signature of Permittee)
J�-
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
f
Last Revised: (.—jber 18, 2012
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