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Home My WebLink AboutNCG060308 DMR SWSEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 1(Q Ah)I/ at,157 CERTIFICATE OF COVERAGE NO. FACILITY NAME COUNTY go or, PERSON COLLECTING "PI S LABORATORY G06�"3 •6=� Lab Cert. # Part A: Stormwatpr Renchmnrlte and M.,ni+.,.inn Dnr.df- NOV 19 2015 SAMPLE COLLECTION YEAR 00/9- CENTRAL TES FACILITY ACTIVITIES INCLUDE (check all that apply): DSECTION 1:1use/process meats ❑ use animal fs/byproduclf DISCHARGING TO SALTWATERS? []YES RAO PLEASE REMEMBER TO SIGN ON THE REVERSE 4 _r_...2 / H = - a. -� - - ----- Outfall No., Sample Collected,TSS, pH, COD, mo/dd/yr mg/L Standard units mg/L �•�• •�... . Oil and Grease, mg/L -"J-11 . v vI LJ IYV LII31-11UI yr L/Iq FJU[IUU Fecal Coliform , Enterococcil, Colonies per 100 ml Colonies per 100 ml Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500 I a . ., .-r, �,,....— ......-.. �..a.� ...ate., r- a'a 11—OLZ. 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? ❑ yesno (ifyes' complete Part B) Part B: Vehicle Maintenance Area Mnnitnrina Rsaei Jte• nnlu inr fnAlk-e r ..1 .e _ e. J—_ aL —---------- ---—o--"o- o— ..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 1 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. SWU-249 Last Revised: *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 SECTIC • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, indudina all "No Discharae" reports, within 30 dans of receipt of the lab results for at end 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." re of Permittee) Il -13 -IS (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 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 162kIny eR.hl— CERTIFICATE OF COVERAGE NO. NCG066 -3 FACILITY NAME COUNTY PERSON COLLECTING P S LABORATORY Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR o%I 6 - FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animalO /byproducts DISCHARGING TO SALTWATERS? DYES [v PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total er !12 / A v Outfall No. Sample Collected, TSS, pH, COD, en ramfaI or ❑ No drscnarge rnis penoc- Oil and Grease, Fecal Coliform , Enterococcil, mo/dd/yr mg/L Standard units mg/L mdL Colonies per 100 ml Colonies per 100 ml Benchmark - 100 or 50 Within 6.0-9.0 120 30 1000 500 r16a � 8 Ad uaCj 1!1 V%.o] IIICa I.N. 2 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? Q yesno if yes complete Part B) Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. 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 1 Only applies to facilities that use/process meats. 2The 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. SWU-249 Last Revised: October 18, 20I2 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: 0 A BENCHMARK EXCEEDANCE TRIGGERS TIER Z 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 11 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 ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, includina 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." of Permittee) 11-13-15- (Date) 1-13-1S(Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.drglweb/wglws/su/npdessw#tab-4 S WU-249 Last Revised: October 18, 2012 Page Z of 2