HomeMy WebLinkAboutNCG060160 DMR SW (4)SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted 11-o23- o0/ S NOV 2 5 2015
CERTIFICATE OF COVE AGE NO. NCGO6 O I SAMPLE COLLECTION YEAR ZQI S CENTRAL FILES
FACILITY NAME /4 C1, CY iQ�7d( (.5 li�L'
FACILITY ACTIVITIES INCLUDE (check all that apply): SWR SECTION
COUNTY Oc )MalfQC A& %1) ❑ use/process meats [ruse animal fats/byproducts
PERSON COLLECTING SAMPLES OW77 f f/LL ZkkAYA' 16 IWY DISCHARGING TO SALTWATERS? ❑YES [R40
LABORATORY InIO2DMC. Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall i or [allo discharge this period
Outfall,No:, _=Sample,Cotlected,:, T55,; '
mo/dd/yr mg/c
pH, - .CQD;
-Standard units mg/L
=Oil,and'Grease;"F,
mg/L
e¢al_Coliform:�
:Colonies-per.100.ml
;Enterococci", -
>>'
Colonies per lWirn
Benchv ask` - 100or'S0°"
VVIt'in'6A'=9:0" -120r
"' '3Q
ib00
S00
A10 i
Cs
��•
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.
°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"
Oil.and Grease;'
mg/L.": ';-:
'' TSS, _
-mg/,L'
`-pH,, _
Stand'a�d.units-
--New, or Oil"Usage, "
Annuahaverage,gal%mo='
Benchmark = =
30'
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.
(if ves, 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. NCGO60000
Date submitted 11—a 3 .W%S
CERTIFICATE OF COVE GE NO. �JXIO&:(AJS
06O1 G 0 SAMPLE COLLECTION YEAR 2 -6119L -
FACILITY NAME MEY &L, FACILITY ACTIVITIES INCLUDE (che k all that apply):
COUNTY �'C.ir a QL4,Li,�_ 11use/process meats Q use animal fat /byproducts
PERSON COLLECTING SAMPLES AJ% / [ �Afi4YAfE IVCY; DISCHARGING TO SALTWATERS? ❑YES [ 10
LABORATORY /L',F'[1� Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall a or ❑ No discharge this period'
_Outfall,No: =Semple,Collcted T55
' mo/dd/yr mg%l
_ :-.pH CQD
Standard units mg/L
OiLandGrease` Fecal_Coliforrri;
mg/L Coloniesper.100.mI
;Enteiococci =
= Colonies per 100•ml
Benchmark' = l00 or'S0
Wltfiin`6:0'='9:0" 120`
'.30' "' 1000
500
`uq 1; 7
4-3, qS
o0
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.
°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 if yes complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outf„„all' No =' • Sample=Collected; `
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: October 18, 2012
Page 1 of 2
bit and Grease;
`' ' TSS,
`m
--pH,; = New' for Oil`Usage;
4-Armuallaverage 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: 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 //� 23Zy/S
CERTIFICATE OF COV RAGE NO.NCG06 v L _,p_ SAMPLE COLLECTION YEAR Zd t S
FACILITY NAME FACILITY ACTIVITIES INCLUDE (chec all that apply):
COUNTY 6I 2 j6Zom¢,_ ,0 ❑ use/process meats use animal fats/byproducts
PERSON COLLECTING SAMPLES 19MI-7 Imu— DISCHARGING TO SALTWATERS? []YES Q10
LABORATORY /%?fC,PC A1V_ Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part 0- Stnrmwater Benchmarks and Monitorine Results
Total event rainfall 1 /.a or ❑ No discharge this period
Outfall No:-Sample,Collected,
_ ,•
' mo/dd/yr
TSS,,
� mg/L'
pH,. COD, Oil and Grease; ,_ Coliform,, Enterococci.-, ,-
Standard units Mg/L mg/L' Colonies per 100 ml Colonies per 100 ml
Benchrttark' -
l00 or'S0
INitliin' 6:0 - 9:0 120` 'go `1000 500
I -041-K-
'D
1 -1, a -,
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? 101yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall'No:". - Sample-Colledted; ` : -Oil and Grease;
-,4-;" �,mg/L,
TSS, - PH" New,Motor Oil Usage,
mg/,L ,'.:` rStandardunits� �Annualaverage,galmo
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.
3 For sampling periods with no discharge at anv 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)
N
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 FORT E SAME PARAMETER AT ANY ONE 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 Discharae" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharae" 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."
f1/ / ,(
re & Permittee)
/l -a3
(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