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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