NCG210023 DMR SW (2)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR'General Per : it No. NCG210000
Date submitted ► Z J
CERTIFICATE OF COVERAGE NO. NCG21C�, b Z
FACILITY NAME \40_,5+ r C 1%SC C
COUNTY LoAL.,.,. b C, S
PERSON COLLECTING SAMPLES (Yh► she (Le f' G�
LABORATORY @.,Q, ( Lab Cert.',#
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2 0 l
.SAMPLE PERIOD .❑ Jan -June E 'Iuly-Dec
or ❑ Monthly' (month)
NEH GING TO CLASS ❑ORW . ❑HQW ❑Trout ❑PNA
DEC Q 2015 . ❑Zero -flow '[:]Water Supply ❑SA
gOther
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, -wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
F No discharge this neriod?2
Date Sample 24 hour rainfalls '
F,
Outfall No �� r2 ;
n a c'r } c ¢ CoIlPctedl j z �° amount, �
�Y a a : Chemical Oxy en Demand Total Suspended Sohds
t (mo/dd/,Yr)._x } _`. ;Inches g. y
eenchmprksi > £j' r' "` ° 120 mg/L 100 13
mg/L or 50 mg/L4
0o3 t z 16 457 F? y9 3©
2 Monthly sampling (instead of semi-annual) must. begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with. no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here..
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit text, Table 3, identifying theespecially sensitive receiving water classifications where -the more protective benchmark applies.
Note: Results must be reported in numerical format: For example, do not report Below 'Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When"results are.below the applicable limits, they must be reported in the format. "<XX me/L" where XX, is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier.2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
.❑ No discharge this period?z
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• 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 MOTE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, including all "No Discharge" reports, within -30 days of receipt of the lab results (or 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, North Carolina 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 completer 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)—
\ ^ermit Date: 8/1/2013-7/31/2018
mom
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2
r
Sample
24 rainfall,
,'Outfall
„Date
r s
<
x�
Collected
amount
Non polar 0&G by EPA
4
�, 3't"amu
�. �'
f Total Suspended Solids �\.
.�._IncFes
_ 1664(S.GT
Benchmarks =>�
'�
y "�
15 mg/L
x 100 rrig/L or 50 mg/L° y_ar
v
ODl
(al�Cl�.
��
p
�.
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• 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 MOTE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, including all "No Discharge" reports, within -30 days of receipt of the lab results (or 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, North Carolina 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 completer 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)—
\ ^ermit Date: 8/1/2013-7/31/2018
mom
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2