NCG120090 DMR SW (3)

Semi-annual Stormwater'Discharge .Monitoring Report
.for North Carolina Division. of Water Quality General Permit No. NCG120000
Date submitted. 2-2-1(p
CERTIFICATE OF COVERAGE N0. NCG12 O 0 q 0
FACILITY NAME J-7rlAil ��.K Co�r'r�1! L*J.n- �I
COUNTY Tj%nSW1cy,
PERSON COLLECTING SAMPLES,tnU- -
LABORATORY Lab Cert. # dCOOg03
Comments on sample collection or analysis:
%I r
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015.
SAMPLE PERIOD: ❑ Jan -June ❑ July -Dec
or % Monthly' Z0_C.6 nb ;r (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout' '.❑PNA
p ❑Zero -flow [:]Water supply ❑sA
RECEIVED 500ther N6* -SS G; Sw
FEB 04 lzu'- PLEASE REMEMBER TO.SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SECT* 10N
®No discharge`this Period?Z'
Date Sample 24-hour rainfall
Outfall No. Collected' amount,
(mo/dd/yr) . Inches 3
Chemical Oxygen Demand Fecal Coliform Total Suspended Solids
Benchmarks =_=> - -
120 mg/L 1000 count per 100 mL 100 mg/L or 50 mg/14
S'p0 it I YIn ISA 0,
SDo ii: 2
Spo#� 3
Spa #1,
5ho�.
Soo
1 Monthly sampling (instead of semi-annual) must begin with the second:consecutive benchmark exceedance for the same -parameter at thesame 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,.
° See General Permit text, Table 3, identifying the especially 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. Conversely, where fecal coliform.results exceed the dilution upper limit, report the result as ">XX",
Note: If you report a sample value in excess of.the benchmark, you must Implement Tier 1, Tier 2, or Tler 3 responses. See General. Permit text:
Permit Date: 11/1/2012-10/31/2017 SWU-24B, last revised 10/25/1012
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge'this period?Z
Date Sample 24-hour rainfall
Outfall No.
Collected' amount; Non -polar O&G/TPH. by
(mo/dd/Yr) Inches3 EPA 1664 (SGT-HEM)Total
Suspended Solids
pH
Benchmarks ===> _ - 15 mg/L
100 mg/L or 50 mg/L°
6.0 — 9.0 SU
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 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 ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE _ D�W.:JQ REGIONAL OFFICE? YES NO ❑.
REGIONAL OFFICE CONTACT NAME: CbX
Mail an orlainal and one cosv of this DMR. includJna all "No Dlscharae" resorts, within30_I of�ecl hof the lab results for at end of monitorina aerlod
in the case of "No Discharae" resorts) 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'atta6i ienfs 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment -for knowing violations."
Permit Date: 11/1/2012-10/31/2017
(Date)
SWU-248, last revised 10/25/2012
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