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Home My WebLink AboutNCG060026 DMR SWSEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT JAN 0 5 2016 for North Carolina Division of Water Qualit General Permit No. NCGO60000 _ Date submitted CERTIFICATE OF COVERAGE N . NCG06O a SAMPLE COLLECTION YEAR O �� FACILITY NAE Co oc� �` FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY ❑ use/process meatsuse animal fats/byproducts PERSON COLLECTING MpLES S DISCHARGING TO SALTWATERS? [DYES ff3NO LABORATORY•Lab rt. # PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A, Stormwater Benchmarks and Monitoring Results li Ut g Total event rainfall Z� or ❑ No discharge this perlod3 1+?'?fi^v,•'r:� :f.!>r=,r. �SIyB.?t_.rp: ar.-4. C _ utf' I� k-�. =n,-.: ��¢¢� x,•; c�t�r:' ,-rx- :'.:: ,:ter '�,•.. �i �f r� n'l:�S=F $ , 1.,.... f'£ 'S;FrJ -b•�a •nF..9".%O i.4:G'4ii1� =r� n 6 ;:5a iL L.' 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' ? jw)!t ) �g/��t. f-• t ' 4l"y'l. :iS-i�ir�.1?.:. �i?".!' � :iiYiE'N' : r;�� : M1� .•H:� . „«. .1; � ., �;r r �fi q F'+:i t �.,�..4 6 .r " � ,r'. s,:, z;al :IIIw!1�li+'3lMsai:rti:_ •:_,7'1,.4�'d _ - 4e.f rR^!'?rr_?y_..:.L��.,r._c NA AfA Af _Zz i „ro ' 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 SS gallons of new motor oil per month? ❑ yes [1117T' (if yes, complete Part B) Part B: Vehicle Maintenanep Arps MnnIMAnn Dne■■lae. --h. a- i..�Gltal�- -.-_-_ � ■... __■ _ � .. - -- v ---• --• - •. .....■■■.■`� a■ wo ursuig . as gai ui new mutur un1munin. 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Si 73 N {;,k� .. a+ r� { T��.,i[,• c.i , aYna ri 'P,'i ;_.'. -cni 3 Y -!,(=,1 �,'' y.�,1y�,{{J �}Yif� ee ALJ rE'.i..,I--il. }i,1L.•��yj `iTe' 1'7j;'`.?'4F'. i-'.,hfG ;$y4;b`�t,L {�Y!: •rt"'::K.:.•.iv t':vTi6SE .} �.i�. f •t� '.7%(.�,1 t. :,!'FL., h..Gi�jid.�.)..,JIi�'yA Eisti-•.�r!''J„a;{� 4 �`. a �� 5:.�.7.�IN4.-� �'�1r,I� f ,. F.} 1� yF4�^, '3l. � X111` tCl � �:i��.: �l:f�uiL�11'�I N ST �JS'l. L ,T31a�: 1i I' `�•vr Gi-' � t4... fi-,.� 6tA•�:,,-`!'!ii:t..r ^5.,�'._.E�iQt�., F.i;�}-rljl;t:f;� r�p7i: 1 Only annlipe +n fnrilMae..._-_- -- - --• r.--..............�. ZThe total precipitation must be recorded using data from an on-site rain gauge. s 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 30 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. SWM -249 Last Revised: October 18, 2012 *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 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO V' IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab, results for at end of monitorina Period in the case. of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 161XMail Service Center Raleigh, NC 27699-16174, 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." (Signature of la -3o -Is (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.ors/web/wa/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2, of 2 „