NCG060133 DMR SW (2)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted. 5 1
CERTIFICATE OF COVERA E NO. NCG06 © 13-3 SAMPLE COLLECTION YEAR S
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY f'� �e D SCHARIVB❑ use/process meats use animal fats/byproducts
PERSON COLLECTING SAMPLES GING TO SALTWATERS? ❑YES E&NO
LABORATORY Lab Cert. # MAR n 3 2016
PLEASE'REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results OWR SECTION Total event rainfall 1 or ❑ No discharge this period'
OutfallrNo. ° Sam Ie Collected '° TSS= }°' :ate= .H,- 'CQp, ,""'i' Oilrand Grease, 9 FecahColiform , , Enterococcus
m T' u p 16 P_N
"_ `1mo .dd r»71�.a ,.. ,�"m L,.: StandardWumts N "m L 3t m L poi„, Colonies, er 100 ml ,Colonies,; ery100 m1 o"w
._ ..p.�.,
- ���� tit ;�„ , . , ,,. �.. ...
Lsszr,L„ ;% r n IIS, kUt9r 4U 79� A�
Benchmark 9.191N - lu x4..,,100 050 m Within 6.09 0
�.. . ��� m t �; w,. ;- _ s -
511 n�,, �,,�1pM 1911„ IV �'�'— �: W kA "
120wp W 30 = 1000,,, ,5 OOa
( y
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.
4See 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 es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
,,. „� � wC , n4 . � ..-_� d ,�an'`d � G'r . ase`��d � ,
a r �a ob $4i
Sam IeRCollecte Oila esR , Istui d.1 „ wo , µ , -
Outfall;No.l,ul P _ po,9ljl,r << SS lug, New Motor Oil=Usa
ON N r�woa
P1ti� �6w_m�au�a .p.g/ _ `�
mg /L 3 Edi m L '1Standardunitsa: Annaalavera a al'mo '
��
=Beichmark r 9ti=s �:ii
..-� 100 or 50111 lla 6 0 9:Oi�
�=Im 9919u 911H1�, ��_ , _
_ miilr'
W�e=
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.
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

*FOR PART A AND PART B MONITORING RESULTS:
® A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCIES 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 FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO []'
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy 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, NC 27699-1617
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
(g/0
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