NCG030450 DMR SW (3)

Semo-annum Rarrm.waterr © sc harrge ��i ons torrur� ®rr
for NorthC aroflna ® vWon of Water Quafty Generra� Permft N®o MCGO30000
®ate submitted
-.
arc �®v�RA�r N®. ���®�� SAMPLE COLLECTION YEAR QO/
`'
GAc(,,;II,.I Tfir' NAME SAMPLE PERIOD E] Jan -June ❑ .Duly -Dec
11tIM 7 ,/ or ❑ Monthly' (month).
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORw ❑HQW [-]Trout ❑PNA
[!_t�aS((JRATOIR l Lab Cert. # []Zero -flow ❑vYater Supply [—ISA
Co -Dm meruts on sample collection or analysis: ❑Other
,'asci Ao .5)tonnwater Benchmarks and Monitoring ResWts
PLEASE REMEMBER TO SIGN ON (PAGES Z ANC➢/OR 3' "
❑ No discharge this period?Z
Oen fall NO.Collectedl
®ate Sample
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pHA
Standard units
Copper
'
Lead
Non -Polar O&G/
Zinc Total Petroleum
Hydrocarbons
V®'dal `u'®stic
a�rganlcs
Beraa:hmarirs ===>
_
-
100 mg/L or 50 mg/L4
6.0_9'.0
0.007 mg/L
0.033 rng/L
0.067 mg/L 15 mg/L
1 mQ/L
40e ®
4
®, 0#43
a 4 6.bo
�4
' Monthly sampling (instead of semi-annual) must begin with the, second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The 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.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classi;fications:where.the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPlA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
cube manufacture use the definition found in 40 CFR 469.31).
Permit.' : 11/1/2012-10/31/2017 SWU-245; last revis 10/25/2012
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4j you report v sample value in excess of the benchmark, you must implement Pier 1, Tier 2, or icier 3 responses. See General Permit teat.
FOR PART A AND PART B MONITORING RESULTS:
o 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.
T IIR s: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF- YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
twail an original and one cogy of this DMR including all "No Discharge" reports vui$hin 30 days of receipt of the lab results (or at end of monitoring peria�d
hi the case of "No Discharge"' reportsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(fli IVRJST SI83i'• TI•IIS 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."
(Signauire of Permittee)
(Date)
Permit 11/1/2012-10/31/2017 SWU-245, last revis ' 10/25/2012
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