NCG060235 DMR SW

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CERTMCATE-'O
FACILITY'NAMI
COUNTY A)WV
SEMI-ANNUAL STO,RMWATER°-DISCHARGE MO-NITGRING REPORT
for North Carolina, Division of Water Quality General Permit -No. N,CG060000
Date submitted
NQ-NC�4 S_
LLC
TING_SAMPLES
C� �i�a( �i&% _ Lab.Cert. # (,--7-
SAMPLEXtiLL'ECTIONWEAR'
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal f 'ts/byproducts
DISCHARGING TO,SALTWATERS? ❑YES O
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Tntnl avant. rninfrrll z or F- No-discharae this neriod3
05tfaIltNo;., j 5ampl'ei;Collected;, c I TSS'„ ; ;p'H;
COD',
i IOihand;G'rease;
! ` FecalrColiform`,p,'
I i Enterococci .,
� s
_ ( dd� r '
.m L, sStan`il'ardluriitss j
�mg-,/
I m L•,
",Col'on�e'sa er"100Linl'
iY
i � "` 21dWMC ;
± Colonle`srper,,
Iaenclim`arkt �_ - _ _;
,;100$or,;50��° _� y .'dNithin1;6 0�-',9:0� { I
1120'
_ `30'
° .11 00
: i ;5001
i s ,
-7
N
N
' Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on=site rain gauge. -
3For sampling periods with no discharge at an outfalls. You most`still'subrriit`�this disch`arge'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,usin&more than 55;ta,llons of new motor oil per month? ❑ yes ❑ no (if yes, complete Part B)
nn.. :+., n—.14— -1.. F.-FnA1;+;n nwarmaino SS aai of nnw mntnr nil/month.
�OuffaIll�N'o: 31
ISampl`le �cdllectedl '�
'OiFan&,Grease; i
,55;,
;ing/L,
t 9 +pH;
} `StarPd'ardiunits',
; I {N'ew,!�Mdtor,'Oil'U1 sage,;
I Ann ualiayera`ge)�gal%mok
�i6'erichmark; i
I
`30. g_
6:'0,
'Only app'lies.'16 facilities that use``/,proces"s;meats. t
2Thetotal,precipita,tlommust, be, recorded, using, data,,from�an on-site rainlgauge;
a For, sampling periods,,with no discharge,at an, ..outfalls,you musf=still submit,this,discharge monitoring report with a checkmark here.
4See;General;Permit;text„Table 3,, identify",ipg the,es'pecially sensitive receiving water classifications where the'more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*,F;,QRiPART_XAND<!,PART.B;MONITORIN,G, RESULTS:,
r� ;�. ,.:+A BENGHIVIARKwEX'CEEDAN,CE TRIGG.ERSaTIE,R;1 R'EQUIREIVIENTSY SEE°_P,ERMIT'PART'II SECTI,ON;B.;
• 2rEXCEEDsANGES I_NSA,, ROW-F10,RJ_HEISAME'�PARAMETER AT:THE°S'AME'bl—1,f L TRIGGER•TIER 2':REQUIKEMENTS. SEE PERMIT PART II SECTION B.
:• - 1IER 3c' M'ASyYQUR`FA'GILITeY HAD,4 OR MORE-BENCHMARK EktEDENCES FOR THE SAME PARAMETER'AT ANY ONE'OUTFALL? YES ❑ NO'❑
IF YES, HAVE YO,U CONTACTED'T,HE DWQ,REGIONALSOFFICE? YES ❑ NO'❑
REGIONAL OF.FICECONTACTNAIVIE:
,tq.;,Tfy, _r - - ,"• �" ;,t- 1 fi";j r.. n" _ , // M�',ESL -
MailKan�onanal;andf,o'ne copy of tii`isyDIVIR includinci'al1,-,,,ND�saharae:.;reports`iwith�nG3'Odays:.ofreceipt.;of.the>,lab'Fresults (or at end. of
"S'" __ , I.,-`K• j".' p� i , 4".� - <// Y ✓ - "// _,�i-::r- ,A .• .(_ S ... Sir_. _-.. '!;. -. w_.J''b ° ,,
mo`nitorin'aperiod,�nrsthescasesofg.rNoDisctiarcie<^, repor,`-fs).°to:' F s
v .+,�', _,• <V>: �' iAS,;,q""'i Oji .•L"� � � _ .,"�,i«-.i .:'f' _ - -, ,ss ,,. 4� - _ t� - _ _- T �,k- - ,K ,
ion;ofj:Wate,i,`Qu,aIity „
Attn: DWQ Central Files
.n1-33- :,. ' 1: 16157=Mail=Service Center_
�. �R'a`I'e gh;•N'C-,=�2,,7699=1617
YDU�,MUST SIGNk�TH/S:CERtTIFICA-SIGN-,T-INFORMA;TIONiREP, OR:T,ED:
'Tcertify;,und'er-penal,ty:of"law; th'a,t-this:d.ocument•and=a,11-4ttachments--we,re,prepared,-under:my-direction-or supervision^in accordance<with a
r;-
'
Sy, stem-design'ed°twassure,that;qua'lified�personnel�prop'er-I,y-gather and evaluate-the,infor--oration subrrmitted: Based on my inquiryroffthe
rson'or' s6nt,who'manae thea�`ste,rti` or those ers'ons=dir_e`ctly'responsible-fo,r,,gather,•in'g the-inform"ation th`e-,informati ms' bm-itted-is,
- =1 am„aware`tthat':fFi.ere=aresi nificarit'. e`nal'ties:forsu,b',mittm &false
t'o the-besf'o'f, my, knowl;ed'ge•and b'eli;ef,arue;.aecu;rate;,and,co,mp;lete:. gPr g,
”+�'diri"tth°eG� 'ossibilit ``of Ines and +im ri 'ent'forfknowin` ,vi{olafio'rse''-''
= &&,rdat on,'inclta,._ _ g�„ ,I?. v, .Y , p _ _ g.
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s(Siginat'u'r`?'oUPermitfee).
rs. na: r;dr ., .d," 'rA-'ri't•7 ""j+�,"j �i - yr - -, - ��e,i ,�;? ,i�� t r %c.f r•
:F i.. i , ( - f ielv_.
Adcfiti'o'na'I"copies=of°ffi`s�`fo'rm-may�be:d'o-wnloaded�at: htt ortal.ncdenr.or web w ° ws' su� n' de'ssw#tab-4 .
SWU-249 Last Revised: October 18, 2012
Page 2 of 2
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