HomeMy WebLinkAboutNCG060126 DMR SW (9)SEMI-ANNUAL STORMWATER DISCHARGE MONITORING; REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted P-1101 2017
CERTIFICATE OF COVERAGE NO. NCG06 0 1 a (✓
FACILITY NAME 6,0-1.., f z�4 10, �
COUNTY iN
PERSON COLLECTING SAMPLES ��ew Ilam
LABORATORY--r,,,�- k,,e / C,,o.mc�- - Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR I
FACILITY ACTIVITIES INCLUDE (check all that apply):
E] se/process meats use animal fats/byproducts
DISCHARGING TO SALTWATERS? [-]YES [] O
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 1 or ❑ No discharge this period'
Outfall No.
Sample Collected, TSS, pH, COD, Oil and;Grease, Fecal Coliforml, Enterococcil,
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark
- 100 or 504 Within 6.0 —9.0 120 30 1000 500
DUI
00 Flaw
c� 2
0 C cw
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.
'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 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal,, of new motor oil/month.
Outfall No. Sample Collected, Oil and Grease,
mo/dd/yr mg/L
TSS,
mg/L
pH, New Motor Oil Usage,
Standard units Annual average gal/mo
Benchmark - 30
100 or 50'
6.6-9.0 -
1 Only applies to facilities that use/process meats.
'The 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.
(if es complete Part B)
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 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B
0 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 ❑ NOQ/
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
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 Pbrmittee)
t2a /;
(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
SEMI-ANNUAL STORMVVATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted It ) 11 2_017
CERTIFICATE OF COVERAGE NO. N0006 c; ) �__U,
FACILITY NAME P, —J T,4cL 14er.1
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY %,a1'Ldl-zrl Lab Cert. #
Part A: Stormwater Benchmarks and Monitorine Results
SAMPLE COLLECTION YEAR Zc� 15
FACILITY ACTIVITIES INCLUDE (chec II that apply):
❑ use/process meats a use anim�al f�a�ts -byproducts
DISCHARGING TO SALTWATERS? []YES [O
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period'
Outfall No.
Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform', Enterococcil,
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark
- 100 or 504 Within 6.0-9.0 120 30 1000 500
0C I
N 0 Yt„Uj
1 Only applies to facilities that use/process meats.
'The 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.
Outfall No. Sample Collected, Oil and Grease,
mo/dd/yr mg/L
TSS,
mg/L
pH, New Motor Oil Usage,
Standard units Annual average gal/mo
Benchmark - 30
100 or 504
6.6-9.0 -
1 Only applies to facilities that use/process meats.
'The 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.
'ra,,SWU-249 Last Revised: October 18, 2012
Page 1 of 2
*FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B/.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO E
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-1NO D/
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 endo
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
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�jbermittee)
r7
✓ c V, 6, 201 `1
(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
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 118r 12° I L, -
CERTIFICATE OF COVERAGE NO. NCG06
FACILITY NAM fE
COUNTY , t,
PERSON COLLECTING SAMPLES
LABORATORY]-., I,eeQ,/C-PvA�-k— Lab Cert. # 4Z � `-
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �O 7
FACILITY ACYWITIES INCLUDE (=nimal
that apply):
se/process meats fats/byproducts
DISCHARGING TO SALTWATERS? DYES [N'0
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period'
Outfall No.
,Sample Collected;.' , , 'TSS,-' Oil and Grease; Fecal Co*hfdrmr,_, - . Enterococci',
mo/dd/yr 'rig/L. Standard units mg/L. mg/ 'Colonies per'100 'I- Colonies per 100 ml. `
Benchmark, `
100,or 504 Within 6.0 - 9.0 _ '120 , ," ; . 30 1000- `. Soo,
100 or 504°
6.0 - 9.0 -
VC -2-
o
' 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
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.-, 'Sample Collected, Oil -and Grease,
mo/dd/y'r '� rrtg/L
TSS, s .pH,
= mg/L"
New Motor Oil Usage,
Standard units` Annual average gel/mo,
Benchmark, 30
100 or 504°
6.0 - 9.0 -
1 Only applies to facilities that use/process meats.
2 The 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.
(if yes, complete Part B)
SW -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 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 AME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES F-1No
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 for 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
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 Permittee)
I I �01�
(Date
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
SV;IJ-249 Last Revised: October 18, 2012
Page 2 of 2