NCG020749 DMR SW (7)

ONID aly'l- T`l
S T ORf�JVdIXT�R Pt ,i i1 I T'
*Report
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..�; �ri�Gy N
d r r A MRMWATER.Monitorint; Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year.
CERTIFICATE OF COVERAGE NO. NCG®2 9 /
FACILITY NAME: -7r -
PERSON COLLECTINGAMPLES �®AV JLIAYG
CERTIFIED LABORATORY ��f Lab #
Lab #
SAMPLE COLLECTION YEAR:,
COUNTY
ADD TO LISTSERVE? YES [t 0 ❑ EMAIL;
'art A: Stormdwater Monitoring
Requirements
� I
Outfall
Bate Sample
Collected
Un Tier 2
# of Months inTota
Tier 2
otal I'lovv
Total 4
Total' Suspended Turbidity
Settleable
-No.
Rainfall
(mo/dd/yr OR
�
Monitoring.
Sampling2
(MG)
Solid's (NTLI)
(mg/1)
Solids (mill)
(in)
NO FLOV1)
(y/n)
e F
I , Seootnote '
O.1
Ali scat V
IVO P a 141
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ra
Flaaj)
D rU41V
/Vag fU Pj
w t. mml�t7
A Df".P)J fn Aa.a, n„tfa11 here and the Date Ranee.
E, veli t
Duration
(u►inutes)
I If "NO FLOW” or "NO D1SC KAKUt, Fnrer 1N0 CLOW ul -•---- ----- ----
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the, benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
'TSS benchmark values are 100m l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5 The discharge shall not cause an instantaneous measurement of the -turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs dsignated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50.NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Last Revisod 02-02-11
Permit Date: 1/1/2020-1213112014 13VIDA 1„1f 1

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Part 8: Vehicle Maintenance Activity jMo inin KIKe C ui mul ent foracties u_
Date San)* In Tler'2'
Outfall 'Colleew monthly
No. (inolddlyr OR Monitoring?
No FLOW) Q/0
#.of Months
in, Tier 2
Samplibe
Kew m9toi
Oil Usage
, ge-
(RRV onth)
ng
Total Flow
TFC asingmellsod
1664,4 SGT -HEAT
YA)
- —I%
15
Total Suspended
Solids,
in 1),
(in
1003,4,
PH
(Standard
Units)
total
Rainfall
(In)
Event,
Duration
----------
IIAS YOUR FACILITY HAD.4 OR, MORE BENCHMARK EXCEEPENCES YES El NOE'
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU'CONTACTED THE REGION? YES [1 NO Rr
WHO AT THE REGION HAVE YOU SPOKEN WITH?
Attn: DWQ-Qdn-tral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
Yo U MUST SIGIV THIS CER TIEICA TION FOR ANY INFORMA TION REPOR TED.*
"I certify; under penalty of law, that,this document indall attachments were prepared under any direction orsupervision in accordance with a systern deAgned
to assure that qualified personnel properly gather and evaluate the -information submitted, used 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, auurate,
and complete, I am aware that ther re significant penalti6s for su false information, including the possibility of fines.and i.in prisofinaend for twoWh g
violations," A Ili
(Signature of P ' eTAlttee) I
Permit Date: 1/1/2010-12/31/2014
�I I I
{Date)
Last Ruvised,02-02-11
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