NCG030098 DMR SW (17)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water �Qu lility eneral Permit No. NCG030000
Date submitted / GZ
CERTIFICATE OF COVERAGE NO. N�-Illb
FACILITY NAME ''/�Gc Y► -e_
COUNTY r GP. V, b CA. -C
PERSON COLLECTING SAMPLES r�� CiScs✓1
LABORATORY Cc r 11-4 k C Lab Cert. # Q:2 C)
Comments on sample coylection or analysis: j
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 20%x,
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
oACLASS
Monthly' J U/'i,��r month
DISCHARGING ❑ORW ❑HQW Trout ❑PNA
Zero -flow ❑Water Supply ❑SA
RECEIVED XOther—C=-,Jas5 c_
M � Z016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILE
DWR SECTION
No discharge this period?Z
Date Sample
Outfall No. Collected'
(mo/dd/yr)
24-hour rainfallpH,
amount,
Inches3
Total'Suspended Solids
Standard units
Copper
Non -Polar O&G/
Lead' Zinc Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =__> _
-
100 mg/L or 50 mg/L4
6.0-9.0
0.007 mg/L
0.03 mg/L 0.067 mg/L 15 mg/L
1 mg/L
,zl(G 2-3-16
007
JD037 /o 7 6.Ct
1 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.
3The 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 classifications where the more protective benchmark applies.
s 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 EPA 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 tube manufacture use
the definition found in 40 CFR 469.31).
PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012
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U
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II E TION 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 HE DWQ GIONAL OFFICE? YESXNO ❑
REGIONAL OFFICE CONTACT NAME: �r'�y� �0�--6,kg.�2 , J-,,
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, North Carolina 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
2-j
(Date)
PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012
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