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Home My WebLink AboutNCG060209 DMR SW (15)CERTIFIC FACILITY SEMI-ANNUAL STORMWATER I for North Carolina Division of Water Date submitted COUNTYy !A c\ PERSON COLLECTING,SAMPLES LABORATORY ,Lab Cert. # Part A: Stormwater Benchmarks and Monitoring Results MAY 0 5 I Permit No. NCGO60000 nz� SAMPLE COLLECTION YEAR _ Ol 0 l s FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats Q - s animal fats/byproducts DISCHARGING TO SALTWATERS? AYES i2N6 PLEASE REMEMBER TO SIGN ON THE REVERSE 4 RECEIVED - MAY 0 5 ?�T� CENTRAL FiLES DWR SECTin' Tntnl at/ant rryinf''Ifil Z nY 171 Gln +h— R., •h— nnrrnr! _ ---• —'—.. .....y.... ... 1 —• ..v .w. y.. ....a ra...va� r (• g"R,a c a j ,LxtR`Fl�;'r?T'4:E1"4":'^N'�'T�' :A{l /dr'�tVF].j y lr4 :S`4R..aAC& Srl :l;aftril. i .yy ma� dy..� s L J.:..:tVl!s�: r,. 5a irs:o bac_ Y,Gi .C-i'cYCR-ti'irF� i' -7: �f'• 4b� r .°:.ywy� ${f.;��119", �� , : •�]. yrs '3.!..tG{ i5i w•i��It }l�trj��r�3��3 '� .�F��irrl i �4 y...-�. .d:•. 5- i±�ni=Fr Y`u. ni'1EN, '•ui (•:i t.(r, a� Y ;+�I :9I�m y s Ir ,� Aa�ci �� RLk •,� �. L��i5�'1 Vii �>Tu"�`. __ >Rt• A la Y':,,_ .>} 6:i�:-�.�. k.�.'�1 d: iT�:;.',� i' ,. 1-nr: n 3 .' .1�'�r:�trkr�µs' �rA�91J.i� •+ a_ � e rA f7Q �� Ben%Ii {dp ! ,.. z4 'z'ilG�(Y"'�. . L� Y'r • $u,t „p ,v�51f +�3i rr "d yta z , qu r,- _tx L`,v 1 >,r a I i�.*i�5 �.•Yii ,1 g F J,ti x._ lF^.r,ar•. .4 • i moi.: z i ,�!Qa3—<IBi�+`S't;Q rrl 'c[ kr �[- �t2d }mak• (ta J r ,^011 - t iec :. tfi, Y.r~. - >'ltr�,f _ 7 ifrs 4 ci ir'• ".. k IRM" u?r t'(J' u -.ti i r� �4i �t>G�s ' . e7;L'i w��^•,r1-•..��`f %n r. Lhi",�'c t,,. 1 rinlv'nnnlioc+n 4!-;11+1- +L...+. —1- 2 -+r.l+••.... ....aa....•a.ca •IOL Ua=j 101_ess Illea LJ. /\ !7 �� y� ' 1 O -7L L () ) ZThe total precipitation must be recorded using data from an on-site rain gauge. Ij.4`T J`V1 W 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 S5 gallons of new motor all per month? ❑ yes ❑ no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging >r%5 al of new motor oil/month V • 'n.' J f j RAN, �' .i`•`!r " 7_: r G4'; C. ,•' lt� `-q,",}Dr( -F fY i c tS! 57:. T r(ye�'�'a a r' �S," 1±;7" .A, •2-'t {.\`lii•,.a'�V`{�. 4i b%0 `�.�"."T 1' SSP t 15rif i Fye 'i7L ��1.-ai.�Y,F`'. S�.ii ) i[Ta lll5yc 7n ti y� 1 } .•iV�. ( , {�N Y'T� F� (F'1.n.-� Y� !�,' ,. 7P717�i( eL d nt p - ht )u' ALL 1.r]i unF� �,''yi�A f Y��} i}2 a•AJ iY` rj[ J pJ';;yyyF`1'li1'lt u' eyi}-�N. •JK11`YSJJJISkY (t�l��,f£ i �G7`•Kil'I/uY .��"VF i ifl"Yr 5. ..1p _' l•R`.!'F�.�' 4� 1 G'�.M1'?�Ti� J JYtgEK��' ��}'M1 1%:�S't !`�-`, Y.,G�J`Fit �!': Vi.'Wt7 .A L�;R�• \7 7, 1y"� cS+t'1's* � i:'i^ ..� CJ3 ��tL�t k7+ � tr' R7011,1111, t{ .. I., ,1! �7 If�i� C4/1 li.'d5--•i'f�' .�'iL Sp B nehmiar 4=iJF3; hi'�Sti#rrltiq�7Cpnu yKivaf r ' ` sr r• tr le it : r ; _ ",• y<_ r �"aL� ��. N r, { a3 �.•S ?z .tom ... r r Nn �t< iia " ii.a rpt -; t:P ..et. 4,.j �t,'+r�A i."tfji'.Y!T,�!�MRSni':w''fi:x+s;54t+,'il�t^.1i•1J149v�i,.1!t7%'tpti_:L:d �i'ptPiWrf9A-,s�N,��iRs:�r4,i�xLF3^�� -11Y UMPMIoa w 1"U AL103 L110L UbIVjjjFpGe55 meals. ZThe 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 ves• complete Part B) SWM -249 Last Revised: October 18. 2012 -11Y UMPMIoa w 1"U AL103 L110L UbIVjjjFpGe55 meals. ZThe 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 ves• complete Part B) SWM -249 Last Revised: October 18. 2012 *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 11 SECTION B. a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES M' -NO ❑ IF YES, HAVE YOU CONTACTED THE D Q R GIO `N4OFFICE? YE NO REGIONAL OFFICE CONTACT NAME:�� \S g�-;�� Ota �pc��c� MOn��•o'C'� � 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 monitorina period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 163XMail Service Center Raleigh, NC 27699-161LI- 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 (Date) Additional copies of this form may be downloaded at: http://Portal.ncdenr.ors/web/wa/ws/su/npdessw#tab-4 SWU-249 Last Revised: October 18, 2012 Page 2 of 2