NCG060081 DMR SW (2)

SEMIANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED
Date submitted /2-� 3—l�j DEC 0 8 ZU15
CERTIFICATE OF COVERAGE NO. N GOC4 "' SAMPLE COLLECTION YEAR ___ '2G/5"FACILITY NAME Sil1VLi;�2_. PeC TiQit
IO
(C: (-2 .13-161?:__ FACILITY ACTIVITIES INCLUDE(check all that apply): CENTRAL FILES
COUNTY /1A t✓� �RiA.W.& 0 use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES T M mc cog..laE DISCHARGING TO SALTWATERS? OYES NNO
LABORATORY 9i2--'SrA L_AaNAT06E5lab Cert.# _4o2
PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 , Coq or ❑No dischargethis period3
' Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, , Fecal Coliiform', Enterococcii,
_mo/dd/yr mg/L _Standard units _ mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 50a Within 6.0—9.0 120 30 _ 1000 500
Cid/ /v//o/!5 ' 5,6A1/1_, LQ.-9 < 5(0Ms6/L 5 /_41J/L ai/A-_ /U/A
rave it
1O//o/j5_ 6!1 /L 6,0 c s'o ; /t < 5 /14,5/1 N/t4 k) /A-
V
1 t o/to/L 5 5,9,ni jk_ 1.0,5 <5b rni/- < 5 mob.. _ !\!/A N/A-
O 0,/- , j o /%o/i5 ,5--?IL 6.O < 50 M.t IL <5 Mcg/_c. /V/A- 4) I A-
__ _006—
-
-- -006— /CflM//s- 'Q1 n6/4_ (o.v <5Om /c- < S. M5 /L- _ /V/A N /A
'Only applies to facilities that use/process meats.
2The total precipitation must-be recorded using data from anon-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 (if yes,complete Part B)
Part 9:Vehicle Maintenance Area Monitoring'Results:only for facilities averaging>55 gal'of new motor oil/month.
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units _ Annual average gal/mo
Benchmark _ - 30 _100 or 504 6.0—9.0 -
C70 /*(7//. _ < 5.c) na5/L 52 fr /i La j6— _ S-00 gal f mp, _ ,
'Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3For sampling periods with no discharge at any outfalls,you must still submit this discharge monitoring report with a checkmark here.
tee General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-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 II SECTION B.
• TIER 3: HAS YOURIFACIUTY HAD 4 OR MORE;BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑NOZ
IF YES,HAVE YOU CONTACTED'THE DWQ REGIONAL OFFICE? YES ❑NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one•copv of,this DMR,including-all'Wo Discharge"reports, within 30,days of receipt of f 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."
/ z //-5 -
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal:ncdenr.ore/web/wa/ws/su/npdessw#tab-4
S -249 Last Revised:October 18,2012
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