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Home My WebLink AboutNCG060344 DMR SW (2) SEMI 1-ANNUAL STORMWATER DISCHARGE M4NIT®RING REPORT for North Carolina Divisi•;n of Water Quality General Permit No. NCG060000 I^e 6 0 n3 ate submitted ®01916-.�01‘ I l_ 6JOV�V CERTIFICATE OF COVERAGE NO®.✓b1C�06 '�—�� SAMPLE COLLECTION YEAR AO lP FACILITY NAM 12%4'2 �6Le�S FACILITY ACTIVITIES INCLUDE(chick all that apply): COUNTY �, 04,0/7 �� , //// 4,dedi Eluse/process meats ❑use animal fats/byproducts PERSON COLLECTING SAMPLESY7!/ lb/ r^e HARGING TO SALTWATERS?'EYES Fao LABORATORY, �ieD/,/W1A1 Lab Cert.# JUL 2 9 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE-3 Part A:Stormwater Benchmarks and Monitoring Results CENTRAL FILFS Total event rainfall 2J,/4 or ❑No discharge this period3 Outfall1No: Sa ple Collected, 'TSS,, pH, `"Dlr S 5JQN• Oil and Grease,• Fecal,Coliform�;' ,.Enterococcii, „ mofdd/yr _ mg/L:,. , ,°Standard`units_ mg/L, m g%L_ ; . :Colonml iesper<100, Colonies'per100, ; Benchmark = _ °10,0 or`504 ,Withinf6:0,—,9.0,= 120,. 1 30•. - _ 1000 500- 6-.?3—/6 3.o G,,� �3 t 5 oZ -J3-/4 .4.2.9 s,3 . -.03-,G 9 h!' 44 e-�3 -//0 6 44/ 4.23 <S: a- 9 41,2 <5 ' 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. 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 yes,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, - TSS, =pH, New Motor;Oil,Usage,` • . , : .mo/dd/yr , , mg/L - - rng/,L ' .•Standard„units° 'Annual average,gal/mo Benchmark t - - 30 100-or504 - • 6:0•-9.0 • - 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. 4See 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 Page 1 of 2 f . s. *FOR PART A AND PART B MONITORING RESULTS: O A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. s 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO 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 Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw4ttab-4 SWU-249 Last Revised:October 18,2012 Page 2 of 2 SEM-ANNUAL SSTOI MWATER DISCHARGE Mi®6 UTORENG REPORT for North Carolina Division of Waterua ity Genera Permit Ni:. N00060000 Date submitted 7 24-000/ CERTIFICATE OF COVE AGE NO. NCG06 I O O O SAMPLE COLLECTION YEAR je/O FACILITY NAO e�/ ' - A FACILITY ACTIVITIES INCLUDE(check all that apply): COUNTY aVi s ' / // '- ❑ use/process meats ❑use animal fats/byproducts PERSON COLLECTING SAMPLES 9V95/1/10, Jv DISCHARGING TO SALTWiATERS? DYES O LABORATORYA✓7��4/�/!XJJ 7fi'L1 Lab Cert.# PLEASE REMEMBER TO SIGN ON THE REVERSE - Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 or ❑ No discharge this period3 Outfall No. Sample'Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform1,, Enterococci', mo/dd/yr • mg/L _ Standard•units . mg/L ,mg/L • Colonies per 100 ml Colonies per.100ml Benchmark - 100-or.50, Within 6.0—9.0 120 30 1000 500 4 l-.f.3-/6 J/,I 4•-7 445 6 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. 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 1" o (if yes,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, 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 - • 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. 4See 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 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. o 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIO�NB. I -,/ o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including,all"No Disch,•rge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case of"No irischarpe"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." d4(4Le 7 at do (Signature of Permittee) Matz/ Additional copies of this form may be downloaded at: http://portal.ncdenr.orgJweb/wq/ws/su/npdessw#tab-4 SWU-249 Last Revised:October 18,2012 Page2of2