HomeMy WebLinkAboutNCG060196 DMR SW (4) SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Permit No. NCGO6O000 Mit. 18 Li
Date submitted 7— 6 / NTR,gL FILES
CERTIFICATE OF COVERAGE NO Ctg0 �f� 0 SAMPLE COLLECTION YEAR / v `VR SECTION/
FACILITY NAME ,N4/J 1 t o 11C. FACILITY ACTIVITIES INCLUDE(check all that apply):
COUNTY 6 V )1 C bPI use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES T 6? /e 5 DISCHARGING TO SALTWATERS? f YES 1,A10
LABORATORY /'A CSA:yk)ge'leaf Lab Cert.# y:{-3030019
PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2>,/4 or No discharge this period'
1„ E'''fe`'rococ'cil
+' Outfall;+No:- ;Sam"plel;Collected :
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„Benchmark' , Withn'r6:0=�9.0!, -�120',� .,30;',':t, p p.'.' .;=.'.' i` ,�,�,; p�;,.,n�, ,,�,;�„�;,�,,,,,;
I 6- z7-)G 1tr. 3 6. /7 61, 0 f'
Only applies to facilities that use/process meats
zThe total precipitation must be recorded using data from an on-site rain gauge.
a 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 ;Km!) (If yes, complete Part B)
Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
Outfall=Mo: 'Sample Collected, Oil`and`Gieas'e„ TSS,' pH,'., `- Neinr`Motor"Oil Usage,
„ , .mo/dd/,Yn'„''�. „ mg'%L' ,;`;F`„ mg'/,L� Stan'dard`units,_;'.�” ;Annual,,averageugal�riio;,
,Benchmark" - 1 x:30; ;fa� 100,or;504'°�;I
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
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
/ Date submitted ,7,/ L/ -- /
CERTIFICATE OF COVERAGE NO. NCGO6 e i q6 SAMPLE COLLECTION YEAR /
FACILITY NAME ,r//fit 0 ,I nC. FACILITY ACTIVITIES INCLUDE(check all that apply):
COUNTY 13 v i C b Pi e— ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLEC] NG SAMPLES .1 �'? / 5 DISCHARGING TO SALTWATERS? DYES j10
LABORATORY PAC-e- AQnk)t/iiea/ Lab Cert.# e? 3I,7 BOC
PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 27''car ❑No discharge this period3
reia.,i -'•.0 '1 ,'e,' 1;j,,r-„, ., - .,f d,
OiLan'd,,Grease°' '�� FecaliColifo`'r'm •i. Enteroco''cci
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34k G 27-%0 ;... ...-,..
2O0g 7, // // ) ,t/!,�
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge
s 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? I I yes Xno (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,;, i'; New Motor;Oil,Usage,
mo/,dd/yr'', - ,mg/L, = . 'mg/C','' Sta`nda'rdiunits ;Annual„aver`a'ge,;'gal/mo,,.
�Ben'chriiark , 1 x;'30„'',,�' ,�°
•
1 Only applies to facilities that use/process meats
ZThe total precipitation must be recorded using data from an on-site rain gauge
a 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
•
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water QualityGe eral Permit No. NCG060000
Date submitted 7 — ) -/
CERTIFICATE OF COVERAGE NO. NCG06 OI qg SAMPLE COLLECTION YEAR /
FACILITY NAME /4;/kit O JY1 C• FACILITY ACTIVITIES INCLUDE(check all that apply):
COUNTY B v n cdislh e- n ,p fi111use/process meats ❑ use animal fats/byproducts
PERSON COLLECT NG SAMPLES T (�: �I e t/4" 5 DISCHARGING TO SALTWATERS? DYES [VO
LABORATORY fAC{. Ane )yi;ei/ Lab Cert.# q 30 30069
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall Z7./4 or ❑No discharge this period3
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I+ ,, u:r "w Nit,: ,
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'{r'�'mo',ddr ;r,,�'�;;
,�•,,. .," ,E�'; .�, / /Y. ,,l°
Withm?fi0:.-;9 -i � ., ' . " ,16V0,14'Po
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- 27—/6 3,2 7, 0 6 o /�l/ i,'n_,4.;a,;,r,,rl_.,I,,:'.+',,=,,no:„i„=1.,:4ti>wx,'s•'1 5=00�1'1,`��}}4`����'i41�..,,n�'n
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 Jn6 (if yes, complete Part B)
Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
NewlVl`oto','Oil,Usage;i',,,
.,I I. ,,• ,' 'iir �j I.Si'i''F ',''nl fGi'.4." ,f�' 1"i.l 'I li>'1
,."nL„;.i
,r''r`
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
a 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
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality Gerjeral Permit No. NCG060000
Date submitted 7—/Q�(
CERTIFICATE OF COVERAGE NO. NCG06 OI qt. SAMPLE COLLECTION YEAR /
FACILITY NAME ,4;/kd e �nC, FACILITY ACTIVITIES INCLUDE(check all that apply):
COUNTY 6 ti n C b $ e— ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTANG SAMPLES - it ie e_d DISCHARGING TO SALTWATERS? DYES AO
LABORATORY /ACe ,4nk)t iiea/ Lab Cert.# 300d
PLEASE REMEMBER TO SIGN ON THE REVERSE -›
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2 •)I or ❑No discharge this period3
d -'I hy, 'n', a';h,� iY,'t4,,;' 4,0 .a; 14,�i',i'd',�, '{e, r,n:a',_?4'' • 'u
.ot=q����'.,2`,,f..,,n1Vll_4,'`,•'In''�1"'a'.a�,:!,;.t�t�,M,�I�r f,;,'�I+lu'„��+'1r;.p_`,'u_./`,'I,YI /'a,s'zr�;I.l�,m'*''+°.'Ic'`.4,'ia,lr'�4:.I r�,rI,.'1 ryr--,>•+M1''"�'� ;r�,''^`w w,�ck,yls�.{r!S�,i�{r ra,-.1s1d"•Pa"A,,r3,_dc3 r�,;'dr..�'u%a;''.u n,'r':'.=t,`fisr>",%.ra I;$',tiI.s'"i:1I�'�rr'9'�i6,gnM/L,,!>,,witr.r.'t„.A,,'',��;�,�a}74,4�11I;9�;.u,n%,-'�I1,u`, 6yl: '+r",f�:L,: fI "Qrrl �WPk1-f•++,iIat,17`1a` E,h.,s-it:�`,rC�od
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y na',It�;.,1p'rrn;%Li+T�,,* nn�iCol�nies<belOh?I,h:,.;s,CPlo�es,per100,,n10i
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GBench'ma'r'k , „ , I
G- 27—/6 q,4 6, 8 G 93. 0 j/9
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 Xnb (if yes, complete Part B)
Part B:Vehicle Maintenance Area Monitoring Results: only for facilities averaging>55 gal of new motor oil/month.
' ,l, ,Y., �•i , I�, _t 't I�n11 .t;,�' "t'14, .t„” I%,`,''; I
;'tb'utfall=No': Sa"m"p"IeCohected, ;u'; ;,Oil''and'G''rea'se; ;r. =TSS ;.a _,t,;,; a" i 4 H ";;"'i y" jVew,IVlotor,OihUsappe'" ',
';��:
�mo'�dd ''r�I�';,'.'�" .m''�',L' gym' L„i�„ "S#an'da"rd units'•.1,.;" ,Annual avera'�'e` al' 'o����r.;
- ',Y,:;' .M1ii - xE r't,'n�,I•' 'I� ,I 'f`,';t ;Inr,Jl;l,l",�,{, It'rr r.
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: -
• 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 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 o rmittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18,2012
Page 2 of 2