NCG210097 DMR SW (3)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 6-/s---1 (v
CERTIFICATE OF COVERAGE NO. NeGlii6 70 1111,1110 SAMPLE COLLECTION YEAR 2 0 i 1,
FACILITY NAM OAKS EAWM 112 4-1- c SAMPLE PERIOD Jan-June
❑July-®ec
COUNTY )AV(B e2.7) or ❑ Monthly1 (month)
PERSON COLLECTAYG SAMPLES &2/ii iezt ld c, DISCHARGING TO CLASS DORM ❑HQV!! ['Trout ❑PN:,
LABORATORY MC-C- AC 7/1 c.,4t.Lab Cert.# gC7 ❑Zero-flow ❑Water Supply ESA
Comments on sample collection or analysis: ©Other CI.1S. C
c.
PLEASE REMEMBER TO SIGN ON THE REVERSE
:i 1,8
(-UW
Part A:Stormwater Benchmarks and Monitoring Results(Monitoring is uskitieltelyillatir facility stores exposed accumulations of sawdust,wood chips,
bark,mulch,or other similar material on site for longer than seven (7) days.) DWi zE
anoN
El No discharge this period.
Outfall No. Date Sample 24-hour rainfall
Collected amount,
(mo/dd/yr) Inches3 Chemical Oxygen Demand Total Suspended Solids
Benchmarks===> _ - 120 mg/L 100 mg/L or 50 mg/L4-
S( 7-Zo--It O, 14-' 1J b P. 7v4,3l i-
52 7-20 .../1 C� 1t lit ii L. Iioi ts ..
s.3 7-2o -/i, 6 . , 1a " ND t° c9 qVicylL..
SC/ 7-2o -14 a, I L" iv 1 tnn5 )L
S 7-2-o- ft 0. 1 .6, " ND
I o. C, vv►c� I L
1 Monthly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 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 text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note:Results must be reported in numerical format. For example,do not report Below Detection Limit, BDL,<PQL, Non-detect, ND,or other similar non-
numerical format. When results are below the applicable limits,they must be reported in the format."<XX mg/L",where XX is the numerical value of the
detection limit, reporting limit,etc. in mg/L.
•
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 tort.
Permit Date:8/1/2013-7/31/2018 SWU-245,last revised 7/31/2013
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"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 ` –)
--"'----... .•••.--_
Date 5-15-1 ,
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
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P ASHEVILLE REGIONAL OFFICEi 1 FAYETTEVIL'L'E,REGIONAL OFI+�IC1E moofiEsVaiLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa,NC 28778 Systel Building Suite 714 I Mooresville,NC 28115
[phone] Fayetteville,NC 28301-5043 [phone]
910 433-3300
RALEIGH REGIONAL OFFICE WASHINGTON,REGIONAL—OFFICE ; WILMINGTON REGIONAL 01EYICIE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh,NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone]
( [phone]
WINSTON-SALEM ItEGIONAI.OFFICE CENTIIAL OFFICE
585 Waughtown Street 1617 Mail Service Center ) -- ,r0pregame,p ect 1
Winston-Salem,NC 27107 Raleigh,NC 27699-1617 101.,'` a_
336 7 �raaperpPratr
{ ( ) 71-5000 Jirdh Catalina t wafer..."
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SWU-264-Generic Annual DMR
Last revised 5/17/2013