NCG160155 DMR SW (2)

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
No discharge this period?2
Date Sample 24-hour rainfall
Outfall No. 1
Collected mount, Non-polar O&G by EPA
(mo/dd yr) Jnches3 1664(SGT-HEM) Total Suspended Solids
Benchmarks=__> 15 mg/L 100 mg/L or 50 mg/L4
Footnotes from Part A also apply to this Part B
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 text.
FOR PART AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT HE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCH R:E EDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ N
IF YES,HAVE YOU CONTACTED THE DEMLR REGION,h%0, I EQUIRED BY THE PERMIT? 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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 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 pers.• • -ctly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I
am aw. e that th=re are significant penal ' s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
%.1 7-//020/4
(Signa • - if Permittee) (Date)
it Date: 10/1/2014-9/31/2019 SWU-252,last revised 9/17/2014
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Semi-annual Stormwater Dischar:e Monitorin: Re sort DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 026/4
CERTIFICATE OF COVERA-. .N o SAMPLE COLLECTION YEAR 026/4-
FACILITY NAMET o7Z7✓ ,ypr�1Gstaz,G �SP�V?11� SAMPLE PERIODcJan-June ❑July-Dec
COUNTY ,Fif..9X/eli or ❑ Monthly (month)
PERSON COLLECTING SAMPLES 1./e/570pAEp . J m gDI GING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
6
LABORATORY ///fjCA �� Lab Cert.# I/ ['Zero-flow ❑Water Supply pp y ❑SA
Comments on sample collection or analysis: AUG 0 2 Zu NOther
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE -
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collected amount,
(mo/dd/yr) Inches3 Total Suspended Solids
Benchmarks===> - - 100 mg/L orr50mg/L4
/ 6-..40-02M A:160414
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, quantitation 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 text.
Permit Date:10/1/2014-9/31/2019 SWU-252,last revised 9/17/2014
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