NCG060288 DMR SW (3)

MG- b(e.01°) ?T'
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
iiik for North C olina Division of Water Quality General Permit No. NCG060000
fa Date submitted /✓-0?,---/`/
CERTIFICATE OF COVERAGE NO. CGO66 _ SAMPLE COLLECTION YEAR a Di L/
FACILITY NAME /?a 1/4 G' r 1-L-L_ FACILITY ACTIVITIES INCLUDE(check all that apply):
COUNTY /'r✓ / ❑ use/process meats ❑use animal fats/byproducts
PERSON COLLE I ING SAMPLES 0p44.900r— dregci DISCHARGING TO SALTWATERS? DYES ,B3 NO
LABORATORY /r r fif444/// - / Lab Cert.# /2
/ PLEASE REMEMBER TOSIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 1/4 9 or ❑ No discharge this period3
-.Outfall No:%;: Sample Collected, TSS,` pH,. =COD, ' Oil and Grease;', - ‘ Fecal Coliform1, ,Enterococcil, -, '
`, , , , :mo/dd/yr,, .mg/l: _ .:Standard-un �
its_ rng/L ,-;mg/L I,Colonies per 100 61-- `Colonies per`100.mt
Benchmark V:,-,--,' � 100 o50a; Within,6.0 9.0 X120 �x X30 1"1000 �xA-
' `500
Co 0vs-// 1p15— hay , as;� Z6-
o
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 benchmarkrapplies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
[II 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 Flo: '•Sample=Collected, `Oil and Grease, i _'TSS, ',:; _ ,i:A;. ' pH,: "ti New;Motor Oil Usage;,` ,
`" ; , !- ') „ "''''. T- Standard;units, `'R ',\Annual average gal/mo,',
.,°,� _ �. •mo/dd/yr..��. �� �'mg/L .. .. �:' mg/L: >�.
,Benchmark. ° �� ,,,, „,:7,,, ',-,T,,f: _: _ ..40-.` x , '2t''',!,10(i or 50. ,;.: .i1,--,,'§';'6, . : ;4a a,- .; ' ',g
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