NCG060264 DMR SW

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of_WrAekraAality General Permit No. NCG060000
Date si9-2016
CERTIFICATE OF COVERAGE N NCG06lQ2'6 .''JL 2, 2 2UMPLE COLLECTION YEAR 2016
FACILITY NAME _Procter and Gamble t N TRAL FIENOLITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford .1WR SECTION ❑ use/process meats ❑use animal fats/byproducts
PERSON COLLECTING SAMPLES_Tracy Davis DISCHARGING TO SALTWATERS? EYES NO
LABORATORY_Lancaster Laboratories Environmental Lab Cert.#
42705 PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 or // No discharge this period3
OutfallNos :Sample,Collected, TSS, pH, r COD, Oil and-Grease, ."Fecal Colifotm�, �Eriterococcii,
Standard-units., , �.mg%L` ;mg/L'' _ Colonies per=100 iril _Colonies p"er`100 nil
Benchmark= u, _ _ 1000rr504 �Within6°.0-9.0,� 120:, 1000 :, _ u ,500.
1 Only applies to facilities that use/process meats.
ZThe 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, bOil and Grease, TSS,`' pH,e New Motor Oil Usage,
Standard units_, , >Annual�averagegal/rrio.
ot,504_ „ "6.0-9:0 - u
1 Only applies to facilities that use/process meats.
ZThe 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
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*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."
A„, qig(Signature of Permit ee) (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
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