SW Discharge Monitoring Report (2)

Quarterly Stormwater Discharge Monitoring Report
fnNCG24
rolina Division of Water Quality General Permit No. NCG240000
Date submitted L/ 2- -
CERTIFICATE OF COVERAGE NO p SAMPLECOLLECTION YEAR Z O l y
FACILITY NAME c C• [ SAMPLE QUARTER Jan -March ❑ April -June ❑ July -Sept ❑ Oct -Dec
COUNTY ("a 4 T -t a sf -t or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES -5 rE*r (" o , k- ,-Z 4 ✓ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY P n c E Lab Cert. # ❑Zero -flow ❑Water supply [-]SA
Comments on sample collection or analysis: Other lr,/ S / y
cart A: btormwater
Benchmarks
and Monitoring
Results
Total event rainfall 22
. Z_ or ❑ No discharge this period3
Date
ample
tests
�mo/dd/yr)
Outfall No.
TSS COO
Fecal
aliform
Total
nihoger�
Total TOW
TOW
Ph Phtgr copper
' Total
lead
Total
zinc
pH
Pa
benchmarks ZT=
Y`l)0 > 120 L.
_ ...:001./100 _
17000
30 L .:
/2 Y
Z, - 7 ...
/7
O,Q3 L
02.
7, z
.3-7-/
Z
2.6.8 >z 5-
3- -/
1
2-7.8 //z
/'?coo/2
7
oms8
>.00S
02.5-
7
Monthly sampling
lintti-nd of nuarrarlvl mile+ tenni., ,.,i+ti +ha .:..
L. _L Y_
I. _..__ _ �_ _ -
- --- - -- - �� �- o••• - ... ����••� cwnw .0 ive Ue"diiiiar, r, exceeuanLe iur the same parameter at the same outtall.
Z The 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.
a For sampling periods with no discharge, you must still submit this discharge monitoring report with a checkmark here.
'The TSS benchmark value is 100 mg/L; except when discharging to ORW, HQW, Trout, and PNA waters in which case the benchmark is 50 mg/L.
Permit Date: 10/1/2011-9/30/2016
RECEIVED
APR 0 4 2014
CEPSTRAL FILES
DWQ/BOG
Last Revised 12/02/11
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Date Sample
a
Collected
(mordd/lir)
outfall No.
pH TPH using method
TSS
1664A SGT --HEM
Total
a
RainfaN
T
if No
now
This Average New Motor (W Usage
a
Period
Footnotes from Part A also apply to this Part B
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 ATTHE 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 copv of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ 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 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."
of Permittee)
Permit Date: 10/1/2011-9/30/2016
Y 2 -
(Date)
Last Revised 12/02/11
Page 2 of 2