NCG200350_MONITORING INFO_20150227

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V 360
DOC TYPE
❑ VISTORICAL FILE
IIONITORING REPORTS
DOC DATE
ri
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG200000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NQ. NCG20[O]®©®
FACILITY NAME 13R �Jc L -n-G
PERSON COLLECTING SAMPLES l>.✓, , f ft,: e
CERTIFIED LABORATORY Lab #
Lab #
COUNTY —tow-
PHONE NO. L 7c7�-1)_ &4 3!0`1 1
Part A: Specific Monitoring Requirements
Mail original and one copy to, SAMPLES COLLECTED DURING
Division of Water Quality CALENDAR YEAR:
Attn: Central Files (This monitoring report is due at the Division no
1617 Mail Service Center later than 30 days from the date the facility
Raleigh, North Carolina 27699-1617 receives the sampling results from the laboratory.)
No t=Ion
Outfail
No.
on4Collected
Date
Sample
Total
Rainfall
tnehes
00530
00340
00556
00400
01113
01119
00980
Total Suspended
Solids
m
Chemical Oxygen
Demandmo/dd/
m
Oil & Grease
m
pH
s.u.
Cadmium
m
Copper
m
Iron
m
=ad
Benchmark
-
_
100
120
30
6.0--9.0
0.001
0.007
NIA
It a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 oases in the General Permit.
2 Total recoverable.
Only complete Part B if this facility uses more than 55 gallons of new motor oil per month. 0r ry SEC ou
Part B: Vehicle Maintenance Activity Mo Itoring Re uirements
Outfall
No.
Date
Sample
Collected
mo/dd/yr
Total
Rainfall
inches
New Motor O#1
Usage
al/mouth
1 00530
00400
1 00556
Total Suspended
Solids
m
pH
S.U.
Oil & Greased
m
Benchmark
-
-
-
100
6.0 -- 9.0
30
FF '
e
yo °ya
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: �ofS9/0
"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 forgathering 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 anojmprisonment for knowing violations."
(Signature of
NCG200000 DMR
(Date)
Form SWU-256
Page 1 of 1

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORTC{DMR)
Calendar Year Z U J
General Permit No. NCG200000
Certificate of Coverage No. NCG2009N rJ
Id, n 1f
This monitoring report summary is due to the DWO Regional Office no l
calendar year.
Facility Name:
13twces 100-11 �
County:S�r�J
Phone Number: ady _ 6011 W 1
SrC ;
San Ma
.0"a&
Pa
is, of epc_W l'
RY I
Total no. of SDOs monitored 3
Outfall No. 001 '00 Flovd
is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ['
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [+�
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?.
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
r
II I
II 1
II 1
II�II
I
1 1
II'.I
I
I rl•
1
1
1
f l l
1
1
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yFI� 'i �I'.V'.JJ';.7•.�-
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it cif' �i
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*Iron benchmark was removed due to variable ambient in -stream concentrations throughout State. However, 90% of ambient monitoring data collected
since 2004 by DWQ show background iron concentrations less than or equal to 2.1 mgA. Stormwater discharge iron concentrations greater than 2.1
mg/l may be contributing iron above background levels.
SW U-250NCG20-11.16.09

Additional Outfall Attachment (make copies as needed for additional outfalls)
Outfall No. UD100
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Q'
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
9 -
Il I
11 •i
II
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;Iron benchmark was removed due to variable ambient in -stream concentrations throughout State. However, 900/6 of ambient monitoring data collected
since 2004 by DWQ show background iron concentrations less than or equal to 2.1 mg/l. Stormwater discharge iron concentrations greater than 2.1
mg/l may be contributing iron above background levels.
SW U-250NCG20-11.16.09

"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 inf ma ' n, i kiding the possibility of fines and imprisonment for knowing violations."
Signature
Date 21 i r 15'
Mail Annual DMR Summary Reports to Your Regional DWQ Office:
DWQ Reglonal Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Io . -W ( + i3ISr
11�OOR�FS ii iiiIONe1FL
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
F3
�W. ASHINC, U REIGI ? d�L Q
943 Washington Square Mall
- IN,G 0 GH Q )�
3800 Barrett Drive
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
_-'
1617 Mail Service Center_
!
"To preservi?
585 Waughtown Street
Raleigh, NC 27699-1617
"yx=..arirJerttaa+e r
Winston-Salem, NC 27107
[phone]
7."!uGamtrrras water ,'
I
i
[phone]
SW U-250NCG20-11.16.09