NCG060326_DMR_20201203

11
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000RFn,,
Date submitted /� - 3 - D o (I� [] ®
CERTIFICATE OF COVERAGE NO. NCG06
FACILITYNAME sQME J J(, f )O2T
UtF
Rr'✓ityLL7�
COUNTY JPLXS-\)
PERSON COLLECTING SAMPLES GRIzY 13/tRNsor�
LABORATORY ENdTiLCN,+nGN'•4r CH+arLab Cert. tt T4 Nco }4If5
tr 3-71a4 / o t-5
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ao3L /- 1- 2I 202Q
FACILITY ACTIVITIES INCLUDE (check all that apply):'-,' rfrA
❑ use/process meats ❑ use animal fats/biyj g�lt�g
DISCHARGING TO SALTWATERS? ❑YES ©NO IIo1V
PLEASE REMEMBER TO SIGN ON THE REVERSE a
Total event rainfall' or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100or50
Within 6.0-9.0
120
30
1000
Soo
I3, )L
7.1
rsU
<,s.o
-ao
15-1
F7.3
(v0
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.
°See 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,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 5046.0-9.0
-
1 Only applies to facilities that use/process meats.
'The 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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249 Last Revised: October 18, 2012
Page I of 2

*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."
of Permittee)
/,2- 3 - ,)v
(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: Octo- 18, 2012
c :2of2

L..�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4
Permit No.: N/C/ G:/ 0 / (ol 0 / o / o / 0 / or Certificate of Coverage No.: N/C/G/ 0 / � / 0 / 3/ -.7/ (o/
Facility Name: &,JG� oJ0a.Tt4- A-M(_--aa-z�4
County: 00P T4 J Phone No. `i 10 - SSA —von b
Inspector: G-Aa q t3iL,4r0 s D'%j
Date of Inspection: // - tl _.?_0
Time of Inspection: to jqM
Total Event Precipitation (inches):
1.01
Was this a Representative Storm Event? (See information below) ❑ Yes 0 No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this shature, I certify that this report is accurate and complete to the best of my knowledge:
t /�
v
gnature of Permittee or Designee)
1. Outfall Description:
Outfall No..
Receiving Stream: oNp
Structure (pipe, ditch, etc.)
e;:w
Describe the industrial activities that occur within the outfall drainage area: SOY&r'd MEN, W40TA&,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: IS t-o' &Uw d
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
SWU-242-20120613
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
r
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 G) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 (`./ 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes nNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe��
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613

ALT *- WA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. htt-p://2ortaLncdenr.org/web/wg/ws/.su/n2dessw#tab-4
Permit No.: N/C/ 6r/ o / 1. / 0/ 0 / 0 / 0/ or Certificate of Coverage No.: N/C/G/ 0 / 4Pl U/ 3 / a/(o /
Facility Name: ua&6' tJcm---,w Amb-n,=-F+-
County: OJPLXW Phone No. qlo - SS
Inspector: &-A-aq i&c.raNsor _
Date of Inspection: U-11- a O
Time of Inspection: /0 ,a 5— ~
Total Event Precipitation (inches):
I.a
Was this a Representative Storm Event? (See information below) ❑ Yes M No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
l A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
1 is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signatyre, I certify that this report is accurate and complete to the best of my knowledge:
(Sig ature of Permittee Rr Designee)
1. Outfall Description: ,Q
Outfall No.. Structure (pipe, ditch, etc.)
Receiving Stream: Pujo
Describe the industrial activities that occur within the outfall drainage area: 5DYi3eplt-3 Y►'tOkl. LA44ZrJ&
tjoc orros� (r
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 12 r--A 131ZOwW
3, Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, %veak
chlorine odor, etc.): NnNUI
Page 1 of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 02 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 V 3 4 5
7. Is there any foam in the stormwater discharge? Yes (9
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe �i Qhs
Note: Low clarity, high solids, and/or the. presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613