NCG160115_Monitoring Report_20220308

for North Carolina DEMLR General P rrn't No. NCG160000 -Asphalt
Date submitted i 1+ .2ozo
CERTIFICATE OF COVERAGE No. NCG16 6 L / f
FACILITY NAME _ l3Ly1.dG /�iit/e r7
COUNTY M10/A1Kz"/Fafe
PERSON COLLECTING SAMPLES
.'......... i �n r_ Etnv rpe f Lab Cert.#__
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECENEC
f4AK U `' 2022
DENR-DEMLR
SAMPLE COLLECTION YEAR .?1920 Land Quality Section
SAMPLE PERIOD ® Jan -June ❑ July -Dec Sonresville Regional Offic
or ❑ Monthly'_ (month)
{� G TO CLASS ❑ORW ❑HQW ❑Trout PNA
�� - t� ❑Zero -flour ❑Water Su I ❑
MAR 3 0 2020 ❑other PP y ❑sA
UENTR -\L FILES PLEASE REMEMBER TO SIGN ON THE REVERSE
DWR SECTION
Outfall No.
pate Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
Benchmarks =__>
_
-
jMJ,
No discharge this period?'
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'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.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX me/L" where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Generai Permit text.
Permit Date: 10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Date Sample 24-hour rainfall
Outfall No. Collected' amount, Non -polar O&G by EPA Total Suspended Solids
(mo/dd/yr) Inches; 1664 (SGT-HEM)
==_> - - 15 mg/L 100 mg/L or 50 mg/
Benchmarks L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
o A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT7 YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one co o this DMR including all "No Discharge" reports, wit in - day s o recei t o the lab results or at end o monitorin period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date:10/1/2014-9/31/2019
(Date)
SWU-252, last revised 9/17/2014
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