NCG160036 DMR SW

Semi-annual Storm -water Discharge Monitoring Report (DIVIR)
for North Carolina DEMLR :General Permit No. NCG160000 - Asphalt
Date Submitted 3/10/2015
CERTIFICATE OF COVERAGE NO. NCG16 0036
FACILITY NAME GELDER & ASSOCIATES, INC.
COUNTY: Wake
PERSON COLLECTING SAMPLES: David Gard ner-PaceLabs
LABORATORY PaceLabs-Raleigh Lab Cert. # 067/12/4
Comments on sample collection or analysis:
Re -Sample due to prior sample holding time exceedance at lab.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD. ❑X Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout. ❑PNA
❑Zero -flow ❑Water Supply DARECEIVCD
❑X Other C: NSW
MAR,16 2015
PLEASE REMEMBER TO SIGN ON THE, REVERSE 4.
CENTRAL FILES
DWR SECTION
❑ No discharge this period?2
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*This is a re -sample for this semi-annual period due to prior sample exceeding sample hold time at the lab.
1 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.
3The 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.
4 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 reportBelow 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 mg/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. General Permit.text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last.revised.9/17/2014
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Part B: Vehicle' , tenance Area Monitoring Results: only -for facilities averaging > 55 gal of new oil per month.
NOT APPLICABLE ❑ No discharge this period:
Date,Sample` 24 hourrainfall
Outfall No Non polar`O&G by EPA
'Collected amount, .. n:
(mo/dd/yr)'` Inches;Total"Suspended Solids .
Benchmarks =>}t = : 15 mg/L'. 100. mg/Lor 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you`musf implement Tier 1, Tier 2, or Tier 3 responses. See General
FOR PART AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. -
.2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. -
• 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 PERMIT? YES•❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
"No
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
lab results
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
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage 1
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violatioi
(Signature of Permittee) o (Date)
text.
lesigned to
e system, or
and complete. I
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
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