NCG060348 DMR SW (7)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 11 X01 f 9010 RECE
RIED
CERTIFICATE OFCVERAGE NO. NCG06i1c c SAMPLE COLLECTION YEAR U I (P ®
� 0 2016
FACILITY NAME in.'((,11\ sit n -0od 6--a4, !U.0 FACILITY che CTIVITIES INCLUDE( k all that apply):
COUNTY Q e AAluse/process meats ®use animal fats/byprodur NTRAL FILES
PERSON COLLECTING SAMPLESN l,L W
DISCHARGING TO SALTATERS? EYES 21(0 DWR SECTION
LABORATORY A i i,' Lab Cert.it ku A
PLEASE REMEMBER TO SIGN ON THE REVERSE-
Part A:Stormwaer Benchmarks and Monitoring Results Total event rainfall2 or dNo discharge this period'
Outfall No. Slample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliforms, Enterococcl1,
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark I - 100 or 504 Within 6.0—9.0 I 120 30 1000 500
II .NIA N[A vIA ! NIA e/IA NIA IQ IA.
a I nip, NIA IA ,i4 Ni4 NI4
Ai 1,4
3 ! N/,4 iu)A- OA- VIA- iv I NIA d Vr
J.2The
Only applies to fafiIlties that use/process meats.
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.
4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
I
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 [VIafntenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month. 4L.-We W U-d R,t)LA
Outfall No. Sample Collected, oil and Grease, 1 TSS, pH, New Motor Oil Usage, Al Irl ur-1011 d)0 iTi
! mo/dd/yr mg/L ; mg/L Standard units Annual average gal/mo
Benchmark I - 30 100 or 504 6.0—9.0 - CW34)) an-eXi p ro d o Lf 1 O f
I t
od not occur aIi GI I D'r
tru1n-e� SamF'I /0
I e 0Y1' ivg )'Xfl0
1 Only applies to fabilities that use/process meats. ��G�I I(�(0l- .
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at my outfalls,you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
! I
SWU-249 Last Revised:October 18,2012
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*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDNCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: WAS YOUR FACILITY HAD 4 OR MORE BENCHMARK iEXCEEDENC S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 1NO E]
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE YES [ENO
REGIONA_OFFICE CONTACT NAME: 0/ 5 Q VYLU
Mail an original and one copy of this DMR, includinq 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 ofiWater Quality
Attn: DWQ Central Files
1617 Mail ervice 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 designee to assure that qualified personnel properly g6ther and evaluate the information submitted. Based on my inquiry of the
person or persons s who manage the system, or those persons di irectly 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, includingthe-•• i y of fines d imprisonment for knowing violations."
L
I el
411117. ure of Permittee) (Da )
1
Additional copies Df this form may be downloaded at: htto://portal.ncdenr.orR/web/wq/ws/su/nodessw#tab-4
SWU-249
Last Revised: October 18,2012
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