NCG060280_MONITORING INFO_20190722

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C 0 p v-
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted � -1 a- � � RECEIVED
JUL 22 ,
2D19
CERTIFICATE OF COV AGE O. GO6O ^ Q SAMPLE COLLECTION YEAR 8 O DENR-LAND QUALITY
g _
FACILITY NAME I ��� STORMWATERPERMITTING
COUNTY SAMPLE PERIOD Jan -June ❑ July -Dec
PERSON COLLECTIINIG SAMPLES or El Monthly' (month)
LABORATORY
Lab Cert. k DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow Water S1up I ❑SA
her ,tss W
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats �ise animal fats/byproducts
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE
Nb -Fzac
Total event rainfall I nr fVNn disrhnrna thic ncrinrP
Outfal6No.
Date Sample
Collected, .mo/dd/ yr
TSS,
; • mgJL
pH,
Standard units
COD,
m /L..
Oil and. Grease;,. -
•m /L
Fecal Collform,,
Colonies per 100 ml
Enterococcl,
Colonies per100.ml
Benchmark-
-•'; -
100 or 50' "
W Ithln 6.0 _ 9.0`
" 120"
; •' 30 •..
30001
Soo'
Parameter Code
-
- C0530 •..
1,00400-
00340,:00556
;--31616-
61211
` 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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes �o
Permit Date: 11/1/2018-05/31/2021
(if)es, complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)"
24-hour rainfall amount,
•; Inches 3
New.Motor OII or
Hydreullc011,Usege `_
on -Polar 0&G/Total.
P.etroleum,Hydrocarbons.
Total Suspended Solids;
Benchmarks
,°.� `.'
,..:,.-;-.
.� ..,. ;' :
15 mg%L','..,
• 100 mg/L`oc50 mg/L°'.
Parameter, Code
•46529'
NCOIL'00552
s,-.
CO530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EX_CEEDANCES 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161Z,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, andcomplefe. I'am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violatiLlps._'
Signature of
Permit Date: 11/1/2018-05/31/2021
`)- is-n
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted I) `' oL_ I ok
CERTIFICATE OF COV AGE O. `G06O S Q SAMPLE COLLECTION YEAR O
FACILITY NAME 1 ` Vt SAMPLE PERIOD "an -June ❑ July -Dec
COUNTY or ❑ Monthly: /month)
PERSON COLLECTir4G SAMPLES
LABORATORY
Lab Cert. # DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow Water Stup I ❑SA
Ether �(SS W
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats 0�_se animal fats/byproducts
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE
Nb 47-7Lacj
Total event rainfall' or PNo discharge this period'
Outfall No.,
Date Sample'
Collected'mo/dd/ r
TSS,.
�mg/L
pH,:,
Standard units
COD,
�. m L
011 and'Grease, '
m' /L
fecaCColiform," '
-Colonies'per 100 ml,
Enterodocd,
..Colonies per SOD ml
Benchmark
- ' - • -
100'or SO'.
Wltliln'6i0 9.W
^`-- 120 s.
• ;' .,- .30 - ='
1000' - -
--Soo'
Parameter Code
- - -
` C0530- ,'
":, r.00400
' '1,00340' +
;.- s 0055E , `
i 31616 -
61211
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 outfalis. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes �o
Permit Date: 11/1/2018-05/31/2021
(if ves, complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
utfallNo '
Date;5(mo/dd/yr)irnpli
a;
'24- hour. Wnifslimy ouqnt,,
{
Wydreulic OII Uaage:
Nonolar0&a/TotaO
el
ti troleum;Hydrocarbone
Tot,aSwpended SoildspIncle�
Benchmarks
m L'
B/ .
.IOO m L'or.50-m L'
g/ B/
Parameter code.:
id8S29
NCOIL
�0055Y „" ,
CO530
Footnotes from Part A also apply to Part B
'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 DEMLR REGIONAL OFFICE? YES ❑ NO Q
REGIONAL OFFICE CONTACT NAME:
Mail an original 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 27699-1612,
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"complefe. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violation." _
Signature of
Permit Date: 11/1/2018-05/31/2021
`)-Ia-�g
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2