NCG120043_MONITORING INFO_20190717

�N Sx D.
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG
DOC TYPE
❑ HISTORICAL FILE
f� MONITORING REPORTS
DOC DATE
❑ Doi D 7 17
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Wind Pesources General Permit No. NCG120000
Date submitted -%
CERTIFICATE OF COVERAGE NO. NCG12 0 0 4 3/
FACILITY NAMEAI4trlarscv t, �,I.Mc0.� t
COUNTY Alamance
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. N
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD Q Jan -June ❑ July -Dec
RjFCFj or ❑ Monthly' (month)
l• �166HARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
Sul 1 LJ ❑Zero -flow ❑Water Supply ❑SA
2019 ❑� Other class c
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
n No discharge this period2
` Outfall No. ,
Date Sample
Collected'
(mo/dd/yr)
.24-hour rainfall
amount,
Inches' -
Chemical Oxygen
- " Demand . - -
- mg/L
Fecal Coliform -
Colonies per 100 mL
..
Total Suspended
- Solids
mg/L
- .PH,
Standard Units
Benchmarks
120 -
1000 -
'100 or 504
.. 6.0-9.0 -
Parameter Code
46529<; -,
00340
C0530 -
-; 004010 - -
u�.as w mwa,.rp.eu� mie r.,ae t
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
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 1, 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 mR/L", where XX is the numerical value of the
detection limit, reporting limit, etc, in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. see General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No disrhnrna this nerind2
0utfall No. '
Date Sample Collected'
(Mo/dd/yr) -
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease '
': mg/L. -.
Total Suspended Solids, ;
mg/ , -
New Motor or Hydraulic Oil Usage,
'.:.gal/mqn' _
,Benchmarks.;,.-'-
�_ `„
.. _ -. -
_2, 15
- 100 or50°
,Parameter Code
` - - = -
46529= : -
00552 ""
• C0530
- r 'NCOIL,
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 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It 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 Q
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 (or at end of monitorina period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files A
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."
re of
D to
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
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