NCG060216_DMR_20210107

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF C VERAGE NO. NCG06O
FACILITY NAME 4uc: rAkkca
COUNTY SCoN qt _
PERSON COLLECTING SAMPLES Ceq� rw
LABORATORY ab Cert. k 3 rj
1:—S-V\ CDG� C:�Ik4
JAN 2 5 2021
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Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR a o aO
SAMPLE PERIOD ❑ Jan -June [�uly-Dec O %4-q .JA*r 2—
or [q1%onthlys_c�2Cem�Der (month) 01A�k
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
ECither0-10,S S
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use anlmalfats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE —)�
11
Total event ralnfall 2 5 N dI h
outfaiW011,
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G�Benchma10,
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ta'
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o sc arge thh prnuu-
Co)oale , e� toQ,rol
Paranlate
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'The total precipitation must be recorded using data from anon-site rain gauge,
' For sampling perlods 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 classlflcatlons 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 faclIIty perform Vehicle Mal ntenance Activities using more than 55 gallons of new oil per month? ❑ yes no (If Yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
1
outfa ! No.
ote Sim 1e'Coll�cl�d '
p
Imo/dd/y�y
�4h0 1�$r�t ail girt :a�lt
u Irtf _f + t� :
:I ��iil+af
. �IwF R&G
Nl�r I1� ar
t dr i 11 t ii' s g
Nti«per.; /T otal
pot., .4u'r� Ny�drocarbors
Total Suspended Solids
p
Benchmarks
100�mg/L or 50 ing/V
Parameter Code`'
-
lop
`4820
iifC011.`` .
ObS
C0530
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 OUTFACE TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFACE? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal copy of this DMR, includina all "No Discharae" reports, within 30 days of recelpt of the lab results for at end of monitorina period In the case
of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 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, and complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines and
imprisonment for knowing violations."
Signature of Per(nittee
\-.. � - a
Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
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