NCG060280_DMR_20200706

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted i l— C -- Q b
CERTIFICATE OF COVERAGE O. CGO6� Q(9�1 O
FACILITY N E
COUNTY U
PERSON COLLECTING SAMPkES
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitnrina Results
SAMPLE COLLECTION YEAR a 0 QJ)
SAMPLE PERIOD �n-June MAily-Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flo JN 1 ❑Water Su y ❑SA
©Ocher �--\oISS C. 1 �Vj
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats se anlmalfats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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outfell'No.
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85211
Porameter Code
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"'"Y-ev.'�5 v .uC! L ca Uidl U]e/pf06ess meats.
ZThe total precipitation must be recorded using data from anon-slte 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 N4no
Permit Date:11/l/2018-05/31/2021
(if yes, 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.
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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 0 NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES [3NO
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this MR, Including all "No Discharge" reports, within 30 days of receipt of the lab results Lor 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 27699-4617
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 violafions." W
Signature of PeAlttee
1) Q —ac)
Date
Permit Date:11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
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