NCG060026_MONITORING INFO_20191004

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
n/�(j blp 1D 0 d W
DOC TYPE
❑ HISTORICAL FILE
❑MONITORING REPORTS
DOC DATE
❑ a o ► 5 y
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 10— `` l 1
CERTIFICATE OF C VERAGE IIO. NCGC6O O 9. q
FACILITY NAMk 0A
COUNTY 5
PERSON COLLECTING SAIVOPLES
LABORATORY Lab Cert. p
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR C 19
OCT 04 2019
SAMPLE PERIOD ❑ Jan -June ❑ c DENR-LAND QUALITf
or Q IGlonthlys Jly- ^oFfh 'ATER PEWITTING
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow Wate Sup i, [:]SAther QSS � r c)
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats tse animal fats/byproducts
scP7_- Nd FLO w
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall or N to discharge this period'
OutfalfNo.
Date Sampleir
Collected; mo/dd/ r'
TSS„ ,.
mg/L. ."
-,pH,
Standard. units
.. COD,
,;;:'• m /L :_,
Oiland,Grease,;
-. mg/L.
_ Fecal Coliform,
•.'CoIon ies per-100 ml
Enterococcl,
'Colonles•per 100 ml
+Benchmark'
' `100 or 504 '
' Within 6.0 -9.0'
; ' 120
1000'
- 5001
Parameter Code
-
= .00530
'• - 00400' `.
-. '•00340
` 00556..
- 31616 -
61211
1 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 anv outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See 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 Vno
(ifyes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitorin¢ Results: only for facilities averaeinP > SS Pal of npw mntnr nu/mnnth
OuHaII No.
"
Date Sample Collected-
(mo/dd/yr);
24 hourialnfall amourit
„ Incfies'. .:
New Motoi,O11 of
Hydraulic Oil Utage
Non -Polar 0&G/Total
Petroleum Hydrocarbons
`Total Suspended Solids
Benchmarks ,: ;>
•..:. .: ,: _
=` " • ' -
,'.
- mg/L.
15
ti. -100 mg/L or;50 mg/L°
Parameter Code' : �.
-
•'+
00552",, �
- � CO430
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 S TION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES FNO ❑
IF YES, HAVE YOU CONTACTED THE DfE,[\v1Lj2 RE61ONP\ OFFI10EI?III YES [jNO ❑ `
REGIONAL OFFICE CONTACT NAME: % 1 tGt� \�Tii� �o�S 6 e.\!9e 1Cb
Mail an oriainal 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 ]Files
Attn: DWQ Central1617,Mail Service Raleigh, NC 27699
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 myknowledgeand
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 violatigns.° -
Signature of
Permit Date: 11/1/2018-05/31/2021
l0-1�19
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 RECEIVED
JUL 22 2019
CERTIFICATE OF CO`V`ERAGE Inv NCG06OO_ 6 SAMPLE COLLECTION YEAR �� DENR-LAND QUALITY
FACILITY NAM NEW Vo w k& SAMPLE PERIOD ❑ Jan -June ❑ Jul -Dec STORMWATER PERMITTING
COUNTY
PERSON COLLECTINGSA LES a
or O1�Oonthly' 5tl(\� Imonth)
�
LABORATORY t Y��1\ (U Lab Cert. # DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flo ❑Water Supper SA
[�}i 6her S t S
Part A: Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
tl
Total event rainfall a 13 or ❑ No discharge this period'
Outfall:No.
-
Date Sample
,Collected, mo/dd/yr
TSS, . -
mg/L
PH,,
`Stand ard units
COD . ,...-
'mg/L
.: Olband.Greaie
'-mg/L
•.:
Fecal Collform,
4r -Colonies er 100 ml:
:Enterococcl, '
,Colonies er100m1
Benchmark
-'
100 or 504'
Wlthln'6.0—'9.0
<� � 120,i
- " 30
10003
500'
Parameter Code,
C0530 "
c00400
00340 - '-`"''
-'00556 ; "
"-- " -31616 -
61211f
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 Vo (if ves, complete Part B)
Permit Date: 11/l/2018-05/31/2021
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.
Outfall No.
Date Sample Collected
_ (mo/dd/yr)
24-hour rainfall amouht,
- Inches'
New.Motor C!Ilor
.'HydraullcOil ,Usage
Non -Polar O&G/Total
Petroleum. Hydrocarbons
Total Suspended Solids
Benchmarks
- - -
• •
- ' '
-' 15 mg/L'' -
100 mg/L or 50 mg/0
Parameter Code
- : `-
46529 ;_'
.NCOIL
- `00552 ,.,
,;; 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 IWA ROWTOR 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 BE EXCEEDENCES OR THE SAME PARAMETER AT ANY ONE OUTFACE? YES U�Gf NO ❑
IF YES, HAVE YOU CONTACTED THE DEt�L(i R�`O�N pL OFFICE? , YES NO ❑
REGIONAL OFFICE CONTACT NAME: -lA-� �}TF'n -�
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
1612,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 complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violatiWs."
Signature of Pe
Permit Date: 11/1/2018-05/31/2021
1) —
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 — ! a I I
CERTIFICATE OF COVERAGEIY NCG06OO 6 NmOkK SAMPLE COLLECTION YEAR a� 1
FACILITY NAM (_b
COUNTY —�-- SAMPLE PERIOD ❑ Jan -June ❑ Jul Dec
PERSON COLLECTING SA ICES q or N�-Oonthlys Llf\� /month)
LABORATORY lab Cert. # DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flo ❑WaterSupp�y SA
®�herSr
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN am THE REVERSE 4'
lr
Total event rainfall2 3 or n No dischoroe this oeriod3
Outfall No.
Date Sample
-Collected mo/dd yr
TSS
'. . •m /L
pH;
:': Standard:units
COD,
m L
OII and Grease,
m %L- .
'"
Fecal Collformy
:. Coloriles of 100 ml.
fnterococd,
Colonies er100.m1 '
.Benchmark
- ' . ,
. 100 or 5W?
i'With ln 60b %0
i.'120 ,.
_: 30"=.
1000'
- 500' '
Parameter Code
-
Y `CO530 - `:,.'':
00400
::00340 .
-,'i. ' =00556
' �:31616 -
61211 .
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
'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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sMonthly 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 Vo (if yes' complete Part B)
Permit Date: 11/l/2018-05/31/2021 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'F
New Motor 011 or-
Hydraulic I Usage',
Non=Polar O&©/,Total
. Petroleum Hydrocarbons
„Total Suspended Solids
; , ,.
Benchmarks
^.`
„`, 4
.,,
915 mg/C V
''100 mg%L 0r's0 mg/0
Parameter Code .
''
�46429 1F
�' <-';NCOIL''`
,.;. 00552�
, , c0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
2 EXCEEDANCES INA ROW'FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S CTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES OR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES tm NO
IF YES, HAVE YOU CONTACTED THE DEfy11-g REG ION pL O�FFIICE; , YES NO[] ^ `C� �\ ��1
REGIONAL OFFICE CONTACT NAME: lA,l�} t't7� -� `e�Qf- 'v
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 27699-161Z-
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
Permit Date: 11/1/2018-05/31/2021
-Ia-
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2