NCG120066_DMR_20201119

Semi -an
for North Carolina Division of Energy, Mineral and nd Resources General Permit No. NCG120000
Date submitted �D
CERTIFICATE OF COVERAGE f4O. NCG12 o D
FACILITY NA E l j l kas ` an f ll
COUNTY Yvj Ikes
PERSON COLLECTING SAMPLES S&son Wo We—
LABORATORU', t W' (R. /*4)4 Wca I, Lab Cert.11
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAP _
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or,4EI'Monthlyl !month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water supply ❑sA
RECEIVED [-]Other
Nov 3 0 2020 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
CENTF�P! FILES
UWR .,`CTiO,N
No discharge this periodz
Date Sample
24-hour rainfall
Chemical Oxygen
Fecal
Total Suspended
Outfall No.
Collected'
amount,
perColl1rm
d Colonies per 100 mL
and
mgt` Standard Units
(mo/dd/yr)
Inches;
mg/L
Benchmarks
_
-
120 1000
100 or 504 6.0-9.0
Parameter Code
-
46S29
W340 31616
C0530 00400
/- /2 -24�)
17
42.5 c O
4 p
Z
Ik-12d
.l'7
<25 7'0;600
1Ljb0
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The 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 ma/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 ">W
Note. If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tler 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 5WU-248, last revised 11/1/2018
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Pan .,.- Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches"
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
-
-
is
100 or SO4
-
Parameter Code
-
46529
WSS2
C0530
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 Tler 1, T/er 2, 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 11 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 13 NO El
IF YES, HAVE YOU CONTACTED THE DEMLR REG10104
AL�pFFICE7 YES NO ❑
REGIONAL OFFICE CONTACT NAME: i d tP /uQ A-D VYl I � az2z G,�,i IOAAIC�5-)
Mail an orlainal copy of this DMR. Includino all "No Discharae" reports within 30 days of receipt of the lab results for at end of monitorina period In the
case of "No Dlscharae" reports/ to:
Division of Water Quality
Attn: DWQ Central Files
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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/1/2018-5/31/2021
//- %l -W
Date
SWU-248, last revised 11/1/2018
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