NCG120066_DMR_20200702

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Semi-annual Stormwateryischarne Monitorfur Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted D
CERTIFICATE OF COVERAGE rjo. NCG12 o o
FACILITY NA401E 0 S land_,L,
COUNTY vilkes
PERSON COLLECTING SAMPLES .s5en e
LA50RATORY;>1GIt[ 1lK. /*1#Ql Fi+g I' Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAS _L1 L44 Q 20-,6p
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly' !month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
R cCE Ela a flow ❑Water Supply ❑SA
JUL 13 2020 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CEWRAL FILE,
"ON
No discharge this period=
Date Sample 24-hour rainfall
Outfall No. Collected amount,
(mo/dd/yr) Inches
lftnd►marft
chemical Oxygen Fecal Collform
Demand Monies per 1W mL
mg/L
Total Suspended pH,
Solids Standard Units
mg/L
- -
120 1000
100 or SO4 6.0-9.0
Parameter code - 46S29
00340 31616
COS30 00400
0
2 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.
3 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.'<V me/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 /n 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 SWU-248, last revised 11/1/2018
Page 1 of 2

Pan Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
No discharge this perio&
Outfall No. Date Sample Collected' 24-hour rainfall amount, Non -Polar Oil & Grease
(mo/dd/yr) Inches' mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks _ - 15
100 or 5M
—
Parameter Code - 46529 00552
COS30
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, Tier Z, or Tler 3 responses. See General Permit text.
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 SECTIONS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NO[]
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES J]NO O
REGIONAL OFFICE CONTACT NAME:
Mall an original coov of this DMR Indudina all "No Discharge" reoorts within 30 days of recelot of the lob results for at end of monitorina oer/od In the
case of "No Discharge" 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.
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
SWU-248, last revised 11/1/2018
Page 2 of 2

STORMWATIML lGE OUTFALL (SDO)
MONITORING REPORT
Permit Nmaben NC3—LZ.Q—,n2 d or
CordDents of Covenge Nmbar. NCG
I
FACILITY NAM
PERSON COLLECTING SAMPIMS)
CERTIFIED LABORATORY(S) jLb 0—
jLab #—
Part A: SpecMe Maidlorbs Requirements
&4MpU,S COLLECTED DURING CALENDAR YEAR:
(This mod- .greport dmgbe.@6dv by the DlvWm no ister tlin30 days ftvm
the dd@the &dftlecdv the sampdn= reaftfrentbobberstosT.)
COUNTY
PH Is O. 77
(SIGNATURE OF#Zl�--!EROR.DESIGNEE)
Bythis dgi I ,I certify dot this report b accmte
.
axq*ft to the bat dmV knowledge.
7.
..........
Z7 72�
Does ft bdft perform Vehicle Mdaftum &dvift udq more than 55 pUm of ww mcow off per month? — yes --w
(if y", comaphft Part B)
Sib*
on
Form SWU-246-062310
Pap 1 of 2