NCG120087_DMR_20210105

' DDwSign EnvekpeiD:D94577F6-1 DF64Fll-AB47516324BB138
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and land Resources General Permit No. NCGI20000
Date submitted Ja1v4,r5.2020
CERTIFICATE OF COVERAGE NO. NCG12 0 0 8 7
Net FACILITY NAME Jd+nemndounlytDndnl
COUNTY Johnrmn
PERSON COLLECTING SAMPLES Midmd J. Uam (S-0)
LABORATORY Pace Analytical Lab CeKp 37738
aq Comments on sample collection or analysis:
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Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
SAMPLE PERIOD ❑Jan -June El July -Dec
or § Monthly' December fmonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Other c, raw
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hourrainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal Collform
Colonies per 100 mL
Total Suspended r
solids
mg/L
pH,
Standard Units
aenchmarks
_
-
12D
1000
100 or s04
6.043.0
Poremeter Code
-
46SZ9
00340
31616
COS30
00400
SDO-A
72/772020
1.1
63.1
3700
222
6A
- monmiy sampung pnsrea0 or semi-annuap must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
era '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
4 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. "del me/L". where 70( 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'>)Or.
Note: If you report a sample value In excess of the benchmark, you must Implement Tier 2, Tier 2 or 77er3 responses. See Genend Permlt text
Permit Date: 11/1/2018-5/33/2021 SW U-248, last revised 11/1/2018
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DocuSign Envelope ID: D94577F6-1DF6-0FIl-AR47-5316324BB138
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
ram.. .
Outfall No.
Benchmar(mo/dd/yr)
Date Sample Collected'
24-hour rainfall amount,
Inches'
-
Non -Polar Oil &Grease
mg/L
15
rv0 alscnarge
Total Suspended Solids,
mg/L
100 -or SW_
rms penoa•
New Motor or Hydmulk oil Usage,
gal/mon
Parameter
Parameter
-
46529
00552
C0530
NCOIL
SO -A
Not Measured. COC Enor
Nol Meawred
Nol Measured
Not Measured
Not Measured
'ootnotes from Part
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Note: If You report a somple value In excess of the benchmark, you must implement 77er 1, Tler 2, or 71er3 responses. See Genera/ Permit text. fees
FOR PART A AND PART 8 MONITORING RESULTS:
• ABENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION B.
2EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIERS: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES QNOQwe
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ©' NO ❑
REGIONAL OFFICE CONTACT NAME: rn VMvn,
Wal
Division of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-2617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document andall attachments were prepared under my direction or supervision in accordance with a system designed to See
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 fake information, Including the possibility of fines and imprisonment for knowing violations."
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Permit Permit Date: 11/l/2018-5/31/2021 SW U-248, last revised 11/1/2018 00
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