NCG080261_DMR_20201130

Semi-annual Stormwater Discharge Monitori ne al Permit No. NCG080000
for North Carolina Division of Energy, Mineral and Land Resources Ge
Date submitted`
401
CERTIFICATE OF COVERAf E N -Q. O. N0008D Q
FACILITY NAME t
COUNTY
PERSON COLLECTING SAMPLES Lab ert. #
LABORATORY T(3 L
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR `-'
SAMPLE PERIOD ❑ Jan -June �uly-Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ PNA
Ze o flaw❑H ❑WaSupply ❑❑S
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenan
ce Activities using more than 55 gallons of new oil per month? ❑ yes ❑ no if es complete Part A)
Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑
No dischorge this period2
Part A: Vehicle &
1 24-hour rainfall amount, Non -Polar Oil & Grease Total Suspendedmg Solids, New Motor or
Hydraulic Oil Usage,
Date Sample Collected Inches3 mg/L
outfall No. (mo/dd/yr) I= or SW ,
e C0530 NCOIL
Benchmarks Q 46529 2
Parameter Code
t be in with the second consecutive benchmark exceedance forotrt 'h a heckma k herehe same P';iarneter at e same outfall.
1 Monthly sampling (instead oL==t= f semi-annual) mus g ou must still submit this discharge monitoring rep
2 For sampling periods with no discharge at any single outfall, y lies.
sin data from an rain gauge. Unattended sites may be the moreoprot dive benchmark applies.
requirement.
3The total precipitation must be recorded u g
4 See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where ND, or other similar non -
do not report Below Detection Limit, BDL, <PQL, Non -detect,
Note: Results must be reported in numerical format. For exam -le. limit report the result as 5MV.
numerical format. When results are below the applicable Fo limits, the must r re orted in the format "<XX mr L" where XX is the numerical value oft e
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper ,
Permit Date:11/1/2018-5131/2021
SWU-248, last revised 11/1/2018
Page 1 of 2

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Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) ❑ No discharge this period'
Outfall
Date Sample
24-hour rainfall
Sample Collected"
Total Suspended
PH,
Standard units
Non -Polar Oil &
Grease,
No.
Collected'
amount,
mo/dd/yr
Solids,
mg/L
mg/L
(mo/dd/yr)
Inches3
100 or SW
6.0 — 9.0
15
Permit Limit
-
-
COS30
00400
00552
Parameter Code
-
46529
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 Ver 1, 77er 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 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 © NO 0
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE? YES [] NO El
REGIONAL OFFICE CONTACT NAME:
Mail an on final copy of this DMR including all "No Discharge" reports, within 30 days of recel t of the lab results or at end of monitorina verlod 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, those persons directly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and compleett
e. I
Kare that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Date
Slgnratu(3of Permitter
SWU-248, last revised 11/1/2018
Permit Date: i1/i/2018-S/31/2021 Page 2 of 2

rnn ; IPc1 '' 13ol,
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: or Certificate of Coverage No.: N/GG/Q/$/D-/•JrL/ja/
Facility Name: 22W peas
County: Phone No. q 10 - L03. 021 1 q
Inspector:
Date of Inspection: 11- (-,10Q0
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
Of
1. Outfall Description
Outfall No. Structure (
Receiving Stream: CK+t--' 1
Describe the industrial activities tha
2. Color
Describe the color G
dark) as descriptors:
3. Odor
-OEC 07 2020
n / CENI RAL FILES
etc.) nWRSECTION
within the outfall
a
using basic colors (red, brown, blue, -etc.) and tint (light, medium,
rn, Y l
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) AfOUe
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 C 4/ 5 6 7 8. 9 10
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SWU-242-020705

4
S. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 .9 10
7. Foam
Is there any foam in the stormwater discharge? Yes (jNo
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes (N3o
10. Erosion at Ouifall
Is there erosion at or immediately below the outfall? Yes o.
11. Other Obvious Indicators of Stormwater Pollution
- — -List-and-describe - - — -
Note: 'Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective'Action.
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SWU-242-MO705