NCG080839_DMR_20201213

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO80000
Date submitted 1211310
CERTIFICATE OF COVERAGE NO. NCGO8 O $ SAMPLE COLLECTION YEAR
FACILITY NAME 0 OV)' \ tR Ef\Vlyo SolP-,F � dijC •'�,6AM?LEPERIOD QJan-June July -Dec
_
COUNTY r or [] Monthly'_ (month)
PERSON COLLECTING SAA"MPLES a \S JAN 1 1 jrC11SCHARGING TO CLASS QORW ❑HQW [—]Trout ❑PNA
LABORATORY�rQ f 1L��=LabCert.# ) rcf•,;.._, ❑Zero -flow oWater Supply QSA
Comments on sample collection or analysis: QOther_
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? E3/yes ❑ no (if ves• complete Part A)
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) No discharge this period2
Outfall No.
Date Sample Collected'
24-hour rainfall amount,
Non -Polar Oil & Grease
Total Suspended Solids,
New Motor or Hydraulic Oil Usage,
(mo/dd/yr)
Inches'
mg/L
mg/L
gal/mon
Benchmarks
-
15
300 or SO°
_
Parameter Code
-
46529
00552
C0530
NCOIL
1
11 2 20-LO
--
2
Monthly samnline
finstparl of cpml_,nn,,,n
.,,,,e« knn;.. ,.,;.k .k _____�
------
- - . - •••- --e.,, • � - 1--_ S_C U wnbewuve benchmark exceeoance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'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 "<XXthey must be reported in the format, "<XX mg/L/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 ">XX".
Permit Date: 11/1/2018-5/31/2021
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)
pp ) ❑ No discharge this period2
Outfall Date Sample 24hour rainfall Sample Collected' Total Suspended
No. Collected' amount, mo dd r and Non -Polar Oil &
/ /Y Solids, Standard units
(mo/dd/yr) Inches3 Grease,
Permit limit mg/L .mg/L
" - 100 or 50a 60 — 9.0 15
Parameter Code - 46529 - C0530 00400
00552
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 77er 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
0 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.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE S E PARAMETER AT ANYONE OUTFALL? YES []NO
[� IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ (V?r
REGIONAL OFFICE CONTACT NAME:
Mail an on inal cODY of this 0114R including all "No Dischar e" re orts within 30 days of recei t o case o "No Discharge" reprothe lob results or of end o monitorin eriod in the
_ rts) 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 cu ent and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel pro er gat r and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direct) esp nsibl Z
gath ing the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that the are i ifi t nalt' s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of
Permit Date: 11/1/2018-5/31/2021
/2 2
Date
SWU-248, last revised 11/1/2018
Page 2 of 2