NCG080007_COMPLETE FILE - HISTORICAL_20190606

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v (2",& D� lvm 7
DOC TYPE
4 HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �13) 5 'D �d n (2-
YYYYM MDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Wpd Resources General Permit No. NCGO90000
Date submitted
CERTIFICATE OF COVERAGE NO NCG08L D Q Q SAMPLE COLLECTION YEAR 4" f I
FACILITY NAME 61C SAMPLE PERIOD g Jan -June ❑ July -Dec
COUNTY or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES �wyeri �Jltl. _ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY $ !c rC
Comments on sample
Lab Cert #
or analysis.
❑Zero -flow Water Supply ❑SA
RECEIVED ❑Other
JON 112019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENT RAIL FILC-S
Did this facility perform Vehicle Maintenance Actnnties using more than 55 gatlbns of(neiPoil per month? ,yes ❑ no if yes complete Part A]
Part A Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period'
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
-
-
15
100 or 504
-
Parameter Code
-
46529
00552
C0530
NCOIL
1q10
' 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
"The total precipitation must be recorded using data from an on -site rain gauge Unattended sites maybe 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 mg/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
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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
No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Sample Collected)
mo/dd/yr
Total Suspended
Solids,
mg/L
pH,
Standard units
Non -Polar Oil &
Grease,
mg/L
Permit Limit
_
-
-
100 or 504
6 0 — 9 0
is
Parameter Code
-
46529
-
C0530
004M
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 Tier 1, Tier 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 ANYONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an onginal copy of this MR, including all "No Discharge reports, within 30 days of receipts the lab results (or at end of monitoring period in the
case o pNo Drscha epre its)to:
Division of Water Quality
Nan DWQ Central Files
1617 Mad 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 aw that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
�<1
Si ure of Perm ittee Date
Permit Date 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
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