NCG060279_DMR_20191223

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
CERTIFICATE OF
FACILITY NAME
COUNTY -A-
PERSON COLLEC
LABORATORY_
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted
RECEIVED
JAN 2 4 2020
SAMPLE COLLECTION YEAR C� (01 DENR-LAND QUALITY
SAMPLE PERIOD ❑Jan -June ❑July -Dec STORMWATER PERMITTING
or �onthlys ; C �2r' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
[]Zero-floy� �❑Water Supplly [—]SA
P6ther -:(ASS Ci 71
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats q�Vse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 1
r t�
Total event rainfall z ( 4 ' or n No discharge this nerin&
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
100 or 504
Within 6.0 — 9.0
120
30
1000'
500'
Parameter Code
-
C0530
00400
00340
00556
31616
6121
-
G
8
c
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ayes ❑ no (if yes, complete Part B)
Permit Date:11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month
Outfali No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Now Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L°
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B I � j
-(�a�- o,c. �mo�%l, rc�o���oc� �. * -5�- was
*FOR PART A AND PART B MONITORING RESULTS: SG- '�'n a0�� aca \N:k re 'hm
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. v
C�2arr
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S TION B. LJ
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES MNO ❑
IF YES, HAVE YOU CONTACTED THE DE��(L RL�IOYL OFF C ? Y S OREGIONAL OFFICE CONTACT NAME: IVOe;�s NCDeVtLP — ;nee`4+.
Mail an original copy of this DMR includina all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1612,Mail Service Center
Raleigh, NC 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."
Signature of Pe
Permit Date:11/1/2018-05/31/2021
1-- (b' ao
Date
SWU-249, Last Revised 11/5/2018
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