NCG060216_DMR_20191220

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted t "a() \C\ pPi F!N_/FD
l j�1 DEC 30 2019
CERTIFICATE OF COVERAGE NQ. NCG06d _!._ SAMPLE COLLECTION YEAR �v l�
FACILITY NAME t.0 r\Aik J�\ DENR-LAND QUALITY
COUNTY �CA � SAMPLE PERIOD ❑Ian-June my-Dec TroRMWATER PERMITTING
or ❑ Monthly'
(month)
PERSON COLLECTING SAMPLES Gce. Et.&) rt�
LABORATORY 7:E L ''Cab Cert. Sr) DISCHARGING TO CLASS ( IORW ❑HQW ❑Trout f PNA
k\,\S\ \_„ `c \ �C nZero-flow Water Supply ❑SA
" (leCAer COS 0, t
J
FACILITY ACTIVITIES INCLUDE(check all that apply):
n
use/process meats -Pt/se animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 a or No discharge this period'
OutfaII No, Date Sample TSS, pH, COD, Oil and Grease, Fecal Conform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/I. mg/I. Colonies per 100 ml Colonies per 100 ml
Benchmark 100 or 50" Within 6.0-9 0 120 30 10001 5001
Parameter Code C0530 00400 00340 00556 31616 61211
ka=Y ,c\r \ 63 S 1k�1 s ALL AJ/
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 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.
5Monthly 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? n yes Vo (if ves, 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.
0 tf II No, Date Semple Collected 24•hour rainfall amount, New Motor 011 Or Non«Poler0&G/Total Total Suspended Solid
(mo/dd/yr) inch& Hydriulic Oil Usage : Petroleum Hydrocarbons
Ak.M ..lioA L
Benchmarks « 15 min. 100 mg/i:or 50 mg/i,'
Parameter Code - 46529
NCQIL 00552 C0530
Footnotes from Part A also apply to Part B
*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 D NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES D NO D
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR,including 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
1612Mail Service Center
Raleigh, NC 27699-1612,,
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
4
imprisonment for knowing violati ns."
« - ao -C 1
Signature of Per tte Date
Permit Date: 11/1/2018-05/31/2021 SWU-249,Last Revised 11/5/2018
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