NCG050412_MONITORING INFO_20200123

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
nrC G Q J a
DOC TYPE
❑ HISTORICAL FILE
0� MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
Date submitted 1i13i19
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CERTIFICATE OF COVERAGE NO. NCG 50t421 R���vE®
FACILITY NAME wellmark. LLc
COUNTY Randolph JAN 2 3 2020
PERSON COLLECTING SAMPLES Paul W. Spangenberg
LABORATORY con -test Lab Cert. ff 652 CENTR<\L FILES
DWR SECTION
SAMPLE COLLECTION YEAR 2019
PLEASE REMEMBER TO SIGN ON THE REVERSE
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall' 0.22 or ❑ No discharge this period'
Outfall No.
Sample
Collected,
mm/dd/yr
Total Suspended
Solids (TSS►, mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
Oil and Grease, mg/L
(if applicable)
pH, Standard units
(only if applicable)
New Motor Oil or
Hydraulic Oil Usage,
Annual average gal/mo
Benchmark
-
100or50'
15
30
Within 6.0 — 9.0
-
01
12/30/19
2.4
0
N/A
N/A
60
02
12/30/19
2.6
0
N/A
N/A
60
1 The 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.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
'FOR 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 ❑■
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑■
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1. 2018
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Mail an original and one 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 DWR Central Files:
Division of Water Resources*
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
*Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR.
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."
Ol
"reofee) (Date)
Additional copies of this form may be downloaded at:
https:Hdeg.nc.pov/about/d i v i sions/energy-m i neral-land-resources/npdes-stormwater-gps
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised.: June 1, 2018
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