NCG060026_MONITORING INFO_20190820

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG DID O b a L
DOC TYPE
❑ HISTORICAL FILE
ly MONITORING REPORTS
DOC DATE
❑ �) o (� O � a D
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted D - Iaa
—49
CERTIFICATE OF CO ERAGE N110`NCG06O O a o_
FACILITY NA P-Lo zkpNA -7 k � x COUNTY
PERSON COLLECTING SA 1) C
LABORATORY !-�l\V \' (b Lab Cert. N ��
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR a 0 19
RECTIVED
AUG 20 2019
DENR-LAND DUALITY
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec STORMWATER PEW.. ITTING
or K�1Glonthly' V\ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Wate Sup ❑SA
Q6ther��QSS iIA%
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
IJ
Total event rainfall a • or ❑ No discharge this period,
Outfall:No
- '-
-„ Date Sample
Collected, mo/dd/ r
TSS , :,_
' ' mg/L
_y , pH, .. ,,
Standard units '
,-: .COD,, . .
- mg/L
,. ,011.and,Grease , ',
mg/L
,:. .Fecal Collform,
Colonies peir 100 ml
. Enterococcl,
Colonies per 100 ml
Benchmark
100 or 504
Within 6.0 = 9.0
, ; 120 .
, ',;, ; 30.. ,. "
10001
Soo,
Parameter. Code
"' -
'. 'C0530 •';
00400 ` "-
. ;.'00340
"- ` 00556. `
`` 31626 -
61211
-
a
s
' Only applies to facilities that use/process meats.
'The 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.
'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? ❑ yes �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
Outfall No. ='
Date Semple Collected '
-
(mo/dd/yr)
24-hour, rainfall amount;;
Inches'
New Motor 011 or -
Hydraulic 011 Usage,
Non -Polar 0&G/Total
Petroleum Hydrocarbons ..
Total Suspended Solids
Benchmarks =
a
Yy , u�,
15 mg/L.
106 mg/Cor 56 mg/L°
ParometerCode
46529 ;..,�
NCOIL'
,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 S TION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ONOIF YES, ❑
O r
REGIONAL OFFICE CONTACTVE YOU ED THE NAME:DE(v11 R GIOfyAL�\O�FF`CEZ YE�� ki � -6 N^, ��
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
1617,,Mail 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 possibilityfof fines:and
imprisonment for knowing violatigns.° _
Signature of
Permit Date: 11/1/2018-05/31/2021
Date
SWU-249, Last Revised 11/5/2018
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