NCG060209_MONITORING INFO_20190903

Iry i 'R o
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG b l b a
DOC TYPE
❑ HISTORICAL FILE
D(MONITORING REPORTS
DOC DATE
❑ O / 03
YYYYM M D D

for North Carolina
+r
STORMWATER DISCHARGE MONITORING REPORT
Division of Energy, Mineral and Land Resources General Permit No. NCG060000
CERTIFICATE OF COV RAGE NO. NCG06
FACILITY N IE
COUNTY
PERSON COLLECT G SAMPLES
LABORATORY
Lab Cert. N
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted �"_�— 1 1
Scl' 0 9 2019
SAMPLE COLLECTION YEAR aO 19 DENR-LAND QUALITY
SAMPLE PERIOD Jan -June ❑ my -Dec STORMWATER PERMITTING
or onthlys S month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -float OW ter Supply ❑SA
[�Q#her SW
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
AUGUST- NO F�ZS
Total event rainfall' or Lp'ryO discharge this period'
6utfal6No
�. Date Sample
Collected, mo/dd/yr
TSS
• in /L .
.- 'pH,, .-., .
r Standard units
COD
_' -�mg/L ,
,Oil and Grease ,
, mg/L `-'
Fecal Coliform,
Colonies -per 100 ml
Enterococcl,
Colonies per 100 ml
Benchmark:,"
= "`'.:-.100or,50'
.;'.Within:6.0-90
L - 120
�:.�- ; ''301:.`
-10001
.. ..500'
ParameterCode
.- - -i- -•- _ .
'C0530
00400`• .'
'._ , 00340
- '.005S6. '
'' - 31616
61211
' 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
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaeine > 55 eal of new motor nil/mnnth
Outfall No. '
Date Sample Collected
(mo/dd/yr)
' 24 houraainfall amount;
Indies'
New .Motor 011 oc.,
Hydraulic 011 Usage`
, Nan -Polar O&G/Total
Petroleum H dracartions
Y... _.
,Total Suspended Solids
. .
Benchmarks :. -
, �,
'�
15 nig/L. :
" :100 mg/L or So mg/L'',-,
Parameter [ode"
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 SE TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [NO Q
IF YES, HAVE YOU CONTACTED THE DEN/jLR RECIONAL OF�+Cts YES NO [] YI
REGIONAL OFFICE CONTACT NAME: fl cl W ff t
Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161kMail 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 violatigns._" _
Signature of
Permit Date: 11/1/2018-05/31/2021
�3
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 RErp:I\/rc(J
Date submitted lv 3 —' 1 SEP 09 2019
DENR-LAND QUALITY
CERTIFICATE OF COV RAGE NO. NCG06 SAMPLE COLLECTION YEAR aO STORMWATER PERMITTING
FACILITY N E Q �
COUNTY SAMPLE PERIOD lan-June ❑ my -Dec
PERSON COLLECTING SAMPLES or onthlys S month
LABORATORY Lab Cert. k DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flo [:]WaterSup I ❑SA
�O#her IG,SS IF
Part A: Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE a
AUGUST- NO FzZlk7
Total event rainfall' or FP<o discharae this neriod'
OutfallNo
Date Sample_
-- -
�Collected,.mo/dd/ r
755
m /L -
s pH „
,;Standard units
COD
..:
.,m'L
c 1011 end Grease
m%L
4ical Collform,
Colonies' er100m1
'Enterococcl,
"'ColoniesPer ill0ml
:8enchmark:
,t„100 or 50',:
Wlthln 6.0�9 0',
, ; -120 ".
` - < ,30 -:"€
_-1000',,"
c.'500,
Parameter Code,
�.
,.,'^'COS30,
"- 00400�';,,,
-000340
`.' 00556� a
31616'',
61211? .y
' Only applies to facilities that use/process meats.
'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.
4See 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? Dyes ❑ no
(± vescomplete Part B)
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfa11 No
Dateytmo/dd/yr)' etod
24thol 'nc�fe6�amount
r ,t
New,Mpto`r'y011
t ,Hydiaullc
or
011 UsageM�;
NonSPolar O&0/Totah#
ole
PetrumiHydrocarbons
i Toial Swpended Solids .
m
`SS g/L "' �'- ,
;� A mg /L*S0 mg/L' 4
48829y , i
F, r „ ' ,NCOIL` „ tir ,
i : ; :, 00452 , "- "
t ' C0930,
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 5E TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES JNO
IF YES, HAVE YOU REGIONALO FIICECONTACTED THE NAME:DEt�\(,feG� pL\t�FJCtEs YES
Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for 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 27699-161Z,
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
Permit Date: 11/1/2018-05/31/2021
_'�-3 - 101i
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2