NCG060209_MONITORING INFO_20191007

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
,��� ono ao q
DOC TYPE
❑ HISTORICAL FILE
IVMONITORING REPORTS
DOC DATE
❑ �� I O
YYYYMMDD

for North Carolina
STORMWATER DISCHARGE MONITORING REPORT r�
Division of Energy, Mineral and Land Resources General Permit No. NCG060000 RE�F1\%t t-j0
CERTIFICATE OF CO'V.EIRAGE NO. NCG060 �O
FACILITY NAME W cLW Pet
COUNTY
PERSON COLLEC ING SAMPLES
LABORATORY Lab Cert. tt
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted l0'I'') l
SAMPLE COLLECTION YEAR CP, o 19
OCT 07 2019
DENR-LAND QUALITY
STORMWATER PERMITTING
SAMPLE PERIOD ❑ Jan -June ❑ Jul -Dec
or [J}nthly' t froonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flown'❑WaterSuppl ❑SA
Bather GrtSS 04 �W
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ue animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
SEP—r— No FLocO
Total event rainfall' or sscharge this period'
.Outfall�No. -
' .,, I ^ :
Date.Sample
, Collected,.mo/dd/yr-
TSS . , .,
- mg/L :,
,_ > ,:pH,, . 5
Standard units
COD,- .
�•. ' m /L - ,
011 and.Grease, .,
. m'/L.
Fecal,Collform,
Colonies per 200 ml
Enterococcl,
Colonies per 100 ml
--Benchmark'.' `
- `--- -
100 or 504 :°
Wlthln 6:0 - 9.0
- 120
, _ „ 30 . ,,
30001
, 500,
,Parameter Code.
- -
'C0530 -
'•" 00400 5-'
'00340
=' 00556..r ,'
31616
61211
1 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.
45ee 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/l/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 > 95 gal of new mntnr nil/mnnth
Outfall No.
Date,Sample;Collected
(ma/dd/y€)' y
24-hour ralnfall amount
�..; Inches' -
New Motor 011 or
Hydiaullcb(] Usagi"-
Non -Polar 0&G/Total
,}Petroleum Hydrocarbons ,
Total Suspended Solids '
Benchmadrks
15 mg/L
100 mg%L or SOmg/L°
.Parameter{ode-
x00552.;,
�.
CO530 '
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 Iff NO ❑
IF YES, HAVE YOU CONTACTED THE DEVLR R GION L Qf f ICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: �.L 11 l C—
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
161Z,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 violatiWs.°
Signature of Pe
Permit Date: 11/1/2018-OS/31/2021
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
CERTIFICATE OF CO,V.EIRAGE NO. NCG060 a O
FACILITY NAME W c W t
COUNTY .1rn)
PERSON COLLEC ING SAMPLES
LABORA
Lab Cert. N
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted
SAMPLE COLLECTION YEAR 0 Q I 1
SAMPLE PERIOD ❑ Jan -June ❑ Jul -Dec
or [gIW6nthly' i tmonth)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow F]WaterSupply SA
❑ether G�uS S T
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats se animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
5EP-r-- A Jo FLo c 3
Total event rainfall ? or I D- ischarae this period'
Outfal6No
Date Semple
S
Collected:mddd/r..,,>m/L
- TSS,
pH,;,
K ,..
Stan daidonits
„COD s
;.
..,.,in L.,.'
-; OII and: Grease;,
>' m°/Lc.
-Fecal Collform, '
Colonles'er100m1
- . �Enterococcl,
Colonlespei-100mh
Benchmark
.,.._':tzt100or5045:=';Wlthlnl6:b-90,
...u120 ,„pf�„
, 90' = ,
'_ .;,t:1000''
-'-5001.
ParometerCode
-
_:-'"C0530 -�'
_, '?00400
,°='00340 .
, `00556"-
' 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.
'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 exceedahce 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
Permit Date: 11/1/2018-05/31/2021
(ifyes complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month
Outfell No
c 0gte` jma/ddCorleMed k
lY ), ,..,
t F n
24 hou 'ne„�eiamount
w t ,
1;t NewlMotor
, Hydroullc
-
011or ,
OII Usage t
.
,z Non P6 r�0&0/,Totalk
fir' oumjHydrocarbons
f To2al Suspended Solids
Benchmarks ' F z u
-
5 , t:•d Eo , ., Pi.� k,.i.
k.4 i a i e�i M
a,,
p
��-}3
.Pcrometerx de . ra
t: ; `«, , -.
3, �a - - �,a -fi
484 Y y .,
rvF s.' , sa s
i., a NC01L
, •� i'-
k k 00442
' ' z `CO
# 430
Footnotes Prom 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 EXCEEDENSE FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES Eff NO ❑
IF YES, HAVE YOU CONTACTED THE DEiALR Q[f I` ES7—YES�A , NO
REGIONAL OFFICE CONTACT NAME: ( Ll� l Il
Mail on 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
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
Permit Date: 11/1/2018-05/31/2021
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
CERTIFICATE OF CPV`ERAGE NO. NCG066 v
FACILITY NAME W 0.C�Zr VJ PeeT---/�/j---1111
COUNTY �(ACl��rl
PERSON COLLEC NG SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted 8 — S — l 1
RECEIVED
ao (� AUG 08 -Iglig
SAMPLE COLLECTION YEAR DENR-LAND QUALITY
SAMPLE PERIOD ❑ Jan -June ❑ July-DRc STORMWATER PERMITTING
or [g Monthly'��rtij
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Wattener upply ❑SA
Ptlher (✓'1�Jn�
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats se animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
u t,Y— /Vo 25- l,o 4"
Total event rainfall' or �o discharge this period'
Outfall No • �'
• --
Date Sample
C6IIected,:mo/dd/ r
TSS
•,�.,mg/L .,-
pH;-_ .,
�.Sian dard. units
,.COD
.011 and.Grease ,w
mg/L.'.. �
Fecal�Coliform,
�Colonles' e'r100 ml
Enterococci,
Colonies per 100 ml
Benchmark"'
00 or 50" s
Wlttiln'6:0 - 9 0
;120
; -,. 30_'
30001
500'
-06ramefer'Code
i;
C0530 :;
00400(':
w00340
00556
31616
61211
1 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.
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? ❑ yes ❑ no
(ifyes, complete Part B)
5WU-249, Last Revised 11/5/2018
Page 1 of 2
Permit Date: 11/1/2018-05/31/2021

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month
Outfell No
•
Date Sample,Collected
:Imo/dd/y'r)_y
24 hour ialnfall amount
i
Inches_
', New Motor 011 or
Hydraulic 011,Usege ;.
Non•Polar 0&G/Total
ro +'
Petroleum Hydrocarbons'
aTotal Suspended Solids
Benchmciks
'
s,
SS mg/L
d00 in on50 mg/L^
;Parcineter,Code, ,4S'sz
v ,,•.t `. �..... `.
,':,'.. Ys 46529'
,005521.r.r."
�� fO530'
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES �10
REGIIONAL OFFICE CONTACTENAME:IF YES, HVE YOU CONTACTD THEDEJv -0, E�GIONA\1�F1FSCE? `t t0
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
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 violatiSLns.;
Signature of
Permit Date: 11/1/2018-05/31/2021
8- S�
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2