NCG060282_MONITORING INFO_20190715

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Nc G b� as a
DOC TYPE
❑ HISTORICAL FILE
( MONITORING REPORTS
DOC DATE
❑ c)y - ' 5
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
r) _ B RECEIVED
Date submitted
CERTIFICATE OF CO ERAGGI1E N . NCG04 a J,
FACILITY NAME `ci I,enn{/\
COUNTY JSJC4cI
PERSON COLLECTING SAMPLES 2 �.
LABORATORY E{��\\rTj( �rlK r1 lab rt. q ��
Part A: Stormwater Benchmarks and Monitorine Results
J/�� Q JUL 105 2913
du SAMPLE COLLECTION YEAR o 13 DENR-LAND QUALITY
SAMPLE PERIOD jlan-June ❑July -Dec STORMWATER PERMITTING
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
Ej�ero_flow ❑WaterSuppl ❑SA
Other PJQSS Cat [,1
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats M use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE •i
Tntnl ovnnt rnfnfnll d ! I r /nr F Aln .4i«6.,...., HA;... ;_A3
Outfall No.
Date Sample
Collected, mo/dd/ t
TSS,
mg/L
-. ,. pH, ;.
Standard units
..COD,
mg/L
OIIiand Grease,
mg/L• -
Fecal Collform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-' •;
'100or50°`'
Within'6.0 '9.0'
120 ;'
30
-1000' - -
- Soo'
Parameter Code
---
C0530 `..
1,00400
-00340
-': .s00556
31616 --
` ' 61211
In
.he a al precipitation
ci itation ust useeprocess sing.
'The total precipitation must be recorded using data from an on -site rain gauge.
\'^rh\
For sampling periods with no discharge at any outfalls. You must still submit this discharge monito ing repo it a chec mark 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? Ivyes ❑ no (ifyes, 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 averaging > 55 gal of new motor oil/month.
Outfall No.,
Date Sample Collected
_(mo/dd/yr)
24-hour rainfall amount,
_
Inches
New,Motor Oil or
Hydraulic OIIUsage -
Non -Polar O&G/Total
Petroleum Hydrocarbons
:Total Suspended.Sollds
Benchmarks
' `
15 mg/L -".. . ---
100 mg/L or 50 mg/L' "
Parameter Code .'
-• - -
'46529 -.
- NCOIL ..._ :
.,_ .-00552 .. ,..
`- .. COS30
Footnotes from Part A also apply to Part B n' -
cd-
*FOR PART A AND PART B MONITORING RESULTS: - 5;Z st'�5:)A,'tl � M��,
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION .
• 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
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 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 27699-1612,
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
imprisonment for knowing violatijLns," _
Signature of
Permit Date: il/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. NCGO60000
Date submitted C3
CERTIFICATE OF CO,t!tERAGE N44 NCG06
FACILITY NAME , `t\c E.nY7n{6 `(Y��ii
COUNTY CIA
PERSON COLLECTING SAMPLESAllen
LABORATORY �i��kkf-o&Y1ys% Lab rt. # qy'
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 0 I
SAMPLE PERIOD jJan-June ❑ July -Dec
or ❑ Monthlys (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
ero-flowr .❑WaterSuppl❑SA
Other l jOSS- C t t ] GK,�
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Mouse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE `>
10
Total event rainfall' o T or ❑ No discharge this aeriod3
OutfallNo.
Date Sample -.
Collected,;mo/dd% r-
T55,
I mg/L ' : "
pH
Standard units ;
., COD,
m L =
Olhend,Grease,
m /L
Fecal`Collformu
Colopec100 ml. '
,.Enterococtl,
Colonies per100 ml
Benchmark, '
,• '�
'100'orSO' .°_WIthIW60
-9.0.
":`' 120:
"• 30 "-_
-10001.
- Soo,,
Parameter, Code
C0530 `' -_
'•00400 •
,. - 00340 ='r
61211
(
A
' Only applies to facilities that use/process meats. • G, ^ -_ ^ J ,.l • t c,_ c\
'The total precipitation must be recorded using data from an on -site rain gauge. !�. +.J� � / Vry�' l\ \
'Forsam lin g _y g mr• gC po ma the �s
p g periods with nodischarge a at an outfalls. You must still submit this discharge mon�to in re omit a chec mark here.
°See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sMonthly 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? ayes ❑ 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 averaging > 55 gal of new motor oil/month.
Obtfall No
Date,Sample Collected
(mo%dd/yr) , ` ar
24-h6ur ralnfall amount _
. Inciieai
? New Motor OII or:-;
Hydiauhc OII Uaega
Non.Poler 0&G/Total
-Petroleum;Nyorocarbons
Total Suspended Solids
Benchmarks :.,...
.r ;'_ , "�'
... .. . ,.
�tr„ :"i� 'f
...:. -: .� . �9
,;" `+^-
., . f , .:.
r.15m L.�"' `
K g/ ....
4.
`100 mg/Lori50 mg/L :
P,argmecCode °. •, ,
',.te:.464
' ., - +-
29` iva'
" '!NCOIL
' -'r 00552.."
tow
Footnotes from Part A also apply to Part B -Y� No — Afa1i /v fTOc � 4
*FOR PART A AND PART B MONITORING RESULTS: GT',� M� ,
• 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
• 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receipt of the tab 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 27699-1612._
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
imprisonment for knowing violatigns,° -
Signature of
Permit Date: 11/1/2018-05/31/2021
-r
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2