NCG060288_MONITORING INFO_20191231

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG 0 �jO a b
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��% % �� J
YYYYMMDD

N
STORMWATER DISCHARGE MONITORING REPORT
y
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF COpVERAG1 �J N9. NCG061�
FACILITY NAME (7CI ii ✓R he4 FfloD S L L G
COUNTY )A!
PERSON Crn I CTING SAMPLES O J D i/Q
LABORATORYfNVGONw•" I " W STLab Cert. N _
DEC 31 2019
C'v^/R S'�CTih.
SAMPLE COLLECTION YEAR 9/
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Other
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 11 l or ❑ No discharge this period'
Part A: Stormwater
Benchmarks and
Date Sample
„ CollecteH mo/dd/yr
-
-
Zia
monitoring RebU,L�
TSS,
mg/L
100.or50'.
-00530
9
I1z0
7
d
pH,
Standard units
Within6.0-9.0
00400
—
�
try
COD,
mg/L
034
00340
0
�� �
O
Oil and Grease,
mg/L
30
00556
<5
tS
<S
Fetal Collform,
Colonies per 100 nil
10003
31616
Enterococcl,
Colonie5�r300 nil
r
61211
Cl tfalLNo.-
.Benchmark,.
Parameter Code
z of / ti
o f / h
y
1 z/or t'I
' Only applies to facilities that use/process medo.
'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 k, 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

cc -I ,.f ... motor oil/month
Part B Vehicle Maintenance
Area Monitoring Results:
=77777-7
,rDateSampie Collected k
.° rj mo dd ' `
zJ. ( /
r t <f r .' yvr
=
only
24hour rainfall amount;-,
Inches
46529
New -Motor Oil or.
-
Hydraulic'OB Usage
NCOIL
_.
Non=Polar O&G/Total
, Petroleum Hydrocarbons
15 mg/L ::
00552
Tota SuSpendetl'Solids
10o mg/Lor,50'mg/0:,
C0530 •,
�Outfali No g
Benchmarla t�
Paroitiefer,Code''
�3Y-
i
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 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
of "No Discharge" reportsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 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 C
impriso ment for ing violations."
�,� ��
i
SWU-249, Last Revised 11/5/2018
Page 2 of 2
4
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
Date

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF CO/VERAG1 /E N9. NCG06- L G
FACILITY NAME BAN lea �%
COUNTY � f
PERSON COLL CTING SAMPLES n1 o ✓
LABORATORY / Cl W,f hab Cert. #
Part A: Stormwater Benchmarks and
Outfall No..
Date sample
. Collected'rno/dd/yr
Benchmark-.
-
ParameterCode
-
Iz v/ /
Z-l7-r
SAMPLE COLLECTION YEAR 9;ro/
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
]Zero -flow/ ❑Water Supply ❑SA
@Other JN✓{tf/(%jr/af((✓
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
dtoring Results Total event rainfall / or ❑ No discharge this pi
TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
...en Colonies oer 100 ml Colonies per110(
100or50' 1 Within 6.0 — 9.0
00556
Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
e benchmark applies.
4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protectiv
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? ❑ yes ® no (if yes, complete Part B)
SWU-249, Last Revised 11/5/2018
Permit Date: 11/1/2018-05/31/2021 Page 1`of 2

in > 55 al of new motor oil/month.
Part B Vehicle Maintenance
Area Monitoring Resuits
'*Date Sampletollectedkr
Imo/d`d/yi) ' .+
' ^
only for facilities averagg
•{24-hOur,7ainfalPamounti
•, Inches2
46529
g
New Motor Oil or
Hydraulic Oil Usage
NCOIL
Non -Polar O&G/,Total. - •_
;;Petroleum Hydrocarbons,
SS nig/L•;`
00552' +
Total Suspended Solids
: r100 mg/Lor 50mg/O
C0530`j
r"i� ".-,�,.`s t c
4 O_utfall+No 'ts
PcTomete`r,Code�?,
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 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 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 ot the lab results or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral Files
1617 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
I
on ent for knowing violations."
z i7 �9
Signature of Perm ttee Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2618
Page 2.6f 2