NCG060379_MONITORING INFO_20191204

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ o� b I �% a y
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06-0 3 7 i
FACILITY NAME ?k (4,6 MS
COUNTY R6 ndolpy
PERSON COLLECTING SAMPLES Zachary Oyrd� T) n ILdf 2v
LABORATORY Rd1 Lab Cert. # 3L4
RECEIVE®
DEC 0 4 2019
CEN 11<AL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June Xuly-Dec
or ❑ Monthly' (monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow �Oiilater 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 r 111 b 3l ❑
Outfall No.
Benchmark
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
100 or 504
pH,
Standard units
Within 6.0 — 9.0
mg/L.
CffJ00556
ornfa
,
or No
Fecal Coliform,
Colonies per 300 ml
10001
discharge this pernoa-
Enterococci,
Colonies per 100 ml .
5001
Parameter Code
-
C0530
00400
0
31616
61211
1
101
♦
ato
G
.0
6.
—'- y app 165 w lal.mueS Mat UJeIPI ULUS� IIICdtb. _
'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.
d this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes $no (if ves, complete Part 8)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018

art 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 Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
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 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 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 27699-1617
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 Permittee
Permit Dat. /1/201"5/31/2021
11 , )7-(9
Date
SWU-249, Last Rev, 11/5/2018