NCG080201_MONITORING INFO_20190719

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�CG O b D a ��
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ �� I
YYYYMMDD

M
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG080000
Date submitted o, jskg
CERTIFICATE OF COVERAGE NO. NCG08 e z o % SAMPLE COLLECTION YEAR -LD)C9
FACILITY NAME tWr_S SAMPLE PERIOD Jan -June ❑ July -Dec
COUNTY FoRs�H ECEIVEL� or ASS ]IORW (month)
PERSON COLLECTING SAMPLES Sn,.wj SH c� ISCHARGING TO CLASS ❑HQW ❑Trout ❑PNA
LABORATORY N Lab Cert. # 11R JUL 19 P019 ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: ❑Other
CEiN 1 rv;u TILES
Cao a5 ak s� DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ® yes ® no (if yes, complete Part A)
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ® No discharge this period'
Outfall,No..'
Date Sample Collected'' :
(mo/dd/yr) ` -
24-hourrai6fall,amobnt, ..
_ Inches;
Non -Polar Oil .&•Grease-
. mg/L -
- Totalisuspended Solids, .'
- mg/L,
New Motor or Hydraulic Oil Usage,
- gal/mon -"
-Benchmarks'
_
-.
15
100 or 504
Parameter code`
-
'" 46529
- '00552
G0530--
NCOIL
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoringreport with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BOL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Permit Date_: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
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Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) El No discharge this period'
Outfall .
No
,. ..;�� f -. • ;h
Date;Sample
Collected
:...�.(mo/dd/y,.G r)` ;
r'24-hourrainfallSample
amount;,
,.
i Inches'.` ,
Collected'
m
.�. �.. :":.
,
d
4.r'';.8m8/L •�
pH
Stan ardunits
.�..
�' L,.x,..:;
Non -Polar,
Grease
. -. img/t _ "`iti ,'
iPermrt{Cimrta„'•t4 y„'i,
�-.- . •�,5 t?...d
-.C.,
.r Sr
r `. •. -..
..:. -=- .. _
r�.,`100`or 50•% .,' �.
r 6 0 9
,Paramefe� Code •r
* - -,
t
.: x �. " 46529 a- ,�
, ;,. '- _" '
3_
'--i.`60530,.;
.00406� , -
00552
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 ATANY ONE OUTFALL? YES []NO[]
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal copv of this DMR, including all "No Discharqe" 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, North Carolina 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."
bl
Date
Permit Date:11/1/2018-S/31/2021
SWU-248, last revised 11/1/2018
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