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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ a
YYYYMMDD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
CERTIFICATE OF COVERAGE NO. NCG12 o 1 0 7
FACILITY NAME Great Oak Landfill
COUNTY Randolph
PERSON COLLECTING SAMPLES Glenn Price
LABORATORY Research 8 Analytical Lab Cert. 9
Comments on sample collection or analysis:
34
Date submitted
Part A: Stormwater Benchmarks and Monitoring Results
2019
SAMPLE COLLECTION YEAR 20A
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
EC`•EIVED or ❑® Monthly' September (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
NOV 13 2019 []Zero -flow [:]WaterSupply [:]SA
CEN I KHL rILE5 ❑Other
.DWR SECTION PLEASE REMEMBER TOSIGN.ONTHE REVERSE 4
n Nn disrhnrnp this nprind2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg
Fecal Collform
Colonies per 100 mL
Total Suspended
Solids
mg/L
pH,
Standard Units
Benchmarks
-
-
120
1000
100 or 504
6.0-9.0
Parameter Code
46529
00340
31616
C0530
00400
' 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 monitoring report 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.
4 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, BDL,<PQL, Non -detect, ND, or other similar non -
numerical format.. When results are below the applicable limits, they must bereported in the format, "<XX mR/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".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 2, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:. 11/1/2018-5/31/2021. SWU-248, last revised 11/1/2018
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑® No discharge this period=
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
15
100 or SW
Parameter Code
-
46529
00552
C0530
NCOIL
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 1, 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 11 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 ANYONE 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 lob results for at end of monitorina 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 ANY4NFORMATION: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 thatqualified 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 forgathering 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 Date: 11/1/2018-5/31/2021
// La/
Dat
SWU-248, last revised///1/2018
Page 2 of 2
vs*o
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted October 2019
CERTIFICATE OF COVERAGE NO. NCG120 1 0 7
FACILITY NAME Great Oak Landfill
COUNTY Randolph
PERSON COLLECTING SAMPLES Glenn Price
LABORATORY Research s Analyhcal Labs Lab Cert. 4 34
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑Jan -June ❑July -Dec
REe E I1 f I= f` or ❑® Monthly' October (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
NOV 13 2019 ❑Zero -flow ❑Water Supply ❑SA
CENTRAL FILES ❑Other
DINR SECTION PLEASE REMEMBER TO SIGN ON THEAEVERSE 4
❑ No discharge this periodz
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
Demand
mg/L
Fecal Coliform
Colonies per 100 mL
Total Suspended
Solids
mg/L
PH,
Standard Units
Benchmarks
_
-
120
1000
100 or SW
6.0-9.0
Parameter Code
-
46529
00340
31616
C0530
00400
SB2W
10/16/2019
1.6
13
200
5.6
7.76
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report 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, BDL, <PQL, Non -detect, NO, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/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".
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.
Permit Date: 11/1/2018-5/31/2021
SWU-248, last revised 11/1/2018
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this Deriodz
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inche53
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
15
100 or 503
Parameter Code
-
46529
00552
C0530
NCOIL
SB2W
10/16/2019
1.6
<5
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 AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER REQUIREMENTS. SEE PERMIT PART 11 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 for at end of monitorina 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. MUSGSIGN 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
amaware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/112018-5/31/2021
// 8 7_0I
Date'
SWU 248, last revised 11/1/2018
Page 2 of 2