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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv L& 6 n b I
DOC TYPE
0 HISTORICAL FILE
CWVIONITORING REPORTS
DOC DATE
r7
YYYYMMDD
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 1/10/2020
CERTIFICATE OF COVERAGE No. NCG030000
FACILITY NAME Moen 0 7, oQ LP
COUNTY Craven
PERSON COLLECTING SAMPLES Jack Taylor
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD Jan -June July -Dec
or Monthly' December
DISCHARGING TO CLASS [:]ORW [:]HQW nTrout 1:1A
r F ��� ❑ Zero -flow ❑ Water SupplygA
t" W Other
JAN 2 8 2020
Cr_-NTrv,\L FILE) PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
D1r1.rR SECTION
a No discharge this period ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Total Copper.
Total Lead
Total Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics,
Benchmarks
-
-
100 mg/L or 50 mg/L^
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
1 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.
3 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.
A See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. s
Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the
EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for
Permit Date: 11/1/2018-05/31/2021
SWU-245, last revised 11/1/2018
Page 1 of 4
Note: Results must be reported in numerical format. 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 be reported in the format, "<XX mgL„� where XX is the numerical value of the detection
limit, reporting limit, etc, in mg/L.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfall No.
Date Sample Collected'
imo/dd/yrj
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
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 If 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 ❑ [310 IF YES, HAVE YOU
CONTACTED THE DEMLR REGIONAL OFFICE? YES NO ❑ ❑
REGIONAL OFFICE CONTACT NAME:
Permit Date: 11/1/2018-05/31/2021
SWU-245, last revised 11/1/2018
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