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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
El HISTORICAL FILE
Y,MONITORING REPORTS
DOC DATE
❑ � � � f vC)
YYYYMMDD
REC °''ten
FEB 04 ZC
CENTRAL FILES
DUWR SECTION
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 1r2812020
CERTIFICATE OF COVERAGE No. NCG03 J
FACILITY NAME BercoefAmerica
COUNTY Guilford
PERSON COLLECTING SAMPLES Greg Blakely
LABORATORY Eurofins Test America Lab Cert. 0 269
Comments on sample collection or analysis:
Lab results received 112112020
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June [D July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑water Supply ❑SA
[]Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
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
Nan-Palaf O&G/
Total Petroleum
Hydrocarbons
Total 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 ri
1 ni
Parameter Code
46529
C0530
00400 ,
.01119
01051
01094 .,'
00552
78141
NEG 1
12123/2019
1.10
13.4
7.4
<0.010 m911-
<0.075 mg1L
0.0321
<15 mg1L
N/A
SEG 2
12/2312019
1.10
8.40
7.1
<0.010 mg1L
<0.075 mgfL
0.0467
<15 mg/L
NIA
RD 3
12123/2019
1.10
<100 mglL
6.3
<0.010 mg/L
<0.075 mgfL
0.387
<15 mg1L
NIA
' 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, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
5 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 semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
t ube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3
Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the,other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my Enquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics,
(70), 1 certify that to the best of my knowledge and heliet, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the_last discharge monitoring report. 1 further certify that this facility Is implementing.the all the provisions of the
Wvent management plan included in the 5tormwater Pollution Prevention Plan."
Greg Blakely
Name (Print name)
Maint. Assistant
Title (Print title}
re Date
Note: Results must be reported in numerical format. Do not report Beiow 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, "eXX mu/L", 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 most 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??
OiitfallInche'ss'.
Date Sample,Collected''
24 hoor rainfall amountNeui
Motor 011 ors
Hydraulic Oil tJsago,,
v,i
1 Nan Polar O&G/Total
petroleum Hydrocarbons
t•' r
} Total Suspended tM.
,Solids r r
Benchmarks. 1
t - ``"
,ti , 15 mg/L"
100 me/L or 5p mgJL!
Parameter Cddc;
=46529 t v
t3 ACO[i `
C0530r i
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.
Permit Date: 11/1/2019,05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3
FOR PART A AND.P ITN ORING 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 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 OUTFAI.t.d YES ❑ NO ID
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inol copy ot this OMR including all "No Discharge" reports, within 30 dovs o receipt of the lab results for of 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 tinder 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
am aware that there are significant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations."
Signature 0"erntittee i \ Date
Permit Date: 1111/2019-05131/2021 5WU-245, last. revised 11/1/2018
Page 3 of 3