NCG060196_MONITORING INFO_20190225

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v U& plJ / 6
DOC TYPE
❑HISTORICAL FILE
'MONITORING REPORTS
DOC DATE
❑ �C �GI �/``i `�'' J
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land/Resources General Permit No. NCGO60000
Date submitted _ ' / ` �0, !2 0
CERTIFICATE OF COVERAGE NO. NCG06-01 _q_(V
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES.&e e.V -c
LABORATORY_,/' %- 5 Lab Cert. a
RECE TM
FEB 2 5 Z019
.s L. NTRA, i-iLES.
pWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 'A U
SAMPLE PERIOD Jan -June ❑ July -Dec
or Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Other ; ff e pC e-/r
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 12!/r ✓C ❑ No discharge this period
Outfall No. r
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
2 Y - p p
100 or W
Within 6.0 — 9.0
120
30
10001
-Soo,
Parameter Code
C0530
00400
00340
00556
3M16
61211
.�D
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' 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.
5Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ;?(no (if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part 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 orUsage
Non -Polar O&G/Total",
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L° .
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 1_XCEEDENCES 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 3D days of receipt of the lab results (or at end of monitoring period in the case
oL"No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, INC 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
Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

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_01 �� SAMPLE COLLECTION YEAR
FACILITY NAME . j& I e, � .
SAMPLE PERIOD Jan -June ❑July -Dec —
COUNTY LFa n e a r„ H cr or Monthly'_ (month)
PERSON COLLECTING SAMPLES
LABORATORY —,C T jr ^ Lab Cert. # /I%C 6 O!' DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Other _/ter _ �7-44Apj-ffC rC r
Part A; Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Total even t rainfall z >' 1' ✓Ce2 ❑ No discharge this period'
0utfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L _
pH,
Standard units
COD,
mg/L
Oil and Grease;
mg/L
Fecal Coliform;
Colonies 'per'100`ml ;
Enterococci,;,
C01061es'per,'100im1„
Benchmark
Q
100 or SW
Within 6.0 — 9.0
120
30
10001
"Soo',
Parameter Code
-
C0530
00400
00340
00556
31616
O
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
' 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.
5Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes �no (ifyes complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging a 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24=hour rainfall amount,
Inches2
NewVotoi Oil.or "
Hydraulic .Oil Usage
:Non Polar O&G%Total
,
�Petrbleurn Hydracarbonsi
Total Suspended 5olyds�
Benchmarks
-
-
'-15 mg/L`; M'�i�" « °
,�'.100 rrsg/L;o'r 50 mg/L4 ,i,
Parameter Code
-
46529
NCOIL,
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 DM& including all "No Discharge" reports, within 30 days of receipt of the lab results for 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 offines and
imprisonment for knowing violations."
Signature of Per
Date
Permit Date: 11/1/2018-OS/31/2021
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO60000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06,�17j SAMPLE COLLECTION YEAR
FACILITY NAME �I��C�, dc�� , _ _
�-- SAMPLE PERIOD Jan -June ❑ July -Dec
COUNTY ,� t c' spa L2 e- or Monthly' fmonthj
PERSON COLLECTING SAMPLES ! ,G—e �U 5
LABORATORY C T Lab Cert. # DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
Rothe rT - en: �% l?9: jie I'C et
Part A: Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall S:r ❑ Na discharge this period3
Outfall No.3
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mgJL
Fecal Cdliform;
:Colonies per 100'mly ".
Enterocacci,;
• Colonies perA00;rn1- ,,:
Benchmark
J - - !(0 atq
100 or 501
Within 6.0 - 9.0
120
30
10001
.5001,'
Parameter Code
-
C0530
00400
G0340
00556
31616
61211-
o
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at My outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes �no (if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part 8: 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�0&G/Total
Petroleum Hydrocarbons
us
Total Spended ds ;
_ y� Soli
y_, Ali,•,
Benchmarks
-
-
15 mg/[ ; "„
„i100 mg/L{;o'r 50 rrig/L",`'
Parameter Code
-
46529
NCOILr
COS30�;
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,YQ.UR 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:
•ti.
Mail an original cop.V of this DMR,_including all "No Discharge" reports within_30 days of receipt of the lab results (or at end ojmonitoring 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
G 2 e�-7
Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 2 of 2

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_oj (!7 SAMPLE COLLECTION YEAR
FACILITY NAME. :rU r . M
COUNTY �ri SAMPL'PERIOD Jan -June ❑July -Dec
�`'1�—�— A" f� or Monthly' month
PERSON COLLECTING SAMPLES a -t
LABORATORY -- 7-Lab Cert. # DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water supply ❑SA
Other _U,A �5M:44
Part A: Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rarnfali� r ❑ No discharge this period'
Outfall No
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Greasei
mg/L
Fecal Coliform,
Colanies'pef 100'ml-'`
Enterococci;; ~ ;
"=.Colonies;per100.m1-•;
Benchmark
30
10001
500'
Parameter Code
-
C0530
00400
00340
005%
31616
6121.1 "
1 Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at aM 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.
5Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes �no (if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part 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 oF_.
Hydraulic Oil;Usage'
:Non Polar O&G%Total
i:Petroleurii HydrocarbonsH"'
TotahSuspended Solids
Benchmarks
-
-
-
15 mg/Lc; k;" ;; ;
j x100°mg/L,or 50Emg/La
Parameter Code
-
46529
NCOIG`.
00552-00530�
h` .
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 EI 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
Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 2 of 2