NCG060379_MONITORING INFO_20200127

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV U& Ob D 37 /
DOC TYPE
❑HISTORICAL FILE
�( MONITORING REPORTS
DOC DATE
❑ dN� 0 t) �
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO60000
Date submitted _ 1n 17, 20.2o
CERTIFICATE OF COVERAGE NO. NCG06 D 3 -7 q
FACILITY NAME 'Pkiov-1 s
COUNTY Sa h
PERSON COLLECTING SAMPLES Byrd _
LABORATORY R -i, A Lab Cert. # � q
SAMPLE COLLECTION YEAR 02019
SAMPLE PERIOD ❑ Jan -June X July -Dec
or ❑ Monthly` _ — [month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow gWaterSupply ❑SA
❑Other
RECE_ FACILITY ACTIVITIES INCLUDE (check all that apply):
'QED ❑ use/process meats ❑ use animal fats/byproducts
JA N 2 7 2020
CCNT�`e� FIPEEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' Q. 75 or ❑ No discharge this Period3
Outfall 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
Enterococcl,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
10001
sow
Parameter Code
-
C0530
00400
00340
00556
31616
61211
003
lall3la
-7.y
as
�s
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any 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 N no
(if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018

4, Y
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal' of new motor oil/month.
Qutfal! Na.
Date Sample Collected
jmo/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/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 11 SECTION B.
• 2 EXCEEDANCES 1N 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 ❑ N0I
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR including oil "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring eriod 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." /I— 4
Signature of Permittee
i
1 t� a0
Da e
Permit Dat. `/1/2018-05/31/2021 SWU-249, Last Rev, 11/5/2015