NCG060288_DMR_20200225

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted . 'Z V S�Zv
1 r, �I ) 0
CERTIFICATE OF COVERAGE O. NCGO6 �' J `� SAMPLE COLLECTION YEAR
FACILITY NAME 4 e L.G& SAMPLE PERIOD ®Jan-June n July-Dec
COUNTY Lt( I 4 /, .i/� or I I Monthlys (mo h)
PERSON COLLE ING SAMPLE Ji I Lfrv, /e.# 11 't( DISCHARGING TO CLASS IORW nHQW nTrout �PNA
LABORATORY�ivviUry .vCCtPuiS l
� � I 12ero-flow ❑Water Suppl RSA
Other 5;/-4 0/ '
FACILITY ACTIVITIES INCLUDE (check all that apply):
MAR 0 3 NA 1 I use/process meats I I use animal fats/byproducts
CENTRALEMIR TON
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2�, V or 1 I No dischafge this period'
Part A: Stormwater Benchmarks and Monitoring Results Fecal Coliform, E�1 erococci,
Date Sample TSS, pH, COD, Oil and Grease, L
Outfall No. mg/L Colonies per 100 ml Colon Es per 100 ml
Collected,mo/dd/yr mg/L Standard units mg/L 10001 5001
Benchmark - 100 or 504 Within 6.0—9.0 120 30
Parameter Code - C0530 00400 _ 00340 00556 31616 61211
0 /9(‘,/zv 7,d (c, 35 -.7/2
0 eco/Z0 //f / 7f 0 3 y <. . u
, 0 3,70(p(zo ;a',4` (L, i l-( `'2
Lc, o l/ du/ ZD J w,v (p( 7 3 3 4 4', `= 1
(;�,9 /Or/zi? 7. �f 7 7 3/ 4 5', U�
'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 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.
'Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same cutfall.
Did this facility p erform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?I I yes no (if yes, complete Part B)
SWL-249, Last Revised 11/5/2018
Permit Date: 11/1/2018-05/31/2021 Page 1 of 2

Part B:Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Total Suspended Solids
Outfall No. (mo/dd/yr) Inchesz Hydraulic Oil Usage Petroleum Hydrocarbons
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
Parameter Code - 46529 NCOIL 00552 CD530
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 DMR, including all "No Discharge"reports, within 30 days of receipt of the lab results(or at end of moritorinq 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 rry 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."
a a4
Signa ure of Permittee Da e
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 , ?' Z S�Z0
CERTIFICATE OF COVERAGE NO.NCGO6_ 0 ,g ' SAMPLE COLLECTION YEAR SO oZ U
FACILITY NAME My !%7(,, fsi7t L— SAMPLE PERIOD ,EZ Jan-June ❑July-Dec
COUNTY Ad,', / ,//��,,, or El Monthly5 (mon h)
PERSON COLLECTING SAMPLES To11 vri /r'l�(l>`�
LABORATORY i/0rp4Y j a Cert.# �/� DISCHARGING TO CLASS ❑ORW ❑HQW ['Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
]Other fui4C P LIJI)( *--
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE-3
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or ❑ No discharge this period3
Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
Outfall No. Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
(o Od / v/zO //, u ro, -L( 35 4c 0
1 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.
"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 ou:fall.
0(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.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Total Suspended Solids
Outfall No. (mo/dd/yr) Inches2 Hydraulic Oil Usage Petroleum Hydrocarbons
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
*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 DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of mon'torinq 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."
CI) a a
Signature of Permi tee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2