NCG060348_DMR_20200601

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 06/01/2020
CERTIFICATE OF COVERAGE NO. NCGO6 0 3 4 8
FACILITY NAME American Skin Food Group.L.L.C. SAMPLE COLLECTION YEAR 2`120
COUNTY Pe'•de` SAMPLE PERIOD [h Jan-June ❑July-Dec
PERSON COLLECTING SAMPLES N.A or [ Monthlys M N.
LABORATORY NA
(month)
Lab Cert.# N/A DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
Q e , [Other c.ssa
`E( Fi t/ED FACILITY ACTIVITIES INCLUDE(check all that apply):
PP Y):
JUN 1 1 2020 KC use/process meats crJIi_i use animal fats/byproducts
CEN 1 riAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE --
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall2 or El No discharge this period'
Outfall No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Conform, Enterococci,
Collected, mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
_Benchmark 100 or 50° Within 6.0—9.0 120 30 10001 500i
Parameter Code C0530 00400 00340 00556 31616 61211
' Gnly appiri=s 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 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)
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'0" SWU-249,Last Revised 11/5/2018 of
Permit Date: 11/1/2018-05/31/2021 ii+Yat• Page 1 2

Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
Outfall No. Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total
(mo/dd/yr) Inches? Hydraulic Oil Usage Petroleum Hydrocarbons Total Suspended Solids
Benchmarks -
- 15 mg/L 100 mg/L or 50 mg/L4
Parameter Code _ - 46519 NCOII 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 liC NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR RE ION L OFFIC YES X1 NO❑
REGIONAL OFFICE CONTACT NAME: -roll Jai
_Mail an original copy of this OMR, 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,an. complete. I am aware that there are significant penalties for submitting false information,including the possibility of fines and
impri .nmen =r k ,, 1 'g violat • s."
4 / '� . 6 ; ao
df.ture of Permittee Dat
SWU-249,Last Revised 11/5/2018
Permit Date:11/1/2018-05/31/2021 Page 2 of 2