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., Storrnwater Discharge Monitoring Report
• fcr North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted —3/9_/a4 D _
CERTIFICATE OF COVERAGE NO. NCGO3 O t4 3 SAMPLE COLLECTION YEAR_— O _—_•____
FACILITY NAME PC,GI,,L.. >f-A .aC., �__ —___.__ SAMPLE PERIOD 1-1 Jan-June [ 1 July-Dec
COUNTY or [i/Avlonthly' f-=4,hL _i-___(month)
REF SON COLLECTING SAMPLES__`1 • ), ,15 4-, DISCHARGING TO CLASS [-IORW DHOW �� J'I'rout [- PNA
LAF3ORATORY_' ?J A n.Ji }I c It Lea Cert. it [_.H•I_ero-flow [__Water Supply I._ IS/\
Comments on sample collectiont or analysis: RECEIVED [ ]Other• ( �l��i, 1.-__.._._-... .__..______...
.. .Ti . ..Zt-'1_C_t_e '_p- C_._.54 f2_s.i.1c'
` —� MAR 16 2020 PLEASE Itiiivli:IVIBElt 10 SIGN ON PAGE!). 2. Ai"Jfl/c►u
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES
DWR SECTION No discharge this period??
Date Sam le 24-hour rainfall H Non Polar 0&G/
P
Outf;rll No, Total Suspended ended Solids P Total CopperTotal Toxic
Collected' amount, Standard units Total Lead Total Zinc Total Petroleum Organics'
(m,/dd/yr) Inches
Ilydracarlsons
Benchmarks — _ --- - 100 mg/L or S0 mg/L4 6.0—9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 rng/L -i mat.
Parameter Code - 46529 C0530 00400 01119 01051 _ 01094 00552- /8141
---- ------- ----
--. .....0_,.____._--_24 Lei/z)0 1/_ 7- y -- _DIA. 5.8... -
---------- --- —-----
--- ---- -- _ .---.__. ___
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Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z 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.
'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
nia lufacture use h ;.lefinition 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
tube manufacture use the definition found in 40 CFR 469.31).
Perm t Date: 11/1/2C 1f:CS/31/2021 SWU-245, last revised 11/1./2018
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Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may he 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 inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, 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. I further certify that this facility is implementing the all the provisions of the
solvent man,3gement plan included in the Stormwater Pollution Prevention Plan."
r�
Name(Priri name)
{ / d/N
�:T\ fr?� W��I;Tf'Ci[ r1cl '1
�i1C.ct
Title(Print title) (/
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Signature ( Dat
Note: Results must be reported in numerical format. Do not report Below 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= „<XX mg/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 must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
C=ai t B: Vehicle P a'ntenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?'
•
Outfaf P o Date Sample Collected' 24-hour rainfall amount, New Motor Oil or Non-Polar 0&G/Total Total Suspended
(mo/dd/yr) Inches' Hydraulic Oil Usage Petroleum Hydrocarbons Solids
Benchmarks - - - 15 mg/I. 100 mg/L or 50 mg/L4
Parameter Code - 45529 NCOIL 00552 C0530
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/:0;l8-05/31/2021 SWU-245, last revised 11/1/20:18
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ri
FOR PART A AND PART B MONITORING RESULTS:
• A BF.NCHMF,RI;E XCEEDANCE 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 EXCEEDENC S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [ f'NO[J
IF YES, HAVE YOU CONTACTED THE DWQ REIONAL OFFICE? YES MI NO Ei
REGIONAL OFFICE CONTACT NAME: —::17h-2d_ .l_�4 „1
Mail an original copy of this DMI?, including all "No Discharge"reports within30 days of receipt of the lab results(carat end of rnonitaritly v_erind in_th
case of"No Discharge"reports) to:
Division of Water Quality
Attn: DWQ Central Files
1.617 Mail Service Center,
I aleigh, North Car('lila'27699-1617
Y!)u 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
the sc persons direct)./responsible for gathering the information,the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am a mare that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
' )6' , Lijalit) 3/9/;°;0
Signature of ofP rmittee Date
•
•
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
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