NCG060379_DMR_20200515

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO60000
Date submitted I1/(o�{ f!�� 20 20
CERTIFICATE OF COVERAC73= +IO. t.ICGDG 6 3 ? 9 SAMPLE COLLECTIfli'] YEAR oC6-2b
FACILITY NAMEi 1 r'Sri nn� —
COUNTY �[.+ nCIO Ipk SAMPLE PERIOD � fan -June ❑July -Dec
PERSON COLLECTING SAMPLES Zachcry r�yrd or Monthlys (month)
LABORATORY R-:A Lab C:ari. # DISCHARGING TO CLASS ❑ORY] ❑I'•1OW ❑Trout ❑PNA
❑Zero -flow X111ater Supply ❑SA
❑Cther
RECE1VFn-
MAY 2 8 2020
CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitorine Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
7n*n1 p ,* I ; '_i12 / .< - I I •lam -
Outfall No.
Date Sample
TSS,
pH,
COD,
—///Ju//
Oil and Grease,
- • — U/ "rvv
Fecal Coliform,
uucnuiye cars perroo-
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
100p1
500'
Parameter Code
-
C0530
00400
00340
00556
31616
61211
Dot
!0
002
-Lol�w
y.
7 is
c I
00
0 (2o/zo2o
(o. 11
< S
Only applies w idunucs Wdl use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
s 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 out -fall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes Ono (if yes, complete Part 6)
SWU-249, Last Revised 11 /5 /')ni A

Dirt R_ vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OutfaIf No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Senchmarks
-
-
-
15 mg/L
100 mg/L or 50 rng/O
-
46529
NCOIL
00S52
COS30
Parameter Code
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 oriainal 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 INFORMIATION 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."
-- —� :� 4
Signature of Permittee
Date
Permit Date ./1/2018-05/31/2021
SWU-249, Last Rev, 11/5/2018