NCG060043_DMR_20201202

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted it CI mI:v r 2 2020
CERTIFICATE OF COVERAGE NO. NCGO6 K)_OLL SAMPLE COLLECTION YEAR 9 ono
FACILITY NAME =LX\C ( anc_o r Ca:4-1u SAMPLE PERIOD ❑Jan-June RI July-Dec
COUNTY re) f 5�-}4, or ❑ Monthlys (month)
PERSON COLLECTING SAMPLES n'or, vlc>`rkkji L
LABORATORY Cp Af\c -\Y- c c i Lab Cert.# ')I'A"1..)z? `r (033 DISCHARGING TO CLASS EORW ❑HQW ❑Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
RECEI\fFn Other C
FACILITY ACTIVITIES INCLUDE(check allithat apply):
DEC 21 2020 ❑ use/process meats ❑ use animal fats/byproducts
CENTRAL FILES
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 or ❑No discharge this period3
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1 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 outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑yes Ono (if yes, complete Part B)
Permit Date:11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
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Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
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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 monitoring period in the case
of"No Discharge"reports)to:
I
ivision of Water Quality
ttn: DWQ Central Files
617 Mail Service Center
Faleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORM TION REPORTED:
"I certify, under penalty of law, that this document and a I 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 responsibl 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."
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Signature of Permittee (_—, Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
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