NCG060364_DMR_20200624

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted Z it 7 q"9 Za2 0
CERTIFICATE OF COVERAGENO.NCGO6 0 3 6 4 SAMPLE COLLECTION YEAR 20 Z D
FACILITY NAME & 5YJ., 4/l—f."..rlyr FA.' "!,/l
COUNTY Pi f7r SAMPLE PERIOD igJan-June ❑July-Dec
PERSON COLLECTING SAIVJPJ.ES Don Gene14 or ❑Monthlys (month)
LABORATORY ,MI4 ^tta CAema`fj'Lab Cert.# DISCHARGING TO CLASS ❑ORW ❑HQW OTrout ❑PNA
❑Zero-flow ['Water Supply ❑SA
Other JD/rC A
cEcEI V Ems` FACILITY ACTIVITIES INCLUDE(check all that apply):
JUL 6 WO
use/process meats ❑use animal fats/byproducts
C..NTR,' FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
T WR SECTlO�'.
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall Z ioa /or ❑No discharge this period3
Outfall No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
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
1 // liep.< 20Zd s q 7.3 33 <S.O my .,4 . ,f -
a // Taee Zotl 7. I 7. ! yS <S•O»y /1/,9 /Yif _
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3For sampling periods with no discharge at m outfails.You must still submit this discharge monitoring report with a checkmark here.
tee 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 outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?❑yes ino (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 Rest only for fadities averaging>55 gal of new motor oil/month.
Outfar No. Date Sample Collected 24-hour rainfall amount, New Motor ON or Non-Polar MG/Total Total Suspended Sands
imo/ddlIYrr k fies2 Hydraulic Oil Usage Petroleum Hydincattions
Benchmarks - - - 15 mglL 100 met or 50 mg/14
•
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 g
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 lob 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,and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fines and
imprisonment for knowing violations."
Z y 04,1P z o z o
Signature of Perrnittee Date
Permit Date:11/1/2018-05/31/2021 SWU-249,Last Revised 11/5/2013
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