NCG060196_DMR_20201117

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted j/^ l 7 f 0
CERTIFICATE OF COVERAGE NO. NCG06__.01q_j SAMPLE COLLECTION YEAR g O ,„.0
FACILITY NAME S 1/COO .-.L»eL SAMPLE PERIOD n Jan-June July-Dec
COUNTY 17v n eb mite, __yjJ or ❑ Monthly5 (month)
PERSON COLLECTING SAMPLES 'I .c ♦ Rey.,Ve-$
LABORATORY if 7$ Lab Cert.# e (o DO DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED�q ❑Zero-flow ❑Water Supply ESA
I �I �LJ Other (J T i 5J',;T ,'M:ad,e.,.Jc
NOV 3 0 2020 FACILITY ACTIVITIES INCLUDE(check all that apply):
CENTkr, HLES ❑ use/process meats ❑ use animal fats/byproducts
MNR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall • 477r n No discharge this period'
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 IO. 2 g -X02 p 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
_._L_. i 4` 7. 9 2. <so < .5. 0
' Unly applies to facilities that use/process meats.
Inc total precipitation must be recorded using data from an on-site rain gauge.
'1 or sampling periods with no discharge at a ay outfalls.You must still submit this discharge monitoring report with a checkmark here.
'see General Permit text, fable 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 'no (if yes, complete Part B)
Permit Date: 1.1/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B:Vehicle Maintenance Area Monitoring Results: only for facilities averaging>55 gal of new motor oil/month.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Total Suspended Solids
Outfall No. (mo/dd/yr) Inches? Hydraulic Oil Usage Petroleum Hydrocarbons
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
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.,
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q 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:
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."
Signature of Permittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

•
STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted /l^ 1 7 . V
CERTIFICATE OF COVERAGE NO. NCG06_0_1_q_6, SAMPLE COLLECTION YEAR g, O �d
FACILITY NAME_MI1hce ZJ'te, SAMPLE PERIOD ❑Jan-June July-Dec
COUNTY___ p'vryl0,p rj_j2 _�1 or ❑ Monthlys (month)
PERSON COLLECTING SAMPLES'''.(r, Iee e_lie %
LABORATORY_if 775 Lab Cert.# we G DO DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flow ['Water Supply ❑SA
j,gl?ther (J T S,rr,;Th //fs:ll4 e.oes
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 'Zr4 ❑ No discharge this period'
Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
Outfall No. Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark IO. 2 g -xo2 0 100 or 50° Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
/3 7, 3 74t � d
Only applies to facilities that use/process meats.
I he total precipitation must be recorded using data from an on-site rain gauge.
I or 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 Xno (if yes,complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Total Suspended Solids
Outfall No. (mo/dd/yr) Inches Hydraulic Oil Usage Petroleum Hydrocarbons p
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
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 ❑ Noriv
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:
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."
016-1.1-ece.„.7— lI - I 7 - v
Signature of Permittee Date
Permit Date 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted //— 1 7 - v
CERTIFICATE OF COVERAGE NO. NCG06._0 q_6, SAMPLE COLLECTION YEAR g o l,.0
FACILITY NAME _AI//Cad /lc 4_ SAMPLE PERIOD n Jan-June July-Dec
COUNTY Uv/1 eD/'qj2ar-.--- or n_ -_�.! Monthlys (month)
PERSON COLLECTING SAMPLES '''.1�, /e t,v�s
LABORATORY _.]�S_._..__ _ Lab Cert.# e G oo DISCHARGING TO CLASS LIORW ( IHQW ❑Trout I JPNA
❑Zero-flow ❑Water Supply ❑SA
(I Other (,J T Iv S e;Th .44.,Yale.e-fc
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall i gZ ❑ No discharge this period'
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 ?0. 2 g -Xe,20 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
_`._. 2 6 7, /5' <so <S.o
' Only applies to facilities that use/process meats.
I ire total precipitation must be recorded using data from an on-site rain gauge.
'I or sampling periods with no discharge at au.outfalls.You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, I able 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 Xno (if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249,Last Revised 11/S/2018
Page 1 of 2

Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Outfall No. Total Suspended Solids
(mo/dd/yr) Inches' Hydraulic Oil Usage Petroleum Hydrocarbons
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
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 ,
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:
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."
Signature of Permittee Date
Permit Date 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted it- / 7 - U
CERTIFICATE OF COVERAGE NO. NCG06_Qq SAMPLE COLLECTION YEAR go /�lJ
FACILITY NAMEv11 11CLw SAMPLE PERIOD ❑Jan-June July-Dec
COUNTY pV 1.+1_(?. ...__ .. or n Monthly' (month)
PERSON COLLECTING SAMPLES A /G y...v�s
LABORATORY El
.775 Lab Cert. #_aC G DO DISCHARGING TO CLASS ❑ORW f HQW ❑Trout I IPNA
❑Zero-flow ❑Water Supply ❑SA
Other (J T i'1s S+»;Mh ,As:adrea/6
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE--)
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall n No discharge this period'
Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
Outfall No. Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark /p.2 g -zc 2 o 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
0 9 77 £
Unly applies to facilities that use/process meats.
I oe total precipitation must be recorded using data from an on-site rain gauge.
I or sampling periods with no discharge at an outfalls.You must still submit this discharge monitoring report with a checkmark here.
See General Permit text, I able 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? n yes Xno (if yes, complete Part B)
Per mit Date: ]1/1/2018-05/31/202] SWU-249, Last Revised 11/5/2018
Page 1 of 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 Total Suspended Solids
(mo/dd/yr) Inches Hydraulic Oil Usage Petroleum Hydrocarbons
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
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 0 NOZ,
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q 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:
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 infornliation, including the possibility of fines and
imprisonment for knowing violations."
/1 - 1 7 - 0
Signature of Permittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2