NCG060009_DMR_20200610

STORM WATER DI SCHARGE M ONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NOGD60000
Date submitted 6 - I O " a0
cERnRCATEOFom,EPAGEN0. N03060swPLECOIJ..H'110NYEAR
FACILITYNAME-14esVom �,c�
COUNTY -
c sgMPLEPEROD DI Jan -June ❑ July -Dec
PB;MN COLL:I1NGs4M or ❑ Monthlys (month)
LABORATORY , Lab Oart. # b1511 0183-IAFUNGTOCLASS ❑OR/1/ ❑HQW ❑Trout ❑pNA
❑Zero -flow ❑Water SLpply ❑SA
ZOther3c.)
FACIUTYACIIM11ESINCWDE(check all that apply):
Ouse/ process meats Z use animal fats/byproduds
PLEASE REM EM BER TO SIGN ON THEFEVERSEM
Part A: Stormwater Benchmarks and Monitorinn Fdxults TM.i d,—,.—infoll 2 — n .i., a: _ ..:
Outfall No.
Gate Sample
Collected, mo/dd/yr
T5$
mgf L
pH,
8andard units
OHO,
L
01 and Grease,
L
Fecal (bliform,
(Monies per 100 ml
Enterocood,
(blonies per 100 ml
Benchmark
Parameter Code
-
-
100 or V
cow
Within 6.0-9.0
00400
120
00340
30
00556
1000'
31616
500,
61211
OS 1
2The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periodswith no discharge at - y outfalls You must still submit thisdischarge monitoring report with a checkmark here.
52e General Permit ted, Table 1, identifying the especially sensitive receiving water dassificationswhere the more protective benchmark applies
5
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this fad lit y perform Vehicle Maintenance Activities using more than 55 gad Ions of new oil per month?[] yes Z no Cifes complete Part B)
Permit hate: 11/1/2018-W31/2021
JUN 16
DV'✓tz � � � ;1 U� �=�:
9WL -249, Last FbMsed 11/5.!2018
Page 1 of 2

Part B. Vehicle Maintenance Area Monitorino RF--ailtsr nnly fnr fari l itiPc avarani nn > Sf; nal of naw, mn4nr ni I / mnnf h
Cutfall No
Date 93mple Cbllected
(mo/dd/yr)
24-hour rainfall amount,
Inches?
- --..._....._._.
New Motor (31 or
Hydraulic0il Usage
_......_...
Non -Polar O&O'Total
Petroleum I-Wrocarbons
Total Suspended 3�lids
Benchmarks
-
-
15 mg/ L
100 mg/ L or 50 mg/ L'
Parameter Code
-
46529
NWIL
00552
C0530
wi, ,viw' i vi I i — t n alwi wply to tart CS
' FOR PARTA AND PART B MONITORING F ES,ILTS
• A BENCHMARK DUjDANCE TRIGGERSTI BR 1 FEU I FEM BUTS SEE PBIM IT PART I I MMON B.
• 2 BU3EDANCESINAROWR7RTHESWEPARAMET92ATTHESAMEOUTFALLTRIGUR-nER2 REQUIRBMBVTS S'gPERAITPART 11 SEMON B.
• TIER3: FIASYOURFACIUTYHAD40RMOREffNG MARKDCEDBCMFORTHESWEPARAMEFERATANYONEOUTFALL? YES ❑ NOZ
IFYE$ HAVEYWOONTACMTHE DBMLRREGIONAL OFFICE? YE5 ❑ NO❑
FBI ONAL OFFICE QONITAC:r 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 Dlsdharae reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSE SIGN TMSCUMRCATION FORANYINFOSIMATICNV REIIORT®•
"I certify, under penalty of law, that thisdocument and all attachmentswere prepared under my direction or supervision in a000rdance 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 sy or tho sonsdirectly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, rat and mplete. I am avy�e that there are significant penalties for submitting false information, including the possibility of fines and
imprisonmen for kn i wnlatinna+l ,. , I
Sgnature
Permit Date: 1i/1/2018-05/31/2021
1G �"
Dat
SM1-249, Last FWsed 11/5/2018
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