NCG060126_DMR_20201009

CERTIFICATE OF COVI
FACILITY NAME
COUNTY .. Q
PERSON COLLECTING
STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Dbrislon of Energy, Mineral and land Resources General Permit No. K6060000
Date submitted 1010712,,1 ZJ
10. N0006 Z
el� FAQ
SAMPLE COLLECTION YEAR Zo 2 V
SAMPLE PERIOD ❑ Ja0une ❑ July -Dec
or onthlys r— /monthJ
noc - Lab Cert. # 4 ! Z- I 4 q DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply [-]SA
❑Other
RECEIVED FAaUTY=im/pr=ass
ES INCWDE (check apply):
DEC
4 2020 meats use animal fats/ =Iucts
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A. Stormwater Benchmeft and bloriftorinagResults
Total event ro J 2 or F1No disdwroe this peribe
Outh1 No.
Date
Collected
�,
PH,
Standard urdb
COD,
Oil and Grease,
L
Feal Coffbrm,
Colonies per 100 ml
Entarococd,
Colordes per 100 ml
Qench na<k
-
100 or 504
Wldit 6A-9.0
120
30
1001P
SW
Parameter Code
-
C0530
00W
00340
00556
31616
61211
' Only applies to facilities that use process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at illy outfills. 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.
sMonthly 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 i{ f m complete Part B)
Permit Date; II/l/2018-05/31/2021 SW11-249, Last Revised 11/5/2ols
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Pan B: Vehicle Maintenance Area Monitorins Results: onhr for facilities avernalm > SS of of new motor all/mend.
outhll No.
Date Sample Collected
Imo/dd/1RI
24-hour rainfall amount,
hKhes:
Naw Motor ON or
Hydraulic 01 Wage
Non -Pow 0&WT0t0l
Petroleum Hydrocarbom
Total Suspended Solids
BaKhma►la
-
-
35 mg/L
100 mg/L or so m91V
Perm eta Cody
-
46S29
NCOIL
00M
cOS30
romnam Trom Part A arso apply to Pan s
*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.
e 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:
Mall an adalnal com► of this DMR. Indudina all "Ab abftme" reports, whhln 30 dw of M*at of the lob molts for at end of nwnhorina oerlod In the case
of Iwo Dlsd+aroe Moor&_)
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSESIGN THIS CERTIRC47M FOR ANY INF EPORTED:
"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. 1 am aware that there are significant penalties for submitting false Information, Including the possibility of fines and
imprisonment for knowing violations."
Signature of Permlttee
Permit Date: 11/1/2018-05/31/2021
1,20
Date
SWU-249, Last Revised 11/5/2018
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