NCG060279_DMR_20210115

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and. Land Resources General Permit No. NCG060000
Date submitted \ - ls- al
CERTIFICATE OF COVERAGE NO. NCG06 O o� g SAMPLE COLLECTION YEAR ao ao
FACILITY NAME O 0.c FQ.2/ Ask SAMPLE PERIOD ❑ Jan -June [puly-Dec
COUNTY
PERSON COLLECTING SAMPLES5 or ❑ Monthlys (month)
LABORATORY FEU � COChr m Lab Cert. N DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero-flowt, [:]WaterSup ly ❑SA
[]'Other MASS C i �ln/
--+..`.—)
FHB 01 2021
Part A: Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE a
Tnfni aFienf rninfnli 2 ♦)q- I ' n Al-.11...I,,...... FI,:- --.;-. 3
Outfall No,
Ggtd•Sam le
p
4dllticted irY1q tld N
TS#r �
' k + '�>Em
�l6`00 bK 11 .> d
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t 2�] I
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0 '4 ,r =,
i
+ n,c { 1Gy
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t Ud k
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,. ail >in hAll�liit
'�
0
pAltlpl ISIIfgMril, -
�" 00'
Enteeacoccl,
er100m1
> 9004
I
Benchmark
PardmaterCode
-3
r01 u
n y app es to faclllties that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' 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 classlflcatlons where the more protective benchmark applies.
'Monthly sampling (Instead of seml-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? Vyes ❑ no (Ifyes, complete Part B)
Permit Date:11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part rs: venicie maintenance
Area monitoring Kesuits:
only Tor raciinies
averaging > 55 gai oT new motor oii/montn.
Outfall Na,
Date Sam le„collected ',
p
dd/ r
y 1
, A hours i f31101 oUrit
Innh+
QW I�atar pl ar .
�!;
;fit��uiic Cfil .Us3 a
Y �
'';Non«p4 Or $ it ,1'otaf'
I
prolauttl; H +drocarbans,
.y
tQt�il Suspended Solids
Benchmarks
100 mg/L or SO mg/L4
Parameter Code
NCOII. °.
G05S2 - ;
C0530
va _ _
�s
< s
Footnotes from Part A also apply to Part B - ^
* � v
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 SE TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ff NO Q
IF YES, HAVE YOU CONTACTED THE DE L R��ZONAL OFFIC ? YES NO I
REGIONAL OFFICE CONTACT NAME: bl`''c� 'tom NC� � n e E� ec^
Mail an original copy of this DMR, Includina all "No Discharge" reports, within 30 days of receipt of the lab results for 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 11
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." ,s
Signature of Perinittee
Date
Permit Date:11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
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