NCG030156_DMR_20210210

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and L nd ftesources General Permit No. NCG030000
Date submitted l2 Iss
CERTIFICATE OF COVERAGE NONCG03� I t0 SAMPLE COLLECTION YEAR ZZ Z.�
FACILITY NAM . G r SAMPLE PERIOD 1] Jan -June Qily-Dec
COUNTY or 0 Monthly' (month)
PERSON COLLECTING SAMPLES fYl . ECE "lFP ISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY :Mk- Lab Cert. It 7-2rAn _ C ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: FEB 2 3 20D ❑other
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -�
DWR SECTION
❑ No discharge this period22
Non -Polar O&G/
Total Toxic
Outfall No.
Date Sample
24-hour rainfall
Total Suspended Solids
PH.
Total Copper
Total Lead
Total Zinc
Total Petroleum
organics
Collected i
amount,
Standard units
Hydrocarbons
(mo/dd/yr)
Inches'
Benchmarks
-
-
loo mg/L or 50 mg/L'
6.0 - 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
1
-lr
.,MAIc
-7. 1
1-0 d
AM co,
ZO'7
L
M71q
1.
0.011
ND[o.a
o.o
c,•_.r.
atar
of the camp nutfnll-
Monthly sampling (instead of semi-annual) must begin with the second consecutrve oencnrnarrc eaUecudll�c lut die
SWU-245, last revised 11/1/2018
Permit Date: 11/1/2018-05/31/2021
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or;persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature
Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mgllf where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches3
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/0
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

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 ANYONE OUTFALL? YES© NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES O 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 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, North Carolina 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
Permit Date:11/1/2018-05/31/2021
Date
SWU-245, last revised 11/1/2018
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