NCG060126_DMR_20210409

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina DMdon of Energy, Mineral and Land Resources General Permit No. NCGO600DO
Date submitted `i c' 2
CERTIFICATE OF COVERAGE NO. N0006 0 1 3- (,
FACILITY NAME(,v2 r
COUNTY
PERSON COLJECi1NG SAMPLES l�
LABORATORY_ �,:vL rc, Lab Cent. a 'Iq� u I 'L
SAMPLE COLLECTION YEAR Z�YZ
SAMPLE PERIOD ❑ ILwWune ❑ July -Dee
or miwlontldys ,L4P ✓ Ct !month)
DISQIMGINGTOCLASS ❑ORW ❑HQW ❑Trott ❑PNA
aow []Water Supply []SA
RE(%F: a m,- FACILITY ACTIVITIES INCWDE (check all that: apply):
MAY 03 2021 �se/process mean nilis�e annnal fats/byproducts
CENTRAL HLE:,
I)WR SECTION
Part A: Stormwater Benchmarks and MonitoringResults
PLEASE REMEMBER TO SIGN ON THE REVERSE +
Total event rain ll
Outra9 No.
Date Semple
WRec[ed d
PH,
Standard units
COD,
1011111.
OR and Gram,
MAIL
or No
Feel Caffmn4
Colonies per 100 ml
dia-dwrige the nva-
EMaeaaaed.
¢blade per too mi
BenclMnark
Parameter Code
100 or SO4
C0530
Ymhin 6.0-9.0
004M
IN
00340
30
005"
1000t
31616
SOOT
61211
'Only applies tp
%6litiee that lam/......ace
...e„.
'The total preGPltatlon must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at AM outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See 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
Permit Date: 11/1/2019-05/31/2021
Ly.no I(fves. complete Part B)
SWU-249, Last Revised 11/5/201g
Page 1 of 2

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