NCG060363_DMR_20210108

STORMWATER. DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and. Land Resources General Permit No. NCG060000
Date submitted __- —y " Q 1
CERTIFICATE OF COVERAGE NO, NCG06 03 Q S SAMPLE COLLECTION YEAR O aQ
FACILITY COUNTY NAME �� es-[*N t n 6� `� .� U2_�" SAMPLE PERIOD ❑ Jan -June [�]''Jruly-Dec ^T
r + A or 0 Monthly' lmonth)
PERSON COLLECTING SAMPL S 0.W
LABORATORY EZQ tD Lab Cert. g _ 01 _ DISCHARGING TO CLASS ❑ORW ❑HCIW []Trout ❑PNA
# 11 ire ❑Zero -flaw [:]Water Supply ❑SA
RE -Pother C3�CJSS
FJA14Y &[TIES INCLUDE (check all that apply): Al%
Cs,❑� i•.l [,use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Totrit event minfnlf z.� .,ln r F� Nn rikrhr7re7p thic nvririrP
Outfall No.
gfflictOt# t>' dd '
rll��� 2Y'.
EGG
f " azi
'.s�a�5,5911a�fb�11#I�tit�
�ntarocacl, ,
o�srllmrt erOtl ml .
50nx
Benrhreigrk
w
'
pararnate Code
-
- :. nn
y Y •' fry
74M-,r.
i', n it �'
r� R
1
O
— Y oNNrreS LO lac illues war use process meats.
ZThe total preclpltatlon must be recorded using data from anon -site rain gauge.
'For sampling perlods with no discharge at and 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 classifications where the more protective benchmark applies.
Wonthiy sampling (Instead ofseml-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 kno
Permit Date: 11/1/2018-05/31/2021
(if yes, complete Part B)
SWU-249, last Revised 11/5/2018
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfai1 No.
pate`5�in Ie C�1loct�d}�
p
�irtd/dd/.�r�
�+� , r ,�.,� . � � ws• ,.
otli i` ,1 rb)� ol~d ►
a � �t�al�+�� � ,�{ t � ,
.i ;4� ,,
' t { ,
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ol
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rt z�
r q ri l X �► i l 76tbI
, 1 ., �
t'oc»rborts.
tatal,Subpended 8oltds
Benchmarks
_ , " .q..F ;,
' ,�:t�, `r.:° t
k `r#j/1" n ;`{
10,mg/b or 50 m6/�°
parameter Code
,=00$lit" -
LC?530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION
• 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 ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal cony of this DMR, Including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina 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
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 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 viola io�ns."
��.�.^�'i�.n.G^4:-''•ems .
Signature of Pe ittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
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