NCG060205_DMR_20210712

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO60000
Date submitted 1 i Zov
CERTIFICATE OF COVERAGE NO. NCGO6 6 2. O b SAMPLE COLLECTION YEAR Z� J
FACILITY NAME Lt v51yv.. Fi+�:SL+ 5 t TM •-
COUNTY G 1, fan SAMPLE PERIOD [plan-June❑July-Dec
PERSON COLLE {gING SAMPLES .. •.:S 1PS-ieJS -e or ❑ Monthly' (month)
LABORATORY-VA-6- a-Ai!)K6t( Lab Carl. #42S465%-Ice( DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
[]zero -flow Water Supply ❑SA
�p L q ® QOther of 0
R `
-l-K�
l.� 1 �/ FACILITY ACTIVITIES INCLUDE (check all that apply):
JUL 2 6 2021 ❑ use/process meats ❑ use animal fats/byproducts
CENTRAL FILES
OWR SECTION
Part A: Stormwater Benchmarks and Monitarine Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall or n No discharge this oeriod'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterowai,
Colonies per 100 ml
Benchmark
100 or 50'
Within 6.0-9.0
120
30
10001
Soo'
Parameter Code
C0530
00400
00340
G0556
31616
61211
-5 Dig 2,
2s im.l
—7,0
C.0
0.0
al
` Only applies to facilities 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 outfalIs. 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 [enno (if ves, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches :
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/L4
Parameter Code
-
46529
NCOIL
00552
C0530:
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 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 ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ 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 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:
"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
f�r/ imprisonment j&jpg viola "
4�WTZ"J- 7-Jd - J J
Signature of Permittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/G/ 0/6 / p/o/o/o / or Certificate of Coverage No.: N/C/G/ °/6 /o/2. /o ICI
Facility Name: Cvl;,"� �C ,S{rrs, .lam
County: 6 . 1 1 fLr A Phone No.
Inspector:
Date of Ins
Time of Inspection:
Total Event Precipitation (inches): I . —1 (;- cm
33�-431qf
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee
1. Outfall Description: p
Outfall No. Y Structure (pipe, ditch, etc.): t t e C
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Pagel of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: VC 1j 15 k'r' !racy -9'0 2% 19a- tL1 �g
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): jib o d o r s InW -e r-e-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 ,o 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Q 2 3 4 5
7. Is there any foam in the stormwater discharge? 4 Yes 4D No.
8. Is there an oil sheen in the stormwater discharge? 0Yes 4P No.
9. Is there evidence of erosion or deposition at the outfall? U Yes 40 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe �l re W!-d- yV o 1 e'M'OL� G.t-'t»'rS err
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018