NCG120066_DMR_20210114

Semi-annual Stormwater Liischarge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
CERTIFICATE OF COVERAGE
FACILITY N4ME kes
COUNTY YV;Jkes
PERSON COLLECTING SAMPI
Comments on sample collection
NCG12 o 0 6
Yca I Lab Cert. tt
analysis:
Date submitted
SAMPLE COLLECTION YEAP
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
q� a aa ❑Other
JAN 2 5 2QZ,,PLEASE REMEMBER TO SIGN ON THE REVERSE �
Part A: Stormwater Benchmarks and Monitoring Results
n r L11
�.,=.,•ITS •• �..- -.•
•. r^mac; ;C
❑ No discharge this
-, I
period2
Date Sample
24-hour rainfall
Chemical Oxygen
Total Suspended
Outfall No. Collected'
amount,
Demand
Fecal Coliform
Solids pH'
(mo/dd/yr)
Inches'
mg/L
Colonies per 100 mL
mg/L Standard Units
Benchmarks _
-
120
1000
100 or 504 6.0-9.0
Parameter Code
46529
00340
31616
C0530 00400
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, 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 mpJL", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, rier Z or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
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r- r
Par..: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑ No dischor0e this
r�
Outfall No. Date Sample Collected' 24-hour rainfall amount, Non -Polar Oil & Grease Total Suspended Solids, New Motor or Hydraulic Oil Usage,
(mo/dd/yr) Inches; mg/L mg/L gal/coon
- - i5 100 or 504 -
Paronietrr Code 46529 00552 CO530 NCOIL
Footnotes from Part A also apply to this Part B
Note: If you report a sample value In excess of the benchmark you must Implement Tler 1, Tier 2.. or Tler 3 responses. See General Permit text.
FOR PART A AND PARTS 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [3NO 13
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 13 NO E3
REGIONAL OFFICE CONTACT NAME:
Mall an orlalnal copy of this DMR. Indudina all Vo Dischara►e"'reoorts, within 30 dovs of receipt of the lab results for of end of monitarinmoeriod in th
ss-e of ~No Dlscharoe -moo s to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mall 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 of Permittee
Permit Date:11/i/2018-5/31/2021
Date
SWU-248, last revised 11/1/2018
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