NCG030436_DMR_20210128

StormWater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted I _A9 Au a l
CERTIFICATE OF COVERAGE No. NCG03 � (g
FACILITY NAME � �� ' I rah .I.
COUNTY ( i
PERSON COLLECTING SAMPLES
LABORATORY--L Lab Cert. 0
Comments on.sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE. COLLECTION YEAR ri G �i7
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ©Monthly' 'i�o�hv (month)•
RECE119APRGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
©Zero-flow❑Water Supply ❑SA
FEB 0 8 2021 [-]Other
CENTRAL FILES PLEASE REMEMBER T0.51GN ON PAGES 2.AND/OR 3'
DWR SECTION
[� No discharge this period?-'
outfall No.
Date.Sample
Collected'
(mo/dd/yr)
24-hour.rainfall
amount,
Inches'
Total Suspended Solids
PHA
Standard units
Total Copper
Total Lead
Total Zinc
Non-PolarO&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
_
-
i0o mg/I. or So mg/i°
6.0-9.0
0.010 mg/L
0.075'mg/L
0.126 mg/L
15 mg/L
1 mg/L
Pornmetertode
46529
C0530
.00400
01119
01051
01094
00552
78141
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for,the same parameter at the same.outfall.
2For sampling periods with no.discharge.at. any single outfall, you.must still submitthis'discharge monitoring report with a checkmarkhem.
'The total precipitation must be recorded using data from an on: site rain gauge. Unattended' sites: may be eligible fora waiverofthe:rain'gauge requirement.
°See General Permit, Section B, Tab.le 1 to identify the especially sensitive receiving water classifications where the more protective, benchmark.applies.
s Total Toxic Organics' sampling is applicable'ohly for those facilities, which perform metal finishing operations, manufacture semiconductors, mripfacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definitiomof Total Toxic Organics,is that definition contained Jn,the EPA
Effluent Guidelines for -the facility. subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic,crystal manufacture use the definition as found in 40 CFR 469.12;,6nd.for, cathode ray
tube. manufacture use the definition found in 40 CFR 469.31),
Permit Date: 11/1/201$-05/31/2021 SWU.245, last rWsed 11/1/2018
Page 106

Facilities that incorporate a solvent management plan into'the Storn'iWater'Pollution Preventibn Plan rnay so certify; and the .requirement.forT1`.0 monitoring
may be waived. The. solvent.rnanagement plan -sh'all include a list of the total toxic organic -compounds used and the. othe'r elements listed in the General
Permit. For those facilities electing .to employ,'the.TTO monitoring waiver, the ftcha�ger-shall -slgn the following certification statement:
"Based. -upon roy inquiry of the person or per$ons directly responsible formanaging camplignce with the:permit"monitoring requirement for total .toxic erganics.
-(TTO), I certify that.to the best of my'knowledge and belief, no dumping -of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
sto.rmwater.runoff has'occurred.sihce fi.l(hg.the-last discharge iWoni.toring report, l further certify. that this-faeility is implemenfing.the-all the.prd sions.of time
-solvent managemOnt Plan iritluded-.in the:StorrriWater. Pollution Prevention Plan."
�nLA ga Lk Ih
Name (PrKt ame)
;ur',l"m�:rzf _ _1 n 1 a�EAA r,
Title (Pri'nt title)'
t �, ag aq-©J,-
Si;gr►ature. Dat
Note..: Results must be -reported in numerical format. Do not report Below Detection Limit, BDL, <PQL,. Non -deflect, ND, or -other -similar non:
numerical
format: When results are below the applicable limits,. the must -be reported in'the forrriat."<XX m ' L" :where XX is the numerical value of the detection
limit, reporting limit, -etc. in rrig/L.
Note: If you report• a.sarnple value in excess of -the benchmar."k, you must-implement.Tfer 1, Tier. 2,.-or•Tier 3 responses. See .Genera! Permit teA.
Part B: Nehicle Maintenance Area Monitoring Results:.only for facilities averaging•> 55.ga1 of new oil per trioneh.
No- discharge this period ?z
Outfall No.
Date .Sdrr ple Collectedi
24-hour rainfall amount;
New Motor. Oil or
Non -Polar Q&G/ Total
Total-5uspehded
(mo/dd/yr)
Inches!
Hydraulic Ail Usage
Petroleum Hydrodarbon�
Solids
Benchmarks
-
-
-
1S mg/L
100 mg/L or 50 mg%!4
Parameter Code
46529'
•NCOIL
CdSS2
C0536
Footnotes from Part A also:apply to Part B
Nord: if yoij report a.somple value in -excess of the benehMark.. you: nius0rr7plem'erit'Tkr'4, Tier*2, orTier 3 responses.: See General'Pertrrittext,
Permit Date:11/1%z01$-05/31/Za21 5.WU-2a5, last revlsed:11/1/2018
'Page 2.03

FOR PART A AND PART 8 MONITORING RESULTS,
0 A BIENCHMARK EXCEEDANCE TRIGGERS TIER'.1 REQUIREMENTS. 'SEE PERMIT PART II SECTION B.
a 2 EXCEEDANCES IN A ROW FOR THE.SAME PARAMETER AT THE SAME.OUTTFALLTRIGGER'TIER'2 REQUIREMENTS. SEE PERMIT PART fl SECTIOIy B.
0 TIER'3: HAS YOUR FACILITY HAD 4, OR MORE BENCHMARK EXCEEDENC S FOR THE'SAMi= PARAMETER.AT ANY O.Nt'OUTI=ALL? YES �INO ❑
ir- YES, HAVE YOU.C.QNTACTED THE DW.Q REGIONAL -OFFICE? YES [t6NO []
REGIONAL OFFICE CONTACT NAME: i2 a C i V r1 &
Mail an-originat copy of this DR& including all "V Dlscharae" reports,- within 3D days of receipt of the. lab results for at end of;rnonitorina perlod4n the
case o "iYo Discharge" repoits) -to.,
Division of Water Quality.
Attn: pWQ Central Files
1.617 Mail Service Center
Raleigh, North Carolina 27. 699-1617
-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 io
assure that qualified personnel property gather and evaluate the,ln formation submitted. Based on my inquiry of the person or persoris who manage the system, .or
those persons directly responsible for.gathering-the. information, We information submitted is, to* the best of mq knowledge Arid belief, :true, accurate, .and complete:. I
am aware that there are significant penalt; s, for submitting false information; includibgthe possibilitj -of fines and imprisonment for'knowing violations."*
' lr
Signature of-Perniittee.
I
Date
Permit Date: 11/1/2018-05/31/2021
5W.0-245, lash revised 11/1/2018:
Page 3 of-3