NCG030436_DMR_20210202

Stormwater Discharge Monitoring Report
for .North Carolina Division .of Energy,. Mineral and Land Resources General Permit No. NCG030000
Date submitted n% 2% 2 n at
CERTIFICATE OF COVERAGE NO. NCG03 L� (fir SAMPLE. COLLECTION YEAR
FACILITY. NAME . Y1C ��b �n r RECE JV5VPLE PERIOD ❑.Jan-June>�❑ July -Dec
COUNTY or (Monthly' - a.r-�ttd.r_u (month)
PERSON.COLLEGTINGSAMPLES FEB O 8 ZO71D(SCHARGING TO CLASS ❑ORW ❑HQW -"[]Tr
out ❑PNA
LABORATORY Pa rc Lab Cert. # CENTRAL FILES ❑v Zero -flow ❑WaterSupplyUSA
Comments on;sample collectionforanalysis: DWR SECTION []Other
-- -,
Part A: Sto.rmw.ater Benchmarks and Monitoring Results
PLEASE REMEMBER TO. SIGN ON PAGES 2 AND/OR 3' i
No dfscharae this. period?z
Outfall No.
Date.Sample
Collected'
(mo/dd/yr)
24-hour.rainfall
amount,
Inches;,
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Nori-PolarO&G/
Total Petroleum
Hydrocarhons
Total Toxic
Organics
Benchmarks
_
-
160 mg/L or 50 mg/L^
6.0-9.0
0.010 mg/L
0.075 mg/L
0.12E mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
0040D
01119
02051
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,
zFor sampling periods with no.discharge.at_any single outfall, you.must still submitthis discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on: site rajn gauge. Unaftend.ed sites may be eligible for a Waiver:ofthe. rain gauge requirement.
° See General Permit,' Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective, b anchlnark.applies.
s Total Toxic Organics samplingis applicable obly'for those facilities. which perform.metal finishing placratio.ns, manufacture semiconductors, manufacture
electronic crystals,.or. manufacture cathode ray tubes. For purposes of.W5 permit the definition.of Total Toxic Organics,is that definition contained .in,the'EPA
Effluent'Guldelines for the facility.subjecrto the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; forsemiconductor
manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube. manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2018-05/31/2621 SWU.245, last revised ll'/1/2018
Page 1 of3

Facilities that incorporate a solvent management plan into'the Storniwater"Pollution PreVentibn Plan may so certify; and the.requirement.for TTO monitoring
may be waived. The.solvent.rnanagement plan shall include a list of the total toxic organic -compounds used and the-other'elernents listed in the Ge*neeA
Permit. For those Facilities electing .to employ.-the.TTO monitoring waiver, the dischatger'shall sign th*e following certification statement:
'%ased.•upo6 niy inquiry of the person or persons directly responsible for -managing compliance with the:permit-monitor1bg requirement for total .toxic organics.
(TTO), I certify that.to the best of my knowledge and belief, no dumping -of concentrated toxic orgarflcsfnta the stormwater or areas which are'exposed to rainfall or
stermwaterrunoff has'o.ccu.rred.shice filing.the-last discharge i•i7ionitoring report, i furfhor certify. that this-fad.1.1ty is implementing.Che all the.provisions -of.the
,solvent management plan lriclWed1n the'.Storrriwater Pollution Preventlon Plan."
Name (Pnn name)
Title (Print title)
0. i.)o
Signature. Date
Note: Results must be -reported in numerical format. Do not report Below Detection Limit, BDL, <PQ.,. Non -detect, N D, or other.siinilar non=numerical
:format: When results are below the applicable limits,. they must -be reported ln'the format; "<XX mklU" ..Whe.re XX is the numerical value of the detection.
limit, reporting limit, -etc..iri rrig/L.
Note: jf you report a sample value iri excess of the benchmairk, you must•implement.Tier .1, Tier. 2,. or -Tier. 3 responses. See .Generdl Permit text.
Part B: Vehicle Maintenance Area Mol.itoeing Results: only for facilities averaging>:55gal of new oil -per-hionth.
F� No- dischai
Outfall' Na.
Benchmark's
Pararheter Code
Dote .Sein ple Colleetedl 24-hour rainfall amount; New Motor oil or- Non -Polar OiG/ Total
(mo/dd/yr) Inches3 Hydraulic Oil Usage Petroleum Hydrocarbons
Footnotes from Part A also:apply to Part B
46529
-NCOIL
15 mg/L
this period ?x
Tota15uspenoed
Solids
100 mg/L or 50 mg/O
Note: !f you report a.sarnple Value in.excess of the benchmark; you:rriusl~'IMPlemen't Tier 1, Tler2, or-Tier3 responses; See Genera1'PeftkteA
Permit Dater 11/1/zQ18�05131/2021 51NU-245, last revised 11/3/2015
.Page 2.00

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