NCG030436_DMR_20210503

Sjormuwater DischareMonitoring Report
for North Carolina Division of Energy,. Mineral and Land Resources General Permit No. NCGO30000
Date submitted
CERTIFICATE OF COVERAGE No. NCG03j� Ll
FACILITY. NAME P=i!
COUNTY
PERSON. COLLECTING SAMPLES ' tl
LABORATORY{r r LabCert.g_—
Part.A: Stormwater Benchmarks and Monitoring Results
SAMPLE. COLLECTION YEAR r, i
SAMPLE PERIOD F- Jan -June F-] July -Dec
or [♦"Monthly' ap-ri l (indhth)
HARGING TO CLASS []ORW ❑HQW ❑Trout []PNA
RECFIVt -r✓�SnC[Otero-flow ❑Water Supply ❑SA
MAY 17 2021 ❑Other_
CENTRAL FILES PLEASE REMEMBER TO. SIGN ON PAGES 2 AND/OR 3i
DWR SECTION
outfall No.
Date5ample
Collected 1
(mo/dd/yr)
24,hour.rainfall
amount,
Inchess
Total Suspended Solids
H
P '
Standard units
Total Copper
U ,ry
Total Lead
.,,roan u,yc una.p{er,uu:-
Total Zinc
Nco-PolarO&G/
Total Petroleum
Hydrocarbons
Total Toxic
organics5
Benchmarks'
_
1110 mg/L or 50 mg/o
6.Q -9.0
0,010 mg/L
0.07.5'mg/L
0.126 mg/L
15mg/L
1 mg/L
Parameter Code
-
46529
C0530
.00400
01219
01052
03004
00552
78141
........ r v-15i v,,l-qu u, acnn-annuaq rhust uegin wicn the second consecutive oencn mark exceedance:forthe same parameter at same 9utfd11
For sampiing periods with no discha rge. at, any single outfall, you,must sti11 submlt.this discharge monitbring 'repoit 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, Section B, Tabled to identify the especially sensitive receiving water classifications where'the more protective. benchmark.applies.
'Total Toxic Organicssampling'Is applicable 'ohlyfor those facilities. which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals,,or manufacture Cathode ray tubes. For purposes of this permit the definiti:on.of Total Toxic Organics is that definition contained in,the EPA
Effluent:Guidelines for the facllity.subject to 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 electronit. _crystal manufacture use the'deflnition as found in 40 CFR 469.22;.6nd.for. cathode ray
tube, manufacture use the definition'found in 40 CFR 469.31),,
Permit Date:11/1/2018-05/31/2021 SWU•245, last reAsed 11/1/2018
Page 1 of3

Facilities that incorPOrate a solvent management plan into, 5t©rrriv,+ater Pollution Preventi©n Plan may so certify; and the.requirement.tor Ti'O Trion kc?ring
may be waived. The. tolvent.managemerft plan shall include a list of the total toxiq organic -compounds used and file othofelernfints listed In the General
Permit. For those facilities electing .tQ employ. -the TTO monitpring waiver, the discha'rger`shall sign the following ce'rtificatian statement:
"Based. -upon rriy inquiry of the person or persons directly responsible for -managing compliance with the:permit'nionitoriq requirement for total .tgxic nrganics
(TTQ), I certify that to the best of my knowledge and belief, no dumping -of concentrated toxic drgaMcs-i'nto the stbrmwater or areas which are-expo§ed to rainfall or
storrnwater-runoff hes'o.ccu,rred.since f(ling.the•last discharge Wonitoring rirpoft. I further certify. that this•facitity is implernen.ong.the-all the.provlsior�s.of Wesolvent management plan included -In the:StorrriWater. Pollution Prevention Plan."
Name (Print ame)
���11.,(' � � rYi �: Y1� •may 1 � � � 1 �i'b �'Tl 1�-I �c� �E-� �I
'ritle (Print title)'
Signature Date
Note: Results must be -reported in numerical format. Do not report Below Detection U nit, BDL, <PM. Non -detect, ND, or othi r,similar non -numerical
format: When results are below the applicable limits,. they must be reported in'the forrrtat, "<XX� rng/L",..Wh .re XX is the numerical value,of the d%gdtlon
limit, reporting limit, etc. -in Trig/L.
Note: Jf you report,a-sample value jh excess of -the benchmdr.'k, you must implement.Tier 1, Tier. 2..-or-Tier. 3 responses. See .General permit text.
Part B: Nehicle Maintenance A" ei a Monitoring Results: only for facilities averaging >:55.ga1 of new oil per -Month,
n No- dischai
Outfall'No. Date.Sdm-ple Collected'
(mo/dd/yr)
Oenchmarks I ..
Parameter Code I
Fodtnotes from Part A alsoapply to Part B
24-hour rainfall amount; New Motor. Oil or Non -Polar O&G/ Total
Inches$ Hydraulic 011 Usage Petroleum Hydrocarbons
4652.5
-NCOIL
15 mg/L
this period
Tota_15uspended
Solids
100 mg/L or 50 mg/O
C0530
Note; If you report a.sample value in.excess of the benchmark; you: must irrrplemen`t'TierI, rler z, orTie.r 3 responses.: See ,General permit tesrt:
Permit Oates' it/I/.2 iB405/3J/2021 SWU-245, fast revised 11/1/201$
Pape 7 of .1

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