NCG080607_DMR_20210917

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG080000
Date submitted ) 17 SC D 2L_
CERTIFICATE OF COVERAGE NO. N0008 0 6
FACILITY NAME N G A *N r Gu..,r
COUNTY Me,.;k leh bur_
PERSON COLLECTING SAMPLES
Comments on
Lab Cert. #
or analysis:
Z SAMPLE COLLECTION YEAR Z O
SAMPLE PERIOD Y❑ Jan -June Q July -Dec
II��
or El monthly' (month)
—qM RECEI�: EDISCHARGINGTOCLASS ❑ORW ❑HQW ❑Trout ❑PNA
4�EE' 4 2021 ❑Zero -flow []water supply ❑SA
❑Other
Cc NT?, ,L FILES
JR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? © yes ❑ no (ifyes, complete Part A)
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
15
100 or 504
-
Parameter Code
-
46529
00552
C0530
NCOIL
3 )s 2)
Z.
< 4.14 oj
I
4
L
55 wd
J 2
a
t-
zt 2
o
< 4.1 t.% %I L
12b ,..
3 SK
< n.
) r�
••
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z 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 mg/L", 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".
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

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