NCG060126_DMR_20211015

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resoy General Permit No. NCGO60000
Data submitted I V l
CERTIFICATE OF COVERAGE O. NC606 0 i � SAMPLE COLLEcnoN YEAR 70 Z I
FACILITY NAM S.ti:�� � a FnI z i %rzy9
Courm 1<�u SAMPLE PERIOD ❑ 11 n-June ❑ JU D
PERSON COLLECTING SANIpLEs or Lid Monthhs Seo I (monthl
LABORATORY__ b cert.M DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow QWaterSuPPN ❑SA
❑Other
FACILRY ACTIVITIES INCLLIDE (cheekotthat apply).
MR � t r E- NFL) EYuse/proeeas meats use animal fats/byproducts
Nov 05 2021
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A, Stormwater Benchmarks and MonPooN Results
Totol event mF U2
Oulfall No.
pli tfi
Date Sample
Coft nw d
T511.
PH,
Standard unite
COD,
OR and Grease,
L
or Wfib
Fecal co6lorrrh,
colonies per 100 ml
dlGnuruc mts Perlocr
Enteroeood,
Colonies per 100 ml
Benchmark
Pammetel Code
-
100 or SO'
00530
tMtldn 6A-9.0
00400
in
00340
30
00SS6
10002
31616
SOOT
Will.
C
Do
J
' Only a to fadlitks
p es at use/procew meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
r For sampling periods with no discharge at arty outfalls. You must still submit this discharge monitoring report with a cheekmark here.
'See General Permit text, Table 1, Identifying the especially sensitive receiving water dasshI ations where the more protective benchmark applies.
'Monthly sampling (Instead of semi-annual) must begin with the second consecutive benchmark excesdance for the same parameter at the same outfall.
Did this fad itp perform Vehicle Maintenance AcUuMes using more than 55 gallons of new oil per month? ❑ yes
Permit Date:11/1/201N-t05/31/2021
no if complete Part B)
SW U-249, Last Revised 11/5/2olg
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