NCG080053_DMR_20220606

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and La d Resources General Permit No. NCG080000
Date submitted G (. ZUL
CERTIFICATE OF COVERAGE NO. NCGOH (2 SAMPLE COLLECTION YEAR ZozZ
FACILITY N E 10 1eS ncjrAi _ I nl SAMPLE PERIOD N Jan-June ❑July-Dec
COUNTY L RECE11/F ,� or [:] Monthly' (month)
PERSON COLLIE ING SAMPLES f q �1—}� DI"ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Q I .Cot Lab Cert.# N D JIJ�i ❑Zero-flow —]Water supply [:]SA
Comrgent.s on sample collection or analysis: CENTRAL FfLEB Other C I ASS C.
yii 4&5 rad on', e dur;n C�le-c4fon DWR SECTION
—11 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?[Ryes ❑ no (if ves.complete Part A)
Part A:Vehicle&Equipment Maintenance Areas Monitoring Requirements(If applicable) ❑ No discharge this period'
Outfall No. Date Sample 24-hour rainfall Non-Polar Oil& Total Suspended pH, New Motor or
Collected'(mo/dd/yr) amount,Inches' Grease mg/L Solids(TSS),mg/L Standard units Hydraulic Oil Usage,
gal/mon
Benchmarks _ _ 15 100 or 504 6.0—9.0 Parameter Code _ 46529 00552 C0530 00400 IL
O _ ZI 2-7- 11715 ND 101 . 79 i000 al o
SIDO z3 z 6 ND To-b 1
er mon+
'Month ly sampling(instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'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.
4See 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 me/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">W.
Permit Date:11/1/2018-5/31/2021 last revised 1/14/2020
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Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals(If applicable) ❑ No discharge this period2
Outfall Date Sample 24-hour rainfall Total Suspended pH, Non-Polar Oil&
No. Collected" amount, Notes(Optional) Solids, Standard units Grease,
(mo/dd/yr) IncheO mg/L mg/L
Permit Limit - - - 100 or 504 6.0—9.0 15
Parameter Code - 46529 - C0530 00400 OOSS2
Footnotes from Part A also apply to this Part B
Note:if you report a sample value in excess of the benchmark,you must implement ter 1, Ver 2,or Tier 3 responses.See General Permit text.
FOR PART A AND PART B MONITCtRING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑NO❑
IF YES,HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR,including all"No Discharge"reports,within 30 days of receipt of the lab results(or at end of monitoring period in the
case of"No Discharae"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
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 to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,or
those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I
a wa a are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
- G ((. L
Signature of Permittee Date
Permit Date:11/1/2018-5/31/2021 last revised 1/14/2020
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