NCG140032_Monitoring Report_20220308

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FOliktICEIVIED
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAG N0. NCG140 D 3
FACILITY NAME: S'}bn �u
SAMPLE COLLECTOR:
CERTIFIED LABORATORY KTW Lab # S 9
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
MAR Ors 2022
SAMPLE COLLECTION YEAR: 30ao DENR-DEMLR
Land Quality Section
SAMPLINGPERI04: ❑July -December ENJanuarylune MooresvilleRegional office
COUNTY
PHONE NO. (Zip cl%l- "15
ADD TO USTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Others
Outfall No.
Date Sample
Collected
(mm/dd/yrOR
NO FLOW)'
pH
(Standard Units)
TSS
(mg/L)
Total
Rainfall°
(in)
In Tier 2
Monthly Monitoring?
(y/n)
# of Months in Tier 2
SamplingZ
-
-
6-92
100z3
-
-
-
1
5-19-�o
Y• I
33
�"
TI
2.
JU
+-
FILES
f..
pW
SECTION
�V.. Ul �.� vui.n.vno�, cures NO FLOW or NO DiSCHA GE for each outran nere. Please make sure to mark the sample period above.
2If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until consecutive samples are below the benchmark or within the benchmark range.
3 T55 benchmark values are 100 me, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 1 of 2

n—& Q. w-W-1e KA,;..*e,,,.,.,e A.-+hA+,, ge.,r.1fo%riner aoni aramante fnr fariliflac nclnv !�- 55 oal of new motor oil/month - averated over a calendar near.
rat L u. Vc111W
Outfall
No.
r.a.a■..&Y
Date Sample
Collected
(mo/dd/yr)l
...v...w....=j
pH
(Standard
Units)
Non -Polar
Oil & Grease using
method 2664
SG7�HLM
Total
Suspended
Aids
09/0
Total
Rainfali4
(in)
New Motor Oil Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier 2
Sampline
6-92
152
10023
-
-
-
-
HAS YOU4 FACILITY HAD 4°OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NOX
HAVE YOU CONTACTED THE REGION? YES []NO,
-. ;• : ' "
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICr477ON FOR ANY INFORMATION REPORTEb:
"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 forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. lam
aware t at there are si nificant penal fo submitti6g false information, including the possibility of fines an)aoao
imprisonment for knowing violations."
aq
(Signature of Permitt(Date)
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 2 of 2
i
�i

PROCESS WASTEWATER —Semi -Annual Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATEOFCOVERAQENO.NCGI40 Oy_;t
FACILTTY NAME: bt*4
SAMPLE COLLECTOR:
CERTIFIED LABORATORY: Lab #
Lab #
UMITVIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 120
SAMPLE PERT D: myDecember January -June
COUNTY:
PHONE NO.: (70 9$��
ADD TOLISTSERVE? ❑YES FIND EMAIL•
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout VOther G_
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
RM
(VE, , MD)
(standard)
n
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
1664SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
�alloru/day)'
-
-
-
6A3.4
3035
53
(15)6
-
-
.'f 2
o
no
NIED
02
GEN1W\L
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

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