NCG080400_DMR_20220628

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy,Mineral and Land Resources General Permit No.NCGO60000
Date submitted �r 01
CERTIFICATE OF COVERAGE NO.NCG01Qq SAMPLE COLLECTION YEAR
FACILITY NAME U1C y g�`3rvic.o �'n Ivr�a�y SAMPLE PERIOD [ !an-June ❑July-Dec
COUNTY Wjj SD A or ❑Monthlys (month)
PERSON COLLECTING SAMPLES
LABORATORY Pirct -Anal v itej Lab Cert.#!4 0 3yDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
FACILITY ACTIVITIES INCLUDE(check all that apply):
JUR 112.U.2Z use/process meats [:]use animal fats/byproducts
MR
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall or ❑No discharge this period'
Date$a p : . . .`:..:TSS:11 No.
pH,; ..... . ' . ,COD, Oil:and Grease,.• Fecal Coliform,...: ,,Enterococd,_
:CoIId m le
ded,mo/dd/yr mg/L. .•Standard units'•. •• mg/L mg%L .Colonies per 100 ml '.Colonies pec100.in1
Benchmark ::,: 100 or 504„ .Withln:6:0=9:0.. ,;:.:`120 :.:. :•.. r:30 :,•`10001.;. 5001. :.
Parameter Code . ..:_ COS30' .00400.: 60340:.
a u ofWD
6000
'Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls.You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text,Table 1,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sMonthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?❑yes 5fno (if yes
•complete Part B)
Permit Date:11/1/2018-05/31/2021 SWU-249,Last Revised 11/5/2018
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Part B:Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new motor oil/month.
: DateSample Collected 241iour'rainfall amount;. :: New Motor OII'or Non-Polar 0&G/Total
OutfalLNo. >. Total Suspended
(mo/dd/yr) :;;: : Inches2_ HydraulicOil.Usage _ Petroleum Hydrocarbons . ., SItds
Benchmarks,., .. q .
,. •...15.mg/L: " . :• 100 mg/L oc�
Parameter:Code ::"• :: .:• '' ::':.. :,:: ::k�.
:. :'''46529. . ....: NCOIL 00552..
••C0530•
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING 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 ANY ONE OUTFALL? YES ❑NO❑
IF YES,HAVE YOU CONTACTED THE DEMMLR 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 for at end of monitorina period in the case
of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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, ue,accurate,and complete. I am aware that there are significant penalties for submitting false information,including the possibility of fines and
imp is ment for owing viola - ns."
t
a
LW&01J7'A� 1eZV'6- <�/yl
Signature of Permitted Date
Permit Date:11/1/2018-05/31/2021 SWU-249,Last Revised 11/5/2018
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