NCG060279_MONITORING INFO_20191007

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
(Y C 6 01✓ ��
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ���� ��07
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted0
CERTIFICATE OF COV RAGE NO. NCG06O�� A n ; �'
FACILITY NAME OS, t..aru� e 'vt
COUNTY a
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 0 1
SAMPLE PERIOD ❑Jan -June ❑ July- ec
or [& fonthlys month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -floc ❑WaterSuppl ❑SA
[Kther 1 RSs C t'SW
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
PLEASE REMEMBER(r P 5T J O'FLO ON \
Total event rainfall' or o dischar e this eriod'
Outfall No
Date Sample s
Collactedmo dd r
TSS
°,m L '
pH, , ,
Standard units
COD,
"w .". m L,
011 end 3rease, r
`r„m L' F
Focal Collform,
'< Colonle arF100 ml-
9 p
Enterococci, •
.Colonies a"r100 mi
Beoi6mark - "`
"r
%100'or50r^
,Wltij'Iri6;4�B,Q0
a1000t,'
=r500i�
PdrameterCodeS
'•
_' C0430 its''
„ '00400 `r{;
•=:,p03401^`�=`
' "-"`.OQ546 �
• ' "316
161211
viuy dppoes to iacmues mat use/process meats.
'The total precipitation must be recorded using data from an on-slte raln gauge.
' 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.
'Monthly sampling (Instead of seml-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 SS gallons of new oil per month?❑ yes ❑ no (If ves, complete Part B)
Permit Date: 11/1/2018-05/31/2021
Rep 6�� 3r�Q;4J 11 �tt, Av - A Z-b .
SWU-249 Last Revised 11/5/201
C, rRff6_�, ��— Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaalne > 55 Rai of new motor oil/month
' � ,i
Outfall No x f
Date 9ampla}eolleo�ar�',,9d�MayrtFalnieii
(masuspandad
/,�� •V,l , .� ..,
a�ioNrl�;�
.:. h y �_vy
��� NawiNi�tOFh li'Gr`` F
-M1drauila tUfU1MYs� ,
a'� Nun'Pofer 4&q/7gtal
"F'attoloum H,y�rbcarbons.
`°^`
Sos lid
_ ;, w,,.„ - .,.
BanahmtrrkriYh
i t S
J f (W�9� k I 1
W- 1 1i# t V..
Iw (afi Rif f,
1....
ytl Nay
1/� y'e 4..n
ParariteterCoda.
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 S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCCE FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES NO Q
IF YES, HAVE YOU CONTACTED THE 4�N R REGI AL O FFIEE7 ,YES 10:N0 � ,
REGIONAL OFFICE CONTACT NAME: l �� egs e�
Mail an original copy of this DMR including all "No Discharge" reports within 30 days of receigt of the lab results (or at end of monitoring Period In the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617.,Mall Service Center
Raleigh, NC 27699-1612,
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 am aware that there are significant penalties for submitting false information, Including the possibility of fines and
imprisonment for knowing vlolatlQns."
Signature of
Permit Date: 11/1/2018-05/31/2021
/0-/-/i
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 �
CERTIFICATE OF COV RAGE NO. NCG06O
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted to ` ! - L C1
SAMPLE COLLECTION YEAR 0 l
.
-..f%?— d
OCT 07 2019
STORE `H R ERI', i TING
SAMPLE PERIOD ❑ Jan -June ❑ July- ec
or 14 fonthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
Zero-floyt ,❑WaterSuppl []SA
ther 4ss l \W
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
PLEASE REMEMBERTO SON THE REVERSE
ZfoETNFL0f\
Total event rainfall or Fo discharrcie this oeriod3
Outtall No
Date Semple
Collec 8ri;o'/dd/ ra
TSS t
"� m /L _.Standard
pH ; s
units<
COD,
<,.,,rm L ,
Oil end;Grease
=' , ,�..m %Ck.
Fecal Collform, , _
Golonlei er 100�m1 `:
Enterococd,
Colonles;� er 100m1
Benchmark }`` '�
. �- °;'., '= •
':300 dr50".��:
,;Wlthin'6i0 9.0.
_ `;* 120 41
'T , -' !30..•
:;1000' ' •
500'
.PdrameterOide,�
:'��'C0530'r`
.`�;:00400 �,
�'00340 =:�'-,:-+
,=_OOS56
".`"31616"
`61211 -`
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly 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 SS gallons of new oil per month? ❑ yes ❑ no (if vas, complete Part B)
Permit Date: 11/1/2018-05/31/2021
.nC 5e �o��G5� , �Q�
—�-p. cU.Sj 5WU-249, Last Revised 11/5/201
Page 1 of 2

Part B: Vehicle Maintenance Area Monitorine Results: only for facilities averaol no 5 SS oal of now mnrnr nn/mnnf6
-
Outfall No 2
Date''Semple,ColleMed
;24 houriralnfalli'iimount
Flnchbs'
0 'Naw Motor,011 on li'
n
fr& Hydraulic 011 Usage ; «
Non'Polar O&t3%Total
,Petroleum Hydrocarbons
' { � -
Total Suspended Sollds
<
Benchmarks „�
.s��`t
s k� k-"
a,.
x q� pia
r c,
�
100 mg/L o%SO mg/L'
Parameter Code .'''
r.
+.
00942
cO53o ,.• ;'-:
uusnoces from Part A also appiy to Part n
'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 S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES RNO
IF YES, HAVE YOU CONTACTED THE D LR REGIOQNAL OFle F E7 1YES NO 1 �_
REGIONAL OFFICE CONTACT NAME:
El es l,� e� cSe i CO Ne�EM�'R ,(Ne2Cir�q� \
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 monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1612,Mail Service Center
Raleigh, NC 27699-1612,
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 supervisionin 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing vlolatiytns." _
Signature of
Permit Date: 11/1/2018-05/31/2021
/0-/- / `1
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT nn
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG0600
s a I-- lD0=1 F(VE1J
CERTIFICATE OF C ERAGE NO. NCGr0666
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES
LABORA
Lab Cert. fJ
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted 8 — S'
N,;;, 0 s 2019
DENR-LAND QUALITY
SAMPLE COLLECTION YEAR aQ l I STORMWATER PERMITTING
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [b fffonthly' Z5_ctb (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑WaterSUAlly ❑SA
(g6ther_ dgS'S C QiA)
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats PlItSuse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON ETHE (REVERSE —)
. - a-- oFzLO U
Tntal PVPnr rninfnll2 nr- ft�rNn rlicrhnrna Chic n inr13
Outfall No.
Date Sample
Collected, mo/dd/ r
TSS,
'mg/L
- pH,
.Standard units '
COD,
:;, mg/L,'
Oil and Grease,
mg/L
Fecal Collform,
Colonies per loo ml
Enterococcl,
Colonies per100 ml
Benchmark
- -
Soo or 504
Within 6A=9.0 -
i; 120 -
- 30
1000,
Soo'
Parameter Code-
- -
C0530'
-- - =-00400 -
00340
�00556
31616
61211
vniy applies to raaitties 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.
45ee General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly 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 ❑ no
Permit Date:11/1/2018-05/31/2021
(if yes, complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
Outfall No..
Date Semple Collected '
(mo/dd/yr)
24-hour rainfall amount,
Inches a
New:Motor OII or=
Hydraullc oll Usage
Non -Polar 0&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
, !.
15 mg/Ld,
100 mg/C or 50 mg/C
Parameter Code ...
- ,:
46529 ,;'
• _'_ >.; NCOIL „.
00552
CO530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES NNO ❑
IF YES, HAVE YOU CONTACTED THE DE L R`ErGION L OFFI YE`S-�N ❑ p 1
REGIONAL OFFICE CONTACT NAME: j�(���c�`btN' V - N:F �TQ��� WCZGNkCi� G, ,e',a, t,
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 monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1612,Mail Service Center
Raleigh, NC 27699-1612,
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 am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violatigns._ _
Signature of
Permit Date: 11/1/2018-05/31/2021
8-s f R
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2