NCG060344_MONITORING INFO_20190806

VV � 11"o
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C?� MONITORING REPORTS
DOC DATE
❑ ()0 1 9 b
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted d%-/%OW19
CERTIFICATE OF CO!MERAGE NO. NCG06 SAMPLE COLLECTION YEAR
FACILITY 11
COUNTY_i G
SAMPLE PERIOD g Jan -June ❑ July -Dec
_ DIV.P/7
PERSON COLLECTING SAMPLES l Ior ❑ Monthly' (month)
LABORATORY — Lab Cert. 8 P r U t I I/ E ['DISCHARGING TO CLASS ❑ORW ❑HCIW ❑Trout ❑PNA
AUG 0 6 20)9 ❑Zero -flow ❑Water Supply ❑SA
[]Other 6iA-/2 A;itM- 6-G4ij
CEN T i AL FILESFACILITY ACTIVITIES INCLUDE (check all that apply): lvme,
DNJR SECTION ❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z or dNo discharge this period'
Outfail No.
Dle
D Ccllated,.mte Sampie--.r
TSS
mg/L
"' �pH,
Standard units
"COD,
mg/L
- `Offhand Grease,
mg/L
Fecal Coliforav
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark.. ..-.
.:_. -_ --
100orso,
With1n6.0-9.0-
-120-------
-30 ----.___-
-_3000' -------._..
_5oo1-. .:
Parameter Code
- - - -
vCOS30
.--06400 -
o0340 �^
-- - 00556 , -�
-`--31616 -- -
- - 61211
Only applies to Tanuties tnat use/process meats. -
'The 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.
'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 5S gallons of new oil per month? ❑ yes ❑ no (if yes. complete Part B)
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitorine Results: only for facilities ayeraeino > SS oal of new mnrnr nil/rn.. tk
Outfall No.
Date Sample Collected
(mo/dd/yr)
24=hourrainfalfamount;
Arches'
;New Motor Oil or -
.Hydraulic'Oil Usage
Non=Polar O&G/Total:.
. Petroleum. Hydrocarbons
Total Suspended Solids
Benchmarks
-
- _
.' 15 •mg/L
100 mg/L or 50 mg/L"
Parameter Code
-
.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 DEMUR 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 monitoring 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, 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 violations."
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 2 of 2

rr -
"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 violations."
Date
DWQ Realonal Office Contact Information:
RA
For questions, contact your local Regional Office:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barnett Drive
Raleigh, NC 27609
[phone]
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 29405-2845
[phone]
Q To preserve, profec!
and enhance
North Carolina's water..."
SWU-264 - Generic Annual DMR
Las[ revised 5102/2018