NCG120105_MONITORING INFO_20200110

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
G
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
U
DOC DATE
❑ CJw
YYYYM M D D

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG12 0 1 0 5
FACILITY NAME Kersey valley Landfill `
COUNTY Guildford RECEIVED
ED
PERSON COLLECTING SAMPLES I
a
LABORATORY City of High Point water Quality Lab Cert. # 55 u N 10
2020
Comments on sample collection or analysis: CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
n Nn rlicrhnrna Chic norinr12
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
_24-hour rainfall
amount,
Inches3
Chemical Oxygen
Demand
mg/L
Fecal Coliform
Colonies per 100 mL
Total Suspended
Solids
mg/L
pH'
Standard Units
Benchmarks
_
-
120
1000
100 or 504
6.0-9.0
Parameter Code
-
46529
00340
- 31616
C0530
00400
SDO-001
SDO-002
SDO-003
SDO-004
SDO-005
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z 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.
4 See 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 mg/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 ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
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Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Outfall No.
Benchmarks
Parameter Code
Date Sample Collected'
(mo/dd/yr)
_
24-hour rainfall amount,
Inches3
_
46529
Non -Polar Oil & Grease
mg/L
15
00552
❑ No discharge
Total Suspended Solids,
mg/L
300 or 504
CO530
this period`
New Motor or Hydraulic Oil Usage,
gal/mon
_
NCOIL
ootnotes from Part
A also apDly to this Part
R
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 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 Discharge 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
am aware that there are significant penalties forsubmitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date: 11/1/2018-5/31/2021
.r ao.Z0
Date
SWU-248, last revised 11/1/2018
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