NCG060388_DMR_20210107

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and (Land Resources General Permit No. NCGO60000
p Date submitted
CERTIFICATE OF COVERAGE NO. NC 06 3 %8 SAMPLE COLLECTION YEAR
FACILITY NA E r, M
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY _ � iszrn or onthl �kC2� — (month)
PERSON COLLECTING SAMPLES Ys
LABORATORY
Lab Cert. N
l /A IJ
Part A: Stormwater Benchmarks and Monitorinir Results
DISCHARGING TO CLASS ❑ORW ❑HC;W ❑Trout ❑PNA
❑Zero -flow ❑water supply ❑SA
Rther LASS C, i SSW) /J E W
L, .f AG�LITY ACTIVITIES INCLUDE (check all that apply):
El use/process meats [Pse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 5>
1 �jo Fzow - lec,
Tntnl nvnnfi rnin fnlll . II Xfiln .41e 1,... - ♦t,;..,.,_;_. 3
outfalfNa
P4te 4mple
Golfticted `mo dd
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E
10 1s
w
v�`
r_ I3'
s
11tl 1$rlfl i,
" L ' '
tldl ; 11r'1 0 1
enterococcl,
Colorlles er 1oomf
Benchmark
BOOx
Parameter Code
10 1
n y app les to facllltles that 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 anv 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 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 55 gallons of new oil per month? ❑ yes Plo
Permit Date: 11/1/2018-05/31/2021
(ifves complete Part B)
SWU-249, Last Revised 11/5/2o1g
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
tfall No,
Date Sam Ie ,Collected.
Imo/dd/yr)
�4»ho �ilhl`
Nr:i1f,�lhr
itahera3l�uligll
�.
Nl t,►
T 7'
i ,o
Usk a
t ,
o .o ", atal
.pr �&
Y.pitr4rum �l` roc3rbons'
Yd
Total' Suspended Solids
eenchmorks
.•
t 'i .P.' f' '
L' rl.'.Y ,�.r .fit -t f
1 :f.
l00 mg/ or`50 m8/L4.
Parameter Code
-
'4$11110
f NCOIL.: "
�0 2
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
• 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:
Mall 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, 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."
I � � .
Signature of Per(nittee
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
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