NCG120109_2021 DMR_20211201

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater uiscnarge Monitoring Report [DMR) Form for NCG120000
Landfills
Click here for instructions
Complete, sign, scan and submit the DIVIR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DIVIR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG1201 09
Person Collecting Samples: Brandt Kayser
Facility Name: Greenway Waste Solutions at Nort:h::M
Laboratory Name:Pace Analytical Services Charlotte
Facility County: Mecklen burg
Laboratory Cert. No.: 37706
Discharge during this period: E]Yes Z No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeclances? F—]YesE]No
If so, which Tier (1, 11, or 111)?
A copy of this DIVIR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR E]YesE]No
Date Uploaded:
Analytical Monitoring Requirements for Clutfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
PH in standard units (6.0 — 9.0 FW,
00400
6.8 — 8.5 SW)
Chemical Oxygen Demand in mg/L
00340
(120)
31616
Fecal Coliform in # per 100 ml (1000)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of . All other water classifications have a benchmark of 100 mg/L.
(Freshwater) SW (Saltwater)
I Notes (optional): DMR for July 1 - September 30 monitoring period I
"I certify by my signature below, 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."
Signat4ie­6f Permitt�e or Delegated Authorized Individual
[e-mail]
Email Address
12/1/2021
Date
914-844-7048
Phone Number