NCG060114_2023 DMR_20230629

NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge WI cnitoring Report(DMR) Form for NCG060000
Focd and'Kindred
Click here.foriristructIons
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Complete;sign,scan.and.sutirrilt the.DMR via the Storm:rater NPDES Permit.Date;MOnitorilia Report(DMR)Uribed foi:m within
30..days of receiving.samp•iing results. Mall the origihal,signed.hard cagy of the DMR to die anprooriate DEMLil Regional CVO:
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Certificate of CoverageNo.NCGO6 g! 1 i 4 Person Coilecting.Samples:,..)...MAtc.ta fl..Octein
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Facility NameUtri 1U N.i CY- .1.1"Advm.-Patii A 6.11 G.,- 1.114c- _ Laboratory Name44i C'
rep*t LltbOrtt iltirlic: lhiC.-
Facility County: 1711-e—. I i Laboratory.Cert.No.:Nor ii ir8-7.1r-f./LA c--)A z 1 I -.,i
1.
• Discharge during.this..perTod:O.Yet 10 No:(If noiskip tosignatare and datel .
Has your facility implemerited.mandatorytierresponse..actions this sample period exceedances?.0 Yes i.No
if so,which Tier(I,II,or Ill)? . . .. 4
is,copy Of this DMR has been uploaded electronically vie.hilos!iledocs.ctacunc.r.tok.r/Form_WSW-DiVill lg.Yes. 0 No
Date Uploaded ):1,1 7/ 2'7 . .
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Analytical Monitoring RequIrerrientgforOutfalls with.IncluStrial Activities-Berichmaritain
Parameter
Parameter Outfall Outfall. Duffel! .Outfall Outran
Cotie. • • _
N/A Receiving Stream.Class Mil-
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N/A DateSample t011eCted MNt/Db/WYY J.viit. •
46529 :247.!Hour Rainfall:in inches Pite A .•C0530. 'Min mg/L NMI ar.Ws.) . •
06400 pH in standard units(0.0-9 .1-""dst,
6.3-15-FM Pitt • .
Fecal Conform per 100 nibf
.3140 freshwater(if required)p..ocir.q N I it . .
6 EnterocOcCi.per 100 ml of saltwater
1211 ,
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(if required)(170f.)) ik.i.hr
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Chemical Oxygen Demand mg/L . •
.00340. IJ iti7.
Additionalpararneters fOr outfallsin.drainage areas that use>5.5 gallons permonth of new hydraulic oil On average
NcOIL
Estimated New Motor/Hydraulic 011 ' ..
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Usage in gal/month• Pi. ilk . .
00552 *Non-Polar 06&Grease.in.mg/L faS) lq vri,
Duffel's to Outstanding Resource Waters..(ORIN),NigbCttiality Waters(NOW),Trout Waters(Tr)and Maim,Nursery Areas(PNA) •
have a henchmarhT55 limit of 50 meli...All other waterciassifications have a benchmark°tan*.imit.
Pitt(Freshwater).5::'7.V(Saltwater).
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I Notet(OPtionab: 1..ills NM" riTil iii.11 iht .'14.0 7:21-- 0. 2. .---iot .9.0-mo-rekr406. 1
"l certify.bY My signature below,:under penalty of law,that this dOCument and all.attachmentswere prepared under my dIreCtion or supervision In•
a cqorci.ance•witti a system designed to assure that qualified personnel properly gatherand evaluate theinformation submitted.Based on my
inqUini.of the person Or persons.who manage the system,or those.persons directly responsible for gathering the infornation,.the information
submitted is to the best of my knowledge and belief,true,accurate,and cpmPlete,.1 am aware that there a re.signifIcalit penalties far submitting
false infoimation;including the possibility of fines and imprisOnmentfOrknowing.violations!'.
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....t''17,i' A A 1....;.4/ 11 1.1.
.,' 'i. C'Nt. 1 • Cs.,1 it.?L'"-- U i-2--711.. .
Signature of Permittee or Delegated Authorized Individual Datd
A vigil.. iiof k k LloitAirf..
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Email Address Phone Number