NCS000567_DMR_20240812

8/9/24,9:19 AM Submission Completed
rr �
tft ( l'F, 0a sakAk'`N Departmentr.f
ua
Environmental Quality
s_ y
P>!o -Mono ri, �� �4�ja� fi;� � ��:f�4'7���� Received
AUG 12 2024
Winston-Salem
Permit and Facility Information: Regional Office
Please enter the permit number and other details For this upload.
IMPORTANT., Until your stormwater permit is registered in the eDMR system, an original signed(not digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this electronic
upload.
Permit Number* Enter COC or Individual Permit Number(NOT General Permit number with all o's)
NCS000567
Must begin with NCS or NCG
* This permit should be reporting data through eDMR now instead of uploading
forms here and mailing a paper copy. I understand the permittee should go to
https://deq.nc.gov/sw-edmr and follow instructions to register.
Permits beginning with this prefix should be using the eDMR system and reporting electronically instead of
using this form or mailing a paper copy. Please see the Stormwater eDMR website and follow the Six Step
Process for registering in the eDMR system. Permittees who already submitted registration forms but are
still waiting on ownership updates and/or registration confirmation should just indicate this as the
reason below.
Reason for not yet No access
reporting data
through eDMR for
this permit:*
Please review the facility, owner, and county below! If that information is not what you expect, please
check your permit number again and contact us regarding any errors.
Facility Name: * Ecoflo, Inc.
Owner/Operator Ecoflo Inc
Name:
County:* Guilford
After uploading here, the original signed hardcopy must be mailed to:
httos:/Iedocs.deq.nc.aov/Forms/Form/Submit 113

8/9/24,9:19 AM Submission Completed
DEQ Winston-Salem Regional Office
Attn: DEMLR Stormwater Program
450 West Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Further contact details at https:/ideq.nc.gov/contact/regional-offices/winston-
salem
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2024
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**
DMR Upload* Cltek the upload button or drag and drop tiles here to attach document.
7-25-2024 Stormwater Results.pdf 1.45MB
Only PDFs are accepted.
Comments: See attached report.
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
a I agree that submission of this Discharge Monitoring Report (DMR) Upload form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act'),
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act'),
• I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature, AND
• I intend to electronically sign and submit this DMR Upload form.
Full Name:* Freston Black
Nama of person submitting!his form
Email Address:* [e-mail]
https://edocs.deq.nc.gov/Forms/Form/Submit 2/3

8/9/24,9:19 AM Submission Completed
Phone Number:* 3366172714
Signature:
r r'
Date:* 08/09/2024
https://edocs.deq.nc.gov/Forms/Form/Submit 3/3

O O d d Y O v .
�• w N � � � O 'Z Q
Am tv
r �
�• � y o A ` r �
0 0
a
w A
� ? o m
o<�» C Z
o "
ro3-p
9' o O m — o nmm
oa A to N ryN3y
a
w •- w � "' � — ° ,may
a
O to a ffDyD.. N Oil w r M M
C
g =ao iy r
rn ro A
C7.y. �
d
° r .y
A aro
rA
d 00 N r C a
T
� d k
COA 7y g o; a�
A A
0\ A w Z O T A
� d �
O ^*
7
W
O
G
w
m
R
O
3

'h N
O p
V
b a
b
d
y
1U
'J A yp C
N w y O
04
.z O b4 V1 T ro V �' L vVi
$i
C � O
Op y N E O E
y t0 O u
•g'op � A � � w`� � E o a �
w i ' e
L W H Zy Ir a.d `
R a $ W d = p N
C7 a� ds
po °55 wa
'� O C vi A nn,p
y = L
u R
b9
d �' Ex
N N 'D a•� O L
L W y ttl tC d V y p Y
p V C L
C �Np T � T Z 9 �•• p S
w p U •0,. A v C� O p 9
LI N
in tr
P4 y V r
PC
'> H o �I v a � ui •o 0
d
p v T as y at a,$ _ 'y •E
a a o
z � p o WLa WTso E � 8
�e w+ a 9
W V F. N ate+ W V 2 CL+' PE _
d >
i
y g V
Z
O
A
o z 'z