NCG070161_2024 DMR_20240930

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NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR)Form for NCGO70000
Stone,Clay,Glass, &Concrete Products
Click here for instructions
Complete,sign,scan and submit the DMR 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 DMR to the appropriate DEMIR Regional Office.
Certificate of Coverage No.NCG070110 I Person Collecting Samples: riaviirgrogire
Facility Name: ndarns, waC/Cfg16 Laboratory Name: PCI CL (k S
Facility County: v) 111DI' . Laboratory Cert.No.: 7j1112-
Discharge during this period:VI Yes 0 No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?0 Yes J"' No
If so,which Tier(I,II,or III)?
•
A copy of this DMR has been uploaded electronically via https:/fedocs.deq.nc.gov/Forms/SW-DMR .0 Yes 0 No
? Date Uploaded:
Analytical Monitoring Requirements for Vehicle&Equipment Areas—Benchmarks in(Red)
Parameter
Code Parameter Outfall 0I Outfall` Outfall Outran Outfall
N/A Receiving Stream Class V1'CSl fl ((h CK dCCp 14(M.
N/A Date Sample Collected MM/DD/YYYY Qq Jil(ZD2 -
45529 24-Hour Rainfall in inches 2.0
C0530 T55 in mg/1(100 or 50*) „id
00552 Non-Polar Oil&Grease in mg/L(15) -ee
I NCOIL ' Estimated New Motor/Hydraulic Oil
Usage in gal/month I 0 Z (5Gt1/U.
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of So mg/L.All other water classifications have a benchmark of 100 mg/L
Notes(optional):
"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 infor ation,including th ossibility of fines and imprisonment for knowing violations."
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S nature of Permutes or Delegated Authorized Individual ate
Email Address Phone Number
j°hh.ftrdac Oh6Nolcaric_o 1 0)2)0215-W1-6