HomeMy WebLinkAboutNCG120105_Monitoring Info_20201029NC Department of
Environmental Quality
NCDEQ Division of Energy, Mineral and Land Resources Received
Sturmwater Discharge Monitoring Report (DMR) Form for NCG1200000CT 2 9 2020
Landfills
Click here for instructions
Winston-Salem
RppiAn-j' arc-
-5-1-1
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 DEMLR Regional Office.
Certificate of Coverage No. NCG121 0 1 110 15 1 Person Collecting Samples: Ronald Barron
Facility Name: Kersey Valley Landfill Laboratory Name: City of High Point Water Quality
Facility County: Guilford Laboratory Cert. No.: 55
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? X Yes ❑ No
If so, which Tier (I, II, or III)? II
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfall 2
Outfall 3
Outfall 4
Outfall 5
Code
N/A
Receiving Stream Class
WS-IV;CA:*
WS-IV;CA:*
WS-IV;CA:*
WS-IV;CA:*
WS-IV;CA:*
N/A
Date Sample Collected MM/DD/YYYY
09/17/2020
09/17/2020
46529
24-Hour Rainfall in inches
.25
.25
.25
.25
.25
C0530
TSS in mg/L (100 or 50*)
32.1
641.7
00400
pH in standard units (600 — 9.0)
7.83
7.3
31616
Fecal Coliform per 100 ml of
15400
14700
freshwater (:1.000)
00340
Chemical Oxygen Demand in mg/L
54
76
(120)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NCOIL
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 50 mg/L.. All other water classifications have a benchmark of 1.00 mg/I....
Notes (optional): No flow at outfalls 1, 2 or 4.
"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."
Signature of Permi{Kee or Delegated Authorized Individual
10-26-2020
Date