NCG210402_2020 DMR_20210129 (4)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG210000 PAGE 2
Timber 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 DEMLR Regional Office.
Certificate of Coverage No. NCG21 0 4 0 2 Person Collecting Samples: Ken Elliott
Facility Name: J.W. Jones Lumber Company, Inc. - Chip Mill Laboratory Name: Environmental Chemists
Facility County: Pasquotank Laboratory Cert. No.: DWQ 94, DLS 37729
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? ❑ Yes ❑■ No
If so, which Tier (1, 11, or III)?
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfa I I
Outfa I I
Outfa I I
Outfa I I
O utfa I I
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
FNCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Analytical Monitoring Requirements — Benchmarks in (Red)
Parameter
Parameter
Outfall16
Outfall
Outfall
Outfall
Outfall
Code
Upstream #3
N/A
Receiving Stream Class
C;SW
N/A
Date Sample Collected MM/DD/YYYY
12/28/2020
46529
24-Hour Rainfall in inches
0.28
C0530
TSS in mg/L (100 or 50*)
NA
00340
Chemical Oxygen Demand in mg/L
54
(120)
* 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 100 mg/L.
Notes (optional):.. Downstream & Upstream samples are comparison background samples, for information purposes only
"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." olgllally signed by Ken Elliott
KenElliott LL,mti n Elb,ftC— ncgott y°andnnlegntymg kofl@sdocbmenl
Oale'. 2021 01-2823'.34'. 21
Signature of Permittee or Delegated Authorized Individual
01 /28/2021
Date