NCG060295_2021 DMR_20210216

NCDEQ Division of Energy, Mineral and Land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
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.
Part A. Analytical
Monitoring Requirements for Outfalls
with Industrial
Activities—
Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfali 2
Outfall 3
Outfall
Outfail
Code
N/A
Receiving Stream Class
C;Sw
C;Sw
C;Sw
N/A
Date Sample Collected MM/DD/YYYY
02/05/2021
02/05/2021
02/05/2021
46529
24-Hour Rainfall in inches
0.2
0.2
0.2
00556
Oil & Grease in mg/L (30)
<5.00
<5.00
<5.00
C0530
TSS in mg/L (200 or 50*)
6$_5
74.0
13.0
00400
pH in standard units (6.0-9.0)
7.5
7.0
7.0
31616
Fecal Coliform per 100 ml of
290
310
< 1
freshwater (1000)
Enterococci per 100 ml of saltwater
61211
(500)
00340
Chemical Oxygen Demand in mg/L
68.2
234
18.9
(120)
Part B: Vehicle
& Equipment Maintenance Areas —
Benchmarks in
(Red)
Parameter
Parameter
Outfall2
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C;Sw
N/A Date Sample Collected MM/DD/YYYY 02/0512021
00552 Non -Polar Oil & Grease in mg/L (15) <5.00
New Motor/Hydraulic Oil Usage in 440
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 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 information, including the possibility of fines and imprisonment for
knowing violation . jl
Signature of Permittee or Delegated Authorized Individual
Date