NCG060378_2021 DMR_20210525

NCDEQ Division of Energy, Mineral and Land Resources
Sllor water Discharge Monitoring Report (DER) Form for NC 060000
Food and Kindred
Ctek here for instructions
Complete, sign, scan and submit the DMR via the 5torrnwater NPDES Permit Data Monftrinf Report (DC I€�ad forrn 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. NCG060378
Person Collecting Samples: Brian Hargrove
Facility Name: Revlon
Laboratory Name: Meritech, Inc.
Facility County: Granville
Laboratory Cert. No.: 165
Discharge during this period:❑✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ✓n Yes ❑ No
If so, which Tier (I, II, or III)? Tier I
A copy of this DMR has been uploaded electronically via https://edocs,de_ .nc.,-ovfForms SW-DMR ❑✓ Yes ❑ No
Date Uploaded:05/25121
Analytical Monitoring Requirements for Outfalis with Industrial Activities •- Benchmarks in (Red)
Parameter
Code
Parameter
Outfail001
Outfall
Outfail
Uutfall
Outfall
N/A
Receiving Stream Class
C:NSW
N/A
Date Sample Collected MM/DD/YYYY
05/03/2021
46529
24-Hour Rainfall in inches
0.25
C0530
TSS in mg/L (100 or 50*)
39
00400
pH in standard units (6.0 m 9.0)
7.4
00556
Oil & Grease in mg/L (30)
<5
31616
Fecal Coliform per 100 ml of
NA
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
NA
(if required) (500)
60340
Chemical Oxygen Demand in mg/L
136
(120)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
* 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 rng1L. 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
ibalse information, including the possibility of fines and imprisonment for knowing violations."
05/25/21
re of PeimitteeVrf)elegated)Authorized Individual Date
Email Address [e-mail] Phone Number 919-603-2305