NCG210252_2021 DMR_20210604 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG21000D
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 O. - 2 -5 2 Person Coilecting Samples: Patrick Fallon - Leaf Environmental
Facility Name: Lampe & Maiphrus Lumber Company -10th St. Sawmill Laboratory Name: ENCO Laboratories/ Leaf Environmental (Field)
Facility County: Johnston Laboratory Cert. No.: 531/5139 (Field)
Discharge during this period: V 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 (I, II, or Ili)? 11
Part_A:.Vehicle & Equipment Maintenance Areas --Benchmarks in (Reds
Parameter
Code
Parameter
Outfall 1
Outfall 2
Outfall 3
Outfall
N/A
N/A
Receiving Stream Class
Date Sample Collected MM/DD/YYYY
C
01/25/2021
Not Sampled
Not Sampled
46529
24-Hour Rainfall in inches
0.3
00552
Non -Polar Oil &Grease in mg/L (15)
20,7
C0530
TSS irrmg/L (100�or 50*)
410-
00400
pH in standard units (6.0 — 9.0)
6.0
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
NSA
Part B: Analytical Monitoring Requirements — Benchmarks in (Red)
Parameter
Cade
Parameter
Outfall 1
Outfall 2
Outfall 3
N/A
Receiving Stream Class
C
Not Sampled
Not Sampled
N/A
Date Sample Collected MM/DD/YYYY
01/25/2021
46529
24-Hour Rainfall in inches
0.3
C0530
TSS In mg/L (100 or 50*)
410
00340
Chemical!
ical Oxygen Demand in mg/L
2em
8.70
Outtails to Outstanding Resource Waters(ORW), High Quality Waters (NQW), 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): First monthly monitoring event (January 2021) for Outfall 001
Outfall
"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 Permittee
egated Authorized Individual
Date �—