NCG210485_2021 DMR_20210625

Submission Cornpteted
kN
=.; t rmwater NPDES Permit Data Monitoring Report
M ATHCAARJNA (DIME ) Upload
er.oM.rer,+umfttr
Permit and Facility Information:
Please enter Vie permit numL)k�r ano 01Ner dell.@& ipr this uµioad_
............ .... ............................................................................................ . .. ............... .......
IMPORTANT. Until the eD11 R sWem is implemented for DEMLrR Storm water Program permits, an original
signed hardcopy of the DMR MUST be mailed to the address in your permit, in adari ion to this electronic
upload.
Fields marked with a red asterisk are required.
PermitNurnber* Enter 00CorIrdividualPerm itNumbar (NOT General Pemiitnwneberwithall 0's)
NCG210485
Must begin with NCS or Nr-G
Facility Name:* Active Enemy Renewable Power
County.* (Robeson
After uploading here, the original signed hardcopy must be mailed to.
DEQ Fayetteville Regional Office
Attn: DEMLR Stormwater Program
5 Green Street
ulte 714
Fayetteville. NC 28301-5095
Further contact details at https:lid eq. nc_govloont8rt!regional-ofEiceslfayettevilie
Monitoring Period Information:
Monitoring Period What a6 the Yk.AP of the 5?mpie daRe{s1?
Year:* 2021
Mufffple DMRs from sampflrrg perms within the same year can be uploaded together, but please upioad differaen
Mears with a new submollaf farm_
hops;lledocs.deq,nc,gG++�FGrrriSlFOim�$4GrttiR

i5riw2wi
Sahrnrsstw Completed
Also, copies of the lab results and qualitative (visual) monitoring should N_QT tie sybmitte Unless 50ecif --ally
requested by DEQ staff. Only upioad dire completed and signed DMR forms_
DMR Upload* C1=ck, the uplca4 I)LII'GR or drao and drop files here to attach documen!.
N CG2 I -DM R-Forrrr- 0200510.pdf 322.85KB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
I have given true, accurate, and complete information on this form;
I agree that submission of this Data Monitoring Report (DM R) upload form is a "transaction" subject to Chapter 66,
Article 40 of the N C General Statutes (the "Uniform Electronic Transactions Act");
4 I agree to conduct tins transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
I understand that an electronic signature on this upload form has the same legal affect and can be enforced in the
same way as a written signature: AND
o t intend to electronically sign and submit this DMR upload form,
Full Name:* Ronald Gaskins
Name of person submiiiing 9his form
Email Address: * rofi ald - g as kirl si§aegpIC-Mr t
Phone Number: * 910-840-7922
Signature: *
Date: * 0611 812021
hflps:Ifedocs,deq,no,govfFon -LOOT rl ub"t 202

NCDCQ Division of Energy, Mineral and Land Resources
Stormwater Discharge MonFtoring Report (DMR) Form far NCG 2 10000
Timber Praduct5
Click here for ir-structions
Complete, Sign, scan and submit the DM via the St,ormwater NPDES Permit Data Monitoring Report (DMR) Uplpad _form within
30 days of receiving samplIng results. Mai the origfnal, signed hard copy of the DIVIR to the appropriate DEMI,R Regional office_
Certificate of Coverage No. NCGZt 10 14 18 15 Persorl Collecting Sam plesv Clove Collins
Facility Name. Active Energy Renewable Power Laboratory Name: Lumberton Energy Holdings, LLC
Facility County_ Robeson Q Laboratory Cert_ Flo_, 144
Discharge during this period; u Yes L 1 No cif no, slop to signature onddatie)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances7 U Yes [K No
If so, wkrich Tier (I, N, or IN)?
Part A. Vehicle & Equipment Maintenance Areas, Renchmarks in (Red)
Parameter
Code
Parameter
outfall
outfall
outfall
outfall
Outfall
_
x/A
Receiving Stream Class
NIA
Date Sample Collected MM/DDNM
—
46529
24-Hour Rainfall in Inches
00552
Non -Polar pll & Grease In mg1L (15)
C0530
TSS in ftWL (100 or 506)
00400
pH in standard units 16.0-9.1131
NCOiL
New Mowr/Hydraulic Oil Usage in
golf rnpnth
Part B. Analytical Monitoring Requirements— Benchmarks In (Red)
Parameter
Parameter
outfall04
outfall
outfall
out -Fail
outfall.
Code
N/A
Receiving Stream Class
C,
-
NIA
Date Sample Collected M M f DDYYYYY
061041202-9
46529
1 24-Hour Rainfall In inches
I.0"
C053D
TS5 in me/L j 100 or SO*)
23.65
00340
Chernlcaf Oxyeen Demand in mg1t
(120(
.
* Outtalks to Outstanding Resource Waters (ORWM, High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas �PNAI
have a bencihmark TS4 li mat of 50 mg/L. All other water classifications have a berachm ark of 200 rngf l.,
Notes (optional);
"I certify by my signature below, under penalty of law, that this document and all ettarhments 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 persona or persons who rnanage the system, or those persons directly responsible far
gathering the information, the information submitted is, to the best of my knowledge and belie#, true, accwrate, and complete. I am
aware that there are sig scant penalties for submitting false information, including the possibility of fines and imprisonment far
know ingmk"tlons." If
of Perrltlttee or Delegated Authorfzecl IndivlduaI
Date