HomeMy WebLinkAboutNCG060351_MONITORING REPORT_20210617NCDEQ Division of Energy, Mineral and Land Resources
5torrnwater Discharge Monitoring Report (DMR) Form for NCG060000 NQdo /`'
Food and Kindred
Click here for instructions ;5V °o
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload4orm within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DFMLR Regional Office.
Certificate of Coverage No. NCG06 p ->S j
Person Collecting Sampl . �,- -
Facility Name: i
Laboratory Name• t,�,i•
Facility County: q(�� '
Laboratory Cert, No.: o
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? ❑ Yes WA10,
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ❑ Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class^
E
�
N/A
Date Sample Collected MM/DD/YYYY
•� /,�
ZJ
r� '" c
46529
24-Hour Rainfall in inches
�, ""�
(_ns ,
C0530
TSS in mg/L (900 or 50*)
C`
00400
pH in standard units (6.0-- 9.0)
U�
Z
00556
Oil & Grease in mg/L (30)
31616
Fecal Coliform per 100 ml of
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
(if required) (500)
00340
Chemical Oxygen Demand in mg/L
%�c_�
(12())
Additional parameters for outfails in drainage areas that use >55 gallons per month of new hydraulic oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
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 So n)Vl.. 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
fmation, including the poss"ty of fines and imprisonment for knowing violations."
Signature of Permittee or Deleg`Wted Authorized Individual
Email Address
Da e
Phone Number
-70AI-g&9-31/2-
Table 1. Stormwater Sampling Results
Stormwater
Parameters
Units
Outfall1
Outfall2
Outfall3
Benchmark
Oil And Grease
mg/L
BDL
BDL
BDL
30
pH
s.u.
6.09-field
6.24-field
6.82-field
Within 6.0-9.0
Total
mg/L
16
32
9.4
100
Suspended
Solids
COD
mg/L
57
BDL
58
120
Total Rainfall
inches
-
0.31
0.31
0.31
Storm Duration
minutes
-
480
480
480
Total Flow
gallons/
1.5
0.5
0.5
-
minute
BDL = Below Detection Limit
mg/L = micrograms per liter (parts per million equivalent)
s.u.= standard pH units