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HomeMy WebLinkAboutNCG060352_MONITORING REPORT_20210107NCDEQ Division of Energy, Mineral and Land Resources Stormwater 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_fotm 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. N Facility Name: 5&D Coffee, Inc Person Collecting Samples: James Barbedo Laboratory Name: Pace Analytical Facility County: Cabarrus I Laboratory Cert. No.: NC Field Service Carl # 5342 Wastewater # 12 & 40 Discharge during this period: H Yes ❑ No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes X No If so, which Tier (I, II, or III)? Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red) Parameter Parameter Outfall01 Outfall Outfall Outfall Outfall Code N/A Receiving Stream Class C N/A Date Sample Collected MM/DD/YYYY 12/14/2020 46529 24-Hour Rainfall in inches .015 00556 Oil & Grease in mg/L (30) NO C0530 TSS in mg/L (100 or 50') 10.4 00400 pH in standard units (6.0-9.0) 6.6 Fecal Coliform per 100 ml of 31616 freshwater (1000) Enterococci per 100 ml of saltwater 61211 (500) 00340 Chemical Oxygen Demand in mg/L N D (120) Part B: Vehicle & Equipment Maintenance Areas— Benchmarks in (Red) Parameter Parameter Outfall Outfall Outfall Outfall Outfall Code N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY 00552 Non -Polar Oil & Grease in mg/L (15) New Motor/Hydraulic Oil Usage in NCOIL gal/month Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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 violations."n 0 Permittee or Delegated Authorized Individual 1-/ 2 Dat