NCG060079_2021 DMR_20210921

NCDEQ 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 Manitorin e ort DMR U load 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. NCG060079 Person Collecting Samples: Glenn Price
Facility Name: R.J. Reynolds Tobacco Co.-Tobaccoville Laboratory Name: Pace Analytical Services, LLC
Facility County: Forsyth Laboratory Cert. No.:12,40,633
Discharge during this period:U Yes No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Dyes E]No
If so, which Tier (I, 11, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Dyes E]No
Date Uploaded: 09121 /2021
Analytical Monitoring Requirements for Outfalls with industrial Activities — Benchmarks in (Red)
Parameter Parameter outfall S1308 Outfall outfall Outfall Outfall
Code
N/A Receiving Stream Class C
N/A Date Sample Collected MM/DD/YYYY 09/02/2021
46529 24-Hour Rainfall in inches 2.9
C0530 TSS in mg1L (100 or 50*) 26.0
00400 pH in standard units (6.0-9.0 FW, 7.46
6.8 — 8.5 SW)
00556 Oil & Grease in mg/L (30) <4.9
31616 Fecal Coliform per 100 ml of N/A
freshwater (if required) (1000)
151211 Enterococci per 100 ml of saltwater N/A
(if required) (500)
00340 Chemical Oxygen Demand in mg/L 72.5
(120)
Additional parameters for outfalls 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)
* outfails to outstanding Resource Waters (ORW), High Quality waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 5o mg/L. Ali other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
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 forgathering 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 far submitting
false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
wellsiI @rjrt.com
Email Address
09/21 /2021
Date
336-741-0539
Phone Number