NCG120105_2021 DMR_20211011

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG120000
Landfills
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. NCG12 0105
Person Collecting Samples:
Facility Name: Kersey Valley Landfill
Laboratory Name: City of High Point Water Quality
Facility County: Guilford
Laboratory Cert. No.: 55
Discharge during this period:0 Yes El No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? E]Yes ® No
If so, which Tier (I, II, or Ill)? ll
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ®✓ Yes FINo
Date Uploaded: 10-11-2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
pH in standard units (6.0 — 9.0 FW,
00400
6.8 — 8.5 SW)
Chemical Oxygen Demand in mg/L
00340
(120)
31616
Fecal Coliform in # per 100 ml (1000)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
* autfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), 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.
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 for gatheringthe 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 imprisonmentfor knowing violations."
Signature of Permitteet r Delegated Authorized Individual
[e-mail]
Email Address
10-11-2021
Date
336-588-3454
Phone Number

NCDEQ Division of Energy, Mineral and Land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCG240000
Compost Operations
Click here for instructions
Complete, sign, scan and submit the DMR via the 5tormwater 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 Re ional Office.
Certificate of Coverage No. NCG24 0007
Person Collecting Samples: Ronald Bannon
Facility Name: Ingleside Compost Facility
Laboratory Name: City of High Point Water Quality
Facility County: Guilford
Laboratory Cert. No.: 55
Discharge during this period:0 Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatoryTier response actions this sample period for any benchmark exceedances? ❑✓ Yes ❑ No
If so, which Tier (1, 11, or III)? 11
A copy of this DMR has been uploaded electronically via https://edocs.deg-nc.gov/Forms/SW-DMR ® Yes ❑ No
Date Uploaded: 10-11-2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Cade
Parameter
Outfall001
Outfall002
Outfall003
Outfall004
Outfall
N/A
Receiving Stream Class
C
C
C
C
N/A
Date Sample Collected MM/DD/YYYY
9-21-21
9-21-21
9-21-21
9-21-21
46529
24-Hour Rainfall in inches
1.23
1.23
1.23
1.23
C0530
TSS in mg/L (100)
118.7
00340
Chemical Oxygen Demand (120)
514
31615
Fecal Coliform in colonies per 100 ml
(1000)
60,000
600
Total Nitrogen in mg/L (30)
26.4
665
Total Phosphorus in mg/L (2)
7.73
400
pH in standard units (6.0-9.0)
B.8
01119
Copper, total recoverable in mg/L
(0.010)
024
Lead, total recoverable in mg/ L
01051
(0.075)
005
Zinc, total recoverable in mg/ L
01094
(0.126)
.046
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
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 gatheringthe 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."
10-11-2021
Signature of Permittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 336-688-3454