NCG120056_2021 DMR_20211019

NCDEQ Division of Energy. Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGI20000
Landfills
Click here for instructions
Complete, sign, scan and submit the DM 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 DM to the a ppropriate DEMLR Re ional Office.
Certificate of Coverage No. NCG120056
Person Collecting Samples. Einsmann
Facility Name: Upper Piedmont Regional Landfill
Laboratory Name: ENCC
Facility County: Person
Laboratory Cert. No.: 591
Discharge during this period:
Dyes
0
No (if no, skip to signature and dare)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? v Yes LjNo
If so, which Tier (I, II, or [Ill? I
A copy of this DM has been uploaded electronically via https://edocs.deq.nc.goy/FormsZSW-DMR j Yes No
Date Uploaded;10/07/2021
Analytical Monitoring Requirements for outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
outfall1
Outfall2
Outfall3
outfall4
outfall5
Code
N/A
Receiving Stream Class
SWS-IV, NSW
SWS-IV, NSW
SWS-IV, NSW
SWS-IV, NSW
SWS-IV, NSW
N/A
Date Sample Collected MM/DD/YYYY
No Discharge
No Discharge
No Discharge
09/22/2021
No Discharge
46529
24-Hour Rainfall in inches
1.58
C0530
T55 in mg/L(100 or 50')
170
00400
pH in standard units (6.0 — 9.0 FW,
8.2
6.8-8.5SW)
Chemical Oxygen Demand in mg/L
38
00340
(120)
31616
1 Fecal Coliform in # per 100 mI (1000)
19200
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)
3.07J
Estimated New Motor/Hydraulic Oil
1>55
NCOIL
Usage in gal/month
❑utfalis to outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
FW (Freshwater) SW (saltwater)
Notes (optional): No Discharge from Outfalls 1, 2, 3, and 5 as site has emptied basins to perform routine maintenance
"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, o the es f my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false informhttiow�K di g the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or oelegated Authorized Individual
meinsmann@republicservir,es.com
Email Address
10-07-2021
Date
919-672-2837
Phone Number