NCG020463_2021 DMR_20211103 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG020000
Active and Inactive Mining Sites
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. NCG02 0463
Person Collecting Samples: Jesse Li
Facility Name: Fogleman & Fogleman Soils, Inc.
Laboratory Name: Pace Analytical
Facility County: Durham
Laboratory Cert. No.: 37738
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 No
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 x Yes nNo
Date Uploaded: 11 / 3 / 2 0 21
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
1 24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50")
00070
Turbidity of discharge*"
-
Turbidity downstream of discharge*"
-
Turbidity upstream of discharge"*
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)
Additional parameters for Clay Mines
Aluminum, total in mg/L (0.75 FW,
01105
0.24 SW)
01092
Zinc, total (as Zn) in mg/L (0.126 FW,
0.095 SW)
00951
Fluoride, total in mg/L (6.0)
00900
Hardness, total
00400
pH, in standard units (6.0-9.0 FW,
6.8-8.5 SW)
01097
Antimony, total in mg/L (0.34 FW,
N/A SW)
01002
Arsenic, total in mg/L (0.15 FW, 0.069
SW)
C0034
Chromium III in mg/L (0.905 FW, N/A
SW)
Additional parameters for Feldspar Ore Mines
01105
Aluminum, total in mg/L (0.75 FW,
0.24 SW)
01092
Zinc, total (as Zn) in mg/L (0.126 FW,
0.095 SW)
00951
Fluoride, total in mg/L (6.0)

Certificate of Coverage No. NCG02 aaao
CERTIFICATION
" I certify, 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 the9ssj'bility of fines and imprisonment for knowing violations."
(Required by 40 CFR
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015