NCG120040_2021 DMR_20211116

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 DIVIR via the Stormwater NPIDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DIVIR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG12 0040
Person Collecting Samples: Edgar Stanfield
Facility Name: Halifax County Landfill
Laboratory Name: Environment 1, Inc.
Facility County: Halifax
Laboratory Cert. No.: 37715
Discharge during this period:E] Yes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? [] Yes R] No
If so, which Tier (1, 11, or 111)?
A copy of this DIVIR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR A Yes Ej N o
Date Uploaded: 11/16/21
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall Basin 1
Outfall Basin 3
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*)
00400
pH in standard units (6.0 — 9.0)
00340
Chemical Oxygen Demand in mg/L
(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)
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
* Outfalls to Outstanding Resource Waters (ORW), High QualityWaters (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
INotes (optional): 3rd Quarter of 2021 monitoring, signed by permittee, uploaded electronically on behalf of permittee by Matthew Jones of Smith Gardner, Inc.
"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 bgripf, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information,),Ocluding.thelossibili Wq�d imprisonment for knowing violations."
�1 T— HI&A 4Z A( i . I I — /,�— a
re of PermAtie- c�_6e'AWt`edVuthor'ized Individual Date
Email Address [e-mail] Phone Number