NCG120038_2021 DMR_20211130

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 NPDES 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 Off ice.
Certificate of Coverage No. NCG12 0038
Person Collecting Samples: Steven Sink
Facility Name: Davidson County Landfill
Laboratory Name: Pace Analytical
Facility County: Davidson
Laboratory Cert, No.: 633
Discharge during this period: E] Yes E] No (if no, skip to signoture and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? [3 Yes E]No
if so, which Tier (1, 11, or 111)? 11
A copy of this DIVIR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/­SW-DMR EI Yes []No
Date Uploaded: 11/30/21
Analytical Monitoring Requirements for Outfalls with industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
OUtfall Pt�2PWWI
OUtfall Ph-2PWW2
OUtfall Ph-2ftrxlli
oUtfall Ph-21POW4
Outfall ­POW15
N/A
Receiving Stream Class
C
C
C
C
C
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
1120)
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 Quality Waters JHQW), Trout Waters ITr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg1L. All other water classifications have a benchmark of 100 mg/L
I Notes (optional): October 2021 Results. No dischaQe events at the Phase 2 Outfalls within the monitoring Reriod. - I
"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 qual fied personnel properly gather and evaluate the information submitted eased 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 pena4ies for submitting
false in;N�tio�includmg the possibility of fines and imprisonment for knowing violations. "
Signature of Perm4it—tee or Delegated Authorized Individual
�k- -�o -.21
Date
Email Address [e-mail] Phone Number 336-240-0666

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DIMR) Form for NCG120000
Landfills
Click here forinstructions
Complete, sign, scan and submit the DMIR 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 0038
Person Collecting Samples: Steven Sink
Facility Name: Davidson County Landfill
Laboratory Name: Pace Analytical
Facility County: Davidson
Laboratory Cert. No.: 633
Discharge during this period:E] Yes E] No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeclances? E]Yes [E] No
If so, which Tier (1, 11, or 111)? 11
A copy of this DIVIR has been uploaded electronically via https:Hedocs.deg.nc,pov/Forms/SW-DMR
Date Uploaded: 11/30/21
21 Yes [:]No
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall C&D Pond
Outfall ­­Pw
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C;
C
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
1 Fecal Coliform in 4 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 JORW), 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
Notes (optional). October 2021 Results. No discharge events at the C&D Outfalls within the monitoriggyeriod.
N certify by my �ignature below, under penalty of law, that this document ard all attachments were prepared under my direction or supery %son in
accordance with a system designed to assure that qualif-ed personnei propeidy 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 i to the best of my knowledge and belief. true, accurate, and complete. I am aware that there are significant penalt es for submitting
fal 4�-'cin, including the possibility of fines and imprisonment for knowing violations."
Signature of'P—e?Attee or Delegated Authorized Individual
Email Address steven.sink@davidsoncountync,gov
b_�'6_2)
Date
Phone Number 336-240-0666