NCG120080_2021 DMR_20211203

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 Menitor�OgRep-ort-(DMR)_Uptoad-form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to theappropriate DEMLR Rf�giona) Office.
Certificate of Coverage No. NCG 12 0080
Person Collecting Samples: Jesse U (Smith Gardner, Inc.)
Facility Name: South Wake Landfill
Laboratory Narne- Pace Analytical
Facility County: Wake
Laboratory Cert. No.: 37738
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 E]No
if so, wh ich Tier (1, 11, or I I V Tier 3
A copy of this DIVIR has been uploaded electronically via https:/Iedocs.deg.nc.gov/Forms/SW-DMR E] Yes [] No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks In (Red)
Parameter
Parameter
Outfall SDO-1
Outfall SDO-4
Outfall SDO-6
outfall
Outfall
Code
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)
00340
Chemical Oxygen Demand in mg/L
(120)
31616
Fecal Coliform infll per 100ml(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
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 rnfrlL. All other water classifications have a benchmark of 100 nigy L.
FW (Freshwater) SW (Sakwater)
I Notes (optional): No discharge for SDO-6 for November 2021 monitoring period 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 qualified personnel property 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 the possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
george,[e-mail]
Email Address
/'1 /'3 /X I
Date
?11 2,07 10T7
Phone Number