NCG060280_2021 DMR_20211222

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO60000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the >torm�,+facer NPDES Permit Data blonitorcng Repor- (Drv'R} i pinad `arm within
1 30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEV I-P, Regional Office.
Certificate of Coverage No. NCG06 0280 Person Collecting Samples: Charles Rouse
Facility Name: Chief MITI _ Laboratory Name: Envirochem
Facility County: Duplin Laboratory Cert. No.: 94
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)? Tier II
A copy of this DMR has been uploaded electronically via h[tp>:iiedacs dec.nc.�ov/Forms%SW-OMR ✓❑ Yes ❑ No
Date Uploaded: 12/22/2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall1
Outfall2
all
Outfall Outfall 71KU
N/A
Receiving Stream Class
C;Sw
C:Sw
N/A
Date Sample Collected MM/DD/YYYY
12/8/2021
12/8/2021
46529
i 24-Hour Rainfall in inches
12
12
C0530
TSS in mg/L (100 or 50`)
167.5 130.3
00400
pH in standard units (6.0 — 9.0) ;8.6 17.6
Oil & Grease in mg/L (301
00556
Fecal Coliform per 100 mi of
31616
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
3
(if required) (500)
Chemical Oxygen Demand in mg/L
00340
(120) -
97 67
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
NCOIF
Estimated New Motor/Hydraulic Oil
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls 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
Notes (optional): Still on monthly monitoring.
"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 belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, including thed!rossibilitj of fined imprisonment for knowing violations."
Signature oftermittee or Delegated Authorized Individual
12/22/2021
Date
Email Address [e-mail] Phone Number 910-293-3434