HomeMy WebLinkAboutNCG120090_2021 DMR_20220103NCDEQ 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 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 aperopriate DEMLR Regional Office.
Certificate of Coverage No. NCG121 (
Facility Name: Brunswick County Landfill
Person Collecting Samples: Jeremy Baker
Laboratory Name: West Brunswick Regional
Facility County: Brunswick I Laboratory Cert. No.: N000903
Discharge during this period: ❑ Yes ❑■ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? 0 Yes ❑ No
If so, which Tier (I, Il, or ill)?
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfall 2
Outfall 5
Outfall 6
Outfall 7
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*)
00400
pH in standard units (6.0-9.0)
Fecal Coliform per 100 ml of
31616
freshwater (1000)
Chemical Oxygen Demand in mg/L
00340
(lza)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall 8
Outfall8a
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NCOIL
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 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional): March 2021 SDO's #1, #2, #S, #7, #6 and #Sa Copies mailed to Wilmington Regional Office
"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 the possibility of fines and imprisonment for
knowing violations."
nh.", D� .- Z 1
Signature of Permitiee or Delegated Authorized Individual
Date
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 DMR via the Stormwater NPDLS 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 L<
Facility Name: Brunswick County Landfill
Person Collecting Samples: Jeremy Baker
Laboratory Name: West Brunswick Regional
Facility County: Brunswick I Laboratory Cert. No.: NCO0903
Discharge during this period: ❑ Yes 0 No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? 0 Yes ❑ No
If so, which Tier (I, II, or III)? 1
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfall 2
Outfall 5
outfall 6
Outfall 7
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*)
00400
pH in standard units (6.0-9.0)
Fecal Coliform per 100 ml of
31616
freshwater(1000)
Chemical Oxygen Demand in mg/L
00340
(120)
Part B: Vehicle & Equipment Maintenance Areas -- Benchmarks in (Red)
Parameter
Parameter
Outfall 8
Outfall8a
Outfall
outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NCOIL
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 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional): June 2021 SDO's #1, #2, #5, #7, #8 and #Ba Copies mailed to Wilmington Regional Office
"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 the possibility of fines and imprisonment for
knowing yletations." 12
Signature of FiermitteVor Delegated Authorized Individual
mz
Date
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 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 appro2riate DEMLR Regional Office.
Certificate of Coverage No. NCG12 0 0 9 0 Person Collecting Samples: Jeremy Baker
Facility Name: Brunswick County Landfill Laboratory Name: West Brunswick Regional
Facility County: Brunswick Laboratory Cert. No.: NCO0903
Discharge during this period: ❑ Yes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? N Yes ❑ No
If so, which Tier (I, II, or 111)? 1
Part A: Analvtical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfall 2
Outfall 5
Outfall 6
Outfall 7
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*)
00400
pH in standard units (6.0 —9.0)
Fecal Coliform per 1.00 ml of
31616
freshwater(1000)
Chemical Oxygen Demand in mg/L
00340
(120)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall 8
Outfall8a
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New motor/Hydraulic Oil Usage in
NCOIL
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 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional): September 2021 SDO's 91. #2, #S, #7, #8 and 48a Copies mailed to Wilmington Regional Office
"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 the possibility of fines and imprisonment for
knowing vS.
ia n"
0 AW-'
Signature of Perciittee 4 Delegated Authorized Individual
2 2
Date
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 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_ NCG12 0 0 9 0 Person Collecting Samples: Jeremy Baker
Facility Name_ Brunswick County Landfill Laboratory Name: West Brunswick Regional
Facility County: Brunswick Laboratory Cert. No.: NC00903
Discharge during this period: [] Yes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? Q Yes ❑ No
If so, which Tier (I, Il, or Ill)? I
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfall 2
Outfall 5
Outfall 6
Outfall 7
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
I TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.0)
Fecal Coliform per 100 ml of
31616
freshwater (1000)
Chemical Oxygen Demand in mg/L
00340
(120)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall 8
outfall8a
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NC01L
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 54 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional): December 2021 SDO's #1, #2, #5, #7, #8 and #8a Copies mailed to Wilmington Regional Office
"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 the possibility of fines and imprisonment for
knowing violatip,�'
Signature of Permii�ee or Delegated Authorized Individual
Date