NCG120090_2021 DMR_20220103 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG12-0000
Landfills
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin 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.: 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? ❑ Yes M No
If so, which Tier (I, 11, or lil)?
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code Parameter Outfall 4 Outfall Outfall Outfall Outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
46524 24-Hour Rainfall in inches
C0530 TSS in mg/L (100 or 50*)
00400 pH in standard units (6.0-9.0)
31616 Fecal Coliform per 100 ml of
freshwater (1000)
00340 Chemical Oxygen Demand in mg/L
(120)
Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code Parameter Outfall Outfall Outfall Outfall Outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
00552 Non -Polar Oil & Grease in mg/L (15)
NCOIL New Motor/Hydraulic Oil 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 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional): June 2021 SDO #4 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." __
Signature of Permittee
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 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 Baiter
Facility Name. Brunswick County Landfill Laboratory Name: West Brunswick Regional
Facility County: Brunswick laboratory Cert. No.: NC00903
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? ❑ Yes 0 No
If so, which Tier (I, 11, or 111)?
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code Parameter Outfall 4 Outfa11 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)
31616 Fecal Coliform per 100 ml of
freshwater (1000)
00340 Chemical Oxygen Demand in mg/L
(120)
Part B. Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code Parameter Outfall Outfall Outfall Outfall Outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
00552 Non -Polar Oil & Grease in mg/L {15)
NCOIL New Motor/Hydraulic Oil Usage in
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSs limit of So mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional): December 2021 SDO 94 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."
Signature of
Authorized Individual
— 1Z Lh�12_1
Date