NCG130095_2021 DMR_20220112

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG130000
Non-metal Waste and Scrap
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. NCG13 0095
Person Collecting Samples: NIA
Facility Name: Bay Disposal & Recyling
Laboratory Name: NIA
Facility County: Currituck
Laboratory Cert. No.: NIA
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)?
A copy of this DMR has been uploaded electronically via https://edocs.deo-nc.gov/FormslSW-DMR ❑ Yes [:]No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle & Equipment 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
46529
1 24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50•)
00552
Non -Polar Oil & Grease in mg/L
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in al/month
' Outfalls to Outstanding Resource Waters (ORW), High Quality Waters IHQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSs limit of .. All other water classifications have a benchmark of 100 mg/L
Notes (optional): No flow observed during the Jul -Dec 2021 reporting period.
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordancg with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry the person or perso who manage the system, or those persons directly responsible for gathering the information, the information
submi is, to the best of knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false form io inclu ing a possibility of fines and imprisonment for knowing violations."
January 12, 2022
Sf re of Permittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number [phone]