NCG020071_2021 DMR_20220118 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG020000
Active and Inactive Mining Sites
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.
Analytical Monitoring Requirements for Outfalls with Industrial Activities -- Benchmarks in (Red)
Parameter
Code
Parameter
Okitfall
Outfall
Outfall
outf III
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
J
r 3 a
46529
24-Hour Rainfall in inches
,
00545
Settleable Solids (SS) (0.1 mg/1)
C0530
TSS in mg/L (100 or 50*)
00070
Turbidity of discharge**
Pr- 2-
2, 3
Turbidity downstream of discharge**
Turbidity upstream of discharge**
Additional
parameters for outfalls in drainage
areas that use
>55 gallons per
month of new hydraulic
oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
N
,�
Additional parameters for Clay Mines
01105 Aluminum, total in mg/L (0.75 FW,
0,24 SW)
01092
Zinc, total (as Zn) in mg/L (0.126 FW,
0.095 SW)
00951
Fluoride, total in mg/L (6.0)
00900
Hardness, total
00400
pH, in standard units (6.0-9.0 FW,
6.8-8.5 SW)
01097
Antimony, total in mg/L (0.34 FW,
N/A SW)
01002
Arsenic, total in mg/L (0.15 FW, 0.069
SW)
C0034
Chromium HI in mg/L (0.905 FW, N/A
SW)
Additional parameters for Feldspar Ore Mines
01105
Aluminum, total in mg/L (0.75 FW,
0.24 SW)
01092
Zinc, total (as Zn) in mg/L (0.126 FW,
0.095 SW)

—.,—1Mjjuj,j6 neeource waters {urcvul, 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
** See F-5 of the NCG020000 General Permit for turbidity requirements.
FW (Freshwater) SW (Saltwater)
Notes (optional);
1 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."
Sign
of Permittee or Delegated Authorized Individual
Date
Email Address Phone Number