NCG070006_2021 DMR_20220118

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG070000
Stone, Clay, Glass, & Concrete Products
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Re ort 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. NCG07 0006 p,
Facility Name:Aqudale Quarry Lz
Facility County: Stanley Lz
Discharge during this period: ❑ Yes e No (if no, skip to signature c
Has your facility implemented mandatory Tier response actions this sz
If so, which Tier (I, 11, or III)?
A copy of this DMR has been uploaded electronically via htt s: edocs
Date Uploaded: 1-18-2022
,rson Loiiecting Samples: Eric Carhart
boratory Name: Pace
boratory Cert. No.:
nd date)
mple period for any benchmark exceedances? ❑ Yes ❑ No
de .nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No
Analytical Monitoring Requirements for Vehicle & Equipment Areas — Benchmarks in (Red)
Parameter
Code
Parameter
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
Outfall I Outfall I Outfall I Outfall I Outfall
C0530 TSS in mg/L (100 or 50*)
00552 Non -Polar Oil & Grease in mg/L (15)
NCOIL Estimated 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 So mg/L, All other water classifications have a benchmark of 100 mg/L
Notes (optional): No Discharge for January -July 2021
"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 forgathering 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."
of Permittee or Delegated Authorized individual
1-18-2022
Date
Email Address [e-mail] Phone Number 828-686-3844