NCG060026_2021 DMR_20220120

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater Ni Permit Data Monitoring Report (DMRI Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Re ional Office.
Certificate of Coverage No. NCG06 0026
Person Collecting Samples. John Etizic
Facility Name: New Colony Mill Complex
Laboratory Name: Envirochom
Facility County: Washington
Laboratory Cert. No.: 94
Discharge during this period: 0 Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeii,Inces? ❑ Yes ❑ No
If so, which Tier (I, II, or ill)? Tier I, II
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR 0 Yes ❑ No
Date Uploaded: 1-20-22
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall1
Outfall2
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C;Sw
C;Sw
N/A
Date Sample Collected MM/DD/YYYY
12/8/2021
12/8/2021
46529
24-Hour Rainfall in inches
V
1"
C0530
TSS in mg/L (100 or 50*)
243
69.7
00400
pH in standard units (6.0-9.0)
8.6
8.4
00556
Oil & Grease in mg/L (30)
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
(if required) (500)
00340
Chemical Oxygen Demand in mg/L
114
89
(120)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfails to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters {Tr) and Primary Nursery Areas (i
have a benchmark TS5 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional):
''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 pessibiiitxof fines.Ad imprisonment for knowing violations."
1-20-22
Signature offiP rmittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 910-293-3434