NCG060420_2021 DMR_20220120

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
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j� Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within I
30 days of receiving saiinpliiig results. iviail the Original, sigileu ll U cupy of the DiviR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG06 0420 I Person Collecting Samples: Amanda Farr
I Facilit- Nam_• A _.; r r ! r>77 m7 I I ahnra �r�i Name: r.__ __r__ m ___ ___: =; I
""'"' """"'Ci111dLVLI.CO 1 Cle -CeS LLV - Lll\1 1 �"""'•t` + -"'•'-•
Facility County: Wake Laboratory Cert. No.: 269
Discharge during this period: E]] Yes L] 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.deg.nc.gov/Forms/SW-DMR x❑ Yes ❑ No
Date Uploaded: 1/20/2022 I
Analyticai ivionitoring Requirements for Outfaiis with industrial Activities — benchmarks in (Red)
Parameter
Code
Parameter
ra+a+++c+c+
A.. tall
vut+a++ UUl
A..atall
vuL+c+++ UUL
n..si-. 11
VYa+011 Ut)�
I1..ata11
vu++au
A..ita ll
vs.++au
N/A
I Receiving Stream Class
i C
I
i
N/A
Date Sample Collected MM/DD/YYYY
12/08/2021
12/08/2021
12/08J2021
46529
I 24-Hour Rainfall In Inches
0.61+
U.6,+
I v.6'+
C0530
TSS in mg/ L (100 or 50*)
15
113
6.2
00400
pH in standard units (6.0-9.0 FW,
6.8 — 8.5 SW)
64
.
761
7.60
i
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
N/A
N/A
I N/A
61211
I Enterococci per 100 ml of saltwater
l (if required) (500)
I NZA i
N/A i
N/A
00340
l i ChemcaOxygen Demand in mg/L
<5.0
<5.0 I
<5.0
t
(1�01
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
N(Uil Estimated New Motor/Hydraulic Oil
I I I
Usage in gal/month
N/A N/A N/A
00552 j Non -Polar rail & Grease in mg/L (y.� i�
Try .7
I L..J <V
-�
I �
EJutfalls to outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark KC limit of _5 All ether :"rater classificabenchmark tions have a bhk of
vi •• 4Vei
"Ij4 (Freshwater) =; LA-7 (Saltwater)
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 gatl ler and evaluate theinformation subll pitted. Based On Illy
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 Mnc
possibility of fines and imprisonment for knowing violations."
11/ �z
Signature of Perrnittee or Delegated Authorized Individual Date
[e-mail] [phone]
Email Address Phone Number