NCG240004_2021 DMR_20220127 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG240000
Compost Operations
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. NCG24 0 0 0 4 Person Collecting Samples: N/A
Facility Name: McGill Environmental Systems - Delway Facility Laboratory Name:
Facility County: Sampson Laboratory Cert. No.:
Discharge during this period: ❑ Yes ® No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ❑X No
If so, which Tier (1, 11, or III)?
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100)
Chemical Oxygen Demand (COD)
00340
(120)
Fecal Coliform in colonies per 100 ml
31615
(1000)
600
Total Nitrogen in mg/L (30)
665
Total Phosphorus in mg/L (2)
400
pH in standard units (6.0 — 9.0)
Copper, total recoverable in mg/L
01119
(0.010)
Lead, total recoverable in mg/ L
01051
(0.075)
Zinc, total recoverable in mg/ L
01094
(0.126)
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 possibility of fines and imprisonment for
knowing violations."
Misti S Godwin -; �
Signature of Permittee or Delegated Authorized Individual
1/26/22
Date