NCG060012_2022 DMR_20220323

NCDEQ Division of Energy, Mineral and Land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Starmwater 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 Re>;iona] Office.
Certificate of Coverage No. NCG06 0012
Person Collecting Samples: William Cutler
Facility Name: Coty US LLC
Laboratory Name: Cameron Testing Services, Inc.
Facility County: Lee
Laboratory Cert. No.: 654
Discharge during this period:
El Yes
No (if no, skip to signature and date)
Has you r facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ®Yes [MI No
If so, which Tier (1, II, or 11I)?
A copy of this D M R has been uploaded electronically via https://edocs.dea.nc.gov/Forms/5W-DMR E]Yes ❑ No
Date Uploaded: 03/23/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
c
N/A
Date Sample Collected MM/DD/YYYY
02118/2022
46529
24-Hour Rainfall in inches
0.03'
C0530
T55 in mg/L (100 or 50*)
a 2.50
00400
pH in standard units (6.0-9.0 FW,
614
6.8 — 8.5 5W)
00556
Oil & Grease in mg/L (30)
a 5.00
Fecal Coliform per 100 ml of
31616
freshwater (if required) (1000)
NIA
Enterococci per 100 ml of saltwater
61211
(if required) 500
N/A
Chemical Oxygen Demand in mg/L
00340
(120)
253
Additional parameters for outfalls in drainage areas that use a55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
NIA
00552
Non -Polar Oil & Grease in mg/L (15)
N/A
* 0utfa11s to Outstanding Resource Waters (ORW), 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
FW (Freshwater) 5W (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 gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, orthose 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." W
tM
03/23/2022
5ignat(fre of Permittee or4�Aegated Authorized Individual Date
wa I 1i e—tyl e r@ coty i n c. con,
Email Address
[phone] -
Phone Number