HomeMy WebLinkAboutNCG060280_2022 DMR_20220318NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
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Complete, sign, scan and submit the DID;iR via tn-� Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
--f rec ;arnpling results. Ntail the original, signed hard copy of the DNIR to the approeriate DEMLR Regional Office.
- —. Coverage ` - 1CG060280
Person Collecting Samples:
_.. ty Nam3 7. = `,I i
Laboratory Name:
Facility County _ -
Laboratory Cert. No.:
Discharge during this period. ❑ Yes ®
No (if no, skip to signature and date)
Has your facO �, implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes ❑ Na
If so, which `-: I1, II• or Ill)?
A copy of thi , _ V- 3s been uploaded electronically via htt s: edocs.de .nc. ov Forms SW-DMR ®'(es ❑ No
Date l3ploadr-: -:'?
Analytical Monitoring Requirements for Qutfalls with Industrial Activities —Benchmarks in (Red)
Parameter
Code
Parameter
Outfall1
Outfall 2
Outfall
Outfall
Outfall
N/A
Rec, Stream Class
C.Sw
Sw
N/A
Data -':� mac.:'?:ted lv1;-1/DD/YMy
45S29
24-Hour Ra•„-.3 i in inches
i
TSS in irg/ L (100 or 50*)
PH in standard units (6.0-9.0 FW,
0040C
6.8-8.5 SW)
ecal Coliform per 100 ml o`
31616
freshwater (if required) (1000)
Enterococci per 100 ml of saitwatar
61211
{ i required) (500)
cai OxygenL Demand in mg/
00340
(120)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil o^ average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in oal/month
OOSS2
Mon -Polar Oil & Grease in mg/L (15)
* OUtfalls 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): Outfall # I and #2 are on monthly monitoring and no flow was reported for February
I certif�, bar ry , , ;nature below. under penalty of law. that this document and all attachments were prepared under my direction or;upervision in
aceor 3 ystem designed to assure that qualified personnel properly gather and evaivate the information submitted. Based on my
onqui-, , . ;person or persons who manage the system, or those persons directly responsible for gathering the information, the information
submit::_ to the best of my knowledge and belief.ue, accurate, and complete. I am aware ti-at there are significant penalties for submitting
false information, includin rh s b" ity fines , d mprisonment for knowing violations."
Signature of PerAittee or Delegated Authorized Individual
kwesterbeek,'§srnithfieid com
Email Address
3/18/2022
Date
910-293-3434
Phone Number