HomeMy WebLinkAboutNCG160072_2022 DMR_20220404NCDEQ Division of, Energy, Mineral and Land Resources
5`sorniWater Dischavge Monitoring Report (rDMR) Forst for NCG160000
Asphalt Paving Mixtures and Blocks
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Complete, sign, scan and submit the DMR visa the Stormwater NPDES 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 DE MLR Regional Office.
Analytical Monitoring Requirements for outfalis with Industrial Activities — genchrnarics in (Red)
Parameter
Code I
Parameter Outfall ( Outfall z Outfall Outfall Outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY o 3 1J 22 0jr ,23! g2
46529 24-Hour Rainfall in inches
C0530 TS5 in mg/L (100 or 5V) 7 (s oky�i of t
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552 Non -Polar Oil & Grease in mg/L (15)
NC011_ Estimated New Motor/Hydraulic Oil
Usage in gal/month
outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TS5 limit of 50 mg/L. All other water classifications have a benchmarks of 140 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 orsupervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inqulryof the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
submitted is, to the bestof 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."
ure of Permitteel'Tr Delegated Authorized Individual
Email Address
ate
Phone Number
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