HomeMy WebLinkAboutNCG060095_2022 DMR_20220427Goulston
Surface Modification Technologies
April 22, 2022
Mooresville Regional Office
610 East Center Avenue
Suite 301 _
Mooresville, NC 28115
To Whom It May Concern:
Please find enclosed the original of our S_tormwater Discharge Monitoring Report for our April
monitoring event.
Should you have any questions or require additional information, please do not hesitate to
contact me.
Regards,
Veronica McKinney
Senior Human Resource Manager
Enclosures
4M
00
NCDEQ Division of Energy, Mineral and Land Resources
i
Stormwater-Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin Re ort DMR for 'thin
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the a ro riate DEM L - 16 al V ice.
Certificate of Coverage No. NCG06
Person Collecting Samples: 3%
Facility Name: Ga WRI?1 Ttf/
Yt o
Laboratory Name:
Facility County: %Laboratory
Cert. No.: 3 24,111
Discharge during this period: Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes K 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 XYes ❑ No
Date Uploaded:—ZZ=20ZZ `"-
Analytical Monitoring Requirements for Outfalls with Industrial Activities —Benchmarks in (Red)
Parameter
Code
Parameter
Outfall o3
Outfall 0 :�
Outfall 10
Outfall f Z
Outfall
N/A
Receiving Stream Class
Cr.e e k
C�[ e
Creek
C e
N/A
Date Sample Collected MM/DD/YYYY
O� O
0T OS %
0 oS 22
aT OS
46529
24-Hour Rainfall in inches
1.32,
C0530
TSS in mg/L (100 or 50*)
ty
00400
PH in standard units (6.0-9.0 FW,
7,01
!'
G (U
6, oz
—4,%7Z
6.8-8.5SW)
31616
Fecal Coliform per 100 ml of
/t
VA
Nib
Nib
/t
WA
/L
Kp
freshwater (if required) (1000)
61211
Enterococci per 100 ml of saltwater
`�
WA
(!
`r A
rVA
NA
(if required) (500)
/
00340
Chemical Oxygen Demand in mg/L
N.D
ND
P0
(20;
Additional parameters for outfalls in drainage areas t;at use >55 gallons per month of new hydraulic oil on average
NCOIL
Estimated New Motor/Hydraujic Oil
"
Q
PI ,
N/ f
f f
KA
Usage in gal/month
iN
00552
1 Non -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 TS5 liinit-afSO mg/L. All other water classifications have a benchmark of 100 mg/L - - -
FW (Freshwater) SW (Saltwater)
"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 prorrly, 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 inforrryt)on, includ!ag the possibility of fines and imprisonment for knowing violations."
of Pirmittee or Delegated Authorized Individual
R/?O1_1,NSdA1 (50 /-S9JCA1n e`f/iL^,
Email Address
Date
%,f- .2ef- If-64-
Phone Number