NCG120098_2022 DMR_20220420

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG120000
Landfills
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. NCG12 0098
Person Collecting Samples: NA
Facility Name: Evergreen Packaging Landfill
Laboratory Name: NA
Facility County: Haywood
Laboratory Cert. No.: NA
Discharge during this period:
E]
Yes
[D
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? [Dyes No
If so, which Tier (1, 11, or 111)? 1
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR 177Yes No
Date Uploaded:
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
I TSS in mg/L (100 or 50*)
pH in standard units (6.0 — 9.0 FW,
00400
6.8 — 8.5 SW)
Chemical Oxygen Demand in mg/L
00340
(120)
31616
Fecal Coliform in # per 100 mi (1000)
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)
Estimated New Motor/Hydraulic Oil
NCOIL
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 TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
(Freshwater) SW (Saltwater)
Notes (optional): Multiple attempts were made to collect samples under appropriate conditions and within laboratory operating hours during the first quarter.]
"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 m1prisonment for knowing violations."
;L
Signature of Permittee or Delegated Authorized Individual Date/
[e-mail]
Email Address
828-492-6189
Phone Number