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NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG190000
Marinas and Shipbuilding
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. NCG19 0009
Person Collecting Samples: J. Frei/ SwSG
Facility Name: Creekside Yacht Club
Laboratory Name: Pace Analytical/ SwSG
Facility County: New Hanover
Laboratory Cert. No.: 12, 40, 5054
Discharge during this period:Q 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 No
If so, which Tier (1, II, or III)? 1
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR El Yes ® No
Date Uploaded: 03/12/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall 001
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
SC
N/A
Date Sample Collected MM/DD/YYYY
02/17/2022
46529
24-Hour Rainfall in inches
0.07
C0530
TSS in mg/L (100 or 50*)
186
Estimated New Motor/Hydraulic Oil
NCOIL
usage in gal/month
+/- 75
00340
Chemical Oxygen Demand in mg/L (120)
167
00400
pH in standard units (6.0-9.0 FW, 6.8—
7.18
8.5 SW)
Aluminum, total recoverable in mg/ L
01105
(0.75 FW, 0.24 SW)
1.2
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.006 SW)
0.12
Lead, total recoverable (as Pb) in mg/ L
01051
(0.075 FW, 0.22 SW)
< 0.0050
01094
Zinc, total recoverable in mg/L (0.126
0.47
FW, 0.095 SW)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
1 Non -Polar Oil & Grease in mg/L (15)
< 5.1
*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) SW (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, 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 informa�ti n, i • u ' the possibility of fine%s an/d imprisonment for knowing violations." /
.21
Signature of Permitfee or Delegated Authorized Individual
howard@creeksideyachtclub.com
Email Address
Date
910-350-0023
Phone Number