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HomeMy WebLinkAboutNCG120072_2022 DMR_20220429NCDEQ 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 Monitor, it Report (DMR) Upload form within 30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the � ro riate DEMLR Regional Office. Certificate of Coverage No, NCG12 NCG120072 Person Collecting Samples: Steven Powell Facility Name: Cleveland County Landfill Laboratory Name: Waypoint Analytical, LLC Facility County: Cleveland County Laboratory Cert. No,: 402 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 0 No I# so, which Tier (I, Il, or Ill)? A copy of this DMR has been uploaded electronically via https://edocs.deq,nc.gov/Forms/SW-DMR ✓❑ Yes ❑ No Date Uploaded: 4/29/2022 Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red) Parameter Code Parameter i ,, ,,,., ,✓, Outfall 001 Out€al'l 002 Outfa'It 003� �Do f 4 C utfaA 005 N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY 46529 24-Hour Rainfall in inches C0530 TSS in mg/L (100 or 50*) 00400 pH in standard units (6.0 — 9.0) 00340 Chemical Oxygen Demand in mg/L (120) 31616 Fecal Coliform in # per 100 ml (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) NCOIL Estimated New Motor/Hydraulic Oil Usage in gal/month * Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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 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 information, including the pgssibility of fines and imprisonment for knowing violations." I - J A 4- Signature of Pyrmittee or Delegatme Authorized Individual t Email Address bwhitley@withersravenel.com 4/29/2022 Date Phone Number 919-535-5141 NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG120000 Landfills li hr fristructions Complete, sign, scan and submit the DMR via the 5tgrmwater NPDA5 Permit Data Mo itoriri. Report (DMR) Upload form within 30 days of receiving sampling results. Mall the original, signed hard copy of the UMR to the approprWe DEMLR Regional Office. Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red) Parameter Code parameter 0utfall001 Outfall002 Outfall003 Outfall004 Outfall005 N/A Receiving Stream Class ff N/A Date Sample Collected MM/DD/YYYY 46529 24-Flour Rainfall in inches C0530 TS5 in mg/L (100 or 50*) 00400 pH instandard units (5.0-9.0) 00340 Chemical Oxygen Demand in mg/L (120) 31616 Fecal Coliform in # per 100 ml (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) NCOIL Estimated New Motor/Hydraulic Oil Usage in gal/month * outfalls to Outstanding Resource Waters (ORW), High QualityWaters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNAJ have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 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 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 Imprisonment for knowing violations." 1 4_ Signature of Pyirmittee or Delegat,r�, Authorized Individual Email Address bwhitiey@withersravenel.com 4/29/2022 Date Phone Number 919-535-5141