NCG060139_2022 DMR_20220521

NCDEQ Division of Energy, Mineral and Land Resources
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Complete, sign, scan and submit the DMR via the within
30 days of receiving sampling results. Mall the original, signed hard copy of the DMR to the _pr?_..
_—
Certificate of Coverage No. NCG06 ®(3 � ,Person Collecting Samples: _
— Laboratory Names ��clrQ „ldiro nip. r, ear;jl �J-
I Facility Na�me:sM Y4,149. ts�, to [ Sr f�Gl; ti one rY r" + _ l
FacilityCounty: +r sari �- ... Laboratory Cert. No.: W wT A it b I Of
iy
Discharge during this period: RrYes ❑ No (if no, skip to signature and dote)-
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Cayes []No
If so, which Tier (I,11, or 111)?
A copy of this DMR has been uploaded electronically via Yes El No
Date Uploaded: �'0,
Analytical Monitoring Requirements for Outfalls with Industrial Activities - Benchmarks in
Parameter ( Parameter f Outfall Outfall Outfall % ' Outfall Outfafl
Code
N/A Receiving Stream Class I .S y.J i _ I� _-. _ i —• I
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches , 7b
C0530 I TSS in mg/L ;' "+ »r s.t,'`
00400 I pH in standard units (5. ,- 9.il Firs'. 1
6.8-8.5 SW)
31616 Fecal Coliform per 100 mi of _
freshwater (If required) (yr! it ! � S J.- ��y
61211 Enterococcl per 100 ml of saltwater
(if required) (-12)
Chemical Oxygen Demand in mg/L i - �-
00340 (120) 1
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic all on average
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
00552 Non -Polar Oil & Grease in mg/L:;="
Outfalls to outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of i : i . All other water classifications have a benchmark of'. - i
(Freshwater) Sl7 (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 information, incl the possibility of fines and Imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized dividual Date
/!-.-0 l_ _ �.� Div-���
Email Address Phone Number