NCG120072_Monitoring Report_20220202

NCDEQ Division of Energy, Mineral and Land Resources
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Complete, sign, scan and submit the DMR via the R`� 1 with
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the
Certificate of Coverage No. NCG120072
Person Collecting Samples:
Facility Name: Cleveland County Landfill
Laboratory Name: N/A
Facility County: Cleveland County
Laboratory Cert. No.: N/A
Discharge during this period: U Yes Ld
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 Ter (I, 11, or III)?
A copy of this DMR has been uploaded electronically via QYes No
Date Uploaded: 01r81f2022 -- -- -
Analytical Monitoring Requirements for Outfalls with Industrial Activities —Benchmarks in
Parameter
Code
Parameter
Outfall001
Outfall002
Outfall003
Outfall004
Outfall005
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L
00400
PH in standard units
00340
Chemical Oxygen Demand in mg/L
31616
Fecal Coliform in # per 100 ml
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
NCOIL
Estimated New Motor/Hydraulic Oil
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 . All other water classifications have a benchmark of
(Freshwater) (Saltwater)
Notes (optional): Drought Conditions
"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 thepossibility of fines and imprisonment for knowing violations."
01/312022
of Permittee or Deleaat6d Authorized Individual Date
[e-mail]
Email Address
919-738-9583
Phone Number

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NCDEQ Division of Energy, Mineral and Land Resources
-5 3
Complete, sign, scan and submit the DMR via the wis. t within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the ;p
Certificate of Coverage No. NCG120072
Person Collecting Samples:
Facility Name: Cleveland County Landfill
Laboratory Name: N/A '
Facility County: Cleveland County
Laboratory Cent. No.: N/A
Discharge during this period:
Lj
Yes
LIJ
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? 0 Yes + No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via [Z]Yes FjNo
Date Uploaded: 01131/2022 - - - -- - - - —
Analytical Monitoring Requirements for Outfalls with Industrial Activities —Benchmarks in
Parameter
Code
Parameter
Outfall006
Outfall007
Outfall008
Outfall009
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
T55 in mg/L
00400
pH in standard units
00340
Chemical Oxygen Demand in mg/L
31616
Fecal Coliform in # per 100 ml
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
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 . All other water classifications have a benchmark of
(Freshwater) (Saltwater)
Notes (optional): Drought Conditions
"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."
01/312022
or De Bated Authorized Individual Date
[e-mail]
Email Address
919-738-9583
Phone Number

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