HomeMy WebLinkAboutNCG120040_2022 DMR_20220930NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG120000
Landfills
Click here for instructions
L3Co0mplete, sign, s an and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
days of receiv ng sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Cover
ge No. NCG12 0040
Person Collecting Samples: Edgar Stanfield
Facility Name: Halifax
County Landfill
Laboratory Name: Environment 1, Inc.
Facility County: Hali
ax
Laboratory Cert. No.: 37715
Discharge during thi
period: ❑✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented
If so, which Tier (I, II
mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes ✓❑ No
or III)?
A copy of this DMR lias
Date Uploaded:
been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ✓❑ Yes ❑ No
/30/2022
Analytical Monitori4 Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
F
Outfall Basin 1 Outfall
Outfall
Outfall
Outfall
N/A
Receiv
ng Stream Class
C
N/A
Date S
mple Collected MM/DD/YYYY
09/13/2022
46529
24-Ho
r Rainfall in inches
0.4
C0530
TSS in i
ng/L (100 or 50*)
29
00400
pH in standard
units (6.0— 9.0)
6.01
00340
Chemical
(120)
Oxygen Demand in mg/L
33
31616
Fecal Coliform
in # per 100 ml (1000)
4900
Addition
il 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
Estima
Usage
ed New Motor/Hydraulic Oil
n gal/month
* Outfalls to Outstan Iing Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TS4 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional): Q3 2022 DMR
"I certify by my signati. Ire 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 tte�pos�y'ibility of�ines lidjr�nprisonment for knowing violations."
re of Pe
Email Address g
or Delegated Authtfrized Individual
@halifaxnc.com
_-0? eo2a2
Date
Phone Number