NCG120017_2022 DMR_20221014

NCDEQ 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 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. NCG120017
Person Collecting Samples: Neal Cunnington
Facility Name: Cumberland County -Ann St. Landfill
Laboratory Name: Microbac
Facility County: Cumberland
Laboratory Cert. No.: 11
Discharge during this period:®Yes ®✓ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions
If so, which Tier (I, II, or III)?
this sample period for any benchmark exceedances? E]Yes ®✓ No
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR
Date Uploaded:
OYes 0 No
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall1
Outfall2
Outfall3
Outfall4
Outfall5
Code
N/A
Receiving Stream Class
C
C
C
C
C
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
pH in standard units (6.0-9.0 FW,
00400
6.8 — 8.5 SW)
Chemical Oxygen Demand in mg/L
00340
(120)
31616
1 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)
Estimated New Motor/HydraulicOil
NCOIL
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 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
FW (Freshwater) SW (Saltwater)
Notes (optional): No discharge for September 2022
"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 ybtem, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and _elief, true,.accurate, and complete. I am aware that there are significant penalties for submitting
false infor ation,Xu�th"a ries and imprisonment for knowingviolations."
s7i
, 4 /' nl li
Signature 4 Permittee or
[e-mail]
Email Address
onzed Individual Date
910-321-6920
Phone Number