NCG060080_2022 DMR_20221018

NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report: (DMR) Form for NCGO60000
Food and Kindred
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 OEMLR Regional Office.
Certificate of Coverage No. NCG060080 Person Collecting samples:Glenn Price
Facility Name:R.J. Reynolds Tobacco Co.-Whitaker Park Laboratory Name:Pace Analytical Services, LLC
Facility County:Forsyth Laboratory Cert.No.:12,40,633
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?r1Yes 0 No i
If so,which Tier(l, II,or III)? >'
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a
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW- E]Yes [:]No �?
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DMR Date Uploaded: 10 / 18 /2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter.
Code Parameter Outfall SDO8 Outfall Outfall Outfall Outfall
N/A Receiving Stream Class C
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N/A Date Sample Collected MM/DD/YYYY 09/18 12022 Si
46529 24-Hour Rainfall in inches 4
C0530 TSS in mg/L(100 or 50*) IN D 3
00400 pH in standard units(6.0--9.0 FW, 6.44
6.8-8.5 SW) I=
00556 Oil&Grease In mg/L(30) 0 I�c.
4
31616 Fecal Collform per 100 mf of NIA
freshwater(if required)(1000)
61211 Enterococci per 100 ml of saltwater N/A
required)(500) Iq
00340 Chemical Oxygen Demand in mg/L ND
(120)
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil }
Usage in gal/month
5,
00552 Non-Polar Oil&Grease in mg/L(15)
*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)
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Notes(optional):
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"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 R
false information,including the possibility of fines and imprisonment for knowing violations." I
)
Date: 10/18/2022
Signature?/f ermittee or Delegated Authorized Individual Ph:336-741-0539
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wellsjI @rjrt.com
Email Address
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