NCG240004_2022 DMR_20221006

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG 240000
Compost Operations
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.
Mailed in DMRs must contain an original wet signature. Electronic signatures will not be accepted for mailed in DMRs.This is a
requirement until the permittee has registered for eDMR for reporting.
Certificate of Coverage No. NCG24boc L Person Collecting Samples:
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FacilityName: (i. Q. &( n)6"D'O" -V.k4-titWCi_j Laboratory Name:
Facility County: SC.Srv�_� \1 Laboratory Cert. No.: ------•-
Discharge during this period:❑Yes ) allo (if no,skip to signature and date)
Has your facility implemented mandat ryTier response actions for any benchmark exceedances?❑Yes ENo
if so,which Tier(I, II,or Ill)?
A copy of this DMR has een uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMRes ❑ No
Date Uploaded: t( (6 / --
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in(Red)
Parameter
Code Parameter Outfall Outfall Outfall Outfall Outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches
CO530 TSS in mg/L(100)
00340 Chemical Oxygen Demand(COD)in
mg/L(120)
310 Biochemical Oxygen Demand 5-Day
(GODS)in mg/L(30)
61211 Enterococcus in colonies/100mL(500)
31615 Fecal Coliform in colonies per 100 ml
(1000)
600 Total Nitrogen in mg/L(30)
665 Total Phosphorus in mg/L(2)
400 pH in standard units(Freshwater:
6.0-9.0,Saltwater:6.8-8.5)
01119 Copper,total recoverable in mg/L
(0.010)
Non-Polar Oil&Grease in mg/L by EPA
00552 Method 1664(AGT-HEM)(N/A,but
must enter tiered response if
exceeds 15)
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 significar penaltie for submitting false information,including the possibility of fines nd i prisonment for
kno ing vio ns." _—
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Signature of Per ittee or Delegated Authorized Individual Date