NCG120019_2022 DMR_20221024

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. NCG12 00 /9 Person Collecting Samples: J c fir (. , •
Facility Name: K e W e,A C•►t Ai*r e-Aj t.'i r Laboratory Name: S'i- ,,,l/c 4-„F(t,1-:C4-/
Facility County: Ro v d,It:it. Laboratory Cert. No.: ?SS
Discharge during this period: es ❑No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?rYes p40o
If so,which Tier(I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR DYes EINo
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities-.Benchmarks in(Red)''
Parameter
Code Parameter - Outfall y -; Outfall Outfall Outfall Outfall
N/A Receiving Stream Class H
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches
C0530 TSS in mg/l(100 or 50*) Li. ycf.7
pH in standard units(6,0-9.0'FW, -
00400
6.8-8.5SW)
00340 Chemical Oxygen Demand in mg/L
(120) 0 •
31616 Fecal Coliform in#per 100 ml(1000) L.
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)
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 50 mg/L.All other water classifications have a benchmark of 100 mg/L.
FW(Freshwater)SW(Saltwater)
I 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 significant penalties for submitting
false information,including the possibility of fines and imprisonment for knowing violations."
�i /V j y/G.ems
Si a e Perm ee or Delegated Authorized Individual Dafe
—it- VI: 5 d/ QJ (et.%)git-� Cd4�Iy A/C_Jr d.A7 7il�ZZ ✓_J
Email Address I Phone Number

A
EiwUvv jneatral
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
,
For guidance on filling out ibis form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps '
Permit No.: N/C/&/ )/ 2/0/0/0/0/ or Certificate of Coverage No.: N/C/G/ // Z 6/ 4' //9/
Facility Name: ft •v4.t C.rrwfiy La.it)I If
County: R,e v a n Phone No. 7 o If _ "2-16 - 3 6 0 6
Inspector: ci pc /-.5 e
Date of Inspection: 9 - 3 0 - z.c,Z t
Time of Inspection: S . Q C'
Total Event Precipitation(inches): Z. S.
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event"is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
Ilocal storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signs f 'ttee o Designee)
1. Outfall Description:
Outfall No. 3 Structure(pipe, ditch, etc.): di,.-o,
Receiving Stream:
Sc Lun- C (e- -ke
Describe the industrial activities that occur within the outfall drainage area:
St.--. 1.--G4-1 La w J-c L(.
Page 1 of 2
SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors(red,brown,blue, etc.) and tint
(light,medium, dark)as descriptors: Cfcur //,3si,L
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.): �
4. Clarity: Choose the number which best describes the dlarity of the discharge,where l is clear
and 5 is very cloudy:
lQ 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where l is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Of Yes No.
8. Is there an oil sheen in the stormwater discharge? QYes ?Mo.
9. Is there evidence of erosion or deposition at the outfall? Yes 0161o.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity,high solids, and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

Analytical Results /' STATESVILLE
• ANALYTICAL
Rowan County Landfill
PO Box 532
Woodleaf, NC 27054
Receive Date: 09/30/2022
Reported: 10/04/2022
For:
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
220930-06-01 COD #3 20 mg/L HACH8000 09/30/2022 CL
220930-06-01 Fecal Coliforms #3 <1 CFU100 ML SM9222D-2006 09/30/2022 WC
220930-06-01 TSS #3 4.947 mg/L SM2540D-2011 09/29/2022 TP/LE
Respectfully submitted,
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 220930-06-01 Temp on Arrival: 3.0
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: COD
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

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