NCG120108_2022 DMR_20221118

NCDEQ Division of Energy,Mineral and Land Resources
ing Report(aMR)Form for NCG12(?OOa
Stormvvater Discharge ManitorL� e dfil�ls
Click here for instructions
the DMR via the Stormwater NPDES Permit Data Monitthie a Re o rr a®DEMLRI Red ion Off cle.
Complete,sign,scan and submit of the DMR t�
30 days of receiving sampling results. Mail the original,signed hard copy
Person Collecting Samples:
Certificate of Coverage No.NCG120108
Landfill Laboratory Name:Environment 1, Inc.
Facility Name:Edgecombe County Laboratory Cert.No.: DW# 37715, WW# 10
Facility County:Edgecombe
Discharge during this period:❑Yes ❑✓ No (if no,skip to signature and date)
lit im lemented mandatory Tier response actions th is sample period for any benchmark exceedances?❑✓ Yes ❑ No
Has your face y p
If so,which Tier(I,II,or III)? 11 El Yes ❑ No
A copy of this DMR has been uploaded electronically via https//edocs dery nc Eov/Forms/SW-DMR
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red) Outfall Outfall
Outfall ll Outfall Outfall
Parameter1111111=1111 ■--■
Code
N/A .
N/A Date Sample Collected MM/DD/YYYY 11111111111111111.1111.111111111111111111111
—. —
46529 24-Hour Rainfall in inches
11111111111111111.1111
C0530 TSS in mg/L(100 or 50*)
00400 pH in standard units(6.0-9.0)
Chemical Oxygen Demand in mg/L
00340 (120)
31616 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/Hydraulic Oil
NCOIL 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
I Notes(optional):Tier 2: no rainfall sampling opportunities during October 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 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." /
Signature of Permittee or Delegated Aut r�rized Individual Date
Email Address [e-mail] Phone Number 252-813-3947