NCG240027_2022 DMR_20221222

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG240000
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. NCG2400c29
Person Collecting Samples:
Facility Name:C+44 oR Lauri^bur 5 T4pt 1 5o11a1 u�tS-!e
J Cp�c� +,Gl u' )' ,43
Laboratory Name:
Facility County:SCp.�)Q,.,p�
Laboratory Cert. No.:
Discharge during this period: ❑ Yes [1�f�o (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ❑ No
If so, which Tier (I, II, or III)?
opy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ❑Yes ❑ No
Fc
te Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100)
00340
Chemical Oxygen Demand (COD) in
mg/L (120)
310
Biochemical Oxygen Demand 5-Day
(BOD5) in mg/L(30)
61211
Enterococcus in colonies/100mL (500)
Fecal Coliform in colonies per 100 ml
31615
(1000)
600
Total Nitrogen in mg/L (30)
665
Total Phosphorus in mg/L (2)
pH in standard units (Freshwater:
400
6.0-9.0, Saltwater: 6.8-8.5)
Copper, total recoverable in mg/L
01119
(0.010)
Non -Polar Oil & Grease in mg/L by EPA
Method 1664 (AGT-HEM) (N/A, but
00552
must enter tiered response if
exceeds15)
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."
Signature bj Permittee or Delegated Authorized Individual