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HomeMy WebLinkAboutNCG160150_2022 DMR_20230105 NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG160000 Asphalt Paving 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. NCG16 0 1 5 0 Person Collecting Samples: Steven Turaski Facility Name: Hendersonville Asphalt Laboratory Name: Pace Analytical Facility County: Henderson Laboratory Cert. No.: 40 Discharge during this period:❑■ Yes ❑ No (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)? Part A:Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red) Parameter Parameter Outfall 01 Outfall 02 Outfall 03 Outfall Outfall Code N/A Receiving Stream Class C C C N/A Date Sample Collected MM/DD/YYYY 11/30/2022 11/30/2022 11/30/2022 46529 24-Hour Rainfall in inches 1.37 1.37 1.37 C0530 TSS in mg/L(100 or 50*) 87.0 34.7 54.9 Part B:Vehicle&Equipment Maintenance Areas—Benchmarks in (Red) Parameter Parameter Outfall 01 Outfall 02 Outfall 03 Outfall Outfall Code N/A Receiving Stream Class NA NA NA N/A Date Sample Collected MM/DD/YYYY 00552 Non-Polar Oil &Grease in mg/L(15) NCOIL 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. 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 or submitting false information,including the possibility of fines and imprisonment for knowing violations." Jan 5, 2023 Signature of Permittee or Delegated Authorized Individual Date