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Home My WebLink AboutNCG210134_2022 DMR_20230201 NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG210000 Timber Products 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. NCG21 01. - Person Collecting Samples: g-than Morton Facility Name: I.- S tiard wood.S C Laboratory Name: f'A(`(' Facility County: ,JACKS QftS Laboratory Cert.No.: Discharge during this period:❑Yes,'No (if no,skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?El Yes ❑ No 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 ❑Yes ❑ No Date 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 or 50*) 00340 Chemical Oxygen Demand (120) 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(HQW),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 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 of Permittee or Delegated Authorized Individual Date Email Address Phone Number NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report(DMR) Form for NCG210000 Timber Products 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.NCG21 0 i/3 4 Person Collecting Samples: ' ?c2 n Facility Name: 1 S i-icLYzitt.✓00ds Laboratory Name: Pa CP Facility County: J 4 C,J S 0 Pi Laboratory Cert. No.: Discharge during this period Yes ❑ No (if no,skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?,❑Yes ❑ No If so,which Tier(I,1I,or III)? 1 t A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Yes ❑ No Date 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 aq/ill AOaLl (j{( 1 12D�7 46529 24-Hour Rainfall in inches e 5 C0530 TSS in mg/L(100 or 50*) < 5,0n4t` �; , 3 619 00340 Chemical Oxygen Demand (120) C a5 L < $ 4, Additional parameters for outfalls in drainage areas that use>55 gallons (� tier 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 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 fals ' form Lion,intluding the possibility of fines and imprisonment for knowing violations." 10 • I 2 2- Signature o P rmittee or Delegated Authorized individual Date Email Addres Phone Number • NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG210000 Timber Products Click here for instructions Complete,sign,scan and submit the DM R 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. IX 41, Certificate of Coverage No.NCG21 1 Person Collecting Samples: 9h , Facility Name:4 S klaidvdDiods TN/ Laboratory Name: Facility County: JCS Laboratory Cert. No.: Discharge during this period:ElYeseEr No (if no,skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes ❑ No 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 ❑Yes ❑ No Date 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 or 50*) 00340 Chemical Oxygen Demand (120) 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 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 b st of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting false informat' n,i uding th pos ice'itq of fines and imprisonment for knowing violations." Signature of er 'ttee o Delegated Authorized Individual Date Email Address Phone Number NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG210000 Timber Products Click here for instructions Complete,sign,scan and submit the DMR via the Stormwater NPOES 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.NCG21 V I,. Person Collecting Samples: iL ) . -01-,. _ Facility Name: 1"1 S arc 10(7 t?( i ttC Laboratory Name: - kce Facility County: 3 A f.K.S O l Laboratory Cert. No.: 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?,❑Yes ❑ No If so,which Tier(I,II,or III)? (t( A copy of this OMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Yes ❑ No Date 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 .• limberi& m Sc S CreEK N/A Date Sample Collected MM/DD/YYYY e It m 2 . 11. 2D22. 46529 24-Hour Rainfall in inches . 34 r f C0530 TSS in mg/L(100 or 50*} , ht 1 00340 Chemical Oxygen Demand (120) <025 frisi L 1 25tekoi ' .. Additional parameters for outfalls in drainage areas that use>55 gallons per month of newydraulic 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(HQW),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 for submitting false information,inclu ding the possibility of fin and imprisonment for knowing violations." - / P1'5' 3 .262a Signature of Permi tee or De egated Authorized Individual Date Email Address Phone Number NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report(DMR) Form for NCG210000 Timber Products 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. NCG21 r ar Person Collecting Sam les: Facility Name: HctraLaboratory Name: 4.( " Facility County: J CK•N Laboratory Cert. No.: Discharge during this period Yes ❑ No (if no,skip to signature and date) Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedancesYes ❑ No If so,which Tier(I, II,or III)? f ( A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Yes ❑ No Date 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 0- Iturther qua w scbits re p N/A Date Sample Collected MM/DD/YYYY MI I 12021 '° 2 46529 24-Hour Rainfall in inches Igf •'. 61# it C0530 TSS in mg/t.(100 or 50*) 4 . 00340 Chemical Oxygen Demand (120) `, , t e 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(HQW),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 elief,true,accurate,and complete.I am aware that there are significant penalties for submitting f ' or ati ,including t e p of fines and imprisonment for knowing violations." Signature of ermittee o D gated Authorized Individual Date Email Address Phone Number