NCG060139_2023 DMR_20230424

NCDEQ Division of Energy,Mineral and Land Resources
Complete,sign,scan and submit the DMR via the .. within
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30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the-pp-_
Certificate of Coverage No.NCG06 Q(3 et i Person Collecting Samples: 7004- 4
5m ;it,C e(aP J4 J mea 4. fe , LaboratoryNames J,� l_ CJ'e.%s/., .7-„
Facility Name: r.',G(,ti oN r•+' e� ,Jdirc�ns� a
Facility County: ,Saws f'sa.., Laboratory Cert. No. I WZ p Cl 1(6 I '?
Discharge during this period: Yes El No (if no,skip to signature and dote) _
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?[ ,Yes 0 No
if so,which Tier(I,II,or III)? _ --
A copy of this DMR has eenyiploaded electronically via ) _ - Yes ❑ No
Date Uploaded: yW..2.v2T --
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in
Parameter Parameter Outfall j, 1 Outfall . Outfall ( Outfall I Outfall
Code I
N/A Receiving Stream Class G $YJ 1 GI S 1/-) J
N/A Date Sample Collected MM/DD/YYYY >//h/Z 3 i 3)/461Z3 _ -i ---
46529 24-Hour Rainfall in Inches _4. p y ! t).# S"-- _ _ _
C0530 TSSinmg/L(100or50s) /(• `� - . /,r r
_ i
00400 pH in standard units(6.0-9.0 FW, ^
i6.8-8.5SW) YY .f ,_ -
31616 1 Fecal Coliform per 100 ml of /
freshwater(if re•uired)( ) 4 Z
�L
1000 I
61211 Enterococcl per 100 ml of saltwater(if required)(500 --f -_ —
00340 Chemical Oxygen Demand in mg/LOC J
(120) /dg / / -
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil I !
h—
Usage in gal/month
00552 Non-Polar Oil&Grease in mg/LU
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of50 m .All other water classifications have a benchmark of 0 mg/L
W(Freshwater)S'•'(Saltwater)
I Notes(optional):
"1 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 y knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false Inform - the possibility of fines and imprisonment for knowing violations."
---. --tV 7/4 5
Signature of Permittee or Delegated Authorized Individual Date
I
°14 74 if � .. Igo..21,-34S-f
o`''r L� � ,5�� _ •
Phone Number
Email Address