NCG210406_2023 DMR_20231226

NCDEQ Division of Energy, Mineral and Land Resources
Pry
Click ere tor instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin Re port(DMR)Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the aa_p_p_ropriate DEMLR Regional Office.
Certificate of Coverage No. NCG21 0406 Person Collecting Samples:
Facility Name: Godfrey Lumber Co., Inc Laboratory Name:
Facility County:lredell 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?LI Yes El No
If so,which Tier(I, II, or III)?
A copy of this DMR has been uploaded electronically via htt s: edocs.de o�.��.- .�..r+c. c�v�Forms/SW�D €R Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter ---- _-_ _
Code Parameter Outfall Outfall Outfall Outfall Outfall
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 bo*)
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 0 nsgf`:.....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,including th possibility of fines and imprisonment for knowing violations."
09/30/2023
Signature o Pe ittee or Deleg uthorized Individual Date
Email Address [e-mail] Phone Number 704-873-6832

NCDEQ Division of Energy, Mineral and Land Resources
.. �:_wring Report DIVi Form for NCG210000
limber Products
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitorira Re ort DMR L7 load form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the a ro date DEMLR Re.ionai Office
Certificate of Coverage No. NCG21 0406 Person Collecting Samples:Barry Godfrey
Facility Name: Godfrey Lumber Co., Inc. Laboratory Name:Statesville Analytical
Facility County:Iredell Laboratory Cert, No.:440 or 37755
Discharge during this period:El Yes D 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 htt s: edocs.tie q,nc.,govfForans SW DMR ✓❑Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in ;i°(ed)
Parameter
Parameter
Code Outfall 4 Outfall Outfall f Outfall Outfall
N/A Receiving Stream Class C
N/A Date Sample Collected MM/DD/YYYY 11/21/2023
—
46529 24-Hour Rainfall in inches 1"
C0530 TSS in mg/L(100 or 50*) 0 ---
00340 Chemical Oxygen Demand (1. u) 0
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) N/A
NCOIL Estimated New Motor/Hydraulic Oil N/A
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/I_.All other water classifications have a benchmark of 100 mg/L.
Notes(optional):There was no discharge on outfall 4
"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.nformation,including the possibility of fines and imprisonment for knowing violations."
12/26/2023
Signature of ittee or Delegated rized Individual Date
Email Address [e-mail] Phone Number 704-873-6832

NCDEQ Division of Energy, Mineral and Land Resources
s iar e Monitoring Report I Form for N G 0000
.t s
.'iiLk here'tor instructions
Complete,sign,scan and submit the DMR via the Storn water 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 aroriate DEMLR Regional Office.
Certificate of Coverage No. NCG21 0406 Person Collecting Samples: Barry Godfrey
Facility Name: Godfrey Lumber Co., Inc. Laboratory Name:Statesville Analytical
Facility County:Iredell Laboratory Cert. No.:440 or 37755
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, II, or III)?
A copy of this DMR has been uploaded electronically via lattrailtdocs.clectnc.ov Form§ 5 ;. `?; iR ❑✓ Yes El No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 1 Outfall 2 Outfall 3 Outfall 5 Outfall 6
Code
N/A Receiving Stream Class C C C C C
N/A Date Sample Collected MM/DD/YYYY 11/21/2023 11/21/2023 11/21/2023 11/21/2023 11/21/2023
46529 24-Hour Rainfall in inches 1" 1" 1" 1" 1"
C0530 TSS in mg/L(100 or 50*) 6.264 3.684 7.333 4.516 4.3
00340 Chemical Oxygen Demand (120) <20 32 <20 <20 <20
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) N/A N/A N/A N/A N/A
NCOIL Estimated New Motor/Hydraulic Oil N/A N/A
Usage in gal/month N/A N/A N/A
*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 in1 rmation,including the po sibility of fines and imprisonment for knowing violations."
�-r 12/26/2023
Signature of P ittee or Delegated Autho ' d ividual Date
Email Address barry@godfreylumber. .ur. Phone Number 704-873-6832