NCG060139_2024 DMR_20240126

NCDEQ Division of Energy,Mineral and Land Resources
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Complete,sign,scan and submit the DMR via the Y _ ._ within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the pp_ —
Samples:a Person Collecting
Certificate of Coverage No.NCG06®f 3 r? .._ --• — -
Facility Name: cl (et �� >{ . LaboratoryNames . 1�_ .-� y/ w�
$.n -_ ,e tsl, (ilea �'p� G1,N o� r� �"c >/ wlJiro�nsc � Cr.N.
1 Facility County: S',c,vspso,., Laboratory Cert. No.: w WT P I t6 / q`./ i'
Discharge during this period:❑Yes ❑.No (if no,skip to signature and date) _ _„ _
1 Has your facility Implemented mandatory Tier response actions this samvle 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 ) � ' - ❑Yes ❑ No
I Date Uploaded: _. -_ — — —_•. ....
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in ' _
Parameter Parameter Outfall ... 1 Outfall e2 ' Outfall P Outfall I Outfall
Code _. ._. -
_._-_ .
N/A I Receiving Stream Class I G,„S vJ G S - - --
N/A Date Sample Collected MM/DD/YYYY f--4481 .- - __ ----- —-
46529 24-Hour Rainfall in Inches I M3
i CO530 TSS in mg/L(1 n St‘''', r '1! ' 33.8 ..
-
I 00400 j pH in standard units(r t.,-9,, r),'j: 52 1-1( —�
Fecal Coliform per 100 ml of _I Il, y-
31616 freshwater(if required)t Or:: i ----- -.- --
Enterococcl per 100 ml of saltwater i
61211
(If required)(Fr_U'__ _l . _ --
00340 Chemical Oxygen Demand in mg/L I — `
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 IUsage in gal/month I .._.i.
00552 Non-Polar Oil&Grease in mg/L ?�lj I _.—__� .___l —1_
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of g"'T c,r^_a t..All other water classifications have a benchmark of";:?c,1 ii.
(Freshwater)s.'(Saltwater)
I Notes(optional): __ .—_ ___.. __s_ _ .
"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:l a possibility of fines and Imprisonment for knowing violations."
/
_ 1-u-Ztr
-- Date
Signature of Per lttee or Delegated Authorized Individual _
411$41t )24 Sni, (risI '-cam, 910-990.0111
Email Address Phone Number