NCG060357_2023 DMR_20240305

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
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. NCG060357 ' Person Collecting Samples:Jeff Gerlock
Facility Name:Mother Murphys Laboratories Laboratory Name:
Facility County:Guilford Laboratory Cert. No.:
Discharge during this period:E Yes a No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes E 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 El No
Date Uploaded: Nov 2023
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall OF-1 Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class C
N/A Date Sample Collected MM/DD/YYYY 3Q 2023
46529 24-Hour Rainfall in inches No Flow
C0530 TSS in mg/L(100 or 50*)
00400 pH in standard units(6.0—9.0 FW,
6.8-8.5SW)
00556 Oil&Grease in mg/L(30)
Fecal Coliform per 100 ml of
31616 freshwater(if required)(1000) NA
61211 Enterococci per 100 ml of saltwater NA
(if required)(500)
00340 Chemical Oxygen Demand in mg/L
(120)
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 NA
Usage in gal/month
00552 Non-Polar Oil&Grease in mg/L(15) NA
*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
FW(Freshwater)SW(Saltwater)
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 i rmation,including the po•.ibility of fines and imprisonment for knowing violations."
297/4E
ature of Permitt:e o 'elevated Authorized Individual Da
[e-mail] 336-273-1737
Email Address Phone Number

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG060000
Food and Kindred
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. NCGO6 0357 Person Collecting Samples:Jeff Gerlock
Facility Name:Mother Murphys Laboratories Laboratory Name:Meritech
Facility County:Guilford Laboratory Cert. No.:165
Discharge during this period:0 Yes E 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 0 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 ElYes ❑No
Date Uploaded: Jan 2024
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall OF-1 Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class C
N/A Date Sample Collected MM/DD/YYYY 11/21/2023
46529 24-Hour Rainfall in inches 1.48
C0530 TSS in mg/L(100 or 50*) 14
00400 pH in standard units(6.0-9.0 FW, 7.93
6.8-8.5SW)
00556 Oil&Grease in mg/L(30) <5
Fecal Coliform per 100 ml of
31616 freshwater(if required)(1000) NA
Enterococci per 100 ml of saltwater
61211 NA
(if required)(500)
00340 Chemical Oxygen Demand in mg/L 42
(120)
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 NA
Usage in gal/month
00552 Non-Polar Oil&Grease in mg/L(15) NA
*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
FW(Freshwater)SW(Saltwater)
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 inf rmation,including the posrbility of fines and imprisonment for knowing violations."
Signature of Permittee r ele ated Authorized Individual Date
[e-mail] 336-273-1737
Email Address Phone Number