NCG050245_DMR Upload Review_20240327

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 3/22/2024 2:27:32 PM (DMR Submittal)
Submit by Brittany.Cook 3/27/2024 10:34:10 AM(DMR Submittal Review)
• The task was assigned to DEMLR SW Admin for DMRs 3/22/2024 2:27:32 PM
• Brittany.Cook assigned the task to Brittany.Cook 3/27/2024 10:29:07 AM

DEQStormwater NPDES Permit Discharge
Monitoring Report (DMR) Upload
DMR Submittal from 3/22/2024
Permit and Facility Information:
.....................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number* Enter COC or Individual Permit Number
NCG050245
Must begin with NCS or NCG
Facility Name:* JBS Associates-Leland
Owner/Operator J B S Associates LLC
Name:*
County:* Brunswick
Note: Facility name and county are used to help the reviewer verify the permit number entered,and to display the
Regional Office address on the submitter's form(not here).These metadata details will be pulled from current BIMS
information after the DMR(s)are filed. If the submittal is accepted,simply note any errors in the reviewer's comments.
Reason for not yet If applicable:
reporting data Registration forms were submitted at the end of 2023. Beginning 2024, plant
through eDMR for manager changed.Since the plant manager is one of the individuals that the facility
this permit: is choosing to designate as a submitter, new registration forms were resubmitted
March 2024.
Monitoring Period Information:
.....................................................................................................................................................................................................................................................................................................................................................................................................
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2024
DMR Upload* Click the upload button or drag and drop files here to attach document.
Signed DMR.pdf 1.38MB
Only PDFs are accepted.
Comments: DMR signed by Burt Moody who is listed as the legally responsible individual for the
NPDES permit.
* By checking the box and signing box below, I certify that:
d I have given true,accurate,and complete information on this form;
• I agree that submission of this Discharge Monitoring Report(DMR)Upload form is a"transaction"subject to Chapter 66,
Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes
(the"Uniform Electronic Transactions Act");
• I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same
way as a written signature;AND
• I intend to electronically sign and submit this DMR Upload form.
Full Name:* Cayleigh Burgdorf
Name of person submitting this form

Email Address:* [e-mail]
Phone Number:* 912-429-3966
Signature:
�`�rli�fr9rF�«t�datf
Date:* 03/22/2024

Review
Review Date: 03/27/2024
Confirm Permit No.* Correct the permit ID number if needed.
NCG050245
Confirm DMR Year* 2024
Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above.
Can submittal be Yes
accepted?* No(Explain why below)
Do Central Office No
staff need to be Yes
alerted?*
Do Regional Office No
staff need to be Yes
alerted?
Type of Permit* General
Ensures DMR(s)filed correctly.