NCG050329_DMR_20240401

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NCDEQ Division of Energy,Mineral and Land Resources
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Stormwater Discharge Monitoring Report(DMR) Form for NCG050000
Apparel, Printing, Rubber, Etc. sl 4 Sectiur,
s<iI?e tq,ona;l Office
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. NCG050329 Person Collecting Samples:Tim McCorkle(ARM Environmental)
Facility Name:International Cushioning Co.LLC Laboratory Name:Pace Analytical Services
Facility County:Catawba County Laboratory Cert.No.:99006
Discharge during this period: 0 ✓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 0/No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via htt s:_ edocs.de.,nc, oy_Forms SW-DMR
_L_�rt u__.._.a �_� �__......_._.___.. 0Yes 0 No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle&Equipment Areas—Benchmarks in(Red)
Parameter Parameter Outfall001 Outfall002 Outfall Outfall Outfall
Code
N/A Receiving Stream Class C C
N/A Date Sample Collected MM/DD/YYYY 3/6/2024 3/6/2024
00400 pH in standard units(6.0-9.0 FW,6.8. 6.49 6.87
8.5 SW)
46529 24-Hour Rainfall in inches 0.38 0.38
C0530 TSS in mg/L(100 or 501 9.4 16.0
00552 Non-Polar Oil&Grease in mg/L(15) N/A N/A
00340 Chemical Oxygen Demang(COD)in <25.0 <25.0
mg/L(120)
NCOIL Estimated New Motor/Hydraulic Oil N/A N/A
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 50 mg/L.All other water classifications have a benchmark of 100 mg/L
Notes(optional):N/A=Not Applicable
"I certify by my signat re befov,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a sys m des gned to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person o perso s who manage the system,or those persons directly responsible for gathering the information,the information
submitted is,to the bes of m kno led a and belief,true,accurate,and complete.I am aware that there are ignificant penalties for submitting
fa e inior tion,' clueing the s bili of fines and imprisonment for knowing violations. I
"
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Signa o Permi _ e ed Authorize Individual Da )
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Email Address 1 Phone Number
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NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR)Form for N GOS0000 L
Rai id Oualily Section ii
Apparel, Printing, Rubber, Etc. , ,resvili Regional ional r`;flicc ir
Click here for instructions 11
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 DEIv1LR Regional Office.
Certificate of Coverage No. NCG050329 Person Collecting Samples:Tim McCorkle(ARM Environmental)
11
Facility Name: International Cushioning Co.LLC Laboratory Name:Pace Analytical Services
Facility County:Catawba County Laboratory Cert.No.:99006
Discharge during this period: 0 ✓Yes❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? 0 Yes ❑✓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 0 No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle&Equipment Areas—Benchmarks in(Red)
Parameter Parameter Outfall 001 Outfall 002 Outfall Outfall outfalt
Code
N/A Receiving Stream Class C C
N/A Date Sample Collected MM/DD/YYYY 3/6/2024 3/6/2024if-
00400 pH in standard units(6.0-9.0 FW,6.8- 6.49 6.87 i
8.5 SW)
46529 24-Hour Rainfall in inches 0.38 0.38
C0530 TSS in mg/L(100 or 50 ) 9.4 16.0
00552 Non-Polar Oil&Grease in mg/L(15) N/A N/A
00340 Chemical Oxygen Demang(COD)in <25.0 <25.0
mg/L(120)
NCOIL Estimated New Motor/Hydraulic Oil N/A N/A
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 50 mg/L.All other water classifications have a benchmark of 100 mg/I_
1 Notes(optional):N/A=Not Applicable
i
"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 the p ss bill y of fines and imprisonment for knowing violations."
f,
T+y
4
Signatu"re of Permitteele ed Authorize Individual Date
Email Address • Phone Number