NCG070134_2024 DMR_20240328

NCDEQ Division of Energy, Mineral and Land Resources
Storrnwater Discharge Monitoring Report (DMR) Form for NCGO70000
Stone, Clay, Glass, & Concrete Products
Click here for instructions
Complete,sign, scan and submit the DMR via the Story: 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 apprrpriate DE MLR R tonal Offt E.. i
Certificate of Coverage No. NCG07 / f Person Collecting Samples: ic ,�7
Facility Name: s // Laboratory Name: ' 4S' '
Laboratory Cert. No.:
Facility County: �v`( � "'v�JC' __.......__..____....___ __.__ ___ __--------- ._7-_ ��__...
Discharge during this period:E3 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 https://edocs.deq.nc.gov/corms/SW•DMR EKs 0 No
Date Uploaded:Analytical Monitoring Requirements for Vehicle&Equipment Areas—Benchmarks in (Red)
Parameter Parameter Outfall Outfall Outfall Outfall , Outfall
Code
N/A Receiving Stream Class ______
N/A Date Sample Collected MM/DD/YYYY (73/0//).._/I I
46529 24-Hour Rainfall in inches , /7
C0530 TSS in mg/L(100 or 50*) _Pt
00552 ; Non-Polar Oil&Grease in mg/L(15) 0
I NCOIL Estimated New Motor/Hydraulic Oil
I._ Usage in gal/month 1 f
*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/i.All other water classifications have a benchmark of 100 nag/:
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 the possibility of fines and imprisonment for knowing violations."
................. 6,-07t-&-4/tv 3-,),c ';; J
Signature of Permittee or Delegated Authorized Individual Date
Email Address Phone Number
CeOft( 9u/ v0ae4.5f44-C : 0'n ,), iS 1775-/i1