NCG060139_2024 DMR_20240409

NCDEQ Division of Energy,Mineral and Land Resources
IComplete,sign,scan and submit the DMR via the _ . _ •: _ within
[ 30 days of receiving sampling results. Mall the original,signed hard copy of the DMR to the_pp _
Certificate of Coverage No.NCGO6 Q(3 cl I Person Collecting Samples:
Facility Name:5M, c,e(k Ae,i,J.A ea- r 6i;ti on/ Laboratory Name.S i,4k4? 1j2 II'AJil,!O✓nsc,.14 C-Ae44:'y ;i..(-
Facility County: Laboratory Cent. No.: W t. T A 1(& q�
. ,...,4 pso,„, ,i.
Discharge during this period:❑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 i _ -' ` -" _ ❑Yes ❑No
Date Uploaded: --
Analytical Monitoring Requirements for Outfalts with Industrial Activities-Benchmarks in(Red) {{
Parameter Parameter ` Outfall ' Outfall 0 1 Outfall i Outfall J Outfall
_ -
Code - - . --
N/A Receiving Stream Class _ S y.) _It G i.$ IA) - I _. _
N/A Date Sample Collected MM/DD/fYW 3-'2 fr .4 3.27-Zy
46529 ~ 24-Hour Rainfall in inches ,3(i ' .3c. ` ___
5Ws
C0530 TSS in mg/L( 0i) Nr E' L5.3 1
' 00400 pH in standard units C6 i,-9.0 FW, 1 g
31616 Fecal Coliform per 100 ml of I S o
freshwater(if required)(30 i0) 3i b0 ,80 _ f
61211 Enterococci per 100 ml of saltwater I
(if required)(30t,' —
00340 Chemical Oxygen Demand in mg/L i 102 (O 3 L--- -
Additional pparameters for outfalls in drain
(120)
age areas that use>55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil - d 1
NCOIL I
Usage in:al/month _ -- a-- ,----.
00552 Non-Polar Oil&Grease in mg/L', -I r _�__ �._ ._
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of r-+:r._+;'..All other water classifications have a benchmark of a;1,.;'.
V '(Freshwater)Sk,.(Saltwater)
Notes(optionaq: __ _,_ ------ -
"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 bes •f y knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false information,I ud' g the p•••:•illty of fines and Imprisonment for knowing violations."
Signature of Permit.ee or Delegated Authorized Individual Date
aWs/n, a sue, Ai e#M _ Va-qgO n�/
Email Address Phone Number