NCG060139_2024 DMR_20240417

NCDEQ Division of Energy,Mineral and Land Resources
Complete,sign,scan and submit the DMR via the within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the-pp' _
,
Person
ecting
-— Laboratory Names Samples:
elc1G �f - e ..�,�
` Certificate of Coverage No.NCGO6 p i 3 ci
Facility Name:$• ,}a-.c;eta_ f_ csi. p11ea1, Gvr,•=-Gi;�oN M .-
Facility County: S4..v,p.s '' __ _ - Laboratory Cert. No.: W W7 F 1 i b / q '
Discharge during this period:❑Yes ❑No (if no,skip to signature and date) __
Has your facility Implemented mandatory Tier response actions this sam;le period for any benchmark exceedances?[B,Yes ❑ No
If so,which Tier(I,II,or III)?
A copy of this DMR has been uploaded electronically via ) _ ❑Yes ❑ No
Date Uploaded: _ _ _ - -
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in(Red)
Parameter Parameter Outfall Dugan v2. Outfall Outfall I Outfall
Code --
N/A I Receiving Stream Class G�-S vJ G S i�
L N/A Date Sample CollectedMM/DD/YYYY 7—Z)/ y-.3'v/
1 46529 24-Hour Rainfall in Inches (,,( " G( q _ -
00530 TSS in mg/L(100 or 50*) 8'.0 - ill.2- —
00400 pH in standard units(6.0-9.0 FW, 8i �,oy
6.8-8.5SW)
0 l
( Fecal Coliform per 100 ml of ??
31616 freshwater(if required)(1000) v*lC0 >1/0406° - --� -
61211 Enterococcl per 100 ml of saltwater i
(if required) 500 1 - -
00340 Chemical Oxygen Demand in mg/L ..( at-
—
(120)
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL I Estimated New Motor/Hydraulic Oil it
1 Usage in gal/month - - -
00552 Non-Polar Oil&Grease in mg/L(15) _ -
' 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.
FW(Freshwater)SW(Saltwater)
i
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 informatio - uding the possibility of fines and imprisonment for knowing violations."
y-/7414
Si o Permittee or Delegated Authorized Individual Date
4wsnlili, z,es"'mI1 c&A 9/0-9f0-O79f
Email Address Phone Number