NCG120118_DMR_20220909

NC Department of
Environmental Quality
Received
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG120000 EN 01 2022
Landfills Winston-Salem
Click here for instructions Region 3i Office
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. NCG120118 Person Collecting Samples:Andrew Smith
Facility Name:Gold Hill Road C&D Landfill Laboratory Name:ENCO/Eurofins
Facility County:Randolph Laboratory Cert. No.:CF12884
Discharge during this period:0 Yes 0 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)?Tier I
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ®✓ Yes ®No
Date Uploaded:09/07/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 001 Outfall 002 Outfall 003 Outfall 004 Outfall
Code
N/A Receiving Stream Class NSW NSW NSW NSW
N/A Date Sample Collected MM/DD/YYYY 08/22/2022 08/22/2022 08/22/2022 08/22/2022
46529 24-Hour Rainfall in inches 1.18 1.18 1.18 1.18
C0530 TSS in mg/L(100 or 50*) 200 37 22 17
00400 pH in standard units(6.0—9.0 FW, 7.4 7.2 7.1 7.1
6.8—8.5 SW)
00340 Chemical Oxygen Demand in mg/L 65 16 27 48
(120)
31616 Fecal Coliform in#per 100 ml(1000) 1000 >2419.6 >2419.6 460
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
00552 Non-Polar Oil&Grease in mg/L(15) ND ND ND ND
NCOIL Estimated New Motor/Hydraulic Oil 55 55 55 55
Usage in gal/month
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),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)
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 a best of my knowled a and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false informal n,i cluding th p si '' y of fines and imprisonment for knowing violations."
ti_ Ct I 1 •�Z
Signature of errt`fittee or Deleg'ted Authorized Individual Date
[e-mail] [phone]
Email Address Phone Number