NCG060139_2024 DMR_20240611

NCDEQ Division of Energy,Mineral and Land Resources
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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 .1p:-.
Certificate of Coverage No.NCGO6 0(3 c( Person Collecting Samples: // _ _.•�
Facility Name:s,vi r +�eteL ,4ts1. [,Aea�.t �.orf,_ci;,ui<cn/ Laboratory NameSr.,;.1,1,.-'.41�2 /1wlJira,4•6,...J j f-AeXi,$,,. ---
Laboratory Cert. No.: W wT p 1 l6 / �`�
Facility Ceunty: .Ss.rFsor+ -...._ --- --
Discharge 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?VI,Yes ❑ No
If so,which Tier(I,II,or III)?
A copy of this DMR has been uploaded electronically via , ,_ ' ElYes ElNo
Date Uploaded: -_ _ — -- -•-•-•--
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in ) ___
Parameter Parameter ¶ Outfall . T.Outfall c2 1 Outfall ' Outfall I Outfall
Code 1 .......�
N/A Receiving Stream Class G+S ink S ^_ i -
N/A Date Sample Collected MM/DD/YYYY i
1 46529 24-Hour Rainfall in inches _
C0530 TSS in mg/L L s r s -,ru')_
00400 pH in standard units iy -'r.t `tip'
' I
16.8-8.5 SW) I ,i....- - --
31616 0 Fecal Coliform per 100 ml of
freshwater(If re uired)i Icon) ! - --
61211 Enterococcl per 100 ml of saltwater 1 '
(if required)(7,16) j _. 1_ _ .— _
Chemical Oxygen Demand in mg/L ,
00340 I (120i - -
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil an average
NCOIL Estimated New Motor/Hydraulic Oil 1
Usage in gal/month I - -.—
00552 Non-Polar Oil&Grease in mg/L( S) I _ __. 1_ _.-
outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of"a -,, All other water classifications have a benchmark of .
v, (Freshwater)s'."f(Saltwater)
Notes(optional): 0 (!A , in %fclieri+c, f ..... 2--�;._....._ - _ ...-3
"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,inc g the possibility of fines and Imprisonment for knowing violations."
k// Pi
Signature f Per ittee or Delegated Authorized Individual Date
44,011 A2 d01/11dCom - _ _ 10-90_079/
Email Address Phone Number