NCG120055_2024 DMR_20240730

h9CDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG120000
Landfills
Click here for instructions
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.NCG12 0055 Person Collecting Samples:Belinda Jarboe
Facility Name: Rockingham County Subtitle D Landfill Laboratory Name:
Facility County:Rockingham Laboratory Cert.No.:
Discharge during this period:0 Yes '✓ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?0Yes `.✓Q No
If so,which Tier(I,II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deci.nc.gov/Forms/SW-DMR !A Yes 0 No
Date Uploaded:
Analytical Monitoring Regnairements for Outfails with Industrial Activities e Benchmarks in
Parameter Parameter Catfa➢➢ 01 Outfa➢l 02 Outfall 03 fade!! 04 •utfa➢➢05
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches
C0530 TSS in mg/L
00400 pH in standard units
00340 Chemical Oxygen Demand in mg/L
0
31616 Fecal Coliform in#per 100 ml
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
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout waters(Tr)and'rimary Nursery Areas(PIMA)
have a benchmark TSS limit of: mE/L,All other water classifications have a benchmark of
(Freshwater)V. (Saltwater)
Notes(optional): NO Flow
"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."
6-28-2024
Signature of Permittee or Delegated Authorized Individual Date
[e-mail] _rs... 919-895-2925
Email Address Phone Number
n� n !

NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR)Form for NCG120000
Landfills
Click here for instructions
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.NCG12 0055 Person Collecting Samples: Belinda Jarboe
Facility Name: Rockingham County Subtitle D Landfill Laboratory Name:
Facility County:Rockingham Laboratory Cert. No.:
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?0Yes 0 No
If so,which Tier(I,II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Yes L No
Date Uploaded:
Analytical Monitoring Requirements for Cutfalls with industrial Activities—Benchmarks in
Parameter Parameter ••fall 4b c utffall 5b Outfall Outfall Outfall
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches
C0530 TSS in mg/L• a.00►or 501
00400 pH in standard units(6.0-9.0 Ms,
00340 Chemical Oxygen Demand in mg/L
31616 Fecal Coliform in#per 100 ml
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 :--
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
OutfallS to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas{PIN)
have a benchmark TSS limit of E5©c 41, L.All other water classifications have a benchmark of _.
(Freshwater)SW(Saltwater)
Notes(optional): NO Flow
"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."
✓i? '��� �o f 6-28-2024
Si azure(f Permittee 64 Delegated Authorized individual Date
[e-mail] 919-895-2925
Email Address Phone Number