NCG210444_2024 DMR_20240729

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for RNCG210000
Timber Products
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.NCG21 0444 Person Collecting Samples:
Facility Name: Wyeth LLC Laboratory Name:
Facility County:Lee Laboratory Cert. No.:
Discharge during this period:❑Yes .I❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes D No
If so,which Tier(I,II,or Ill)?
.-....--._..----.-.-A-copy-of-this-DMR has been•uploaded electronicallyvia https://edocs.deq:nc.gov/Forms/sW-DMR ❑..Yes ❑-No• . .. ..
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities--Benchmarks in(Red)
d
;.Parameter:. .. ' . . ;Paeter Outfall Out-fall Duffel! Outfali •Outfall
;Coe ram
..
_...-.__._ T..._NJ.9__..-.._I3eceix�r�g.5tr.,eam.Class.-_..__�..._W..._.._....._.__...__�._...__.._........._._...__.....W..._. ............_._...__�._..W..._.�............_._..__.-_..w..._ .......�.__....._.-_..___ ...___....______ _._
N/A Date Sample Collected MIVI/DD/YYYY
:46529 24-Hour Rainfall in inches
C0530 TSS in mg/L(100 or 50*)
00340 Chemical Oxygen Demand (120)
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)
NCOIL. Estimated New Motor/Hydraulic Oil
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 SO mg/L.All other water classifications have a benchmark of 100 mg/L
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 information,includin the p ssibility of fines and imprisonmen or knowing violations."
/fY
✓ a.�x.. 07/29/2024
Si re of Permitte or Delelai 'Authorized Individual Date.
Email Address [e-mail] Phone Number 984-309-8438