NCG060139_2024 DMR_20240729

NCDEQ Division of Energy,Mineral and Land Resources
within
Complete,sign,scan and submit the DMR via the
30 days of receiving sampling results. Mall the original,signed hard copy of the DMR to the_pir-
•
Certificate of Coverage No. NCG06 Q(3 cl
' Person Collecting Samples: � _ 1
{ Ail.„,,, Laboratory NameSr,: 4.el� /,f wJtlirn�nse m; • 4e44.s . ,��
Facility Name:5A4 r¢(-..;eid_ 7,-41, 'ux.ca _, C0r,,, Gl;_._
Laboratory Cert.No.: v u.7Y P 1 l 6 / q I
Facility County: ,5',�,r�•so�_ - -
Discharge during this period:D Yes ❑No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sarn�,lei,erfod for any benchmark exceedances?L.Yes ❑ No
If so,which Tier(I,II,or Ill)? - - (�Yes El
A copy of this DMR has been uploaded electronically via ) - I
Date Uploaded: - -_ __� -- -_----
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in -_�- -
Parameter parameter Outfall outfall a2 Outfall Outfall Outfall -
' Code __ _ _ .. - -
N/A 6 Receiving Stream Class G S_vJ_.. - S I - - _-
N/A l Date Sample Collected MM/DD/YYYY 10'74f __b-7-Z
�pu
r 46529 24-Hour Rainfall in inches .i GI
C0530 ^!TSS inmg/L(1Pfnr50 } _ f1. I_ N•y --- --
� ! pH in standard units(6.ii- s'.0 i�'!, /� p
ta.t; i(., v,00400 �l _ -i-
j Fecal Colifarm per 100 ml of Zg p 0�
31616 freshwater(if required)4�Cr),ix ' -_ ._ -- --f!f {
1 Enterococcl per 100 ml of saltwater
61211 } (If required)(4'u0)
_ I ' - -�
00340 1 Chemical Oxygen Demand in mg/L i �/ 1 -0 _
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCQIL^ Estimated New Motor/Hydraulic Oil i 1
Usage in gal/month -_ I '
1 00552- NomPolarOil&Grease in mg/L;1E!-1- 45•UO <$.09
�.�—
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of ir:rro,I.All other water classifications have a benchmark of 1O. ; .F/I
r-V.-(Freshwater)SW(Saltwater)
i Not s(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 be f my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false information ' ding th ssibillty of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
Date
Phone Number
Email Address