NCG070203_2024 DMR_20240930

NCDEQ Division of Energy, Mineral and Land Resources
Stormuvater Discharge Monitoring Report (DMR) Form for NCGO70000
Stone, Clay, Glass, & Concrete Products
Click here for instructions
Complete, sign,scan and submit the DMR via the Storntwater-N f.>f:5 Permit i?al,:+ MoniturinhR ort(DMR ppload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriateDEN/It Ft Regional Office.
Certificate of Coverage No. NCGO7 O.Z b3 ____ Person Collecting Samples: e AI Kn/44
Facility Name: Ii(g,#$ exzeig CE�'hf`lalte Laboratory Name: PACE L/48s __ _
Facility County: t - -_ Laboratory Cert. Nov. 37712
Discharge during this period:[h'es ❑No (if no,skip to signature and date) _-
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes [ o
If so,which Tier(I, II,or III)? - -----
A copy of this DMR has been uploaded electronically via hif,i�s1/eciocsdeq.,rc:� .;c,,,,i nN/St ()MR es No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle&Equipment Areas-Benchmarks in (Red) -`
Parameter Parameter Outfall pp 1 Outfall QQ . Outfall 0o3 Outfall Outfall
Code L -
N/A Receiving Stream Class /
N/A Date Sample Collected MM/DD/YYYY 07 .2S �, 07 .t$ ?0.19 07/.?.S/ * --_� -.--
---.- --- -- III
46529 24-Hour Rainfall in inches . IZ O . Z 0
C0530 TSS in mg/L(100 or 50') _ _ ' 9.0 0 eZ __ Ito•0 _—
00552 Non-Polar Oil&Grease in mg/L(15) "la Alb_ --__ "a) ________ ----.__
NCOIL Estimated New Motor/Hydraulic Oil COd ,D� �oD
l Usage in gal/month -
* Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 5B mg/L.All other water classifications have a benchmark of L(,0 mg/I.
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,including the possibility' fines ld imprisonment for knowing violations."
k_ i 2-Z H
Signature of Permittee o el a e zed Individual Date ,
Email Address Phone Number
tg. r22. ieafryuez 6 oc ocrisrc e, cow 9gp - 02,91.9 - 7Cc7g