NCG070115_2024 DMR_20240930

NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG070000
Stone, Clay, Glass, &Concrete 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 DE MLR Regional Office.
Certificate of Coverage No. NCGO7 0115 Person Collecting Samples: Eric Wright
Facility Name: Adams Products Greensboro Laboratory Name: Pace Labs
Facility County: Guilford Laboratory Cert. No.: 37712
Discharge during this period:[Yes ❑No (if no,skip to signature and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes Q'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 ❑No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle&Equipment Areas—Benchmarks in (Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class Outfall 001 Outfall 002
N/A Date Sample Collected MM/DD/YYYY 8/14/24 8/14/24
46529 24-Hour Rainfall in inches , 3 3 3
C0530 TS5 in mg/L(100 or 50') 15.6 34.0 _
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 50 mg/t.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
s ted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
fa i or ation,including the possibility of fines and imprisonment for knowing violations."
\O"PsiN CI) 1.1)
Signa re of Permittee or Delegated Authorized Individual Date
Email Address . 1 (( Phone Number
05L.C_`0.052r, D,ACo.s ,Conn.
33(4 SAO It