NCG070049_2024 DMR_20241010

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 DEMLR Regional Office.
Certificate of Coverage No. NCGO7 Person Collecting Samples: T.,vvo 1,1 ( �ecl e,
1
Facility Name: 6p1A Rood Bo ld�n 1'roduu-c Laboratory Name: Aoly c,o, Says
Facility County: Nc 7 140,rome Laboratory Cert. No.: 3?5
Discharge during this period: Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑ Yes ® 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 4L-� No
Date Uploaded: wgrV., n �I c)c,14-;v1b W1 t-c \-Vle, Svskc444.
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
ParaParameter Parameter Outfall Outfall p� Outfall 3� Outfall Outfall
e
N/A Receiving Stream Class DG 5 SC-
N/A Date Sample Collected MM/DD/YYYY 09/)6/01 61/)6/ 4 - D?/lbllv?�
46529 24-Hour Rainfall in inches /,9 t h } ,9 .11
00400 pH in standard units(6.0—9.0 FW, �' `' �,
6.8-8.5 SW) f
C0530 TSS in mg/L(100 or 50*) aQ,6 4 5(p
00552 Non-Polar Oil&Grease in mg/L(15) ND ND Nib
Estimated New Motor/Hydraulic Oil
NCOIL Usage in gal/monthd� 4
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/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 nowledge and belief,true,accurate,and complete. I am aware that there are significant penalties for submitting
false infor ation,including h ossibility of fines and imprisonment for knowing violations."
///aoa�
Signature of Per t e or Delegated Authorized Individual Date
0�•,4.@��btbe,, �xd,'�.c� q/o--0?4-.?J/37
Email Afress Phone Number