HomeMy WebLinkAboutNCG210510_2024 DMR_20241029 NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG210000
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 Person Collecting Samples: r Y1itr VVas (pn-V
Facility Name:'4Q l,)(Q ioweSt stock — 'V'L Laboratory Name:Pa(�Q ��`� 3
Facility County:Ro 11 Laboratory Cert. No.: 3j�-� i l JOJ
Discharge during this period:�es ❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?i 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 ❑ No
Date Uploaded:kb)20l 1;%t.1J-1
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in(Red)
Parameter Parameter Outfall 663 Outfall W1 Outfall 605 Outfall OOG Outfall 63-
Code
N/A Receiving Stream Class Ci a L G
N/A Date Sample Collected MM/DD/YYYY 311/2)'1,2'a2L1 Dq•2i •2021 061.2m•2tYP D°1•2j•10-11 U "
46529 24-Hour Rainfall in inches -,'J 2,3 2,`j 2• .3
C0530 TSS in mg/L(100 or 50*) '— —
00340 Chemical Oxygen Demand (120) 36 s 2) 3 ,"1- 3'- . 2. I.2..cA \
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(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of .All other water classifications have a benchmark of 100 mg/L
Notes(optional): T l ( > F;
S`� .�YVI��.� 1r. � �1 Z� {��-t��u� (�b'� "t U t`�.�L!' I L 4-t' f`�c��C.a, ,
"I certify by my gnature below,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my
inquiry f the p on or persons who manage the system,or those persons directly responsible for gathering the information,the information
submitt d is,to I-e best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false f rmator,including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual Date
Email Address Phone Number
,A6tU4v1C@ Yfee--O •Csam
1
NCDEQ Division of Energy,Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG210000
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 Person Collecting Samples: y\oic cm10►'t'wma-e1A-
Facility Name: U vza YAS'� larbCA/Vm -VV1. Laboratory Name:TGo pcy\oa.„_yckezu
Facility County: -JlO' ( z Laboratory Cert. No.: -31---i-'2
Discharge during this period: s ❑ No (if no,skip to signature and date) f
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?0 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 E Y s ❑ No
Date Uploaded: )c leg 1?oLvl
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 05 Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class V
N/A Date Sample Collected MM/DD/YYYY C11.7(4.2pjL.
46529 24-Hour Rainfall in inches Z, 3
C0530 TSS in mg/L(100 or 50*) `�
00340 Chemical Oxygen Demand (120) I o 0
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 All other water classifications have a benchmark of 100 mg/L
Notes(optional) IGs Li.Avvueies vJ'U�P vtok fAvv ci ze ti C.,`p 1k1JW 1�G�n-e ki_p_IQY4
"I certify by my si nature below,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a ystem designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my
inquiry of the pers n or persons who manage the system,or those persons directly responsible for gathering the information,the information
submitte is,to he est of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false fo atio ,'n luding the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual Dat `
Email Address Phone Number
Adam Rey-Fpcb.L-LviN ictI 11 c?r-, -