NCG130090_Monitoring Report_20220314

Permit and Facility Information:
Please enter the permit number and other details for this upload.
RECEIVED
VAR 14 2022
DENR-DEMLR
Land Quality Section
tesesvipe Regional Office
IMPORTANT., Until your stormwater permit is registered in the eDMR system, an original signed (not digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this electronic
upload.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
N CG 130090
Must begin with NCS or NCG
Facility Name: * Buck Ash Beneficiation Facility
County: * Rowan
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office USps70)9 alto 000/ 07n 090-1p
Attn: DEMLR Stormwater Program p�- 7
610 East Center Avenue 9s-90 yy(,z fp5o gi5-y I9d
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**

DMR Upload* Click the upload button or drag and drop files here to attach document.
2022-03-01 Buck STAR Year 3 Period 1 DMR Let... 120.47KB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this Discharge Monitoring Report (DMR) Upload form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
• I intend to electronically sign and submit this DMR Upload form.
Full Name: * Dale Wooten
Name of person submitting this form
Email Address: * [e-mail]
Phone Number: * 7042022533
Signature: *
Date: * 03/10/2022

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCG130090
FACILITY NAME _Buck Ash Beneficiation Facility
PERSON COLLECTING SAMPLE(S) Chris Atwell/Sally Modad
CERTIFIED LABORATORY(S)_Duke Energy Carolinas, LC Lab # 248
Pace Analytical Services Lab #329
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2022
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Rowan
PHONE NO.( 704 ) 630-3096
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
50050
00400
01042
01092
Total
Total
pH
Copper,
Zinc, Total (as
Collected
Flow (if app.)
Rainfall
Total
Zn)
(as Cu)
mo/dd/yr
MG
inches
SW100
2/4/22
N/A
0.27
7.1
m
0.00272
m
<0.005
Outfall
No.
Date
Sample
Collected
C0530
00556
Solids, Total
Suspended —
Concentration
Oil & Grease
mo/dd/yr
mg/L
m
SW100
2/4/22
12.0
<4,8
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 0 yes e no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Ninnk.Anu u......:.o...e...�
Outfall
No.
Date
Sample
50050
00556
00530
00400
Total Flow
Total
Oil &Grease
Non -polar
Total
pH
New Motor
Collected
(if applicable)
Rainfall
(if appl.)
O&G/TPH
Suspended
Oil Usage
(Method 1664
Solids
SGT-HEM), if
appl.
mo/dd/yr
MG
inches
mg/I
mg9
unit
gal/mo
Permit Number NCG 130090 Form SWU-247, last revised 611212015
Page I of 2

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