NCS000328_Tier 3 Monitoring Report_20211203

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DEQ Mooresville Regional Office a o
Attn: DEMLR Stormwater Program`
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Re: Stormwater DMR: Tier III Monthly Report for November 2021
Bestway South, Inc.
Iredell County
Individual Permit No. NCS000328
Dear Stormwater Permitting Unit,
We respectfully submit the enclosed original signed copy of the Stormwater Discharge Outfall
Monitoring Report (DMR) for the Bestway South, Inc. facility under Individual Permit Number
NCS000328. This submission is for the Tier III monthly sampling event conducted during the
month of November 2021. We will be uploading the report online via the NCDEQ Stormwater
DMR submission web portal. We have previously completed and submitted the eDMR
registration to the DEMLR Stormwater Program eDMR in Raleigh, North Carolina.
If you have any questions or comments regarding these Stormwater Discharge Outfall Monitoring
Reports (DMRs) or other items, please contact us at your convenience.
Sing
Rick Petrovich, General Manager
Bestway South, Inc.
165 Halyburton Rd
Stony Point, NC 28678
Enclosures: Stormwater DMR for November 2021

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STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS NCS000328 SAMPLES COLLECTED DURING CALENDAR YEAR: 2021
(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.)
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
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COUNTY IREDELL
PHONE NO. (704 1585-6373
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
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Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? oyes 0. no
(if yes, complete Part B)
Part B• Vehicle Maintenance Activity Monitorine Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
In
m
unit
Rallmo
Form SWU-247, last revised 611212015
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date 11 /12/21
Total Event Precipitation (inches): 0.33
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, 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 Te�i
Ndimrisonment
ose persons directly responsible for gathering the information, the information submitted is, to the
best of my knowled curate, and complete. I am aware that there are significant penalties for submitting false information,
including th iWe
efor knowing violations."
of Permittee)
//-,V-.Z/
(Date)
Form SWU-247, last revised 611212015
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