NCG080201_2021 DMR_20210928

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO80000
Transit and Transportation
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. NCG08 0201
Person Collecting Samples: Johnny Sheets
Facility Name: HFCS Transport Company
Laboratory Name: Meritech, Inc.
Facility County: Forsyth
Laboratory Cert. No.: 165
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? MYes No
If so, which Tier (I, 11, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Mv Yes 17 No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
SDO 001 - "C"
SDO 002 - "C"
SDO 003 - "C"
N/A
Date Sample Collected MM/DD/YYYY
09/08/2021
09/08/2021
09/08/2021
46529
24-Hour Rainfall in inches
6/10"
6/10"
6/10"
C0530
I TSS in mg/L (100 or 50*)
44 mg/L
13 mg/L
51 mg/L
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0 mg/L
<5.0 mg/L
<5.0 mg/L
00400
pH in standard units (6.0 —9.0 FW,
7.0
7.0
7.0
6.8 — 8.5 SW)
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
70
70
70
* 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
FW (Freshwater) SW (Saltwater)
Notes (optional): Sample from SOO 003 was pulled from water flowing over gravel
"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 knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, including the possibility of fines and imprisonment for knowing violations."
or Delegated Authorized Individual Date
[e-mail]
Email Address
336-785-0035
Phone Number