NCG080936_Monitoring Report_20220204

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS0936
FACILITY NAME Trimac Transportation Inc,
PERSON COLLECTING SAMPLE(S) N/A
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 1
(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.)
8
�i
COUNTY Forsyth
gP A o
PHONE NO. (346 1348-0886
m�P
SIGNATURE OF PERMITTEE OR DESIGNEE'
REQUIRED ON PAGE 2.
----------
----------
----------
----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (E)yes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
Date
50050
00556
00530
00400
Total Flow
Total
Oil & Grease
Non -polar
Total
pH
New Motor
No.
Sample
Collected
(if applicable)
Rainfall
(if appl.)
O&G/TPH
Suspended
Oil Usage
(Method 1664
Solids
SGT-HEM), if
appl.
mo/dd/ r
MG
inches
m
mgA
unit
gallmo
Rain Gqa.Ctl.
A
A
N/A
N/A
N//A
NN
/A
I
N/Oufall
/A
N/A
Oufal2
I N/A
N/A
I N/A
N/A
N/A
N/A
N/A
N/A
Form SWU-247, last revised 611212015
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date NIA
Total Event Precipitation (inches): NIA
Event Duration (hours): NIA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — sec 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 the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, IC
and complete. I a are that there are significant penalties for submitting false information,
including the possibility of fines and imp onm nt for knowing ola ons."
,�4oLm01 /31 /2022
(Signature of Permittee)
The facility did not collect a sample during 2021 Monitoring Period 2.
Form SWU-247, last revised 611212015
Page 2 of 2