NCG081010_DMR_20240404

NCDEQ Division of Energy,Mineral and Land Resources
Storm titer Discharge Monitoring Report(DMR) Form for NC 0 0000
Transit and Transportation
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin Re ort DMR U d form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the a riate.ML Tonal Office.
4
Certificate of Coverage No. NCG081010 Person Collecting Samples:N/A ri c t
Facility Name:Town of Mooresville Public Operations Facility Laboratory Name: N/A °'�,9 1'
Facility County: Iredell Laboratory Cert. No.:N/A 0
Discharge during this period:0 Yes El No (if no,skip to signature and date) o
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?n yes 0 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 El No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle&Equipment Maintenance Areas—Benchmarks in(Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches
C0530 TSS in mg/L(100 or 50*)
00552 Non-Polar Oil&Grease in mg/L(15)
00400 pH in standard units(6.0—9.0 FW,
6.8-8.5SW)
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 50 mg/L.All other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional): No measureable storm event occured during operation hours that would allow a sample within 30minutes of discharge.
"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."
y� /v� 4/2/2024
Signa re of Kermittee or Delegated Authorized Individual Date
[e-mail] 704-799-4199
Email Address Phone Number