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NCDEQ Division of Energy, Mineral and Land Resources l �tQL j Al V
Stormwater Discharge Monitoring Report (DMR) Form for NCG100000 `� !
Used Motor Vehicles
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. NCG10 0 0 1 4 Person Collecting Samples: Steve Marsh
Facility Name: Marsh Auto Parts - Truck Yard Laboratory Name: ENCO
Facility County: Chatham Laboratory Cert. No.: 591
Discharge during this period: ❑■ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes X No
if so, which Tier (I, II, or III)?
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall A
Outfall B
Outfall
Outfall Outfall
Code
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
11/12/2020
11/12/2020
46529
24-Hour Rainfall in inches
2.5
2.5
00400
pH (6-9)
7.1
&9
C0530
TSS in mg/L (100 or 50*)
4.3
6.6
Lead, Total Recoverable in mg/L
0.00549 J
<0.0031
01051
Total Toxic Organics in mg/L (1)
N/A
NIA
78141
Ethylene Glycol in mg/L (any amount
3
13
77023
detected Tier One; 8,000 mg/L Tier
< 1
<
Two and Three)
<2.70
<2.70
N/A
00552
Non -Polar Oil & Grease in mg/L (15)
New Motor/Hydraulic Oil Usage in
NSA
NCOIL
gal/month
ioNnl
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters jr) and Primary Nursery r
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
"I certify by my signature below, under designed Ito assure that t this qualified perocument and
sonall
nel properly gather and evaluate ate the information direction
or
supervision in accordance with a system designed
submitted. Based on my inquiry of the person
tted isst the best of my know edgeersonwho manage the system, or tand beliefotrue,laccurate,pand'complete. lam
gathering the information, the information ubm
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment or
knowing violations."
Signature of Permittee or Delegated Authorized Individual
Date