HomeMy WebLinkAboutNCG100062_2020 DMR_20210119NCDEQ Division of Energy, Mineral and Land Resources
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 6 2
Facility Person Collecting Samples: wb xy Hoen
sty Name: Deals an wi,.� Laboratory Name: pane
Facility County: Johnston Laboratory Cert. No.: 12
Discharge during this period: ON yes No (if no, skip to signature and date)
Has Your facility implemented mandatoryTier response ?
If so, which Tier (I, II, or III)? I ponse actions for any benchmark exceedances. � yes ❑ No
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Rtd)
Parameter
Code
N/A
Parameter
Receiving Stream Class
Outfall 1
Outfall
Outfall
Outfall
Outfall
C
N/A
Date Sample Collected MM/DD/YYYY
12/14/2020
46529
24-Hour Rainfall in inches
.5
00400
pH (fs.9)
6.5
C0530
TSS in mg/L (100 or 50*)
185
01051
Lead, Total Recoverable in mg/L
0.084
78141
Total Toxic Organics in mg/L (1)
N/A
77023
Ethylene Glycol in mg/L (any amount
detected Tier One; 8,000 mg/L Tier
Two and Three)
5.0
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
N/A
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 5O rnF;,/L. All other water classifications have a benchmark of 100 mg/L,
Notes (optional):
"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 viOlatiys." n /N
of Perm or Delegated Authorized Individual
/- / 9- Z021
Date