NCG100247_DMR_20210520

Stormwater Discharge Monitoring Reoort
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG100000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG10 Q 2 4 7 SAMPLE COLLECTION YEAR 2021
FACILITY NAME T&MAuto sates. Inc. REef!1V PLE PERIOD * Jan -June ❑ Juiy-Dec
COUNTY Cleveland or ❑ Monthly' (monk_
SUN 14 PERSON COLLECTING SAMPLES Marty Robbins 202DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ALs Glottal Lab Cert. H 624-2021 CENTRAL FILES ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: LJWR SECTION WOtherws-IV
Part A: StorMW24er Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -7�
Total event rainfalls 0.35 or ❑ No discharge this period?'
I Date
pH,
Total Suspended
Non -polar
Lead, Total
Total Toxic
New Motor or
Outfali
Sample
Standard
Solids (TSS)
O&G/TPH
Ethylene Glycol,
Recoverable
3
0r
Organics
Hydraulic Oil
No.
Collected,
Units
mg/L
(Method 1664
mg/L
mg/L
mg/L
Usage,
mo/dd/year
SGT-HEM), mg/L
gal/mo
Benchmark
-
6.0 — 9.01
100 or 502
15
8,000
(Tiers 2 and 3)
0.075
1.0
-
Parameter Code
1 -
00400
C0530
00552
77023
01051
78141
NCOIL
001 +OS/03/2021
6.7
6.35
2.0
< 1.0
<0.002
Exempt
I
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General
Permit.
'If pH values outside this range are recorded in sampled stormwater discharges, but ambient precipitation pH levels are lower, then the lower threshold of this benchmark
range is the pH of the precipitation (within instrument accuracy) instead of 6 S.U. Readings from an on -site or local rain gauge (or local precipitation data) must be documented
to demonstrate background concentrations were belmv the benchmark pH range of 6-9
2See General Permit Table 1, identifying the especially sensitive receiving waters classifications where the more protective benchmark applies.
3For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122.
°Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
sTotal precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
6For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
Permit Date: 11/1/2018-05/31/2021 Form 5WU-251, Last Revised 11/1/2018
Page 1 of 2

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Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DEMLR waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used along with other requirements listed in the General Permit. For those facilities allowed such a waiver,
the discharger shall sign the following certification statement:
Solvent Management Plan Certification Statement
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent
management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature
Mail Original to:
Division of Water Quality
Attn: Central Files
1617 Mail Service
Center
North Carolina 27699-1617
Date
"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, 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."
r ?4"200/
Date
Permit Date: 11/1/2018-05/31/2021 Form SWU-251, Last Revised 11/1/2018
Page 2 of 2

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