NCG080792_MONITORING REPORT_20210127

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NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO80000
Transit and Transportation
Click here for instructions d
Complete, sign, scan and submitthe DMR via the Stormwater NPDES Permit Data Monitoring Re ort DMR U orm Mthin
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the a ro ri `DEMLR R I Office.
Certificate of Coverage No. NCGO8 0 7 9 2 Person Collecting Samples: Jim Fred SwSG
Facility Name: USF Holland -Charlotte Laboratory Name: Pace Analytical/SwSG
Facility County: Mecklenburg I Laboratory Cent. No.: 12, 633, 5054
Discharge during this period: K Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? M Yes ❑ No
If so, which Tier (I, II, or III)? 1
Part A: Vehicle & Equipment Maintenance Areas —Benchmarks in (Red)
Parameter
Code
Parameter
Outfall (NJ
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
12/04/2020
46529
24-Hour Rainfall in inches
0.62
00552
Non -Polar Oil & Grease in mg/L (15)
< 5.0
C0530
I TSS in mg/L (100 or 50•)
190
00400
pH in standard units (6.0 — 9.0)
6.83
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
+/_ 350
Part B: Oil/Water Separators & Secondary Containment Areas at Bulk Stations & Terminals — Benchmarks in (Red)
Parameter
Cade
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
I TSS in mg/L (100 or50•)
00400
1 pH in standard units (6.0-9.0)
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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
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 pAalties f^submitting false information, including the possibility of fines and imprisonment for
knowing violations.
.signature of Permittee or Delegated Authorized Individual
dl
Date