NCG080178_2021 DMR_20210713

DocuSign Envelope ID: 123AE810-39F0-46F9-A77A-5E5D5B7C259B
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater uischarge Monitoring Report (DMR) Form for NCG080000
Transit and Transportation
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. NCG08 0178
Person Collecting Samples: Parker Cliatt
Facility Name: United Parcel Service - NCCHA
Laboratory Name: Eurofins TestAmerica
Facility County: Mecklenburg
Laboratory Cert. No.: 434
Discharge during this period: ®✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? 0Yes 0✓ No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No
Date Uploaded: 7/12/21
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall002
Outfall003
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
C
C
N/A
Date Sample Collected MM/DD/YYYY
06/20/2021
06/20/2021
06/20/2021
46529
24-Hour Rainfall in inches
0.58
0.58
0.58
C0530
TSS in mg/L (100 or 50*)
24
50
30
00552
Non -Polar Oil & Grease in mg/L (15)
< 4.6
5.0
< 4.6
pH in standard units (6.0-9.0 FW,
00400
6.8 — 8.5 SW)
7.0
6.4
7.0
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
164
164
164
* 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):
"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 Ln-cW��Qg,$,(aq possibility of fines and imprisonment for knowing violations."
UaSS6 Spain os
Signature of Permittee or
[e-mail]
Email Address
Authorized Individual
7/12/2021 1 11:08 AM PDT
Date
203-503-4300
Phone Number