NCG080786_2021 DMR_20211116

NCDEQ Division of Energy. Mineral and land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCGO80000
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. NCGO80786
Person Collecting Samples: Hopkins
Facility Name:R"bicServices ofNOMCaonaa,LLC-GDSVwsNnMam
Laboratory Name: ENC❑
Facility County: Beaufort
Laboratory Cert. No.: 591
Discharge during this period:
Yes
Lj
No cif no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Lj YesEj No
If so, which Tier (I, II, or III)?
A copy of this D M R has been uploaded electronically via hUps:/Iedocs.deo.nc.gov/Forms/SW-DMR - Yes Lj No
Date Uploaded: 11-16-21
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall2
Outfall
Outfall
Outfall
Outfall
Cade
N/A
Receiving Stream Class
C, SW, NSW
N/A
Date Sample Collected MM/DD/YYYY
10/29/2021
46529
24-Hour Rainfall in inches
0.25
C0530
TSS in mg/L (100 or 50")
15
00552
Non -Polar Oil & Grease in mg/L (15)
<2.70
00400
pH in standard units (6.0 — 9.0 FW,
7.0
6.8--8.5SW)
Estimated New Motor/Hydraulic Oil
F��]Usage
in gal/month
55
' OutfaIIs to Outstanding Resource waters (ORW), Hlgh Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TS5 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) 5W (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 i/forrytatiMincluding the possibility of fines and imprisonment for knowing violations."
-�r
11-16-2021
re of Perm lttee or Delegated Authorized Individual Date
[e-mail]
Email Address
91 M72-2837
Phone Number