HomeMy WebLinkAboutNCG080674_2021 DMR_20211213NCDEQ Division of Energy, Mineral and Land Resources
Storrnwater Discharge Monitoring Report (DMR) Form for NCGO80000
Transit and Transportation
Click here for instructions
Compiete, 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 0 6 -7LI
Person Collecting Samples: but �c v✓�,r w
Facility Name: G � C . dlc�_ Cc"A"_�_ Al4,i
Laboratory Name:Cr4 �t► etc= C .�.i~.�
Facility County: W 4 (Mn
Laboratory Cert. No.: 04 0 Sd�
Discharge during this period:nj
Yes11
No (if no, skip to signature and date)
Has your facility implemented mandatory7ier response actions this sample period for any benchmark exceedances? Yes ®No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via htt s: /edocs.deq.nc. ov Forms SW-DMR Yes ® No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall 0a i
Outfall UU
Outfall 003
Outfall tJo q
Dutfall
Code
N/A
Receiving Stream Class
C ° vs"
C ' i! �-j
C' gs 4^%
C ` N_s
N/A
Date Sample CollectedMM/DD/YYYY
itiza _J2A
l; 2Z LaLI
tt LZ 2-02.1
% Lz zo�_i
46529
24-Hour Rainfall in inches
0, a0
p, aos
C0530
TSS in mg/L (100 or 50*)
Sys
a, j
7,1
00552
Non -Polar Oil & Grease in mg/L (15)
e-
< T. 0
i
< 5 ,, o
00400
pH in standard units (6.0 — 9.0 FW,
lo,t?�
6.8-8.5SW)
NCOIL
Estimated New Motor/Hydraulic Oil
v�
Usage in gal/month
* Outfalls to Outstanding Resource Waters (OIiW), High Quality Waters (HQ", 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) 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 information, including the possibility of fines and imprisonment for knowing vio€ations."
Signature of Permit*e or Delegated Authorized Individual
1zrtr312,OL.1
Date
Email Addiess Phone Number