NCS000508_2021 DMR_20220103

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000508
FACILITY NAME Piedmont Triad International Airport
PERSON COLLECTING SAMPLE(S) [e-mail]
CERTIFIED LABORATORY(S) NA Lab # NA
NA Lab # NA
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2021
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Guilford
PHONE NO. 3( 36 j 665-5600
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
All
All
All
All
All
All
Total
Flow if a
Total
Rainfall
mo/dd/ r
MG
inches
All
All
All
All
All
All
All
2021
NA
NA
Third and fourth 2021 de-icing monitoring not sampled due to lack of qualifying rainfall with qualifying ADF application.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes *no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mg/1
mg/1
unit
al/mo
Form SWU-247, last revised 611212015
Page 1 of 2

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Date 2021
Total Event Precipitation (inches): NA
Event Duration (hours): NA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee)
01 /03/2022
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2

From: BJ Lineback <[e-mail]>
Sent: Monday, January 3, 2022 3:43 PM
To: Darling, Richard
Subject: EXTERNAL: PTIA NPDES Monitoring 2021
Richard,
This note is to let you know that episodic events three and four for calendar year 2021(21E3 and 21E4) were unable to
be collected due to a lack of appropriate qualifying precipitation with ADF application events. Let me know if you need
anything further.
Thanks,
B. J. Lineback, CIEC
336.708.4655 (c)
336.310.4527 (o) `
P.O. Box 128
Kernersville, NC 27285 P11.0
www.pilotenviro.com o I o r E I Q a M E r> I.
[e-mail]