NCG100031_2021 DMR_20220110

NCDEQ Division of Energy, Mineral and Land Resources
`sed A./Iofov Vehicles
Click here for instructions
Complete, sign, scan and submit the DMR via the Stor; water NPDES Permit Data IVionitoring 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. NCG10 0031
Person Collecting Samples: Sammy Rigsbee
Facility Name: Rigsbee Auto Parts
Laboratory Name: ALS Houston
Facility County: Wake
Laboratory Cert. No.: 624-2021
Discharge during this period:❑Yes E✓ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? QYes ✓0 No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.de7.nc.gov Forms(S1n/-DMR �✓ Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 001
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
10/01/2021
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0 — 9.0 FW,
6.8 — 8.5 SW)
Chemical Oxygen Demand in mg/L
00340
(120)
01051
Lead, total recoverable (as Pb) in
mg/ L (0.075 FW, 0.22 SW)
Ethylene Glycol in mg/ L (any amount
77023
detected Tier One; 8,000 mg/L Tier
Two and Three)
00552
Non -Polar Oil & Grease in mg/L (15)
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
" Outtalls 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): No measurable storm event during regular working hours results in an actual discharge. i
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction orsupervision 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
a false information, including possibi ' y of fined and imprisonment for knowing violations."
Signature "bf Perftttee of Delega d AdtLPiorized Individual
[e-mail]
Email Address
/"") - 2 -o2-Z
Date -
[phone]
Phone Number