NCG030009_2021 DMR_20220128

January 2022
Mr. Zac Lentz
NCDEQ
Division of Energy, Mineral, and Land Resources
Stormwater Program
450 West Hanes Mill Road, Suite 300
Winston-Salem, North Carolina 27105
Subject: Report of Stormwater Sampling — Fourth Quarter 2021
Thomas Built Buses
715 West Fairfield Road
High Point, Randolph County, North Carolina
NCDEQ Certificate of Coverage No. NCG030009
Ladies/Gentlemen:
Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this
submittal, please contact the undersigned at 336-382-6849.
Sincerely,
Jeff Gerlock, L.G.
NC Licensed Geologist #1141
Attachments — SW Discharge Monitoring Report Form
Cc: Thomas Built Buses, Scott Fister
7356 Belmont Drive, Trinity, NC 27370 - Phone [phone]

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
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. NCG03 0009
Person Collecting Samples: Jeff Gerlock
Facility Name: Thomas Built Buses - Fairfield
Laboratory Name: Pace
Facility County: Randolph
Laboratory Cert. No.: 12 / 37706
Discharge during this period: ✓ll-
L�j Yes No (if no, skip to signature and date)
Has your facility implemented mandatory Tier 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 https://edocs.deg.nc.gov/Forms/SW-DMR E] Yes No
Date Uploaded: Jan 2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall SWO-1
Outfall SWO-2
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS-IV
WS-IV
N/A
Date Sample Collected MM/DD/YYYY
12-18-2021
12-18-2021
46529
24-Hour Rainfall in inches
0.7
0.7
C0530
TSS in mg/L (100 or 50*)
10.9
19.8
pH in standard units (6.0-9.0 FW,
00400
6.8-8.5 SW)
6.76
6.27
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
<0.005
<0.005
Lead, total recoverable in mg/L
01051
(0.075 FW, 0.22 SW)
<0.005
<0.005
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.0325
0.0344
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
29.6
<25
00552
Non -Polar Oil & Grease in mg/L (15)
<5
<5
* 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, tot e best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
falkinforrhatioAi, including the possibility of fines and imprisonment for knowing violations."
Permittee or Delegated Authorized Individual
[e-mail]
Email Address
II Z'11tit_
Date
336-442-3550
Phone Number