NCG080431_2017 DMR_20220211 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG080000
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. NCG080431
Person Collecting Samples: Ronald Goras
Facility Name: Carolina Tank Lines
Laboratory Name: MicroBak Labs
Facility County:Alamance
Laboratory Cert. No.: K7A0112
Discharge during this period: ✓❑ 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 ❑✓ Yes [:]No
Date Uploaded: 2/11/22
Part A- Vehicle & Eauioment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS-IV
N/A
Date Sample Collected MM/DD/YYYY
01/04/2017
46529
24-Hour Rainfall in inches
.50
C0530
TSS in mg/L (100 or 50*)
21.8
00552
Non -Polar Oil & Grease in mg/L (15)
5.0
00400
pH in standard units (6.0 — 9.0)
6.5
Estimated New Motor/Hydraulic Oil
195
NCOIL
Usage in gal/month
Part Rc nil/water Senarators and Secondary Containments Areas at Bulk Stations & i ermmais — tsencnmarKS ui tneul
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
1 24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
00552
Non -Polar Oil & Grease in mg/L (15)
00400
pH in standard units (6.0-9.0)
* 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
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, includigg the possibility of fines and imprisonment for knowing violations."
Signature of Permi�elegated Authorized Individual
Email Address [e-mail]
10/14/20
Date
Phone Number 336-226-7039 ext-219