NCG100031_2022 DMR_20220322

From: Adriana Lee Fax: [phone] To: Fax: [phone] Page: 2 of 2
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MCDEQ Division of Energy, Mineral and farad Resources
Stormwater Discharge Monitoring Report (DIVIR) Farts for N G10f3000
Used Motor Vehides
Cligk here for Instructions
0312212022 10:52 AM
r .wv 1 f vv 1
Complete, sign, scan and submit the DMR via the Stormwater NPDE5 Perm It data Monitoring Report (DMRI Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate a ional Office.
Certificate of Coverage No. NCG10 0031
Person Collecting Samples: Sammy Rlgabse
Facility Name; Rigsbee Auto'P'arta
Laboratory Name; ALS Houston
Facility County: Wake
Laboratory Cent No.: 024-2021
Discharge during this perlodZYes
Q
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample.pe.rlod for any benchmark exceedances? ' Yes f No
If so, which Tier (1, 11, or Ili)?
A copy of this DMR has been uploaded electronically via httus://edocs.deg,I]c.goylFormsLSW _OMR r: Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities •- Benchmarks in (Red)
Parameter
Parameter
Outfall Obi
Outfall
Outfall
ouCfall
outfall
code
N/A
Recelving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
03MO=22
46529
24-Hour Rainfall in inches
0.8
C0530
T55 In mg/L (100 orlj'D*)
35-3
pH In standard units (6.0 - 9.0 FW,
7.95
00400
6,3 - 8,5 5W
Chemical oxygen Demand In mg/L
00340
39.0
120
Lead, total recoverable (as Pb) In
01051
m L 0,075 FW, 0.22 5W
0 00558
Ethylene Glycol In mg/ L (any amount
77023
detected Tier One; 9,000 rng/L Tier
£1-0
Two and Three
00552
Non -Polar Oil & Grease In mg/L (15)
4.44
Estimated New Motor/Hydraullcdll
NCOIL
Usage In gallmonth.
Outfalls to Outstanding Resource waters (ORW), High Quality Waters (HQW), Trout waters M) and Primary [nursery areas (PNA)
haven benchmark TSS limit of 5U mg/L Ail other water classtficffdons hevo u benchmark of 100 mg/L
FW (Freshwatar) 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 properiy gather and evaluate the Information subrn tied. Based on my
inquiry of the person or persons who manage the system, orthose persons directly responsible for gathering the information, the information
submitted Is, to the best of my knowledge and be€Ief, true, accurate, and cornpiete. I am aware that there are significant penalties for submitting
false information, Including the VIF fines an4 imprisonment for knowing vlolations."
Signature of Permkjc4 or Delepttd l ficLi4" Individual
Date
garnsclus"rtsQgmall.0orn _
Email Address
(919) 362-M7
Phone Number