NCG080063_2022 DMR_20220407

NCDEQ Division of Energy, Mineral and Land Resources
tormvv;:tter Discharge Monitoring
Report (DMR) Form for NCGO80000
Transit and Transportation
Ciicl,far instructions y L4oioad foron within
co of the DMR to the an ropriate DEfi— -•SLR Region" ---
ice ]
Complete, sign, scan
and submit the DMR via the Storm��ater NPDEES Permit Data Monitor ink Resort —
30 days of receiving sampling results. Mail the original, signed hardp
Person Collecting Samples: Matthew Phillips Services
Certificate of Coverage No. NCG08 0063
Laboratory Name: Charlotte -Mecklenburg Laboratory
of Charlotte Fleet Management Cert. No.: 192
Facility Name: City Laboratory
Facility County: Mecklenburg ❑ No (if no, skip to signature and date)
period ✓ Yes benchmark exceedances? ®Yes ✓ No
Discharge during this p ❑
s our facility implemented mandatory Tier response actions this sample period for any —[]Yes ❑ No
Hay �?
If so, which Tier (I, Il, or III .
's DMR has been uploaded electronically via https:L�docs°de •rrc°` ov Forms
S'_.�D--
A copy of this
Date Uploaded:
Equipment Maintenance Areas —Benchmarks in (Red Outfall
Outfall Outfall
Part A: Vehicle &
Outfall006 Outfall
Parameter Parameter
Code Class C
N/A Receiving Stream Class
Sample Collected MM/DD/YYYY 03/16/2022
N/A Date 0.57
46529 24-Hour Rainfall in inches 126
C0530 TSS in mg/L (t00 or 501 <5.0
00552 Non -Polar Oil & Grease in mg/L (15)
00400 p 7.13
H in standard units (6.0 — 9.0( Estimated New Motor/Hydraulic Oil 100
NCOIL l)sage in gal/month
Secondary Containments Areas at Bulk Stations &Terminals — Bench u Outfall Outfall
(Red)
Outfall
Oil Water Separators and Outfall O
Part B: / 11 Outfall _
Parameter
Outfa
Parameter
Code
N/A
Receiving Stream Class
Sample Collected MM/DD/YYYY
N/A
Date
46529
24-Hour Rainfall in inches
TSS in mg/L (100 or 501
C0530
in mg/L (15)
00552 Non -Polar Oil & Grease
00400 pH in standard units
5°0 — 9t0) Trout Waters (Tr) and Primary Nursery Areas (PNA)
Resource Waters (ORW), High Quality Waters (HQW),
outfalls to Outstanding All other water classifications have a benchmark of t00' rng/t
have a benchmark TSS limit of 5t3 rl>/ e CRN-50 (Vest WTP)
anus - March 2022 Quarterly Monitoring Results° Rainfall measurements collected from USGS Rain Gage
or supervision in
Notes (optional). rY under my
m signature below, under penalty of law, that this document and all attachments were prepared
I certify by Y g qualified personnel properly gather and evaluate the information submitted. Based on my
accordance with a system designed to assure that q or those p penalties for submitting
cc a e the system, persons directly responsible for gathering the information, the information
a persons who man g lete. I am aware that there are significant p
inquiry of the person or p e and belief, true, accurate, and comp
le
imprisonment for knowing violations."
submitted is, to the best of the possibility of fines and
false information, including
Date
Signature of Permittee or Delegated Authorized Individual phone Number
Email Address j'� N�05