NCG080794_2022 DMR_20220408

NCDEQ Division of Energy, Mineral and Land Resources
Stormw ter Discharge Monitoring Report (DMR) Form for NCGO80000
Transit and Transportation
Click here for instructions
Complete, sign, scan and subm t the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling r sults. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG08
0794
Person Collecting Samples: N/A
Facility Name: YRC - Rocky Mount
Laboratory Name: N/A
Facility County: New Hanover
Laboratory Cert. No.: N/A
Discharge during this period: rl Y
s ®✓ No (if no, skip to signature and date)
Has your facility implemented mandatory
If so, which Tier (l, ll, or III)?
Tier response actions this sample
(period for any benchmark exceedances? .. ° Yes ®✓ No
A copy of this DMR has been uploz
Date Uploaded:
ded electronically via https:Hedocs.deg.nc.gov/Forms/SW-DMR
E]Yes rl No
Analytical Monitoring Requirements for Vehicle & Equipment Maintenancle Areas — Benchmarks in (Red)
Parameter `
Parameter
Outfall 001
Outfa(I
002
Outfall
Outfall_
Outfall
Code
N/A
Receiving Stream Class
N/A
N/A
N/A
Date Sample Collected
MM/DD/YYYY
N/A
N/A
46529
24-Hour Rainfall in in
hes
N/A
N/A
C0530
TSS in mg/L (100 or 5
*)
N/A
N/A
00552
Non -Polar Oil & Grease
in mg/ L 15
{ )
N/A
N/A
pH in standard units (15.0
—9.0 FW,
00400
6.8 — 8.5 SW)
N/A
N/A
Estimated New Moto
HydraulicOil
NCOIL
Usage in gal/month
< 55
<55
* Outfalls to Outstanding Resource
have a benchmark TSS limit of 50 rr
FW (Freshwater) SW (Saltwater)
ers (ORW), High Quality Waters (HQW),
All other water classifications have a be
Waters (Tr) and Primary Nursery Areas (PNA)
irk of 100 mg/L
Notes (optional): This facility usesiless than 55 gallons of new motor oil per month. No samples were collected Jan -March 2022 1
"I certify by my signature below, unde 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, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
ale z z
Date
252-977-0945
Phone Number