HomeMy WebLinkAboutNCG080720_Monitoring Report_20211008NCDEQ Division of Energy, Mineral and Land Resources Ik
Stormwater Discharge Monitoring Report (DMR) Form for NCG0800(* �o D�A C)
Transit and Transportation "�s
Click here for instructions
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Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMRI Uploa'tform 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. NCG08 &? ZD
Person Collecting Samples: PA64,S
Facility Name: _&( ZiVG A4,46~
Laboratory Name: PA
Facility County: /}J(4VA0I(j#W4
Laboratory Cert. No.:
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? 0 Yes No
If so, which Tier (I, II, or III)? 77C,Q
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.govZForms/SW-DMR Eyes FJNo
Date Uploaded:
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1
Outfall
Outfall .i
Outfall ,f/
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
a2 If
ZZ Zf
AZ J,
,J At A/
46529
24-Hour Rainfall in inches
,A&
2eo
24
.26
C0530
TSS in mg/L (100 or 50*)
6 f
, z
Y7
/1
00552
Non -Polar Oil & Grease in mg/L (15)
<S!l
4 S ey
< G, V
< 7. f
00400
pH in standard units (6.0-9.0 FW,
N1a
Nk
/ Q
Z,77
6.8-8.5 SW)
V•�/
NCOIL
Estimated New Motor/Hydraulic Oil
L
3J
3/L
��
QL
Usage in gal/month
J7
* Outfails 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 200 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, 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 orPermittee or DellgSted Authorized Individual
Email Address
Date
Phone Number
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