NCG080196_2022 DMR_20220707

DocuSign Envelope ID: 8A26854C-6AC8-4801-91 E1-8EF845256B53
DEQ Winston-Salem Regional Office
Attn: DEMLR Stormwater Program
450 West Hanes Mill Road
Winston-Salem, North Carolina 27102
RE: Stormwater Discharge Monitoring Report Form for NCG080000
United Parcel Service — New Windsor
Permit No. NCGO80196
Dear Sir/Madam:
Attached is a completed copy of the discharge monitoring report for the above -referenced
facility. The facility has implemented Tier One Response requirements which include
maintenance of the facility storm sewer system to remove accumulated sediments.
Please do not hesitate to contact me directly at 203-503-4300 or [e-mail] if you
have any questions or comments.
Sincerely,
United Parcel Service
EV
DocuSigned by:
a.SS6 Spa"S
C83EA053052B482...
Vasso Spanos
East Region Environmental Manager
Enclosure

DocuSign Envelope ID: 8A26854C-6AC8-4801-91 E1-8EF845256B53
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. NCG08 196
Person Collecting Samples: S. Allwurden
Facility Name: United Parcel Service - New Windsor
Laboratory Name: Eurofins TestAmerica Savannah
Facility County: Forsyth County
Laboratory Cert. No.: 269
Discharge during this period:
E
Yes 0 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)? 1
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DM LLJYes [_]No
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall002
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
06/09/2022
06/09/2022
46529
24-Hour Rainfall in inches
0.08
0.08
C0530
TSS in mg/L (100 or 50*)
<25
2.7
00552
Non -Polar Oil & Grease in mg/L (15)
<1.3
<1.3
00400
pH in standard units (6.0-9.0 FW,
6.38
7.33
6.8 — 8.5 SW)
NCOIL
Estimated New Motor/Hydraulic Oil
102
102
Usage in gal/month
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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
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
fals�dfg�§�p�pn, including the possibility of fines and imprisonment for knowing violations."
Va.SSb spA.I s
7/5/2022
Signature of Permittee or Delegated Authorized Individual Date
[e-mail]
Email Address
203-503-4300
Phone Number