NCG080865_2022 DMR_20220722

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 a � ro riate DEMLR Regional Office.
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
N/A
N/A
46529
Receiving Stream Class
Date Sample Collected MM/DD/YYYY
24-Hour Rainfall in inches
Street
04/18/2022
1.6
Street
04/18/2022
1.6
C0530
TSS in mg/L (100 or 50*)
00552
Non -Polar Oil & Grease in mg/L (15)
00400
pH in standard units (6.0-9.0 FW,
6.8 — 8.5 SW
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
Outfall I Outfall I Outfall
Sidewalk Sidewalk
04/18/2022 04/18/2022
1.6 1.6
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters �(Tr)land 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): Greci Eanes
"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 ivDation, including the possi ility of and imprisonment for knowing violations."
re of
Authorized Individual
7/22/2022
Date
Greg@Couch Oil Company 919-286-5408
Email Address
Phone Number

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater DischargReport (DMR) Form for NCG080000
TrMonitoring Transportation Click here for instructions
the DMR via the Stormwater NPDESLPerrnit Data Monitorie a �RrtlatDeDEMLR Re Tonal Off cle.Complete, sign, scan and submit of the DMR to th
30 days of receiving sampling results. Mail the original, signed hard y
Person Collecting Samples:
Certificate of Coverage No. NCG08 Laboratory Name:
Facility Name: Laboratory Cert. No.:
Facility County:
Discharge during this period: ❑ Yes � No (if no, skip to signature and date)
facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes [] No
Has your Y
If so, which Tier (I, II, or III)? gov/Forms/SW-DMR ® Yes []No
,�
A copy of this DMR has been uploaded electronically via htt; /edocs deg nc
p-
Date Uploaded:
f V h•cle & Equipment Maintenance Areas — Benchmarks in (Red)
Analytical Monitoring
Parameter
Code
N/A
N/A
Requirements or e I
Parameter
Receiving Stream Class
Date Sample Collected MM/DD/YYYY
Outfall
Outfall
Outfall
Outfall
Outfall
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
00552
Non -Polar Oil & Grease in mg/L (15)
00400
pH in standard units (6.0-9.0 FW,
6.8 — 8.5 SW
Estimated New Motor/Hydraulic Oil
Usage in gal/month
�_. __� n..:..�......
�i...�er.. Arnx !DNA!
NCOIL
* Outfalls to Outstanding Resource Waters (ORW), High Quality waters triLM), trout waac[b 1111 a— . ---
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
false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
Email Address
Date
Phone Number