NCG100247_2022 DMR_20220901

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGl00000
Used Motor Vehicles
ck 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. NCG10 0247
Person Collecting Samples: Marry Robbins
Facility Name: T & M Auto Sales, Inc. (DBA Robbins Auto Parts)
Laboratory Name: ALS Houston
Facility County: Rutherford
Laboratory Cert. No.: 624-2021
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? ❑ Yes No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https. edocs.deu.nc_.goy/Form_s/SW-DMR EYes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
08/16/2022
46529
24-Hour Rainfall in inches
0.7
C0530
TSS in mg/L (100 or 50*)
14A
00400
pH in standard units (6.0 — 9.0 FW,
6.8
6.8 — 8.5 5 W)
Chemical Oxygen Demand in mg/L
00340
(120)
<15
01051
Lead, total recoverable (as Pb) in
<0.002
mg/ L (0.075 FW, 0.22 SW)
Ethylene Glycol in mg/ L (any amount
77023
detected Tier One; 8,000 mg/L Tier
3.5
Two and Three)
00552
Non -Polar Oil & Grease in mg/L (15)
<2.0
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
* Outfalls 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 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 a persons who manage the system, orthose persons directly responsible for gathering the in€ormation, 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 in€ormation, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegat
[e-mail]
Email Address
prized Individual
e'I-�z-z-
Date
828-6574218
Phone Number