NCG080607_2022 DMR_20220920

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO80000
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. NCG080607
Person Collecting Samples: Sam Ingram
Facility Name: NC Air National Guard
Laboratory Name: Waypoint Analytical
Facility County: Mecklenburg
Laboratory Cert. No.:402 37735
Discharge during this period:
y
Yes
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?U Yes UNo
If so, which Tier (1, II, or II1)? 1
A copy of this DMR has been uploaded electronically via https:/Iedocs.deg.nc.gov/Formsl$W-DMR LjYes UNo
Date Uploaded: 09/20/22
Analytical Monitoring Requirements for Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
005
N/A
Date Sample Collected MM/DD/YYYY
09/12/2022
46529
24-Hour Rainfall in inches
.13
C0530
TSS in mg/L (100 or 50*)
105
00552
Non -Polar Oil & Grease in mg/L (15)
5.1
pH in standard units (6.0 — 9.0 FW,
6.8
00400
6.8 — 8.5 SW)
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
> 55 gals
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 5o 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, includingthe possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
9 Zo
Date
704-660-8620
Phone Number
Scanned with CamScanner