NCG100084_2022 DMR_20221011

NCDEQ Division of Energy, Mineral and Land Resources
ormwat r Discharge Monitoring Report (DMR) Form for
Used Motor Vehicles
Click here for instructions
Complete, sign, scan and submit the DMR via the Storrnwater NPDLS Permit Data Monitoring Re ort "DMi2` upload forwithin
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the aopropriate DEMLR Regional Office.
Certificate of Coverage No. NCG10 0084
Person Collecting Samples: Colby Johnson
Facility Name: Wayne Auto Salvage
Laboratory Name: ALS Houston, US
Facility County: Wayne
Laboratory Cert. No.: 624-2021
Discharge during this period:'
Yes
0
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceed ances? 11Yes ✓ No
If so, which Tier (I, II, or lll)?
A copy of this DMR has been uploaded electronically via ht�s: `edocs.deg. nc.gov/Form s SW-DNI% ✓ Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Re)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50)
pH in standard units (6.0 — 9.fi Fri,
00400
Chemical Oxygen Demand in mg/L
00340
Lead, total recoverable (as Pb) in
01051
mg/ L 0,075 FW, 0,22 SW)
Ethylene Glycol in mg/ L (any arnount
77023
€te"ecieci Tier One; 9,04,10, rng/L Tier
i'vio and Three)
00552
Non -Polar Oil & Grease in mg/L (15)
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 ire i`L. All other water classifications have a benchmark of 00 rra /,_
FV` (Freshwater) SW (Saltwater)
Notes (optional): No Discharge during the 3rd quarter of 2022.
"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 m owledge and belief, tr e, accurate, and complete. I am aware that there are significant penalties for submitting
false infor ion, in e possibilit fi imprisonment for knowing violations."
Signature er elegated Authorized Individual Date
[e-mail]
Email Address
919-734-3958
Phone Number