NCG090034_2022 DMR_20221102

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS NCG090034 SAMPLES COLLECTED DURING CALENDAR YEAR: 2022
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Inolex COUNTY Mecklenburg
PERSON COLLECTING SAMPLE(S) Rhonda Blake PHONE NO.(980 )770-4965
CERTIFIED LABORATORY(S) Pace Analytical Lab#329
Lab# �a
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date 50050 mq/I mq/I ma/I mq/I mci/I mg/I
No. Sample Total Total
Collected Flow(if app.) Rainfall TSS Cadmium Chromium III Lead pH
mo/dd/yr MG inches mq/I mq/I mg/I mg/I mq/I mq/I
1 09/10/2022 1.41 2.5 0.0005 0.005 0.001 5.75
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?Oyes ®no
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity Monitoring Requirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/yr MG inches mg/I mg/I unit gal/mo
Form SWU-247,last revised 6/12/2015
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STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Date 9-10-22 Attn: Central Files
Total Event Precipitation(inches): 1.41 1617 Mail Service Center
Event Duration (hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration(hours): (only if applicable—see permit.)
"I certify, 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,
includi e ossibility of fin nd imprisonment for knowing violations."
(fie, 4.2 A 2_
(Si nature of Permittee) (Date)
•
Form SWU-247,last revised 6/12/2015
Page 2 of 2