NCG160025_DMR_20241015

NCDEQ Division of Energy, Mineral and Land Resources EEnnN��C Department at
Stormwater Discharge Monitoring Report (DMR) Form for NCG��p ntal Quality
'�Rp�ived
Transit and Transportation OCT 5 Z�24
Click here for instructions
Winston-S lem
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. NCGO8 160025 Person Collecting Samples:Bobby Stanley
Facility Name:Carl Rose and Sons- Elkin Plant Laboratory Name: Pace Analytical
Facility County:Wilkes Laboratory Cert. No.:633
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.deg.nc.gov/Forms/SW-DMR Yes Ej No
Date Uploaded:
Analytical Monitoring Requirements for Vehicle&Equipment Maintenance Areas—Benchmarks in(Red)
Parameter
Code Parameter Outfall Outfall Outfall Outfall Outfall
N/A Receiving Stream Class 1
N/A Date Sample Collected MM/DD/YYYY 09/17/2024
46529 24-Hour Rainfall in inches 3.25
C0530 TSSin mg/L(100 or50•) 7.3
00552 Non-Polar Oil&Grease in mg/L(15) ND
00400 PH in standard units(6.0—9.0 FW, N/A
6.8—8.5 SW)
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month N/A
`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 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 info ati n,i di ossibility of fines and imprisonment for knowing violations."
lO 11 -202�
natu f ermitt or Delegated Authorized Individual Date
r a d vh -me) 36G-C> 162
Email Address Phone Number