NCG030712_2022 DMR_20220720

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
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. NCG03 0712
Person Collecting Samples: Jeff Garlock
Facility Name: Intertractor America CorpLaboratory
Name: Meritech, Inc.
Facility County: Forsyth
Laboratory Cert. No.: 165
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? Lj Yes UNo
If so, which Tier (1, 11, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.pov/FormsISW-DMR Dyes LjNo
Date Uploaded: June 2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
05-23-2022
46529
1 24-Hour Rainfall in inches
1.94
COS30
TSS in mg/L (100 or 50*)
8
00400
pH in standard units (6.0— 9.0 FW,
6.62
6.8-8.5 SW)
01119
Copper, total recoverable in mg/L
0.009
(0.010 FW, 0.0058 SW
01051
Lead, total recoverable in mg/ L
c0.010
i (0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
0 112
1
01094
l
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
34
mg/L(120)
Non -Polar Oil & Grease in mg/L (15)
7.3
00552
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) 5W (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, including the possibility of fines and imprisonment for knowing violations."
S' ature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
G ,27
Date
262-741-6627
Phone Number