NCG030461_Monitoring Report_20210915

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Stormwater NPDES Permit Data Monitoring Report
Zt No,p; (DMR) Upload
Permit and Facility Information:
IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original
signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic
upload.
Fields marked with a red asterisk are required.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all 0's)
NCG030461
Must begin with NCS or NCG
Facility Name: * Core & Main
County:* Rowan
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contacVregional-offices/mooresville
Monitoring Period Information:
............. ._..... _..._...— ... _ .........
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
Na rs with a new submittal form.

Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload* 0 (;!: the ip;oad bLltton Of drcilg and 60f) files'A-7e to artach doc:u'rlent.
DMR-NC NCG03 0461.pdf 91.22KB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR upload form.
Full Name:* Gregory Smith
Name of person submitting this form
Email Address: * [e-mail]
Phone Number: * 704-278-1000
Signature: *
Date: * 09/10/2021

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 0461
Person Collecting Samples: John Price/Core & Main
Facility Name: Core & Main
Laboratory Name: Enco Laboratories
Facility County: Rowan
Laboratory Cert. No.: 591 - NCDEQ, 37724 - NC DOH
Discharge during this period:
✓
Yes
No (if no, skip to signature and dote)
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)? Tier II- outfall 02
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR []Yes ✓ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
08/17/21
46529
24-Hour Rainfall in inches
1
C0530
TSS in mg/L (100 or 50*)
37
00400
PH in standard units (6.0 — 9.0 FW,
6.6
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0.0217
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.0044
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.157
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
41
00S52
Non -Polar Oil & Grease in mg/L (15)
5.81
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
Kale a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Froshwater) SW (Saltwater)
Notes
"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."
of Pednittee or Deleeatei-&Authorized Individual
[e-mail]
Email Address
7 /d/��!
Date
704-278-1000
Phone Number