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Home My WebLink AboutNCG200513_2021 DMR_20210218NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG200000 Scrap Metal 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. NCG20 0 5 1 3 Person Collecting Samples: John Dergo Facility Name: United scrap Metal, Inc. Laboratory Name: N/A Facility County: Mecklenburg Laboratory Cert. No.: N/A Discharge during this period: ❑ Yes 0 No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions for any benchmark exceedances? X Yes ❑ No If so, which Tier (I, II, or III)? III Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in Parameter Code Parameter Outfall 1 Outfall 2 Outfall 3 Outfall 4 Outfall N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY 46529 24-Hour Rainfall in inches 00552 Non -Polar Oil & Grease in mg/L (15) C0530 TSS in mg/L (100 or 50*) Chemical Oxygen Demand (COD) 00340 (120) Copper, total recoverable in mg/L 01119 (0.010 FW, 0.005 SW) Lead, total recoverable in mg/ L 01051 (0.075 FW, 0.220 SW) Zinc, total recoverable in mg/ L (0.126 01094 FW, 0.095 SW) Part B: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red) Parameter Code Parameter Outfall Outfall Outfall Outfall Outfall N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY NCOIL New Motor/Hydraulic Oil Usage in 93 93 93 93 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 mg/L. All other water classifications have a benchmark of 100 mg/L. 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. 1 am aware that there are significant per It' for submitting false information, including the possibility of fines and imprisonment for knowing violations."�% /J 2 -/B -ao0-r Signature of PPXrmittee or Delegated Authorized Individual Date NCDEC) Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG200000 Scrap Metal 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. NCG20 0 5 1 3 Person Collecting Samples: John Dergo Facility Name: United Scrap Metal, Inc. Laboratory Name: NIA Facility County: Mecklenburg Laboratory Cert. No.: NIA Discharge during this period: ❑ Yes No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑- Yes ❑ No If so, which Tier (I, II, or III)? 111 Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red) Parameter Code Parameter Outfall 1 Outfall 2 Outfall 3 Outfall 4 Outfall N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY 46529 24-Hour Rainfall in inches 00552 Non -Polar Oil & Grease in mg/L (15) C0530 TSS in mg/L (100 or 50*) 00340 Chemical Oxygen Demand (COD) (120) 01119 Copper, total recoverable in mg/L (0.010 FW, 0.00S SW) 01051 Lead, total recoverable in mg/ L (0.075 FW, 0.220 SW) 01094 Zinc, total recoverable in mg/ L (0.126 FW, 0.095 SW) Part B: vehicle & Equipment Maintenance Areas — Benchmarks in (Red) Parameter Code Parameter Outfall Outfall Outfall Outfall Outfall N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY NCOIL New Motor/Hydraulic Oil Usage in 93 93 93 93 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 mg/L. All other water classifications have a benchmark of 100 mg/L. 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." / n 4 Sign aturE-af7 rrpittee o`r Delegded Authorized Individual a - /8 -a'_74 Date