NCG030139_2022 DMR_20220124

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 0139
Person Collecting Samples: Austen Meyer
Facility Name: Mueller Systems
Laboratory Name: Waypoint Analytical
Facility County: Rowan
Laboratory Cert. No.: 402
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 httos://edocs.deci.nc.gov/Forms/SW-DMR [Z]Yes LjNo
Date Uploaded: 0112412022
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
parameter
Outfall02
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class C
N/A
Date Sample Collected MM/DD/YYYY
12/18/2021
46529
24-Hour Rainfall in inches
10.29
C0530
TSS in mg/L (100 or 50')
161.2
pH in standard units 16.0 —9.0 FW,
00400
I6.98
6.8-8.5 SW
Copper, total recoverable in mg/L
01119
0.010 FW, 0.0058 SW
0.0597
Lead, total recoverable in mg/ L
01051
0.075 FW, 0.22 SW)
0.0108
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0,222
Chemical Oxygen Demand (COD) in
00340
mg/L (220)
64
00552
Non -Polar Oil & Grease in mg/L (1S)
<5,8
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):
N 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 relief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false infq�mation, inclgd�g the possib(lity of fines and imprisonment for knowing violations."
re of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
01/24/2022
Date
704-278-5334
Phone Number