NCG030538_Monitoring Report_20211101

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DM-m`�&oaXt3rm tkAin
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEIFAOR Regional Office.
Certificate of Coverage No. NCG030538
Person Collecting Samples: Jessica Clark
Facility Name: CVG
Laboratory Name: PAR Labs
Facility County: Cleveland
Laboratory Cert. No.:20
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 exceeclances?U Yes LjNo
If so, which Tier (l, ll, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR QYes No
Date Uploaded:10/18/21
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
1
N/A
Date Sample CollectedMM/DD/YYYY
9/1/21
46529
24-Hour Rainfall in inches
2.5
C0530
TSSin mg/L (100or50•)
5
pH in standard units (6.0-9.0 FW,
5.2
00400
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
<-002
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<.002
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
.217
00340
Chemical Oxygen Demand (COD) in
56
mg/L(120)
00552
Non -Polar Oil & Grease in mg/L (15)
<5.4
* 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
mqui of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
su ml ej is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
f Ise info ation, includiirXtthe possibility of fines and imprisonment for knowing violations."
of
[e-mail]
Email Address
Authorized Individual
10/18/21
Date
704-937-4434
Phone Number