NCG030675_2022 DMR_20220614

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 0675
Person Collecting Samples: Brandon Patrick
Facility Name: American Emergency Vehicles - REV
Laboratory Name: Statesville Analytical
Facility County: Ashe
Laboratory Cert, No.: 404
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 E] No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.dec].nc,goy/Forms/SW-DMR
Date Uploaded:
® Yes ✓ No
Analytical Monitoring Requirements for Clutfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall REV 1
Outfall REV 2
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C+
C+
N/A
Date Sample Collected MM/DD/YYYY
04/06/2022
04/06/2022
46529
24-Hour Rainfall in inches
0.62"
0.62"
C0530
TSS in mg/L (100 or 50*)
<2.688 mg1L
17.33 mgIL
pH in standard units (6.0-9.0 FW,
00400
6.8-8.5 SW)
6.83
6.85
Copper, total recoverable in mg/L
01119
10.010 FW, 0.0058 SW)
0.0036 mg/L
0.002 mg/L
01051
Lead, total recoverable in mg/ L
<0.002 mg/L
<0.002 mg/L
(0.075 FW, 0.22 5W)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 5W)
<0.01 mglL
<0.01 mg1L
00340
Chemical Oxygen Demand (COD) in
<25 mg/L
<26 mg1L
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
<5.2 mg/L
<5.2 m91L
* 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 o manage the system, or those persons directly responsible for gathering the information, the information
submitted is, t the best of my knowledg nd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false informs e , includ' g the possibility o fines and imprisonment for knowing violations."
Si e P r ittee or Deleea ed llikuthorized Individual Date
Email Address
336-977-9021
Phone Number