NCG030026_2022 DMR_20220720

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 (DMRi 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 0026
Person Collecting Samples: Jessica Mayers
Facility Name: TEAM Industries Andrews, NC
Laboratory Name: Pace Analytical
Facility County: Cherokee
Laboratory Cert. No.: 40
Discharge during this period:
]
Yes
ElNo
(if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sam le period for any benchmark exceedances? Yes ENo
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov, ns/SW-DMR 177 Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall sw-A
Outfall sw-s
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C; Tr
C; Tr
N/A
Date Sample Collected MM/DD/YYYY
06/07/2022
06/07/2022
46529
24-Hour Rainfall in inches
0.97
0.97
C0530
TSS in mg/L (100 or 50*)
13.1
2.8
00400
pH in standard units (6.0 — 9.0 FW,
6.8
7.0
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
<0.005
<0.005
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.025 <0.025
Zinc, total recoverable in mg/ L (0.126
01094
0.0331 0.0462
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
30.9 28.5
mg/L (120) _ J
Non -Polar Oil & Grease in mg/L (15) I<5.0 <5.0
00552
* 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
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, ioluding the possibility of fines and imprisonment for knowing violations."
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Signature of Permittee orl
,4
Authorized Individual
' e.'ar �D�h `� C.o
Email Address
`7 Ze 2.L
Date
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Phone Number