NCG030130_2022 DMR_20220722

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 5tormwater 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 Re Tana! OFfice.
Analytical Monitoring Requirements for outfalIs with Industrial Activities — Benchmarks in (Red)
Parameter Parameter Outfall 001 Outfalf 002 Qutfall 003 outfall Qutfall
Code
N/A Receiving Stream Class G C C
N/A Date Sample Collected MM/DD/YYYY NOE NOE NQE
46529 24-Hour Rainfall in inches
C0530 T5S in mg/L (100 or 50")
00400 pH in standard units (6.0 — 9.0 FW,
6.8-8.5 SW)
01119 Copper, total recoverable in mg/L
0.010 FW, 0.0058 SW)
01051 Lead, total recoverable in mg/ L
0.075 FIN, 0.22 SW)
01094 Zinc, total recoverable in mg/ L (0.126
FW, 0.095 SW)
00340 Chemical Oxygen Demand (COD) in
mg1L (120)
005S2 Non -Polar Oil & Grease in mg/L (15)
' 0utfaIIs to Outstanding Resource Waters (0RW), 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) 5W (Saltwater)
Notes (optional): NOE during second quarter 2022 for all three eutfalls.
"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."
t �}
b- spilde/`1rVQ 7/22/22
Signature of Permittee or Delegated Autho
[e-mail]
Email Address
Date
704-868-5612
Phone Number