NCG030063_2022 DMR_20220804

NCDEQ Division of Energy, Mineral and Land Resources
5tormWater 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 0063
Person Collecting Samples: Jeff Gerlock
Facility Name: Industrial Connections & Solutions LLC
Laboratory Name: Meritech Inc.
Facility County: Orange
Laboratory Cert. No.: 165
Discharge during this period:
y
Yes D
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? U Yes Lj No
If so, which Tier (l, Il, or III)? Ili
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Form5/sW-DMR tj Yes Lj No
Date Uploaded: July 2022
Analytical Monitoring Requirements for OutfalIs with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
❑utfall 1
Outfall2
Outfall3
Outfall6
Outfall7
Code
N/A
Receiving Stream Class
WS-V
WS-V
WS-V
WS-V
WS-V
N/A
Date Sample Collected MM/DD/YYYY
6/27/2022
6/27/2022
6/27/2022
6/27/2022
6/27/2022
46529
24-Hour Rainfall in inches
0.08
0.08
0.08
0.08
0.08
C0530
T5S in mg/L (100 or 50*)
3
18
11
5
7
pH in standard units (6.0— 9.0 FW,
00400
6.59
7.88
7.03
6.58
6.60
6.8.8.5 5W)
Copper, total recoverable in mg/L
01119
0.007
r0.002
0.009
0.012
0.014
(0.010 FW, 0.0058 5W)
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 5W)
e0,010
r0.010
r0.010
r0.010
r0,010
Zinc, total recoverable in mg/ L (0.126
O1D94
FW,0.0955W)
0.078
r0.010
0.042
0.020
0.076
Chemical Oxygen Demand (COD) in
00340
r15
36
21
29
a15
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
r5
r5
r5
a5
r5
* 0utfaIIs to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 i,ig/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 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, 01cluding thA possibility of fines and imprisonment for knowing violations."
of
[e-mail]
Email Address
Delegated Authorized Individual
VU?'n,
Date
919-688-6707
Phone Number