NCS000597_2022 DMR_20220901

NCDEQ Division of Energy, Mineral and Land Resources
tormwater Discharge Monitoring Report (DMR) Fora*: for NCS000597
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NP JES Permit Data Monitorin Report DMR U load form within
30 days of receiving sampling results. Mall the original, signed hard copy of the DMR to the a ro riatc DC MLR Re �ional Office,
Certificate of Coverage No. NCS000597
Person Collecting Samples: Charles Gruenberg
Facility Name: Galvan Industries, Inc.
Laboratory Name: Pace Analytical Services, Inc.
Facility County: Cabarrus
Laboratory Cert. No.: 5342
Discharge during this period: ❑ Yes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period far any benchmark exceedances? 19 Yes ❑ No
If so, which Tier (I, II, or Ill)? ML
0 Yes []No
A copy of this DMR has been uploaded electronically via litt s: cdocs.de_ .nc. ov FormsiSW-DMR 1YN
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities -- Benchmarks in (Red)
Parameter
parameter
outfall OF #1
outfall OF #2
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall In Inches
C0530
TSS In mg/L (100 or 50*)
00400
pH in standard units(C.0-9.0)
Copper, total recoverable in mg/L
01119
(n.010)
Lead, total recoverable in mg/ L
01051
(0.07'S)
Zinc, total recoverable in mg/ L
01094
(fl.126)
Total Toxic Organics (TTO) in mg/L(1)
78141
(if required)
00552
Non -Polar Oil & Grease in mg/L (15)
Additional parameters for outfalls In drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
* 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 mgJL
Notes (optional): No Flow Report for August 2022
"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. Rased 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, lUcluc he possibility of fines and Imprisonment for knowing violations,"
Sign atfre of Kermittee or Delegated Authorized Individual
I I/
Date
Email Address Phone Number

Total Toxic Organics Certification:
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring
requirement for total toxic organics (70), 1 certify that to the best of my knowledge and belief, no leak, spill, or dumping of
concentrated toxic organics into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since
filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Managemepj PPIV lnS*jklad in the Stormwater Pollution Prevention Plan,"
Signature of Permittee or Delegated Authorized Individual
W14, z
Date
Email Address Phone Number