NCG030675_2022 DMR_20221017

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG030000
Metal Fabrication
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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.:440
Discharge during this period:�✓ Yes 0 No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?0 Yes [ No
If so,which Tier(1, 11,or 111)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ❑Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls 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 8/18/2022 8/18/2022
46529 24-Hour Rainfall in inches 0.12" 0.12"
C0530 TSS in mg/L(100 or 50*) <2.747 4.973
00400 pH in standard units(6.0—9.0 FW, 7.55 6.91
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L <0.002 <0.002
(0.010 FW,0.0058 SW)
01051 Lead,total recoverable in mg/L <0.0005 <0.0005
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L(0.126 0.0174 0.0138
FW,0.095 SW)
00340 Chemical Oxygen Demand(COD)in <20 <20
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15) 5.4 <5.0
* 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 ppersons\o manage the system,or those persons directly responsible for gathering the information,the information
submitted is,to the best of my knowted a and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
;false informatio ,inclu g the possibility fines and imprisonment for knowing violations."
�i2gnajbifqPe mi ee or Dele ted uthorized Individual Date
[e-mail] 336-977-9021
Email Address Phone Number