NCG030373_2023 DMR_20240120 (2)

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 (DMRlUpload 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. NCG030373 Person Collecting Samples: WAYNE NAYLOR
Facility Name:MILLER CONTROL & MFG. CO. INC. Laboratory Name: MICROBAC LABORATORIES, INC.
Facility County: SAMPSON Laboratory Cert. No.: 11 _
Discharge during this period:OYes ErNo (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?rTYes QNo
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR fl Yes El No
Date Uploaded: 01/20/2024
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class C;Sw
N/A Date Sample Collected MM/DD/YYYY 12/17/2023
-46529 24-Hour Rainfall in inches 5 plus
COS30 TSS in mg/I. (100 or 50') 28.8
. pH in standard units (6.0—9.0 FW,00400 6.98
6.8-8.5 SW) ,
Copper, total recoverable in mg/L
01119 (0.010 FW, 0.0058 SW) 0.00304
I 4 • • ,
01051 Lead, total recoverable in mg/ L <0.00100
(0.075 FW, 0.22 SW)
01094 Zinc, total recoverable in mg/l(0.126
FW, 0.095 SW) 0.0507
00340 Chemical Oxygen Demand (COD) in <20.0
mg/L (120)
00552 Non-Polar Oil & Grease in mg/L(15) <5.95 I i
* Outfalls to Outstanding Resource Waters(ORW), High Quality Waters (HQW),Trout Waters(Tr) and Primary Nursery Areas(PNA)
have a benchmark TSS limit of SO mg/L.All other water classifications have a benchmark of 100 mg/l
(Freshwater) (Saltwater)
Notes (optional): f
"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 inf ation, including the ossibdity of fines and imprisonment for knowing violations."
2( -- 4- ---- 01/20/2024
Signature Permittee or D egated Authorized Individual Date
wnaylo mcmfab.com 910-592-5112
Email Address Phone Number