NCG030034_2020 DMR_20201118

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 NPDLg Permit Date Monitoring Reporl fF.'MR U ioad form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the �Rpruprinie DFf, R Regional DfFlce.
Certificate of Coverage No. NCG031
Facility Name: Isometrics Inc (Plant #2)
Facility County: Rockingham
Person Collecting Samples: J Fred SwSG
Laboratory Name: Pace Analytical/SwSG
Laboratory Cert. No.: 12, 40, 633, 5054
during this period: K Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑■ Yes ❑ No
If so, which Tier (1, 11, or III)? I
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
"da
parameter
OutfaII Cft
❑utfall
outfail
outfall
Outfall
N/A
Re�eMng 5trearn Class
C.
N/A
Date Sample Collected MM/DD/YYYY
11XV2G20
465Z9
24-Hour Rainfall in inches
0.31
4',2
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS in mg/L (100 or 50*)
134
004UO
pH in standard units (6.0-9.0)
6:83
NCOIL
New Motor/Hydraulic Oil Usage in
* f_y
! V
�i!{iTlonth
01119
Copper, total recoverable in mg/L
0.014
(D.014 W 0.005 5W)
OM051
Lead, total recoverable in mg/ L
V
.0050
01W4
Zinc, total recoverable in mg/ L (0.126
�y �y�r�
U.LlL
FIN,0.U!� Sijyj
7$1AI
Total Toxic Organics (TTO) in mg/L(1)
nfa
* Outfal(s 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.
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, including the possibility of fines and imprisonment for
knowing violations."
Signature of Permittee or Delegated Authorized Individual Date