NCG030078_2020 DMR_20201125

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 (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 0 0 7 8 Person Collecting Samples: Mark Carpenter
Facility Name: CommScope, Inc. Catawba Laboratory Name: Statesville Analytical
Facility County: Catawba Laboratory Cert. No.: 440
Discharge during this period: Q 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 (I, II, or III)? III
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall09
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Water Supply
N/A
Date Sample Collected MM/DD/YYYY
10/29/2020
46529
24-Hour Rainfall in inches
1.00
00552
Non -Polar Oil & Grease in mg/L (15)
<5.35
C0530
TSS in mg/L (100 or S0*)
6.333
00400
pH in standard units (6.0-9.0)
7.22
NCOIL
New Motor/Hydraulic Oil Usage in
N/A
gal/month
01119
Copper, total recoverable in mg/L
0.018
(0.010 FW, 0.005 SW)
01051
Lead, total recoverable in mg/ L
L
0.0022
(0.07S FW, 0.220 SW)
01094
Zinc, total recoverable in mg/ L (0.126
0.107
FW, 0.095 SW)
78141
Total Toxic Organics (TTO) in mg/L(1)
NIA
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW ), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TS5 limit of 50 mg/L All other water classifications have a benchmark of 100 mg/L.
Notes (optional): The rainfall was also tested on 10/29/2020. Analytical results indicated a copper value of 0.042 mg/L in the rainfall.
"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� enalties for submitting false information, including the possibility of fines and imprisonment for
knowingviolagops." !1
Sign
or
Individual
11 /23/2020
Date