NCG030714_2020 DMR_20201207

NCDEQ Division of Energy, Mineral and Land Resources
aormwater Discharge Monitoring import (Df\4[ Form for NOG030000
Metal Fabrication
aick here for instructions
Complete, sign, scan and submit the DMRvia the ciormwater NPDESPermit Data Monitoring Report (DMR) Upioad form_within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMRto the appropriate DEMLR Regional _Office.
Certificate of Coverage No. NCGD3 0 7 1 4 Person Collecting Samples: Michael Kilpatrick/Pace Analytical
Facility Name: CORMETECH, Inc. Kings Mountain Facility Laboratory Name: Pace Analytical
Facility County: Cherokee Laboratory Cert. No.: NC DEQ No: 329
Discharge during this period: M Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes Q No
If so, which Tier (I, II, or III)?
Analytical Monitoring Requirementsfor Outfallswith Industrial Activities— Benchmarks in +,Re-J;'
Parameter
Code
Parameter
Outfall1
Outfall 2
Outfall3
Outfall4
Outfall5
N/A
Reoeiving Stream Class
Class C
Class C
Class C
Class C
Class C
N/A
Date Sample Collected MM/ DLYYYYY
11 /11 /2020
11 /11 /2020
11 /11 /2020
11 /11 /2020
11 /11 /2020
46529
24-Hour Rainfall in inches
1.25
1.25
1.25
1.25
1.25
00552
Non -Polar Oil & Grease in mg/ L , 5
<5.0
<5.0
<5.0
<5.0
<5.0
00530
TSSin mg/ L 300or 5T)
<1.7
<1.6
3.7
32.0
14.0
00400
pH in standard units (6.0 - 9.0)
7.2
7.2
6.9
7.0
7.2
NOOIL
New Motor/ Hydraulic 01 Usage in
gal/month
N/A
N/A
N/A
N/A
N/A
01119
Copper, total recoverable in mg/L
<0.005
<0.005
<0.005
0.0058
<0.005
01051
Lead, total recoverable in mg/ L
<0.001
<0.001
<0.001
<0.001
<0.001
01094
Zinc, total recoverable in mg/ L ` :.:
<0.01
<0.01
0.021
0.018
0.021
78141
Tote To)acOrganics (TTO) in mg/L`1
N/A
N/A
N/A
N/A
N/A
Outfallsto Outstanding Pesource Waters (OR✓V), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of yy L All other water classifications have a benchmark of 't onry ? .
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachmentswere 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 personswho 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 penaltiesfor submitting false information, including the possibility of fines and imprisonment for
knowing violations."
Sgnatu're of Fermittee or Delegated Authorized Individual
/7 1�
Date

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. NCG03FTFTF17T-41 Person Collecting Samples: Michael Kilpatrick/Pace Analytical
Facility Name: CORMETECH, Inc. Kings Mountain Facility Laboratory Name: Pace Analytical
Facility County: Cherokee Laboratory Cert. No.: NC DEQ No: 329
Discharge during this period: M Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes 0 No
If so, which Tier (I, II, or 111)?
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in ',Red)
Parameter
Parameter
Outfall6
Outfall7
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Cuss C
Cuss C
N/A
Date Sample Collected MM/DD/YYYY
11/11/2020
11/11/2020
46529
24-Hour Rainfall in inches
1.25
1.25
00552
Non -Polar Oil & Grease in mg/L iilt v
<5.0
<5.0
C0530
TSS in mg/L (100 or 50*)
5.7
2.0
00400
pH in standard units (6.0 ® 9.0)
7.5
7.4
NCOIL
New Motor/Hydraulic Oil Usage in
N/A
N/A
gal/month
01119
Copper, total recoverable in mg/L
<0.005
<0.005
01051
Lead, total recoverable in mg/ L
<0.001
<0.001
0.075 FW, 0.220 SW)
01094
Zinc, total recoverable in mg/ L (0.125
0.035
<0.01
aR/ 0.095 SW)
78141
Total Toxic Organics (TTO) in mg/U,'.;
N/A
N/A
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 0 mg/L. All other water classifications have a benchmark of =-?i: r: �,,,/ .
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
yob
Date