NCG030690_2020 DMR_20210224

NCDEQ division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click f ere for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR1 Unload 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 6 5 p Person Collecting Samples: Todd Kalbeck
Facility Name: Caterpillar-CMDC Laboratory Name: Enc❑ Lah
Facility County: Johnston Laboratory Cert. No.. 5gi
Discharge during this period: 0 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 sa, which Tier (l, II, or-,,,)?
Analytical Monitoring Requirements for Outfalls with Indust•ial Activities — Benchmarks in (Red)
Parameter
Code Parameter outfall A outfall B outfall S outfall outfall
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY 1210712C,20 12/07/2020 12/07/2020
46529 24-Hour Rainfall in inches .50 :n 50 in 50 in
00552 Non -Polar Oil & Grease in mg/L (IS) <.7 c2 7 t2 7
C0530 TSS in mg/L (100 or 50") 8.3 6.2 110
00400 pH in standard units (6.0 — 9.0) 6.9 7.1 7A
NCOIL New Motor/Hydraulic Oil Usage in
gal/month
01119 Copper, total recoverable in mg/L 0�35 ��53 �O9
0.010 FW, 0.005 SW)
01051 Lead, total recoverable in mg/ L oQ3 1 v�3 0042
0.075 FW 0.220 5W
0
1094 Zinc, total FW, 0.095 SW)recoverable in mgl L (0.125 . V05.5 .0072 .O 172
78141 TotaI Toxic 0rganics (TT0) in mg/L(1) ¢1 ¢1 ¢1
Outfalls to Outstanding Resource Waters (ORW), High Quality Wavers (HQW), Trout Waters jr) 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. eased 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 ar -significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing vi V
Signature of Permittee or delegated Authorized Individual pate