NCG030690_2020 DMR_20210224 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click her-- for instructions
Complete, sign, scan and submit the DMR via the Storm water NPDES Permit Data M onitori ng Re port DMR I U p load form within
30 days of receiving sampling results. Mail the o-lginal, signed hard copy of the DMR to the appropriate DEMLR_ Regional Office.
Certificate of Coverage No. NCG031 0 16 19 1Q Person Coliecting Samples: Todd Kolbeck
Facility Name: Clayton Machine development Center - Caterpillar -CMOs', Laboratory Name: Enco
Facility County: Johnston Laboratory Cert, No.: 591
Discharge during this period: ■❑ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier respcnse actions for any benchmark exceedances? ❑■ Yes ❑ No
If so, which Tier (I, 11, or 111)? II
Analytical Monitoring Requirements for Outfalls w1h Industr al Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Dutfall A
Outfall B
outfall S
outfall
Outfali
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
09101/2020
09/01/2020
09/01/2020
45529
24-Hour Rainfall in inches
.25 in
.25 in
.25 in
00552
Non -Polar oil & Grease in mg/L (15)
r2.7
<2.7
<2.7
C0530
TSS in mg/L (100 or 50" )
19
23
550
00400
pH in standard units (6.0 — 9.0)
7.9
7.5
7.4
NCOIL
New Motor/Hydrauiic Oil Usage in
gal/month
01119
Copper, total recoverable in mg/L
���;,
ao53
a oa
0.010 FW, 0.005 SW
01051
Lead, total recoverable in mg/ L
�a3
pa31
flag?
0.075 FW 0.220 SW
01094
Zinc, total recoverable in mg/ L (0.125
oo�
0090
FW, 0.095 SW)
.��
.0016
78141 i
Total Toxic Organics (TTO) in mg/L(1)
c1
<1
c1
' Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 mg/L. All other wate• classifications have a benchmark of 100 rngj[..
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 thet qualified personnel properly gather and evaluate the information
submitted, Based on my inquiry of the person or persons who rnanage the system, or those persons directly responsible far
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violatio-As,"
2/24/2021
of Permiftge—or Delegated Authorized Individual Date