NCG030557_2021 DMR_20210426

N[bFQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Deport (DMR) Form for NCG0300DO
Metal Fabrication
Ckck here for instructions
Complete, sign, scan and submit the DMR via the 5tormwater NPDES Permit Data Monit 1h2&LeSottjDMRj Upload form within
30 days of receiving sim piing results. Mail the original, signed hard copy of the DMR to the appropriate DLiv7LR Regional OtF�
Certifictite of Coverage No. NCGp3 0557 Person Collectirg Somples:Tim Fernandez, MS
Facility Name- Wdde Aerospace and Defense Laboratory Name: Microbac Labs
Facility County: Wilson Laboratory Cert. No.:11
!-Discharge during this period: LJ Yes U No (+/ no, skip to signature and dote]
Has your facility implemented mardatoryTier response actlons this sample period for any benchmark exceedapces7
If so, which Tier (I, 11, or III)?
A copy of this DMR has beer uploaded eiectranica1y via h_tt_ps:fjedacs.dec.nc,EnviForms/,SW-DMR
Date Uploaded:
Analytical Monitoring Requirements for Outtalls with Industrial Activities - Renchmarks In (Red)
Yes I✓I No
Yes Q No
Parameter
Cade
Parameter
Outfall1
Outfall2
1 4uttall
Outfall
outfall
N/A
Receiving Stream Class
; 5w, NSW
; Sw. NSW
N!A
0ate Sample Collected MM/DD/YYYY
313112021
3i3112021
46529
24-Hour R3;nfall in inches
0.5
0.5
C0530
TSS in mg/L (100or 50.)
18.9
<4.27
00400
pH it standW units (&0_9r0)
IS,rj
6.5
01119
Copper, total recoverable in rrsJL
(QA10)
3.00455
<0,00200
- -
DID51
Lead, total remerable in mg/ L
(o.e7s
c0.0160
c0,0160
01094
2-nc, total recoverab1c m mg/ L
o.1-ZO
0,0554
0.0214
79141
Total Toxic Organics (TTO) in mp,!L(II
if required)
CERTIFICATION
CERTI FICATIO?4
00552
Non -Polar Oil & Grease in rng/L (1S)
13.2
<5.00
Additional parameters for outfalis In drainage areas chat use s55 gallons per month of new hydraulic all on average
NCOIL
Estimated New Motor/Hyd rau I ic ell
Usage in gal/month
=N/A
NIA
Vu:rans m utrtsianarng Resource waters toRwl, High Quanty Waters iHQWI, Trout Craters lTr} and Primary Nursery Areas (PHA)
have a benchmark T5S limit of 50 M&&All other water classificae ms have a benchmark of 1GO rng/L
Notes optional:
"1 certify by my signature below, under per a:ty al law, that the document and all attachmr-:ts were prepared under my direC11un or sup ervislon ir.
arrordance with a system designed to assure that t: Lial i rord personnel property gather and evaluate the information submitted Based on my
irtyiriry of the person or persans wha manage t'se system, or Ihosx pctic ns directly respunsible for gathering tF.e information, the information
submitted it, to the best of my knowledge and belief, true, accurate, anrt 4omp41e. I am aware that there are sign Ticant penalties far submitting
false information, including Ow possibility off s and .mcrisanmen t for kno-mng violations.'
Signature. of Itteeor Delegated Auto e, Individual Date
Email Address bobby.ste►Irngecollins.com Phane Number 252-237.7004

Totallrn3dc 0rganrrsfertliicatlon--
"Bayed upon my inquiry of the person or perjons dilrecrly responsible kwmarF ON compliance with the permit monitoring
requuententfar total taxic argenies {Zp}, 1 certify that to the best of my knowledge: and beWef, no Ieaft, spill, Or dumping of
concentrated tcmir orga n ics In .b the gorm Water m ontel areas whkh are exposed t,n rainfall cr stormwarer runoff has occurred slnc2
firing the last discharge monitoring report I further certify that this fae,titv Is implementing all this pmvisiartta the Solvent
Management Plan included inthe 5 terPlallution Prevention Plan."
Signature of ItleerDele�atd A [zed Individual ante
ErmllAddress bobhy,slerting collins_com PhaneNumber 252-237-7004