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HomeMy WebLinkAboutNCG050084_MONITORING REPORT_20210125CHARLOTTE PIPE AND FOUNDRY COMPANY PLASTICS DIVISION January 22, 2021 North Carolina Division of Energy, Mineral and Land Resources 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115 To Whom It May Concern: N LLG T =- r l� .gym �s- o m s Please find attached a completed Stormwater Discharge Monitoring Report (DMR) form, for the stormwater sampling event conducted at our Monroe NC facility on December 14, 2020. Sincerely, Charlotte Pipe & Foundry James Neubauer EHS/5S Manager Attachments NCDEQ Division of Energy, Mineral and Land Resources ✓4 �` Stormwater Discharge Monitoring Report (DMR) Form for NCG050000 Apparel, Printing, Rubber, Etc. 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. NCG05 0 0 8 4 Person Collecting Samples: James Neubauer Facility Name: charlotte Pipe & Foundry Laboratory Name: Pace Analytical Services Facility County: Union Laboratory Cert. No.: 329 uischarge during this period: U Yes ❑ No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes A No If so, which Tier (I, II, or 111)7 Part A: Vehicle & Equipment Maintenance Areas— Benchmarks in (Red) Parameter Code Parameter Outfall01 Outfall Outfall Outfall Outfall N/A Receiving Stream Class WS-III N/A Date Sample Collected MM/DD/YYYY 12/14/2020 46529 24-Hour Rainfall in inches 0.25 00552 Non -Polar Oil & Grease in mg/L (15) 7.9 C0530 TSS in mg/L (100 or 50•) 7.8 NCOIL New Motor/Hydraulic Oil Usage in gal/month 160 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 thatthere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." _ of or Delegated Authorized Individual I TiL Dat NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCGO50000 Apparel, Printing, Rubber, Etc. 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. NCG051 0 10 18 4 Person Collecting Samples: James Neubauer Facility Name: Charlotte Pipe & Foundry Laboratory Name: Pace Analytical Services Facility County: Union Laboratory Cert. No.: 329 Discharge during this period: ® 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)? Part A: Vehicle & Equipment Maintenance Areas -- Benchmarks in (Red) Parameter Code Parameter Outfall 01 Outfall Outfall Outfall Outfall N/A Receiving Stream Class WS-III N/A Date Sample Collected MM/DD/YYYY 12/14/2020 46529 24-Hour Rainfall in inches 0.25 00552 Non -Polar Oil & Grease in mg/L (15) 7.9 C0530 TSS in mg/L (100 or 50*) 7.8 NCOIL New Motor/Hydraulic Oil Usage in gal/month 160 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." _ �.L^ re of ittee or Delegated Authorized Individual / 12,,, 2�- Date