NCG030617_MONITORING REPORT_20201016

NCDEQ Division of Energy, Mineral and Land Resources RECEIVED
Stormwater Discharge Monitoring Report (DMR) Form for N00 CG0300"
Metal Fabrication Utivn-UEMLR
Click here for instructions �losand quality Section
oresvdle Regional Office
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. NCGO:
Person Collecting Samples: Michale Kilpatrick / Pace Analytical
Facility Name: CORMETECH, inc. Laboratory Name: Pace Analytical
Facility County: Mecklenburg 0 I 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 0 No
If so, which Tier (I, II, or III)?
Analytical Monitoring Requirementsfor Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall01
Outfall02
Outfall03
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class C
Class C
Class C
N/A
Date Sample Collected MM/DD/YYYY
09/17/2020
09117/2020
09/17/2020
46529
24-Hour Rainfall in inches
2.06
2.06
2.06
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0
No Flow
<5.0
C0530
TSS in mg/L (100 or 50')
7.4
No Flow
3.7
00400
pH in standard units (6.0— 9.0)
6.4
No Flow
6.5
NCOIL
New Motor/Hydraulic Oil Usage in
Not Applicable
Not Applicable
Not Applicable
gal/month
01119
Copper, total recoverable in mg/L
0.013
No Flow
<0.010
(0.010 FW, 0.005 SW)
01051
Lead, total recoverable in mg/ L
<0,010
No Flow
<0.010
(0.075 FW, 0.220 SW)
01094
Zinc, total recoverable in mg/ L (0.126
<0.020
No Flow
<0.020
FW, 0.09S SW)
78141
Total Toxic Organics (TTO) in mg/L(1)
Not Applicable
Not Applicable
Not Applicable
' Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) 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. 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."
of Permittee or Delegated Afthorized Individual
10/1412020
Date

10/14/2020
Submission Completed
r., Stormwater NPDES Permit Data Monitoring Report
(DMR) Upload
Permit and Facility Information:
IMPORTANT.., Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original
signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic
upload.
Fields marked with a red asterisk are required.
Permit Number*
NCG030617
Facility Name: * CORMETECH, Inc.
County:* Mecklenburg
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Monitoring Period
Year:* 2020
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
https://edocs.deq.nc.gov/Forms/Form/Submit 1/2

10/14/2020 Submission Completed
DMR Upload* Click the upload button or drag and drop files here to attach document.
July -Dec Semi -Annual Stormwater Discharge Re... 105.34KB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
a I have given true, accurate, and complete information on this form;
a I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
a I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR upload form.
Full Name: * Lanette H Plyler
Name of person submitting this form
Email Address: * [e-mail]
Phone Number: * 9807221811
Signature: *
,ea, -,!7?
Date: * 10/14/2020
https://edocs.deq.nc.gov/Forms/Form/Submit 2/2