NCG030647_MONITORING REPORT_20210716

NCDEQ Division of Energy, Mineral and land Resources
Stormwater Discharge Monitoring Report (I)MR) Form for N G03 Ci 0 ,
Metal Fabrication
to CK i rr,iui IH LIUC-ndu3 .v
Complete, sign, scan and submit the DMR via the Stormwater NPI_?$ S Permit Data a~ ooltof if �!?t �f> t it��?�i Vpii)10—ri n within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the ")(Par ate t)1-VmLtt Ite �cgn<�t t ffirc .
Certificate of Coverage No. NCG03 0647
Facility Name: Greenheck Fan Corporation
Person Collecting Samples: MiChael Kil atriCk Pace
Laboratory Name: Pace Analytical Services, LLC.
Facility County: Cleveland
Laboratory Cert. No.: 329
Discharge during this period: El Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes ✓0 No
if so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically viatltllslsac cl Gf ..a(I'o� ��si` (1i ❑ Yes []No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
outfa11002
Outfall003
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Class C
Class C
N/A
Date Sample Collected MM/DD/YYYY
06/22/2021
06/22/2021
46529
24-Hour Rainfall in inches
0.20 inches
0.20 inches
C0530
T55 in mg/L (100 or S0*)
4.4 mg/L
4.5 mg/L
00400
pH In standard units (6.0 - 9.0)
7.1
7.2
01119
Copper, total recoverable in mg/L
0.0048
<0.0020
(0.010)
01051
Lead, total recoverable in mg/ L
<0_0020
<0.0020
(0.075)
01094
Zinc, total recoverable in mg/ L
0.02
0.03
(0.126)
78141
Total Toxic Organics (1-170) in mg/L(1)
N/A
N/A
(if required)
00552
Non -Polar Oil & Grease in mg/L (15)
<5,0
<5,0
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
NCOIL
Estimated New Motor/Hydraulic Oil
N/A77
N/A
Usage in gal/month
outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of SO 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 thegossibility of fines and imprisonment for knowing violations."
Signatgrdof Permittee or Delegated Authorized Individual
Email Address/
a-IQX.I-UOr./ISt-4ec/% Go.�
7-
Date
Phone Number
'7o L-�r '3oa - '-�a

Total Toxic Organics Certification:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring
requirement for total toxic organics (TfO), I certify that to the best of my knowledge and belief, no leak, spill, or dumping of
concentrated toxic organics into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since
filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Management Plan included injhe St9mwater Pollution Prevention Plan."
` °7-
Signature of rmittee or Delegated Authorized Individual Date
Email Address Phone Number