NCG030258_2021 DMR_20210723

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for Instructions
Complete, sign, soap and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report I DMR[ Upload form within
30 days of receiving sampling results. Mall the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office -
Certificate of Coverage No. NC603 0258 Person Collecting Samples: David White
Facility Name: Curtiss-Wright Laboratory Name: Pace Analytical Services
Facility County: Cleveland Laboratory Cart. No.: 329
Discharge during this period: 0 Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? [I Yes ❑✓ No
If so, which Tier (I, II, or III)? I
A copy of this DMR has been uploaded electronically via httos://edocs.deci.nc.Aov/Forms/SW DMR ❑ Yes []No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks In (Red)
Parameter
Code
Parameter Qutfall1 Outfall2
Qutfall3
Outfai114
Outfall
Receiving Stream Class
N/A
N/A
Date Sample Collected MM/DD/YM
'06/20/2021
106/20/2021
06/20/2021
06/20/2021
46529
24-Hour Rainfall in inches
0.5
<2.5
5.8
0.5 0.5 0.5
17 a2.5 133
5.9 $.0 5.7
.23 0.063 ` .034
C0530
TSS in mg/L (100 or SW �
00400
pH in standard units (6.0 — 9.0)
01119
Copper, total recoverable In mg/L
0.062
lo.o:ai
01051
Lead, total recoverable In mg/ L
<0.010
.011
_
<0.010
<0.010
01094
Zinc, total recoverable in mg/ L
.098
0.11
0.10
0.054
(0.1261
78141
Total To)dc Organics (TTO) In mg/L(i)
c0.06
<0.05
<0.05
<0.05
ff required),
00552 Non -Polar Oil & Grease in mg/L (1S) e5.0 <5.0 -a5.0 c5.0
Additional parameters for outfalls in drainage areas that use >S5 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil
i I
Usage in FaI/month
outfalls to outstanding Resource waters (ORw), High Quality Wetars (HQw), Trout waters (Tr) and Primary NurseryAreas (PNA)
have a benchmark T55 limit of 50 mg/L All other water classifications have a benchmark of 100 mg/L
Notes ioptionali:
"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 Informatkgrn. Including the possibility of fines and imprisonment for knowing violations."
Signature of
Authorhed Individual
Vzf/L 0
Date
Email Address Phone Number

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 (170),1 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 In the Stormwater Pollution Prevention Plan."
Signature of Permittee or Delegated Authorised Individual Date
Email Address Phone Number