NCG190081_2021 DMR_20210723

NCDEQ Division f Energy., Mineral and Land Resou e
Stormwat r Discharge Monitoring Report (DM Form for NCG
Marinas and Shipbuilding
Click here for instructions
Complete, sign, scan and submit the DIVIR via the Stormwater NPDES Permit Data Monitoring Report DMR load form Within
30 days of receiving sampling results. Mail the original, signed lard copy of the DMR to the appropriate DEMLR Regional Office.
Analytical Monitoring Requirements for Outfalls with industrial Activities — Benchmarks in (lied)
Parameter
Parameter
Outfall 00 1 Outfall outfall outfall Outfall
Code
N/A
Receiving Stream Class
WS-fllo BI CA
N/A
Date Sample Collected [HIV"#/ D/YYYY
062/2 21
49
24-Hour Rainfall in inches
0.33
C0530
TSS inmg/L (100 or 5 *)
142
055
Non -Polar Oil & Grease in mg/L (15)
1< 5.
00340
Chemical Oxygen Demand in mg L (120)
99.7
OWD
pH in standarcl knits . — 9.0)
7.38
Aluminum, total recoverable in mg/ L
1
95
(0.75 Fly* 0. 4
Chromic , total recoverable in mg/L
01027
at certain facilities `* (0.905 FW, none
Chromium VI, total recoverable in mg/L
C0034
at certain facilities** (0.016 FWo 1.1
Copper, total recoverable Ire mg/L
42
0, 10 FWt 0.006M S
1
01051
Lead, total recoverable (as Pb) in rig/ L
0.010
(0.075FWp0.2 W
C0034
Nickel, el, total recoverable in mg/L (0.335
. 0050
FW0.074 SW)
��9'
Zinc, total recoverable in m L (0.1
.
FW, 0.095 S1)
I IC IL
Estimated New Motor/Hydraulic Oil
55
Usage, in gal/month
* molls to Outstanding Resource Waters (OR , Nigh
Quality Waters K , Trout Waters (Tr) and Primary Nursery Areas (P IA)
have a benchmark TSS limit of 50 mg/L. All other water
classifications have a benchmark of 100 mg/L
* `only required for Ship and Boat Buildiing and Repairing [Si 3] facilities that perform metal fabrication 'in areas that could potentially be
exposed to storm rater
FW (Freshwater) Sid (Saltwater)
Notes (+optional):

If 'certify by ray signature Wow, 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 gathedrig the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are signifi ant penalties for submitting
false inf rrnati nj, including the possibility of fines and imprisonment for knowing violations."
2 11 22
Signature of Permitt e or Delegated AuthorUdOndiVidual Date
Email Address Phone Number252-430-1380
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