NCG030537_2021 DMR_20210818

DENSO Manufacturing North Carolina Inc. — Statesville Plant
470 Crawford Road
Statesville, NC 28625
Ph:704-924-6017
Fax:[phone]
DENSO
Crafting the Core
August 18, 2021
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Subject: Storm Water Sampling Event
StormWater Permit No. NCG030000
COC No.: NCG030537
Issue Date: 07/01/2021
Expiration Date: 06/30/2026
To Whom It May Concern:
Please find the enclosed documentations for Year 1 — Period 1 Monthly - 2021 Storm
Water sampling events required under DENSO Manufacturing North Carolina, Inc. —
Statesville Plant's General Storm Water Permit NCG030000.
If there any questions regarding this information please contact me at [phone] or
[e-mail].
Sincerely,
OMaik—aK�hang"
SHE Adv. Specialist

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
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. NCG030537
Person Collecting Samples: Maika Khang
Facility Name: DENSO Mfg NC, Inc. -Statesville Plant
Laboratory Name: Statesville Analytical
Facility County: Iredell
Laboratory Cert. No.:440
Discharge during this period:
Yes 0
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? U Yes ONo
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Q Yes ONo
Date Uploaded:08/18/2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall2
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class C
N/A
Date Sample Collected MM/DD/YYYY
7/14/2021
46529
24-Hour Rainfall in inches
0.75
C0530
TSS in mg/L (100 or 50*)
12.89
00400
pH in standard units (6.0-9.0 FW,
6.01
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
<0 002
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.002
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.035
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
<5.35
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), 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
FW (Freshwater) SW (Saltwater)
Notes (optional): Monthly sample for month of July 2021
"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."
re of Permittee or Delegated Authorized Individual
ji6hn,[e-mail]
Email Address
08/ 18/2021
Date
[phone]
Phone Number