NCG030056_2021 DMR_20210818

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. NCG030056
Person Collecting Samples: John Burke
Facility Name:Gilbarco Inc
Laboratory Name: Pace
Facility County: Guilford
Laboratory Cert. No.: NC-12, NC-40, NC-633
Discharge during this period: I Yes ® No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?E]Yes 0 No
If so, which Tier (I, II, or III)? Tier I
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR E]Yes No
Date Uploaded: 8/18/21
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall002
Outfall003
Outfall
Outfall
Code
N/A
Receiving Stream Class
V
V
V
N/A
Date Sample Collected MM/DD/YYYY
07/8/21
07/8/21
07/8/21
46529
24-Hour Rainfall in inches
0.40
0.40
0.40
C0530
TSS in mg/L (100 or 50*)
210
3.7
<8.6 mg/I
00400
pH in standard units (6.0-9.0 FW,
6.34
7.92
5.02
6.8-8.5 SW)
01119
Copper, total recoverable in mg/L
0.017 mg/I
0.0073 mg/I
<0.005 mg/1
(0.010 FW, 0.0058 SW)
01051
Lead, total recoverable in mg/ L
<0.005 mg/1
<0.005 mg/I
<0.005 mg/I
(0.075 FW, 0.22 SW)
01094
Zinc, total recoverable in mg/ L (0.126
0.081 mg/I
0.072 mg/I
0.10 mg/1
FW, 0.095 SW)
00340
Chemical Oxygen Demand (COD) in
69.7 mg/I
25.6 mg/I
<25.0 mg/I
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0 mg/1
<5.0 mg/I
<5.0 mg/I
* 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): Notified Levi Hiatt, DEMLR Winston Regional Office, of TSS exceedance for Outfall 001 on 8/5/21.
"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 inforfnation, including the possibility of> and imprisonment for knowing violations."
8/18/21
Signature of Permittee or DeQated Authorized Individual Date
[e-mail]
Email Address
336-547-5000
Phone Number