NCG030533_2021 DMR_20210909

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. NCG03 0533
Person Collecting Samples: Stephanie Kane
Facility Name: Meritor Inc
Laboratory Name: TBL, Element One
Facility County: Scotland
Laboratory Cert. No.: #DW37781,37788
Discharge during this period: ❑ Yes (Z]
No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeclances? Yes [-]No
If so, which Tier (1, 11, or 111)? Tier 11
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes []No
Date Uploaded: 8/30121
Analytical Monitoring Requirements for Outfalls with Industrial Activities - Benchmarks in
Parameter
Parameter
Outfall 1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L 100 or 50*)
00400
pH in standard units (6.0 - 9.0)
Copper, total recoverable in mg/L
01119
(0.010)
Lead, total recoverable in mg/ L
01051
(0.075)
Zinc, total recoverable in mg/ L
01094
(0.126)
Total Toxic Organics (TTO) in mg/L
78141
(if required)
00552
Non -Polar Oil & Grease in mg/L (15)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
I Usage in gal/month
I
I
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
Notes (optional): There were no applicable storm events that could be captured. 7771
"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 infot,0aAion, inqft4ing the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
August 30, 2021
Date
Email Address [e-mail] Phone Number 910-844-8533