NCG030706_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 NPDE5 Permit Data Monitor!! Repc,rt—(AMR] Upiyad form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the a ro riate DEMLR Re ional Office.
Certificate of Coverage No. NCG03 '.0706 Person Collecting Samples: Michael Kilpatrick
Facility Name: Greenheck Fan Corporation Laboratory Name: Pace Analytical Services
Facility County: Cleveland Laboratory Cert. No.: 329
Discharge during this period: Ej Yes No (if no, skip to signature and date)
Has your facility implemented mandatoryTier response actions this sample period for any benchmark exceedances? Yes allo
If so, which Tier (I, II, or III)?
DatepUplfotacled:
coy ohs DMR has been uploaded electronically via https:/Iedocs.deg.nc.Fov/Forms/SW-DMR Yes No
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall002
Outfall003
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Class C
Class C
N/A
Date Sample Collected MM/DD/YYYY
08/17/2021
08/17/2021
46529
24-Hour Rainfall in inches
1.11 inches
1.11 inches
C0530
TSS in mg/L (100 or 50*)
27
<2.5
00400
pH in standard units (6.0-9.0 FW,
6.2
6.1
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0.0029
0.0025
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.0020
<0.0020
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.054
0.027
_
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
27
<20
00552
Non -Polar Oil & Grease in mg/L _j)
<5.0
<5.0
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
(Freshwater) (Saltwater)
Notes (optional):
"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 poAiibility of fines and imprisonment for knowing violations."
Authorized Individual
[e-mail]
Email Address
—` _ L..
Date
715.841.8366
Phone Number