NCG030676_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
CAmplete, sign, scan and submit the DMR via the 5tormwater NPQE_5 Permit Data Monitoring Report (DMR}_Upload farm within
30days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 0676 Person Collecting Samples: Michael Kilpatrick (Pace)
Facility Name: Greenheck Fan Corporation Laboratory Name: Pace Analytical Services, LLC.
Facility County: Cleveland Laboratory Cert. No.: 329
Discharge during this period: Yes _ No (if no, skip to signature and dale)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/5W-OMR
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Yes I I No
QYes QNo
Parameter
Parameter
Outfall001
Outfall002
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class C
Class C
N/A
Date Sample Collected MM/DD/YYYY
08/17/2021
8/17/2021
46529
24-Hour Rainfall in inches
0.2 in.
0.2
C0530
TSS in mg/L (100 or 50*)
14
9.3
00400
pH in standard units (6.0 — 9.0 FW,
7.1
7.0
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
0.010 FW, 0.0058 SW)
<0.010
<0.010
Lead, total recoverable in mg/ L
01051
0.075 FW, 0.22 SW)
<0.002
<0.002
Zinc, total recoverable in mg/ L' 26
01094
FW, 0.095 SW)
<0.010
<0.010
00340
Chemical Oxygen Demand (COD) in
31
24
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L
<5.0
1 <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
(Freshwater) SW (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, it}c.<ng the possibility of ogles and imprisonment for knowing violations."
Signature of Permittee or
[e-mail]
Email Address
Individual
!_7-2az�
Date
715.841.8366
Phone Number