HomeMy WebLinkAboutNCG190050_2021 DMR_20210921NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG190000
Marinas and Shipbuilding
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. NCG19 caoSD
Person Collecting Samples: ;Gw zv'4 Ems
Facility Name:JJSC.G SFo
LaboratoryName: /;k-,c
Facility County: c;4
Laboratory Cert. Na.: ik y4
Discharge during this period: ® Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ® Yes UNo
If so, which Tier (I, II, or III)? / jEiQ
A copy of this DMR has been uploaded electronically via https:/ledocs.deg.nc.gov/Forms/SW-DMR —]Yes []No
Date Uploaded:
Analytical Monitoring Requirements for Outfails with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall I
Outfall
Outfall
Outfall
Outfall
Code
NIA
Receiving Stream Class
s/i �4QW
N/A
Date Sample Collected MM/DD/YYYY
0-7 d?g t f
46529
24-Hour Rainfall in inches
C0530
TS5 in mg/L (100 or 50*)
A
00552
Non -Polar Oil & Grease in mg/L (15)
A
00340
Chemical Oxygen Demand in mg/L (120)
00400
pH in standard units (6.0 — 9.0)
YA
01105
Aluminum, total recoverable in mg/ L
/
0, a !
(0.75 FW, 0.24 SW)
`
Chromium III, total recoverable in mg/L
01027
at certain facilities" (0.905 FW, none
NA
SW)
Chromium VI, total recoverable in mg/L
C0034
at certain facilities"* (0.016 FW, 1.1
N /}
SW)
Copper, total recoverable in mg/L
01042
(0.010 FW, 0.006 SW)
Lead, total recoverable (as Pb) in mg/ L
01051
(0.075 FW, 0.22 SW)
E}
C0034
Nickel, total recoverable in mg/L (0.335
FW, 0.074 SW)
PJA
01092
zinc, total recoverable in mg/L (0.126
FW, 0.095 S
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
AIA
*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
"Only required for Ship and Boat Building and Repairing [SIC 3731 facilities that perform metal fabrication in areas that could potentially be
exposed to stormwater
FW (Freshwater) SW (Saltwater)
slic">✓�'i� rl��) 7b Gti"� Ova TG airy .c7.�'iri.��.r. d �u� .1'u!'��• � � �ivs e Ga P:av�
"I certify by my signature below, under pena;ty 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, inciuding the possibility of fines and imprisonment for knowing violations."
a - ZpSP Z 1
ature of Permi a Authorized Individual Date
Email Address Phone Number