NCG030605_2021 DMR_20211005

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 0605
Person Collecting Samples: Danielle Loyd?Mike Murray
Facility Name: Moog, Inc.
Laboratory Name: Pace Analytical
Facility County: Cherokee
Laboratory Cert. No.- 40
Discharge during this period:
+
Yes ONo (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? LJ Yes + No
If so, which Tier (I, II, or Ill)?
A copy of this DMR has been uploaded electronically via httos:/Iedocs.deg.nc.gov/Forms/SW-DMR + Yes LNo
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall SD02
Outfall 51003
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
8117/21
8/17/21
46529
24-hour Rainfall in inches
0.75
0.75
C0530
TS5 in mg/L (100 or 50')
34.7 mg1L
13.7 mg/L
00400
pH in standard units (6.0-9.0 FVJ
7.1
6.5
6.8-8.5 SW)
01119
Copper, total recoverable in mg/L
0.006 mg/L
0.0089 mg/L
(0.010 FW, 0.00S8 SW)
01051
Lead, total recoverable in mg/ L
<0.075 mg/L
<0.075 mg/L
10.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.037 mg/L
0.0177 mg/L
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
<15 mg/L
<15 mg/L
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):
"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 possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated Authorized Individual
Email Address
Date
Phone Number