NCG190050_2021 DMR_20211007

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NCDEQ 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 pOSD
Person Collecting Samples: 54-0 e6--,4C, BPS
Facility Name: USGS Sao f7— 'iL'DN
Laboratory Name: �?y« �yjiCAL
Facility County: 47?7,QZ!7-
Laboratory Cert. No.: �,*/.2 ;46 yp
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? r4714Yes ❑ No
If so, which Tier (r, II, or III)? '%/E/� �'pp Lund vv 7/NC
_
A copy of this DMR has been uploaded electronically via htt s: edocs.de .nc. ov Forms/SW-DMR IIYes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
[ode
N/A
Receiving Stream Class
.SA : HAW
N/A
Date Sample Collected MM/DD/YYYY
rfq 0q 150A /
46529
24-Hour Rainfall in inches
a a 11
C0530
TSS in mg/L (100 or 50*)
Estimated New Motor/Hydraulic Oil
NCOIL
usage in gal/month
00340
Chemical Oxygen Demand in mg/L (120)
00400
pH in standard units (6.0-9.0 FW, 6.8--
8.5 SW)
Aluminum, total recoverable in mg/ L
01105
(0.75 FW, 0.24 5W)
p
d pPM
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.006 SW)
I
Lead, total recoverable (as Pb) in mg/ L
01051
(0.075 FW, 0.22 SW)
N
01094
Zinc, total recoverable in mg/L (0.126
/y
FW, 0.095 5W)
Additional parameters for outfalls in drainage areas that use >SS gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
N A
*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 104 rng/L
FW (Freshwater) SW (Saltwater)
Notes (optional) &:j;m .4rr6. /vrr+i .3+•��1ri9�L+,+ar�+ 71riC p ��1�W �da
"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, orthose persons directly responsible for gathering the information, the information
submitted 'Sr 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."
C=
ignature of Per itt d Authorized Individual
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Email Address
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(Date
Phone Number