NCG030009_2021 DMR_20211008

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 NPDLS 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 0009
Person Collecting Samples: Jeff Gerlock
Facility Name: Thomas Built Buses - Fairfield
Laboratory Name: Pace
Facility County: Randolph
Laboratory Cert. No.: 12/37706
Discharge during this period: E]Yes
0
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions
if so, which Tier (I, lI, or III)?
this sample period for any benchmark exceedances?Yes E] No
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR
Date Uploaded: September2021
IDYes ®No
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall SWO-1
Outfall SWO-2
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS-IV
W5-IV
N/A
Date Sample Collected MM/DD/YYYY
9-1-2021
9-1-2021
46529
24-Hour Rainfall in inches
0.99
0.99
C0530
TS5 in mg/L (100 or 50*)
39.2
57.5
pH in standard units (6.0-9.0 FW,
00400
7.31
8.05
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
<0.005
<0.005
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.005
<0.005
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095SW)
0.0414
0.0635
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
<25
25.9
00552
Non -Polar oil & Grease in mg/L (15)
<5
<5
* 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 300 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
submitte is, to the b st ofmy knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false lnfot atton, intruding the possibility of fines and imprisonment for knowing violations."
r:
Signature of Permee or Delegated Authorized Individual Date
[e-mail] 336-442-3550
Email Address
Phone Number