HomeMy WebLinkAboutNCG030152_2021 DMR_20211012NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Ciick 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 0152 Person Collecting Samples: Kurt Poythress
Facility Name: Altec Creedmoor Operations Laboratory Narne: Eurofins TestAmerica
Facility County: Granville laboratory Cert. No.: 434
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 ✓ No
If so, which Tier (I, ll, or III)?
A copy of this DMR has been uploaded electronically via htt s: edocs.deg.nc.gov/Forms/SW-DMR Yes No
Date Uploaded: f OZIa Z� ! -- _..
Analytical
Monitoring Requirements for Outfalls
with Industrial Activities
— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1
Outfall Outfall
Outfall Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
9/22121
46529
24-Hour Rainfall in inches
.37
C0530
TS5 in mg/L (100 or 50.)
43.2
00400
PH in standard units (6.0-9.0 FW,
6.8-8.5 SW)
6.8
01119
Copper, total recoverable in mg/L
(0.010 FW, 0.0058 SW)
0105
01051
Lead, total recoverable in mg/ L
(0.075 FW, 0.22 SW)
ND
01094
Zinc, total recoverable in mg/ L (0.126
FW, 0.095 SW)
.0358
00340
Chemical Oxygen Demand (COD) in
mg/L (120)
18.3
00552
Non -Polar Oil & Grease in mg/L (15)
ND
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)
"1 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 properlygather 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, i u ' the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or Delegated riAuthorized Individual
JC L . Li"r, 0 a tt ..I e C . e av,
J%UUrt*b
Date
171
Phone Number