HomeMy WebLinkAboutNCG190050_2021 DMR_20211013NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG190000
Marinas and Shipbuilding
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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 606-6
Person Collecting Samples: pdil 4f,dr, BPS
Facility Name: V-SeS
Laboratory Name: icy« Njq�yTiC�L
Facility County: 472- -7-
Laboratory Cert. No.:.#/.-2 ;Z:L yp
Discharge during this period:
Yes
No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes No
If so, which Tier (I, II, or Ill)? '%/E1� �pp LUrr>ivU z /NG
A copy of this DMR has been uploaded electronically via httpsi//edocs-deq.nc-gov/Forms/SW-DMR 0Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
,S4 ' HAW
N/A
Date Sample Collected MM/DD/YYYY
tjT OA /
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
Estimated New Motor/Hydraulic Oil
'L
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 SW)
7
01119
Copper, total recoverable in mg/L
i
10.010 FW, 0.006 SW)
r
Lead, total recoverable (as Pb) in mg/ L
01051
(0,075 FW, 0.22 5W)
N
01094
Zinc, total recoverable in mg/L (0.126
uq S
FW, 0.095 SW)
'
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
1 Non -Polar Oil & Grease in mg/L (15)
N /A
*Outfalls to Outstanding Resource Waters (OR", High Quality Waters (HQW), Tout 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 (o tional) r �7irc s-<✓ it _� r# ,*��9?� n� 464CTZ—
"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 direct'y 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
faise information, including the possibility of fines and imprisonment for knowing violations
lgnature of PerpfittArer uril!gr d Authorized Individual
*%ow. A. bans + 0544. Mt, i
Email Address
—iHCT--_ZOL i1
Date
444-) tiro- e456
Phone Number