NCG030447_2021 DMR_20211026

NCDEQ division of Energy, Mineral and Land Resources
Stormwater discharge Monitoring Report (DMR) Form for NCGO30000
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 D M R to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 0447
Person Collecting Samples: Jason Haire
Facility Name: Caterpillar Inc. - Womack Facility
Laboratory Name: Pace Analytics
Facility County: Lee
Laboratory Cert. No.:40, 633
Discharge during this period: DYes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatoryTier response actions this sample period for any benchmark exceed antes? ElYes ❑ N❑
If so, which Tier (I, II, or 111)? 1
A copy of this D M R has been uploaded electronically via https:/jedocs.deg.nc.gov/Forms/SW-DMR E]Yes ® No
Date Uploaded.10/27/2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class IV
N/A
Date Sample Collected MM/DD/YYYY
09/21/21
46529
24-Hour Rainfall in inches
0.76 in
C0530
T55 in mg/L (100 or 50*)
109 mg/L
00400
pH in standard units (6.0 — 9.0 FW,
6.3
6.8-8.5 5W)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0.0064 mg/L
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 5W)
¢0 0050 mg/L
Zinc, total recoverable 1n mg/ L (0.1.26
01094
FW, 0.095 5W)
�0.048 mg/L
00340
Chemical Oxygen Demand (COD) in
Not Analyzed
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
1.2 mg/L
0utfaIIs to outstanding Resource Waters (0RW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 rng/L, All other water classifications have a benchmark of 100 mg/L
FIA( (Freshwater) 5W (5altwater)
Notes (optional): Exceedance of TSS. Tier I response actions taken.
"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
of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
s bmitteN is, to the best of my nowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
f se information, including he os ' ilit of fines and imprisonment for knowing violations."
5i nat re of Permitt r belAgated Authorized Individual Date
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ErKOII Address Phone Number