NCG030687_2021 DMR_20211028

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 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 0687
Person Collecting Samples: Tyler Nelson
Facility Name: Altec Industries, INC
Laboratory Name: Eurofins TestArnerica, Pittsburgh
Facility County: Surry
Laboratory Cert. No.: 434
Discharge during this period:
[E]Yes
[]
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeclances? Ej Yes No
If so, which Tier (1, 11, or III)? Tier 1
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR
Date Uploaded:
Ei Yes C No
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter.
Parameter
outfaii 001
outfaii 002
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class C
Class C
N/A
Date Sample Collected MM/DD/YYYY
09-22-2021
09-22-2021
46529
24-Hour Rainfall in inches
1.96 in
1.96 in
C0530
TSS in mg/L (100 or 50*)
23.4 mg/L
3.20 mg/L
00400
pH in standard units (6.0 — 9.0 FW,
7.0
6.4
6.8-8.5 SW)
01119
Copper, total recoverable in mg/L
0.00533
< 0.00410 mg/L
010 FW, 0.0058 SW)
01051
Lead, total recoverable in mg/ L
< 0.00280 mg/L
< 0.00280 mg/L
(0.075 FW, 0.22 SW)
01094
Zinc, total recoverable in mg/ L (0.126
0.0452 mg/L
< 0.0189 mg/L
FW, 0.095 SW)
00340
Chemical Oxygen Demand (COD) in
14.8 mg/L
11.4 mg/L
mg/L (120)
00552 1
Non -Polar Oil & Grease in mg/L (15)
< 1.3 mg/L
< 1.3 mg/L
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of . All other water classifications have a benchmark of 100 mg/L
(Freshwater) (Saltwater)
I 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
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, including the pqX�ipility of fines and imprisonment for knowing violations."
:tee a(r (egatecl Authorized Individual Date
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