NCG030562_2021 DMR_20211101

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater uiscnarge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
k here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDE5 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. NCG030562 Person Collecting Samples:
Facility Name: New Buck Corporation Laboratory Name:
Facility County: Mitchell Laboratory Cert. No.:
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, II, or III)?
A copy of this DMR has been uploaded electronically via https:Hedocs.deu.nc.eoy/Forms/SW-Di•. El YesT] No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
pH in standard units (6.0 — 9.0 FW,
00400
i.8-8.5 SW)
01119
Copper, total recoverable in mg/L
(0.010 FW, O.00S8 SW)
01051
Lead, total recoverable in mg/ L
(0.075 FW, 0.22 SW)
01094
Zinc, total recoverable in mg/ L (0.126
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
_
mg/L (120)
Non -Polar Oil & Grease in mg/L (15)
00552
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 200 mg/L
(Freshwater) (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
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 possibility of fines and imprisonment for knowing violations."
10-30-21
Signature of Permittee or Delegated Authorized Individual Date
[e-mail] 828-765-6144
Email Address Phone Number