NCG030687_DMR_20211029

Env ro0nemental Quality
NCDEQ Division of Energy, Mineral and Land Resources Recelved
Stormwater Discharge Monitoring Report (DMR) Form for NCG030WoT 2 9 2021
Metal Fabrication Winston-Salem
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Complete, sign, scan and submit the DMR via the Stormwater NPOES 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: EurofinsTestAmerica, Pittsburgh
Facility County: Surry
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? U Yes LjNo
If so, which Tier (I, Ii, or up? Tier 1
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR
Date Uploaded: p , -n
Yes No
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter.
Parameter
Outfall001
Outfall002
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
(0.010 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
Non -Polar Oil & Grease in mg/L (15)
< 1.3 mg/L
j< 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 TS5 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (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 pp)fSipility of fines and imprisonment for knowing violations."
Authorized Individual
[e-mail]
Email Address
/I - Zj� -- 2oz-1
Date
3-�6- 7PL - 24 56
Phone Number