NCG030712_DMR_20211025

NC Department of
Environmental Quality
Received
OCT 2 5 2021
Winston- 1(�,n
Regional Office
October 2021
Mr. Zac Lentz
NCDEQ
Division of Energy, Mineral, and Land Resources
Stormwater Program
450 West Hanes Mill Road, Suite 300
Winston-Salem, North Carolina 27105
Subject: Report of Stormwater Sampling — 3Q 2021
Intertractor America Corp
195 Budd Boulevard
Winston-Salem, Forsyth County, North Carolina
NCDEQ Certificate of Coverage #NCG030712
Ladies/Gentlemen:
Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this
submittal, please contact the undersigned at 336-382-6849.
Sincerely, /
Jeff Gerlock, L.G.
NC Licensed Geologist #1141
Attachments — SW Discharge Monitoring Report Form
Cc: Mr. John Schlick, Intertractor
7356 Belmont Drive, Trinity, NC 27370 - Phone [phone]

NCDEQ Division of Energy, Mineral and Land Resources NC Del,-,
Environmental,,
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000 Recr ,nd
Metal Fabrication OCT 2 5 2021
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report D R IoadY6 mr9rithin
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the a ro riate bE' &R-kffice.
Certificate of Coverage No. NCG03 0712
Person Collecting Samples: Jeff Gedock
Facility Name: Irltertractor America CorpLaboratory
Name: Merltech Inc.
Facility County: Forsyth
Laboratory Cert. No.: 165
Discharge during this period:U
Yes
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample Period for any benchmark exceedances7 UYes U No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.den.nc.gov/Forms/SW-DMR UYes UNo
Date Uploaded: October 2021
Analytical Monitoring Requirements for Outfalls with Industrial Activities —Benchmarks in (Red)
Parameter
Parameter
OutfallOF-1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
9-8-2021
46529
24-Hour Rainfall in inches
0.51
C0530
TSS in mg/L (100 or 50*)
23
00400
pH in standard units (6.0— 9.0 FW,
7.33
6.8-8.5SW)
Copper, total recoverable in mg/L
01119
0.010FW, 0.0058SW
0.011
01051
Lead, total recoverable in mg/ L
<0.010
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.D95 SW)
0165
00340
Chemical Oxygen Demand (COD) in
112
mg/L(120)
00552
Non -Polar Oil & Grease in mg/L (15)
1<5
* 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 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 possibility of fines and imprisonment for knowing violations."
or Delegated Authorized Individual
[e-mail]
Email Address
& awls,
Date
262.741-6627
Phone Number