NCG030452_2021 DMR_20211203 (2)

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 NPIDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DIVIR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCGO3 0452
Person Collecting Samples: James W. Willard 11 (INENCO, INC.)
Facility Name: Carrier Corporation
Laboratory Name: Pace Analytical Services, LLC
Facility County: Mecklenburg
Laboratory Cert. No.: 12, 40, 37706, & 37712
Discharge during this period: Lj Yes 0 No (if no, skip to signoture and date)
Has your facility implemented mandatory Tier response actions this sample EtL�2� for any benchmark exceeclances? 11 Yes No
if so, which Tier (1, 11, or 111)? 111
A copy of this DIVIR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/­SW-DMR E]Yes No
Date Uploaded: 11/1512021
Analytical Monitoring Requirements for Outfalls with industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall I
Outfall 1
Outfall
Clutfall
Clutfall
Code
N/A
Receiving Stream Class
Class C
N/A
Date Sample Collected MM/DD/YYYY
10/28/2021
46529
24-Hour Rainfall in inches
0.43
C0530
TSS in mg/L 1100 or 50*)
48.8
pH in standard units 16.0 — 9.0 FW,
6.8-8.5 SW)
7.06
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0.0156
Lead, total recoverable in mg/ L
01051
JO.075 FW, 0.22 SW)
< 0.0050
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 5W)
0.0897
Chemical Oxygen Demand (COD) in
00340
mg1L (120)
36.5
00552
Non -Polar Oil & Grease in mg/L (15)
.< 4.9
Outfallsto Outstanding Resource Waters (ORW), High QualityWaters (HQW), Trout Waters (Tr) and Primary NurseryAreas (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): pH sample collected and analyzed by James W. Willard 11 of INENCO, INC., North Carolina Field Services Certification #� 554D
"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 personne� 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 gatherirg 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 tl�e possibifty of fines ard imprisonment for knowing violations."
or Deleg-a—ted Authorized individual
I _No -- L — F_
Email Addr s
I 2-j 31 Z- I
Date
11 Lk -I L)�L-39 Ll
Phone Number