NCG030423_2021 DMR_20211203

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 DIVIR 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 0423
Person Collecting Samples: Daniel Budreau
Facility Name: John Deere Turf Care
Laboratory Name: Meritech, Inc
Facility County: Wake
Laboratory Cert. No.: 165
Discharge during this period:E]Yes E]No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeclances? E]Yes No
If so, which Tier (1, 11, or 111)?
A copy of this DIVIR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR E]YesE]No
Date Uploaded:
Analytical Monitoring Requirements for outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall 04
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
B: NSW
N/A
Date Sample Collected MM/DD/YYYY
10/29121
46529
24-Hour Rainfall in inches
0.58
C0530
TSS in mg/L (100 or 50*)
13
pH in standard units (6.0 — 9.0 FW,
00400
6.8-8.5 SW)
6.63
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0.002
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
0.0005
Zinc, total recoverable in mg/ L (0,126
01094
1W, 0.095 SW)
0.033
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
15
00552
Non -Polar Oil & Grease in mg/L �, 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 '. t � npf . All other water classifications have a benchmark of ', Of� ­�! ��
FVY (Freshwater) SW (Saltwater)
I Notes (optional): Samples collected at the start of flow and sent to Meritech, Inc for analysis.
"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."
Signature of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
0 3 0,
Date
[phone]
Phone Number