NCG030272_2021 DMR_20211209

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 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 DFMLR Regional Office.
Certificate of Coverage No. NCG03 272
Person Collecting Samples: Ted Jennings
Facility Name: Bally Refrigerated Boxes, Inc.
Laboratory Name: Con -Test
Facility County: Carteret
Laboratory Cert. No.: 652
Discharge during this period: OYes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Qyes Q No
If so, which Tier (1, II, or III)?
A copy of this DMR has been uploaded electronically via htt s: edocs.de .nc. ov Forms SW-DMR r,'] Yes No
Date Uploaded: 1219121
Analytical Monitoring Requirements for Outfalls with industrial Activities -- Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
11/30/21
46529
24-Hour Rainfall in inches
0.23
C0530
TSS in mg/L (100 or 50*1
2.0
pH in standard units (6.0 — 9.0 FW,
00400
6.8-8.5 SW)
7.1
'
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.6058 SW)
0.00057
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.00050
zinc, totai recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.0034
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
31
00552
Non -Polar Oil & Grease in mg/L (15)
<0.33
* 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); 771
"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 nage the system, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my kn 'Ie ge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, including th os ' ility of fines and imprisonment for knowing violations."
12/09/21
Signature of Permitto or Delegated Authorize, ilndividual Date
com
_ Email Address
[phone]
Phone Number