HomeMy WebLinkAboutNCG030597_2021 DMR_20211222 (5)NCDEQ Division of Energy, Mineral and Land Resources
5tormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the 5tormwater NPDES Permit Data Monitorin Re 1. ifDMR U load 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. NCG030000 Person Collecting Samples: Brandon Patrick
Facility Name: Rev Remount Laboratory Name: Stateville Analytical
Facility County: ASH Laboratory Cert. Na.: #440
Discharge during this period: r yes No (if no, skip to signature and date)
Has your facility implemented ma ndatory Tier response actions this sam le eriod for any benchmark exceedances?-Yes r No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via htts: edocs.de .nc. ov Forms SW-DMR Yes r No
Date Uploaded:
Analytical Monitoring
Parameter
Code
Requirements for OutfaIIs with
Parameter
Industrial Activities
Outfall
— Benchmarks
Outfall
in (Red)
Outfall
Outfall
outfall
N/A
Receiving Stream Class
UP
DOWN
N/A
Date Sample Collected MM/DD/YYYY
8/17121
8/17/21
46529
24-Hour Rainfall in inches
1.95"
1.95"
C0530
00400
T55 in mg/L (100 or 50*)
pH in standard units (6.0-9.0 FW,
6.8-8.55W)
4.EE mg/L
7'88
22,86 mg/L
7.01
01119
Copper, total recoverable in mg/L
(0.010 FW, 0.0058 SW)
�•002 mg/L
003 mg/L
01051
Lead, total recoverable in mg/ L
(0.075 FW, 0.22 SW)
<.002 mg/L
<.002 mg/L
01094
zinc, total recoverable in mg/ L (0.126
FW, 0.095 Swj
.01 mg/L
.022 mg/L
00340
Chemical Oxygen Demand (COD) in
mg/L (120)
<25 mg/L
<25 mg/L
00552
* 0utfaIIs to
have a benchmark
Non -Polar 011 & Grease in mg/L (15)
outstanding Resource Waters (0RW), High
T5S limit of 50 mg/L. All other water
<5.03 mg/L
Quality Waters (HQW),
classifications have
<5.18 mg/L
Trout Waters
a benchmark of 100
(Tr) and Primary
mg/L
Nursery Areas (PNA)
FW (Freshwater) SW (Saltwater)
Notes (optional): The process for accessing the eDMR account has been performed as required as of Aug. 17, 2021.
"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 des1 to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons wh anage the system, or those persons directly responsible forgathering the information, the information
submitted is, to the t of my lcnowled and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting
false inf im ion, i clutlin the ossibilit ;fines and imprisonmentfor knowing violations." �-, � � g p Y
o ermitme or Del. ated utharixed Individual Daie
D EY @A V.COrti 336-977-9021
a AA dress
Phone Number
St � water Discharge
Monitoring D #� (SDD)
t� ring Report
Fnrguidartre arrfiIlirry out tbIslbrm, plecm vjWt"
Permit No.:
Facility Name- � i ,-1 or Cep of Overage No.. p
County:
Inspector; hone No. �.
Date of Inspection: j
Time Of Inspection:
TCOI Event Precipitation Onches):
Was this a "RePresentative Storm
8vent" or
(See info M
oration below-) easwreable Starm Evene as defned by the Permit?
No
Pled verify whether Qual t uve MonitQ
event"ar'measureoble 1lhust be perform
event. Crequiremenft vary, depindlng an a ire) storm
Qualitative monit�J:! uLrements
performed during avary. Mastpetm3ts �� qualitative monitoring to be
representative soormh event" or during a rm
some perm is do oat have thhis l for m: a easureable storm ewnt." However,
Please nefier to these deilnitions, If applicable
A "repmmentatWe sWrm -event is a
and that is pr ceded b at ] storm event that measju greater than 0.1, inches of rainfall 0.1 inches has y , east 72 hours (3 days) I" which nv storm
occurred• Ek single storm event event measuring greater than
P�ipitation. may contain IT to 10 conscmdWe hours ofno
A "measurable storm t r iS a storm event that results in an ii
permitted site outfaM The previous measurable storm �l db�ge from the
Prior. The 72-hoar storm interval does oat a event hahhst have been at least 72 hours
interns is representative r i pPly If� Perhxiittee is able to document thatta sthorter
obtains aP meal m the opt D rha events during the samp�g Plod, and the pertittee
Q Re 'oral Office.
gy this si t['e� l CErti�y t}tat this
report's accurate and romplete to the best of my knowledge:
(Signature of Pertnittee of Designee)
smr-242
• L44 t„'dhled 1nl25lao12
Page 1 of 2
1. UutU s ptlon:
Gutfail No. stare (pipe, ditch, etG3
Receiving 5treanx:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors
OighL medium, dark) as descriptors: fired brown, Niue, etc.] and tint
3. Odor. Describe any dlstioct odors that the discharge may
weals chlorine odor, etc.): have (ie„ smells strongly of oil,
4. Clarity: Choose the number which best describes the. clarity.of the discharge, where 1 is
clear and S is very cloudy:
3 4
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stonnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4
6. Suspended SOWS: Choose the number which best describes the amount of suspended
sands in the storrnwater discharge, where 1 Is no solids and 5 is extremgly muddy:
2 3 4 5
7. Is there any foam in the starmwater discharge? Yes Ho
8. Is there an oil sheen in the stQrmwater discharge? Yes
9. is there evidence of erasion or deposition at the Outfall? Yes Na
14. Other Obvious IndicaWrs of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence mo€foam, ail sheen, or erasion/depositionMYhe Indicative of pollutant �, 'I"hese conditions watzant.further investigation.
Page 2 of 2
SWU-242, LMtmnV&W-10/25/2U12
f AC) 6V,�?
St Water Discharge D Mall SD
ualit�ative Monitoport
ru� Re U�
Forguidance on friiing Out is
f+'+'m, please vis(t•
Permit No..
=4 Or Certifi
Facility Name., of aver
County, age No.: Nf�A1A1.j714Sjjj1
r•
Inspector. bane Na. 1- 70 � v
Date of hUpe _ g"�'% J
Time of inspection:
Total Event Precipitation onches]:
Was this a "Representative Storm Event" or "Measareable Storm £►rent" as defined
(see information below.) the
Y permit?
" res [] No
Please verify wlredrer Qual trtGfve
Af nitnr fi raevent'ar meawreablese
rxve sorntet(regUirements vary, •dependorthe germitj.
Qualitative monitoring re4ilirements vary. Most
f Some
during a "represeniative .even or� requirequalitatfive mays be
sne Permits do not have
requirement. Please �m a �me�able storm event- Howevier,
"Iese definitions, If applicable.
f A "repmentatWe Stu
and vest" is a stnron
and that is preceded b at least 72 hours 3 �, event that measures f3reat]er than 0:1 inches rainfall
0-1 inches has occurred. y ( Ysa in which an storm
e storm event measuring
Preripi4tion. a vent riaeay contaiin up to l! D cot9Ccut#e hours of no than
A "measurable storm ev,�nC is a storm
permitted site outfall. event that results in an actual
Thd Previous m � from the
Prior. The 72-hour sWmeasurable storm event must have been at least 72 hours
rm iriteivai does not apply if the-per►afttee is able #o
interval is representative 1br local storm events d document that ai shorter
obtains a real from the.'iacal DW during the sampling Period, and the perriiltt3ee
Q Rei;inDal Mee.
By this si tzre, f cacti f
fy t this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Desipee
Pam I of 2
SWO-242, Lagcmo"td ID/25/2Q1z
Z Uu pdon:
Dutfall No. Structure (pipe, ditch, etc) [
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color. Describe the color of the discharge using basic colors (red, brawn, blue, etc.) and tint
(light; medium, dark) as descriptors;t e 'vr•-�
3. Odor. Describe aay distinct odors that the discharge may have (Le., smells mmn
weak chloride odor, etr.). Sly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
5. Floating Solids: Choose the number which best describes the arnount of floating solids in
the stnrmwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
6) 2 3 4 5
& Suspended Solids: Choose the number which hest describes the arnount of suspended
solids in the stormwater discharge, where 1 is no solids and S is extremity muddy-
2 3 4 5
7. Is there any foam in the stormwater discharge? No
8. Is there an oil sheen in the starmwater discharge? Yet
9. Is there evidence of erosion or deposition at the outfall? Yes 6L)
10. der Obvious Indicators of Stormwater Pollution:
List and describe
Note: Law sty, IdP salads, aod/or the presence of foam, all sheen,. or erosion/deposition
may be indicative of pollutant expmram These conditions warrant fWther investigation.
Page 2 of 2
SWU-242,Lou modiRed.1012S Ul2
Statesville Analytical Holdings, LLC
122 Court St. Statesville, NC 28677
704-872-4697
CHAIN OF CUSTODY
SAMPLE TYPE: STORM WATER
LOCATION: American Emergency Vehicles
FACILITY ID#: N_ CGfl_300¢Q
SAMPLER NAME: Brandon Patrick
COMPOSITE SAMPLE• START
REV
*PRESERVATION CODE
1 - H2SO4, 2 - HNO3, 3 - HCL,
4 - NAOH, 5 - NONE, 6 - COOL ICE
7 - NAzSzO3, 8 - OTHER
DATE. START TIME:
STOP DATE:
STOP TIME:
COLLECTION ❑ELIV SAMPLE
SAMPLE NAME:
DATE TIME TEMP TEMP GRAB
TYPE PRESERVATION"
PH
L-LAB verify
CL2-D-CL2
LAB SAMPLE
ID NUMBER
YES NO
COMP F-FIELD
COD - Upstream G
F6
TSS -Upstream G
F6
oil & Grease -
Upstream G
F6
Total Pb -
Upstream G
F6
Total Cu -Upstream G
F6
Total Zn - Upstream G
Ffi
COD - Downstream G
F6
TSS - Downstream G
F6
Oil & Grease -
Downstream G
F6
Total Pb -
Downstream G
F6
Total Cu -
Downstream G
F6
Total in -
❑ownstream G
F6
RELINQUISHED BY:
DATE
TIME
RECEIVED BY:
DATE
TIME
RELINQUISHED BY:
DATE
TIME
RECEIVED BY:
DATE
TIME
`Laboratory preservation is ensured by addition of preservatives prior to sampte
containers leaving the lab, unless otherwise noted,
CL2-D-CL2 = Chlorine check and dechlorination verification.
PRESERVATION:
{J COOL4°C: BOD, RESIDUE, CONDUCTIVITY, MBAS, COLOR, ALKALINITY, CR, VI, TURBIDITY Upstream: pH
[} COOL 4°C, PH<2 H2SO4: NH3, NOz-NO3, TKN, 0EtG, TOC, COD, HARDNESS, PHENOLS, TOT PHOS.
{} COOL 4°C, PH<2 HNO3: METALS EXCEPT CR, VI Temp
(] NONE: CHLORIDE, PH, FLUORIDE Cond
OTHER:
{} COOL 4°C, NA2SZ03: COLI FORM BACTERIA
Downstream: pH
Rainfall: Temp
Cond
Statesville Analytical Holdings, LLC
122 Court 5t, Statesville, NC 28677
REV
104472-407
CHAIN OF CUSTODY
SAMPLE TYPE:
5 TLD A+l WATER
*PRESERVATION
LOCATION,
Amer' rrs n er enc
V,-hic es
CODE
FACILITY ID#:
K_30()tJ0
I - HxSO�,, 2 - HNO3, 3 - HCL,
SAMPLER NAME: Brandon Patrick
4 - NAOH, 5 - NONE, 6 COOL ICE
7 - NkS703, 8 - OTHER.
COMPOSITE SAMPLE: START DATE: START TIME., STOP
DATE:
STOP TIME:
SAMPLE NA[i7E;
COLLECTION
1]1=L11+ SAMPLE TYPE PRESERVAT l 01-2-D-CL2
DATE TIME TEMP
TEMP GRAB CLAMP F-FIELD
p14
L- verify LAaSANIPe
YES NO ID NUMBER
TSS-Upstream
03117121 ��� �';{
G F6
C4i€ & Grease _
Upstream
i18117121
G
F6
TOW Ph -
Upmnmm
08117121
G PS
Total Cu -
Upstream
08117121
G
F6
TQta€ Zn -
Upstreain
08/ 17121 01 aS
G
FB
0811741
TSs -
Downstream
08N7121 01:1,5? 21. T
0
F6
C>1! & Grease -
Downstream
09117121
1=
F6
Total Pb _
Downstream
08127121
G
To#al CLj -
F6
Downstream
08/17/21
G
Ffi
Totai.2n -
Downstream
08117121
Zj?QUISHE SY: DATE
TIME
-144r-� � 1'
a.-Vp SY
[7A Tl
Ft1 L11� 11
Et] BY-��il
ME
{ !
�
17
i'tA1iF
Labt�ratary pre servatin n is ensured by addition o1 preservatives priOrta saErnple
containers leaving s oihe
fke 1a6
CL2, nrise noted,noted,!3-CL2 = ClfEorinc check and dechlorination "lessver fi lesson.
PRESERVATIQ,J; G
0 COO L4"C.- BOD, RESIDUE, C014DUCT IVITY, MBA5 COLOR, ALKALINtTy, CR, V!, TURElptTY Upstream: �H
tl COOL 4°C, PHr2 HIS04: NHS, NO,,,NO,. TKN, OitG, TOC, COI}, NAR17F1L55, P}iFIdOLS. TOT PHOS. Temp_
tI
COOL 4°C, AN�2 Iif�Os: METALS EXCEPT CR, V1 �} CfJnd
(I E: Cl9LDRIDE, PH, FLUORIDEC3T11TIER; 2103192— 0� 02
0 COOL 4°C, r4AzSzQ1, COLI FORM BACTERIA wnsti'eam: pH
!s Temp - ,21,E c
Rainf �i: 15 Cond �S-
PO Box 228 • Statesville, NC 28687 ■ 704/872/4697
Page 4 of 5
Analytical Results SC
Town of West Jefferson
PO Box 490
335 Clearwater Drive
West Jefferson, NC 28694
Receive Date: 08/18/2021
Reported: 08/27/2021
For: American Emergency Vehicles Storm Water
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
210818-42.01
Capper
SW -Up
<0.002
mg/L
EPA20O-7
08/24/2021
M❑ �..
210818-42-01
Lead
SW -Up
<0.002
mglL
8M3113B-z004
08/24/2021
MD
210818-42-01
Oil and Crease
SW -Up
r5.03
mg1L
EPAIGWev6
08/26/2021
CE
210818-42-01
TSS
SW -Up
¢2.660
mglL
SM2540U-2011
08/19/2021
LE
210818-42-01
Zinc
SW -Up
0.01
mglL
EPA200.7
08124/2021
MD
210818-42-02
Capper
SW -Down
0.003
mg1L
EPA200.7
08/24/2021
MD
210818-42-02
Lead
SW -Down
<0.002
mg/
SM3113B-404
08/24/2021
MD
210318-42-02
Oil and Grease
SW -Down
<5.18
mg/L
EPA16648evS
08/26/2021
CE
210818-42-02
TSS
SW -Down
22.86
mg/L
SMa_s4°o-2011
08/19/2021
LE
210818-42-02
1
Zinc
SW -Down
0.022
mglL
EPA ZM7
08/24/2021
MD
210818-42-03
Copper
SWPi
029
mglL
EPA 200.7
08/24/2021
MD
210818-42-03
Lead
SWP1
0.006
mg1L
SM3113@-20Q4
08/24/2021
MD
210818-42-03
Oil and Grease
SWP1
<4.81
mglL
EPA1664R1 13
0812612021
CE
210818-42-03
TSS
SWP1
23.83
mg1L
SM2540D-2011
08/19/2021
LE
210818-42-03
Zinc
SWP1
0.072
mg1L
EPA26o-7
08/24/2021
MD
210818-42-04
Copper
SWP2
0.009
mglL
EPAP0O.7
08/24/2021
MD
210818-42-04
Lead
SWP2
<0.002
mg/L
SM3f13&2f104
08/24/2021
. MD
210818-42-04
Oil and Grease
SWP2
<5.38
mglL
EPAIGW4R us
08/26/2021
CE
210818-42-04
TSS
SWP2
c2.688
mglL
SM254OD-2011
08/19/2021
LE
210818-42-04
Zinc
SWP2
0.039
mglL
EPA206-7
08/24/2021
MD
Respectfully submitted,
Melissa Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 ■ Statesville, NC 28687 • 704/872/4697
Page 1 of 5
Condition of Receipt
Sample Number 210818-42-01 Temp on Arrival: 1.1
PH on Arrival: e,2
Parameter Schedule;
Nitric Acid
deceived on Ice
pi i on Arrival: �2
Chemicals in containers, lab
Parameter Schedule:
Copper
Nitric Acid
Received on ice
PH ❑n Arrival: r2
Chemicals In containers, lab
Parameter Schedule:
Lead
Nitrlc Acid
Received an Ice
Chemicals in containers, lab
pH on Arrival: t2
Parameter Schedule:
Oil and Grease
Hydrochloric Acid
Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSS
Received on Ice
Sample Number 210818-42-02 Temp on Arrival: 1.1
PH on Arrival: ¢2
Parameter Schedule:
Nitric Acid
Received on Ice
PH on Arrival: �2
Chemicals in containers, lab
Parameter Schedule:
Copper
Nitric Acid
Receives! on Ice
PH on Arrival: �2
Chemicals in containers, lab
Parameter Schedule:
Lead
Nitric Acid
Received on Ice
Chemicals in containers, lab
PH on Arrival, t2
Parameter Schedule:
oil and Grease
Hydrochloric Acid
Received on Ice
Chemicals in containers, lab
Parameter Schedule: TSs
Received on Ice
Sample Number 210818-42-03 Temp on Arrival: 1.1
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 5
pH on Arrival: r2
Parameter Schedule:
Nitric Acid Received on Ice
Chemicals in containers, lair
pH on Arrival: <2
Parameter Schedule: Copper
Nitric Acid Received on Ice
Chemicals in containers, lab
pH on Arrival: <2
Parameter Schedule: Lead
Nitric Acid Received on Ice
Chemicals in containers, lab
pH ❑n Arrival: c2 Parameter Schedule: ❑il and Grease
Hydrochloric Acid Received on Ice
Chemicals in containers, lab
Sample Number 210818-42-04 Temp on Arrival: 1.1
pH ❑n Arrival: t2
Parameter Schedule:
Nitric Acid
Received on Ice
Chemicals in containers, lab
pH on Arrival: ¢2
Parameter Schedule:
Copper
Nitric Acid
Received on Ice
Chemicals in containers, lab
pH on Arrival: <2
Parameter Schedule:
Lead
Nitric Acid
Received on Ice
Chemicals in containers, lab
pH on Arrival: ¢2
Parameter Schedule:
Oil and Grease
Hydrochloric Acid
Received ❑n Ice
Chemicals in containers, iab
Pa Box 228 e Statesville, NC 28687 • 704/872j4697
Page 3 of 5