NCG030244_2021 DMR_20211022

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 DEMLR Regional Office.
Certificate of Coverage No. NCG03 0 2 4 4 Person Collecting Samples: Randy Joyner
Facility Name: Kaba Ilco Corporation Laboratory Name: Microbac Laboratories
Facility County: Nash Laboratory Cert. No.: K110408
Discharge during this period: ■❑ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? U Yes U No
If so, which Tier (I, II, or III)? III
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 2
Outfall 3
Outfall 4
Outfall
Outfall
N/A
Receiving Stream Class
C.NSW
C.NSW
Zero -Flow
N/A
Date Sample Collected MM/DD/YYYY
09/23/2021
09/23/2021
4GS29
24-Hour Rainfall in inches
0.75
0.75
00552
Non -Polar Oil & Grease in mg/L (15)
<5.4
<5.6
COS30
TSS in mg/L (100 or 50*)
4.57
<2.78
00400
pH in standard units (6.0 — 9.0)
7.2
6.9
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
0
0
01119
Copper, total recoverable in mg/L
0.183
0.653
01051
Lead, total recoverable in mg/ L
<0.020
0_025
01094
Zinc, total recoverable in mg/ L
0.735
7.64
78141
Total Toxic Organics (TTO) in mg/L(1)
0
0
` 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 mgi L. All other water classifications have a benchmark of 10C mg _.
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." _
Signatur.e�err Delegated Authorized Individual
10/22/21
Date