NCG030511_2021 DMR_20220107

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for
NCG030000 - Metal Fabrication
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.
NCG030511 Person Collecting Samples: Johnson, Mark
Facility Name:
Scott Safety Laboratory Name: Waypoint Analytical
Facility County:
Union Laboratory Cert. No. 402
Discharge during this period:
❑ Yes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes Q No
If so, which Tier (1, 11, or III)? NA
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Q Yes ❑ No
Date Uploaded: Friday, January 7, 2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
SDO-1
SDO-2
SDO-3
SDO-4
NA
NA
Receiving Stream Class
C
C
C
C
NA
NA
Date Sample Collected MM/DD/YYYY
NA
NA
NA
NA
NA
46529
24-Hour Rainfall in inches
0.00 in.
0.00 in.
0.00 in.
0.00 in.
NA in.
C0530
TSS in mg/L (100 or 50*)
< 0.0 mg/L
< 0.0 mg/L
< 0.0 mg/L
< 0.0 mg/L
< mg/L
0400
pH in standard units (6.0 — 9.0)
< ***
< 0.00 ***
< 0.00 ***
< 0.00 ***
< ***
01119
Copper, total recoverable in mg/L (0.010)
< 0.000 mg/L
< 0.000 mg/L
< 0.000 mg/L
< 0.000 mg/L
< mg/L
01051
Lead, total recoverable in mg/ L (0.075)
< 0.000 mg/L
< 0.000 mg/L
< 0.000 mg/L
< 0.000 mg/L
< mg/L
01094
Zinc, total recoverable in mg/ L (0.126)
< 0.000 mg/L
< 0.000 mg/L
< 0.000 mg/L
< 0.000 mg/L
< mg/L
00340
Chemical Oxygen Demand (COD) in mg/L (120)
< 0 mg/L
< 0 mg/L
< 0 mg/L
< 0 mg/L
< mg/L
00552
Non -Polar Oil & Grease in mg/L (15)
< 0.0 mg/L
< 0.0 mg/L
< 0.0 mg/L
< 0.0 mg/L
< mg/L
78141
Total Toxic Organics (TTO) in mg/L (1)
< 0.00 mg/L
< 0.00 mg/L
< 0.00 mg/L
< 0.00 mg/L
< mg/L
* 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
Notes I No significant or measurable storm events between October 1 — December 31, 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 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."
Paul Doron
Signature of Permittee or Delegated Authorized Individual
Email Address [e-mail]
Friday, January 7, 2022
Date
Phone Number [phone]

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/abouVdivisionstenergy-mineral-land-resources/npdes-stormwater-gps
Permit No. N00030000 Certificate of Coverage No. NCG030511
Facility County: Unior Inspector: Johnson, Mark
Date of Inspection: Thursday, December 30, 2021 Phone Number [phone]
Total Event Precipitation (inches): 0.00 in.
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must
have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
Paul Doron
Signature of Permittee or Designee
1. Outfall Description:
Ouffall No. SDO-1 Structure (pipe, ditch, etc.): Pipe
..................................................................................................................................................................................................................................................................................................................................................
Receiving Stream: SWP3 § 2. 1: "Stormwater discharge on the east side of the facility is directed towards the East Fork of Twelve Mile Creek."
..................................................................................................................................................................................................................................................................................................................................................
Describe the industrial activities that occur within the outfall drainage area: Roof, parking areas and driveways runoff.
2. Color - Describe the color of the discharge using basic colors (red, brown, blue, etc.) as descriptors:
..................................................................................................................................................................................................................................................................................................................................................
Describe the color of the discharge using tint (light, medium, dark) as descriptors:
Not Applicable
Not Applicable
3.Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):
Not Applicable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
Not Applicable
5. Floating Solids - Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is
no solids and 5 is the surface covered with floating solids:
Not Applicable
6. Suspended Solids - Choose the number which best describes the amount of suspended solids in the stormwater discharge,
where 1 is no solids and 5 is extremely muddy:
Not Applicable
7. Is there any foam in the stormwater discharge?
Not Applicable
8. Is there an oil sheen in the stormwater discharge?
Not Applicable
9. Is there evidence of erosion or deposition at the outfall?
No
10.Other Obvious Indicators of Stormwater Pollution:
Not Applicable
1. Outfall Description:
Ouffall No. SDO-2 Structure (pipe, ditch, etc.): Pipe
..................................................................................................................................................................................................................................................................................................................................................
Receiving Stream: SWP3 § 2. 1: "Stormwater discharges on the N and W sides are directed towards the City POTW (discharging into Bearskin Creek)."
..................................................................................................................................................................................................................................................................................................................................................
Describe the industrial activities that occur within the outfall drainage area: Roof, parking areas and driveways runoff.
2. Color - Describe the color of the discharge using basic colors (red, brown, blue, etc.) as descriptors:
..................................................................................................................................................................................................................................................................................................................................................
Describe the color of the discharge using tint (light, medium, dark) as descriptors:
Not Applicable
Not Applicable
3.Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):
Not Applicable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
Not Applicable
5. Floating Solids - Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is
no solids and 5 is the surface covered with floating solids:
Not Applicable
6. Suspended Solids - Choose the number which best describes the amount of suspended solids in the stormwater discharge,
where 1 is no solids and 5 is extremely muddy:
Not Applicable
7. Is there any foam in the stormwater discharge?
Not Applicable
8. Is there an oil sheen in the stormwater discharge?
Not Applicable
9. Is there evidence of erosion or deposition at the outfall?
No
10.Other Obvious Indicators of Stormwater Pollution:
Not Applicable

1. Outfall Description:
Outfall No. SDO-3 Structure (pipe, ditch, etc.): Pipe
..................................................................................................................................................................................................................................................................................................................................................
Receiving Stream: SWP3 § 2. 1: "Stormwater discharges on the N and W sides are directed towards the City POTW (discharging into Bearskin Creek)."
..................................................................................................................................................................................................................................................................................................................................................
Describe the industrial activities that occur within the outfall drainage area: Roof, parking areas and driveways runoff.
2. Color - Describe the color of the discharge using basic colors (red, brown, blue, etc.) as descriptors:
..................................................................................................................................................................................................................................................................................................................................................
Describe the color of the discharge using tint (light, medium, dark) as descriptors:
Not Applicable
Not Applicable
3.Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):
Not Applicable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
Not Applicable
5. Floating Solids - Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is
no solids and 5 is the surface covered with floating solids:
Not Applicable
6. Suspended Solids - Choose the number which best describes the amount of suspended solids in the stormwater discharge,
where 1 is no solids and 5 is extremely muddy:
Not Applicable
7. Is there any foam in the stormwater discharge?
Not Applicable
8. Is there an oil sheen in the stormwater discharge?
Not Applicable
9. Is there evidence of erosion or deposition at the outfall?
No
10.Other Obvious Indicators of Stormwater Pollution:
Not Applicable
1. Outfall Description:
Outfall No. SDO-4 Structure (pipe, ditch, etc.): Pipe
..................................................................................................................................................................................................................................................................................................................................................
Receiving Stream: SWP3 § 2. 1: "Stormwater discharge on the east side of the facility is directed towards the East Fork of Twelve Mile Creek."
..................................................................................................................................................................................................................................................................................................................................................
Describe the industrial activities that occur within the outfall drainage area: Roof, parking areas and driveways runoff.
2. Color - Describe the color of the discharge using basic colors (red, brown, blue, etc.) as descriptors:
..................................................................................................................................................................................................................................................................................................................................................
Describe the color of the discharge using tint (light, medium, dark) as descriptors:
Not Applicable
Not Applicable
3.Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):
Not Applicable
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
Not Applicable
5. Floating Solids - Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is
no solids and 5 is the surface covered with floating solids:
Not Applicable
6. Suspended Solids - Choose the number which best describes the amount of suspended solids in the stormwater discharge,
where 1 is no solids and 5 is extremely muddy:
Not Applicable
7. Is there any foam in the stormwater discharge?
Not Applicable
8. Is there an oil sheen in the stormwater discharge?
Not Applicable
9. Is there evidence of erosion or deposition at the outfall?
No
10.Other Obvious Indicators of Stormwater Pollution:
Not Applicable
Not Applicable