NCG030646_2021 DMR_20220111

NCDEQ Division of Energy, Min and Land IR esourims
StDrmwater Discharge Monitoring Report (Dli R) Folio for NCO030000
MKal Fabrication
Click here for instructions
Complete, sign, scan and su#xnit the DM via the Sturmwat,er NRDES permit pat@ Monitori ng fie art J IAR U pload farm within
30 days of receiving sampling results. MaIJ the original, signed hard copy of the DMR to the appropriate DEMLVL ReglunaI Offce,
Certificate of Coveragc No- NCG030646 Person Callecting Sarnples- NA
Facility Name, Deere -Hitachi Constr Mash Corp 4i' i arnp-is Laboratory Narne:
Faci11ty County, Forsyth Laboratory Cert- No-,
Discharge duringthis pefipd; YesOfVo(if t skip tosinottire and dotej
Has your facility implemented mandat❑ry Tier response actions this Sam pie perlod far any benchmark exceed ances? El Yes Flo
If so, which Tier (1,11, Oar III)?
A copy of this DMR has been uploaded electronicallyvia hn5jitclocs.de .ne- ov Form5f5W-D MR Na
Date Uploaded
Analytical h+4onitoring fle,quirements for Outfalis with industrial Activities — Benchmarks in (fled)
Parameter
Cade Parameter Dutfall 01 outfall 02 Outfail 03 Outfall outfall
NIA Receiving Stream Class W-IVI1A-CA
N/A Date Sample Collected MM/DDPM NA - -
46529 24-Hour Rainfall in inches
C0530 75S in mg/L (100 4r 50*)
00400 pH in standard units 1[&0-9m Fut,
6'".5 SW)
111119 Copper, total recoverable in mg/L
{a.Dn Fur O.UgSs su+
01051 Lead, totaI recovmble in mg/ L
(0,075 FIN, 0.22 SWI
01094 Zinc, rota! recoverabe in r%f L (0,125
FW, t}.095 5W)
40 Chemical Oxygen Demand (COD) in
mg/L (12U)
00552 Non -Polar Oil & Grease In mg/L (15) !
* Outfalls to Outstanding Resource Waters (ORW}, High Quality Waters (HQW), Trout waters Mr) and Prinury Nursery Arew (PNAI
have a benchmark T55 €imit of 50 mg f L- All other water classifications have a benrhm,�rk of 100 mg/L
F (Freshwater) SW (Saltwater)
Notes (optional), No rbw cluHng this period
"E 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 syAe rn designed to assure that q ual ified personnel properly gather and evaluate the information submtted, Based on my
inquiry of the person or persons who manage the system, or those persons d I rectly reTonsl ble for gathering the informatkxi, the information
submitted is, to the best of my knowledge and belief, true, arcurate, and complete. I ern aware that there are significant penalties For su bmitting
false information, including the possibility of fines and imprisonment for€mowing -Aol ations-"
Signature of
chase] dhurc.00m
Email Address
or Delegated Authorized Individuai I
Date
[phone]
Phone dumber