NCG030499_2021 DMR_20220128 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO3OOOO
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 0499
Person Collecting Samples: Stephen Colquhoun
Facility Name: Crane Resistoflex
Laboratory Name: Pace Analytical
Facility County: McDowell
Laboratory Cert. No.: 37712
Discharge during this period:
Yes
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Elyes MNo
If so, which Tier (I, II, or Ill)?
A copy of this DMR has been uploaded electronically via https:/Iedocs.deg,nc.gov/Forms/SW-DMR Ir Yes No
Date Uploaded: 1/28/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall001
Outfall002
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
12/11/2021
12/11/2021
46529
24-Hour Rainfall in inches
0.33
0.33
CO530
TSS in mg/L (100 or 50*)
8.1
12.6
D0400
pH in standard units (6.0 — 9.0 FW,
6.2
6.0
6.8-8.5 SW)
Copper, total recoverable in mg/L I
01119
(0.010 FW, 0,0058 SW)
<0.005
0.0435
Lead, total recoverable in mg/ L
01051
10.075 FW, 0.22 SW)
<O.005
0.0314
01094
Zinc, total recoverable in mg/ L (0.126
FW, 0.095 SW)
0.134
0.666
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
16.7J
26.2
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0
<4.9
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/t
FW (Freshwater) SW (Saltwater)
Notes (optional): J Data Qualifier: Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
"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 informatioryi�cluding the possibility of fines and imprisonment for knowing violations."
Signature of Per4ttee or Delegat$d Authorized Individual
(o rn
Email Address
/r � _ / ) Y
ate
Phone Number