NCG030061_2021 DMR_20220201

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. NCG030061
Person Collecting Samples: Jack Taylor
Facility Name:Moen
Laboratory Name: Environment 1
Facility County: Craven
Laboratory Cert. No.:10
Discharge during this period: Q Yes No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Lj Yes No
If so, which Tier([, II, or III)?
A copy of this DMR has been uploaded electronically via https:Hedocs.dgg;nc.govZForms/SW-DMR Dyes LjNo
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall 002
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
other
other
N/A
Date Sample Collected MM/DD/YYYY
12/8121
12/8/21
46529
24-Hour Rainfall in inches
1.30
1.30
C0530
TSS in mg/L (100 or 50*)
8.1
10.0
00400
pH in standard units (6.0 — 9.0 FW,
7.3
7.2
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
0.010 FW, 0.0058 SW)
0.048
0.011
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.002
<0.002
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 5W)
0.067
0.069
00340
Chemical Oxygen Demand (COD) in
N/A
N/A
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
1 <5.0
1 <5.0
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of . All other water classifications have a benchmark of 100 mg/L
(Freshwater) (Saltwater)
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 forgathering the information, the information
submitted is to the best my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false info�tion, includog the possibility of fines and imprisonment for knowing violations."
or Delegated Authorized Individual
1 /4/22
_Date
katie.fritzler@ moen.40m [phone] ext 6341
Email Address
Phone Number