NCG030085_2022 DMR_20220317

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 NPOES 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 0085
Person Collecting Samples: Magdaline Tzannis !Shield Engineering Ine
Facility Name: Daimler Trucks - Mount Holly
Laboratory Name: Pace Analytical
Facility County: Gaston
Laboratory Cert. No.: 329
Discharge during this period: Yes
No (if no, skip to signature and dote)
Has your facility implemented mandatoryTier response actions this sample period for any benchmark exceedances? Yes f No
If so, which Tier (I, If, or III)?
A copy of this DMR ha en uploaded electronically via https:/Igdocs.deA.nc.gov/Forms/SW-DMR Q yes No
Date Uploaded: ^� Z
Analytical Monitoring Requirements for Outfalis with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall002
Clutfall
flutfall
Outfall
Code
N/A
Receiving Stream Class
WS-IV; CA
WS-IV; CA
N/A
Date Sample Colleted NM/DD/YYYY
2/7/2022
2/7/2022
46529
24-Hour Rainfall in inches
0.39
0.39
C0530
TSS in mg/L (100 or 50')
43
11D
PH in standard units (6.0 — 9.0 FW,
00400
7,5
7.5
6.8-8.5 SW
Copper, total recoverable in mg/L
01119
0,010 FW, 0.0058 SW
D,p073
❑D13
Lead, total recoverable in mg/ L
O1e51
(0.075 FW, 0.22 SW)
0.0016
0.0033
Zinc, total recoverable in mg/ L (0.126
01094
FW 0.095 SW)
0.150
0.170
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
37
46
00552
Non -Polar oil & Grease in mg/L (15)
1 <5.0
<5.0
0utfalIs to Outstanding Resource Waters (0RW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 mg/i. All other water classifications have a benchmark of 100 mg/t
FW (Freshwater) SW (Saltwater)
I Notes (optional): Benchmark values exceeded at SDO #001 for Zn & at 5DQ #002 for TSS, Cu, Zn. I
"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 responslble for gathering the information, the information
submitted is he best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false inf a n, including the pas�bgity of fines and imprisonment for knowing violatians."
Signature af"Permittee or De
Email Address
Authorized Individual
E a�
Date
�O� _5Z. l] b
Phone Number