HomeMy WebLinkAboutNCG030645_2022 DMR_20220310NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
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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 Wropriate DEMLR Regional Office.
Certificate of Coverage No. NCG03 Qfp
Person Collecting Samples: c� '
Facility Name: Berk nlek /,/_C
Laboratory Name: C ! dal S
Facility County: a
Laboratory Cert. No.: -
Discharge during this period:
0
Yes
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes LjNo
If so, which Tier (I, II, or III)? Tr [r
A copy of this DMR has been uploaded electronically via htts: edocs.deg. nc.gov/Forms/SW-DM R U Yes Lj No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with industrial Activities -- Benchmarks in (Red)
Parameter
Code
parameter
Outfall 1
Outfall p2
Outfall 3
Outfall /
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
0R Oy .7o
Oa'7 dy ao� o'L
0 10.2
v� ay d0 01
46529
24-Hour Rainfall in inches
01Q 5_
0,-IS—
0. 07 S
01 a r
C0530
TSS in mg/L (100 or 50*)
;Z Q X Q
d/, 0
<
9,
OD400
pH in standard units (6.0 — 9.0 FW,
gr y
1
a
7,
6.8-8.5 SW)
r
I
01119
Copper, total recoverable in mg/L
4), 0
< 0, 005
C 0, 005'
< 49,00S
0.010 FW, 0.0058 5
01051
Lead, total recoverable in mg/ L
}
00011
C 0, oo
L 0, oo�
p, ooS
0.07S FW, 0.22 5
01094
Zinc, total recoverable in mg/ L (0.126
0. u6O
7
O, t!%
o' 11�%
Q' 0�/
FW, 0.095 SW)
7
00340
Chemical Oxygen Demand (COD) in
I' /
h
as
a�
/ F
a
mg/L (120)
` J
00552
Non -Polar Oil & Grease in mg/L (15)
L 5_1
!� l�,
C !
C S
* 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
eWl (Freshwater) (5akwater)
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 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."
Signature of Permittee or DWegated Authorized Individual
r h .Leo Ir X- �P V k �nh . CD tYI
Email Address
3 ro n
Date
914-sip-s33G,
Phone Number