NCG030660_2022 DMR_20220316

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. NCG03 0660
Person Collecting Samples: Paul W. Spangenberg
Facility Name: Matlab, Inc. - Hyw. 49 South Campus
Laboratory Name: Con -Test
Facility County: Randolph
Laboratory Cert. No.: 652
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? []Yes F11 No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg-nc,gov/Forms/SW-DMR Yes No
Date Uploaded: 3116/22
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall 1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
02/23/2022
46529
24-Hour Rainfall in inches 10.30
C0530
TSS in mg/L (100 or 50*)
29
pH m standard units (6.0-9.0 FW,
00400
6.8-8.5 SW)
6.1
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0.0057
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 5W)
0.0014
Zinc, total recoverable in mg/ L (OA26
01094
FW, 0.095 SW)
0.022
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
28
00552
Non -Polar Oil & Grease in mg/L (15)
<0.41
* 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
FW (Freshwater) SW (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 forgatheringthe information, the information
submitt s to the best ofmy knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
" false ation, includinh the possibility of fines andjmprisonment for knowing violations."
3/16122
Signature of Permit or Delegged Autho " ed Individual Date
[e-mail]
Email Address
[phone]
Phone Number