NCG030505_2022 DMR_20220411

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 Ujiload 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 0505
Person Collecting Samples: Nick Beiter
Facility Name: Stanley Engineered Fastening
Laboratory Name: Pace Analytical
Facility County: Stanly
Laboratory Cert. No.: 12,40
Discharge during this period: ]Yes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ©Yes [�] No
If so, which Tier (l, 11, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR []Yes UNo
Date Uploaded: 4111 12022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall2
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
3/24/2022
46529
24-Hour Rainfall in inches
0.5
COS30
TSS in mg/L (100 or 50*)
10.4
pH in standard units (6.0-9.0 FW,
00400
6.8-8.5 SW)
6.7
Copper, total recoverable in mg/L
01119
Not Detected
(0.010 FW, 0.0058 SW)
Lead, total recoverable in mg/ L
01051
Not Detected
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.0402
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
38.2
00552
Non -Polar Oil & Grease in mg/L (15)
Not Detected
* 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 for gatheringthe 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."
�1
411112022
Signature of Permittee or Delegated Authorized Individual Date
[e-mail] 704-888-7083
Email Address Phone Number