NCG190050_2022 DMR_20220418

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG190000
Marinas and Shipbuilding
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. NCG19 ooSp
Person Collecting Samples: �od�] 6LZE Ems'
Facility Name: !� 1*14 epA/
Laboratory Name:
Facility County:
Laboratory Cert. No.: �/ 2 fi yb
Discharge during this period:0
Yes
EJ
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? 0Yes ❑ No
If so, which Tier (I, 11, or III)?
A copy of this DMR has been uploaded electronically via https://edocs-deg.nc-gov/Forms/SW-DMR LjYes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities - Benchmarks in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TS5 in mg/L (100 or 50*)
4.
Estimated New Motor/Hydraulic Oil
NCOIL
usage in gal/month
00340
Chemical Oxygen Demand in mg/L (120)
all
pH in standard units (6.0-9.0 FW, 6.8-
00400
8.5 SW)
Aluminum, total recoverable in mg/ L
01105
(0.75 FW, 0.24 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.006 SW)
Lead, total recoverable (as Pb) in mg/ L
01051
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/L (0.126
01094
FW, 0.095 SW)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
*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): U i 6� r✓( D.f' L O�1'.f(/y� G��t s ,r-f� (i /,� p!v ids
"I certify by my signature below, under penalty of law. that this document and all attachments were prepared under my direct -on or supervision in
accordance with a system designed to assure that qual Pied personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons direct',y 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, includ'ng the possib-!ity of fines and imprisonment for knowing violations."
Oign�aturre�Per eeed Authorize Individual
r e i. ., C n V-S C4, M f L,—
Email Address
_ d11181ZO Z Z _
Date
Phone Number