NCG030617_Monitoring Report_20211015

'-'-CEIVED
NCDEQ Division of Energy, Mineral and Land Resources nrT 1
2021
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions•''' cr,co
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. NCG0300617
Person Collecting Samples: Lanette Plyler
Facility Name: CORMETECH, Inc.
Laboratory Name: Pace Analytical
Facility County: Mecklenburg County
Laboratory Cent. No.:329
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 No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https:Hedocs.deq-nc-gov/Forms/SW-DMR Yes No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
outfall001
outfall 002
Outfall003
Outfall
Outfall
Code
N/A
Receiving Stream Class
Class C
Class C
Class C
N/A
Date Sample Collected MM/DD/YYYY
09/08/2021
09/08/2021
09/08/2021
46529
24-Hour Rainfall in inches
0.09
0.09
0.09
C0530
TSS in mg/L (100 or 50•)
2.5
No Flow
4.5
00400
PH in standard units (6.0-9.0 FW,
7.14
No Flow
7.16
6.8-8.5 SW
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
<0.010
No Flow
<0.010
Lead, total recoverable in mg/ L
01051
<0.010
No Flow
<0.010
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
<0.020
No Flow
<0.020
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
<20.0
No Flow
36.0
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0
No flow
<5.0
" Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TS5 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 penaltyof law, that this document and all attachments were prepared under my direction orsupervision in
accordance with a system designed to assure that qualified personnel properly gatherand 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."
of Permittee or
Individual
ID-la-�a;a)
Date
[e-mail] 980-722-1811
Email Address Phone Number

NORiN CA40LMA
Fmbmnenbl QvNRY
Stormwater NPDES Permit Data Monitoring Report
(DMR) Upload
RECEiVEL)
OCT 1151071
DF I .
La
Permit and Facility Information: �i'oin c
IMPORTANT. Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original
signed hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic
upload.
Fields marked with a red asterisk are required.
Permit Number*
NCG030617
Facility Name: * CORMETECH, Inc.
County:* Mecklenburg
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville. NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Monitoring Period
Year:* 2021
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.

Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.
DMR Upload * Click the upload button or drag and drop files here to attach docurnent.
Q3 2021 Quarterly Stormwater Discharge Report... 859.29KB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR upload form.
Full Name:* Lanette H Plyler
Name of person submitting this form
Email Address: * [e-mail]
Phone Number: * 9807221811
Signature: *
460r4zi5
Date: * 10/12/2021