NCG030655_Monitoring Report_20211216

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGO3OOOO
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 0655
Person Collecting Samples::
Facility Name: American Roller Bearing Company
Laboratory Name:
Facility County: ALEXANDER
Laboratory Cert. No.: ,%s
Discharge during this period:
Uj
Yes
0
No (if no, skip to signature and date)
Has your facility implemented mandatoryTier response actions this sample period for any benchmark ex �i2 ances?Elyes j No
If so, which Tier (I, II, or III)? !J
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes 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
CO530
TSSin mg/L (100 or 50*)
pH in standard units (6.0-9.0 FW,
00400
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), 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): There has been no flow or discharge from the representative outfall during this period July -December 2021
"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."
12113/2021
Signature of Pen>jitxe or Delegated Authorized Individual
Email Address
Date
704-585-2908
Phone Number

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