NCG030431_2022 DMR_20220428

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 0431
Person Collecting Samples: Michael Chrismon
Facility Name: Whitsett
Laboratory Name: Pace Analytical
Facility County: Guilford
Laboratory Cert. No.: 40
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 0 No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https:/Iedocs.deo.nc.gov/Forms/SW-DMR 0 Yes []No
Date Uploaded: 2/7/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
2/23/22
3/23/22
46529
24-Hour Rainfall in inches
.94
.25
C0530
TSS in mg/L (100 or 50*)
3.4
6.9
00400
pH in standard units (6.0-9.0)
7.55
7.41
01119
Copper, total recoverable in mg/L
0.0948
0.0956
(0.010)
01051
Lead, total recoverable in mg/ L
ND
0.005
(0.075)
01094
Zinc, total recoverable in mg/ L
0.293
0.193
(0.126)
Total Toxic Organics (TTO) in mg/L(i)
78141
(if required)
00552
Non -Polar Oil & Grease in mg/L -
ND
IND
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
* 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
Notes (optional): Samples submitted late due to inability to register for on-line EDMR submission -71
"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."
/2 2-
re of Permitt o elevated Authorized Individual Date,
Email Address Phone Number

Total Toxic Organics Certification:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring
requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no leak, spill, or dumping of
concentrated toxic organics into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since
filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Management Plan included in the St mwater Pothlon Prevention Plan."
Sienatur of Permittee or9fregated Authorized Individual Date
Email Address Phone Number

IL
M'-'-
1%do.
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_/C// or Certificate of Coverage No.: N_/C/G/
Facility Name: .e (� ��r✓ S �Yl i� /' j G1G{
County: &YA)19 r dPhone No. r 2,(
Inspector: _ ]; �� 4--e CLj.-� nc� •� _
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
W
_.-... --- .r...� - --- - - - -- ... --- ----- -----------------------
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the pertnittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
1. Outfall Description: t. ec
Outfall No. _ t I _ Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that �occur within the
outfall drainage area:
0
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:. 6 L I t tim-�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): P a zi 42-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
/011 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? C) Yes 6- No.
8. Is there an oil sheen in the stormwater discharge? c Yes EN)-
9. Is there evidence of erosion or deposition at the outfall? 0 Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stonnwater-gps
Permit No.: N_/C/ O/l/ V/ q/3 /� / / or Certificate of Coverage No.: N_/C/G/
Facility Name: Ir A—' ed, Co , /S
County: f fv -q, Phone No. 33 _ U
Inspector: I k C4 v t M f" /1
Date of Inspection:
Time of Inspection: r 3 , bo P/n
Total Event Precipitation (inches): ,
I* ,� , (4 /
l permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
c
f
of Permittee or Designee)
1. Outfall Description:
Outfall No. --I
Receiving Stream:
Structure (pipe, ditch, etc.): Le —
Describe the industrial activimties that occur within ie outfall drainage area:
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ; z B� D CL �u!
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ vow 2
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no
solids and 5 is the surface covered with floating solids:
U 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
.0 2 3 4 5
7. Is there any foam in the stormwater discharge? .Q0 Yes Q No. _
8. Is there an oil sheen in the stormwater discharge? QYes No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes .
10. Other Obvious Indicators of Stormwater Pollution: l�
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2. of 2
SWU-242, Last modified 06/01/2018