NCG090034_2022 DMR_20220506 (3)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG090000
Paints, Varnishes, Lacquers, Enamels, and Allied Products
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report ❑MR) U load form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Reg#onaf Office.
Certificate of Coverage No. NCG09 0034
Person Collecting Samples: Angie Young
Facility Name: INOLEX
Laboratory Name: Pace Analytical
Facility County: Mecklenburg
Laboratory Cert. No.: 329
Discharge during this period:
171Yes
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 I)tt s: edocs.de .nc. ov Forms SW-DMIi ®✓ Yes 0No
Date Uploaded: 2/24/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall SW1
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Polk Ditch
N/A
Date Sample Collected MM/DD/YYYY
4/5/2022
46529
24-Hour Rainfall in inches
1.75
C0530
TSS in mg/L (100 or 50*)
120
pH in standard units (6.0 — 9.0 FW,
00400
6.8 — 8.5 SW)
5.7
Cadmium total (as cd) in mg/L (0.002
01027
or 0.003**)
<0.003
Lead, total recoverable (as Pb) in
01051
mg/ L 0.075 FW, 0.22 SW)
<0.075
Chromium III, total recoverable (as
C0034
Cr) in mg/ L (0.905 FW, n/a SW)
<0.905
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)
NA
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
NA
* 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
'* Outfalls to Trout Waters (Tr) have a benchmark Cadmium limit of 0.002 mg/L. All other water classification have a benchmark of 0.003 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 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
falself'd)rmation, includinppthe possibility of fines and imprisonment for knowing violations."
Signature of Perniittee6KVelegated Authorized Individual
[e-mail]
Email Address
5/5/22
Date
980-771-4938
Phone Number