HomeMy WebLinkAboutNCG030669_Monitoring Report_20220718NCDEQ Division of Energy,, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030009<
Metal Fabrication Q,
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Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring, Report (DMR) UploadlifQA within
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30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regiong)Office.
Certificate of Coverage No. NCG03 <:) r, Person Collecting Samples: R013e-l?'T 1-16-Al-5 I. eY
Facility Name- L L C Laboratory Name: /04 C Af` A *r / CA
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Facility County: 0 WA /V Laboratory Cert. No.: D 7776 6
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Discharge during this period- inj Yes No (if no, skip to signoture and dote)
Has your facility implemented mandatory Tier response actions this sample -period for any benchmark exceeclances? Yes No
If so, which Tier (11, 11, or 111)?
A copy of this DIVIR has been uploaded electronically via htti)s://edocs.deci.nc.gov/Forms/SW-DMrN IR Y Na
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall t 2Outfall Outfall
Outfall
Outfall
Code
N/A
RecelvFng Stream Class
N/A
Date Sample Collected MM/DD/YYYY
OjZIZ7
7/. e62,
0. 30
46529
24-Hour Rainfall in inches
Oo 30
C0530
TSS in mg/L (100 or 50*)
< 49
4 40 S
00400
pH in standard units (6.0 — 9,0 FW,
750
6.8-8.5 SW)
01119
Copper, total recoverable in mg/L
0 /
L)
(0.010 FW,, 0.0058 SW)
XA.
01051
Lead, total recoverable in mg/ L
<00 140
< 0010
(0.075 FW, 0.22 SW)
.0
01094
Zinc, total recoverable in mg/ L (0-126
0 i0o, Y-
0 J 00
FW,, 0.095 SW)
00340
Chemical Oxygen Demand (COD) In
< 2 *5-
0 V.
4< 0��� ��� ,'
mg/L (120)
100
00552
Non -Polar Oil & Grease in mg/L (15) j
<
* 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)
"Tito e s To p6d n- a 1)
"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 infor 4he po I 11rive-as S fm.d-H�Aprison ment for knowing violations."
. . ............
Signature of Permittee or Delegated Authorized Individual Date
.5 -r E ✓E". R-/V 6,9 TRO IVI @NFkAG'orVAG/k TY. Coll
Email Address
-704 970 - 7#13
Phone Number
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