NCG030715_Monitoring Report_20220621

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
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Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (D,orm within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEIO4A 4 *nal Office.
Certificate of Coverage No. NCG03 0715
Person Collecting Samples: Michael Kilpatrick (Pace)
Facility Name: Greenheck Fan Corporation- AP
Laboratory Name: Pace Analytical Services, LLC
Facility County: Cleveland
Laboratory Cert. No.: 329
Discharge during this period: E] Yes Q No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ®Yes F1j No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via ht_tps://edocs.deg.nc.gov/Forms/SW-DMR E]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
Class C
N/A
Date Sample Collected MM/DD/YYYY
04/05/2022
46529
24-Hour Rainfall in inches
1.1
C0530
TSS in mg/L (100 or 50*)
20
00400
pH in standard units (6.0 — 9.0 FW,
6.0
6.8-8.5 SW)
Copper, total recoverable in mg/L
I0.0081
01119
(0.010 FW, 0.0058 SW)
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.0020
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
0.053
Chemical Oxygen Demand (COD) in
0340
rOO552
mg/L (120)
<20
Non -Polar Oil & Grease in mg/L (15)
<5.0
* 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)
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
false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee or De
derek. [e-mail]
Email Address
Authorized Individual
6- 6= Z
Date
715.841.8366
Phone Number