NCG030718_Monitoring Report_20211005

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
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Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Obload 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 071e
Person Collecting Samples: Rob McMichael
Facility Name: Powerhouse Boiler Equipment
Laboratory Name: Pace Laboratories
Facility County: Gaston
Laboratory Cert. No.:
Discharge during this period:
Yes
Lj
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? 0 Yes LjNo
If so, which Tier (I, 11, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes D 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
COS30
TSSin mg/L (100 or SO*)
PH in standard units (6.0-9.0 FIN,
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
0.07S 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 (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): al was completed but could not be submitted due to system technical Issue. Per Suzanne McCoy, hardoopy DMR is being submitted ror Saplembar 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 Il Aroatlonlflclucling the possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
9 3v 01"k
Date
(856) 36MO25
Phone Number