NCG030597_2022 DMR_20220614

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 0597
Person Collecting Samples: Brandon Patrick
Facility Name: American Emergency Vehicles
Laboratory Name: Statesville Analytical
Facility County: Ashe
Laboratory Cert. No.: 404
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? 0Yes E]No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR [—]Yes ✓ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Parameter
Outfall AEV 1
Outfall AEV 2
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C+
G+
N/A
Date Sample Collected MM/DD/YYYY
04/06/2022
04/06/2022
46529
24-Hour Rainfall in inches
0.62"
0.62"
C0530
TSS in mg/L j100 or 50*)
4.022 mg1L
<2.717 mg/L
pH in standard units (6.0-9.0 FW,
00400
6.8-8.5 5W)
5.59
6.09
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
0,0034 mg/L
0.002 mg/L
01051
Lead, total recoverable in mg/ L
<0.002 mg/L
<0.002 mg/L
(0.075 FW, 0.22 SW)
01094
Zinc, total recoverable in mg/ L (0.126
0.083 mg/L
<O.Oi mg/L
FW, 0.095 SW)
00340
Chemical Oxygen Demand (COD) in
<25 mg/L
<25 mg/L
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
8.18 mg1L
<5.0 mg/L
* OutfalIs to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of SO mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional):
1 certify by my signature belo under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designe assure that qualified personnel properlygather and evaluate the information submitted. Based on my
inquiry of the person or persons who ma a the system, or those persons directly responsible for gathering the information, the information
submitted is, o the best ofmy knowledge a belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false i Qrm#iA, includin tl a possibility of fi e�p4sonment for knowing violations."
2zjo&zz
or beleeatedlAuthorized Individual
Email Address
Date
336-977-9021
Phone Number