NCG030085_2022 DMR_20220518

NCDEQ Division of Energy, Mineral and Land Resources
5tormwater 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 Monito ring Report (OMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate ❑EMLR Regional Office.
Certificate of Coverage No. NCG03 0085
Person Collecting Samples: NA
Facility Name: Daimler Trucks - Mount Holly
Laboratory Name: NA
Facility County: Gaston
Laboratory Cert. No.: NA
Discharge during this period:
Yes]71
No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?Uj Yes U No
If so, which Tier (I, Il, or III)?
en uploaded electronically via httes;/ledocs.deg.nc.gov]Forms,�SW-DMR Yes No
A copy of this DM?1PIL2,
Date Uploaded:
Analytical Monitoring Requirements for Outfalis with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall 001
Outfall002
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS-IV; CA
W5-IV; CA
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
T5S in mg/L (100 a 50')
pH in standard units (6.0 — 9.0 FW,
00400
6.8-8.5 SW)
Copper, total recoverable in mg/L
01119
0.010 FW, 0.0058 5W
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 5W)
Zinc, total recoverable in mg/ L (0.126
01094
FW,0.095SW)
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
Non -Polar Oil & Grease in mg/L (15)
00552
` Outfalls to Outstanding Resource Waters (ORW), High QualityWaters (HQW), Trout Waters [Tr)l and Primary Nursery areas (PNA)
have a benchmark TSS limit of 50 mg1L. All other water classifications have a benchmark of 100 m; 11
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, ipoilding the ppsslbilit�bf fines and i5prisonment for knowing violations."
Signature of Pe?A itleg or Delegat d Autho ixed Individ al
i
Email Addiqss
Date
701-�2�-7�
Phone Number