NCG030613_DMR_20220524

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of plater Quality General Permit No. N00030000
Date submitted 5.24.22
CERTIFICATE OF COVERAGE NO.N00030613 SAMPLE COLLECTION YEAR_2022_,-,
FACILITY NAME _Matcor Metal Fabrication SAMPLE PERIOD ®Jan June ❑July-Dec
COUNTY Davidson or ❑Monthly' (month)
PERSON COLLECTING SAMPLES T.HaynesF?E(Dp
IMG TO CLASS ®ORW ❑HQW QTrout ❑PNA
LABORATORY Pace_Lab Cert.#_37706 Comments on sample Otero-flow [:]Water supply [:]SA
collection or analysis:_None JUN 2 8 70 j? ❑Other
C6f'f l►� 'kL PfLEVLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DV'il�SECDON
Part A:Stormwater Benchmarks and Monitoring Results
El No discharge this period?Z
Date Sample 24-hour rainfall pH, Non-Polar O&G/ Total Toxic
Outfall No. Collected' amount, Total Suspended Solids Standard units Copper Lead Zinc Total Petroleum Organics5(mo/dd/yr) Inches3 Hydrocarbons
Benchmarks=> - - 100 mg/L or 50 mg/V 6.0—9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L
001 5/24/22 0.18 39.7 6.3 0.0058 ND 0.140 NA NA
1 Monthly sampling(instead of semi-annual)must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall,you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors,manufacture
electronic crystals,or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample(for metal finishing use the definition as found in 40 CFR 433.11;for semiconductor
manufacture use the definition as found in 40 CFR 469.12;for electronic crystal manufacture use the definition as found in 40 CFR 469.22;and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012
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Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify,and the requirement for TTO monitoring
_ may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver,the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO),I certify that to the best of my knowledge and belief,no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
`7a5"to4 54W AIdS
Name(Print ame)
Title(Print title
-�3-_d
2
grnature)
(Date)
Note:Results must be reported in numerical format. Do not report Below Detection Limit, BDL,<PQL, Non-detect, ND,or other similar non-numerical
format. When results are below the applicable limits,they must be reported in the format "<XX me/L" where XX is the numerical value of the detection
limit,reporting limit,etc.in mg/L.
Mote: if you report a sample value in excess of the benchmark,you must implement Tier 1, Tier 2,or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results:only for facilities averaging>55 gal of new oil per month.
No discharge this period?Z
Outfall No. Date Sample 24-hour rainfall
Collected' amount, Non-polar O&G/TPH by Total Suspended Solids pH
(mo/dd/yr) Inches EPA 1664(SGT-HEM)
Benchmarks==> _ - 15 mg/L 1 100 mg/L or 50 mg/L* 6.0—9.0 SU
Footnotes from Part A also apply to this Part B
*See General Permit text,Table 5,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:13./1/2U12-10/32/2017 • SWU-245,last revised 10j25/2012
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Note: if you report a sample value in excess of the benchmark,you must implement Tier 2,Tier 2,or Tier 3 responses, gee General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
® TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO❑
1F YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR,including all"No Discharge"reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of"No Discharge"reports)to:
Division of Water Quality
Attn:DWQ Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify,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."
nature of Permittee) (Date)
Permit Date:11/1/2012-10/31/2017 . SWU-24S,last revised 10/2S/2012
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APPENDIX
B

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N C G 0 3 0 0 0 0 or Certificate of Coverage No.: N C G 0 3 0 6 1 3
Facility Name: Matcor Metal Fabrication
County: Davidson Phone No. 336.731.5742
Inspector: Thomas Haynes
Date of Inspection: 5.24.22
Time of Inspection: 11:15 AM
Total Event Precipitation(inches): 0.18
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event
(requirements vary).
- ------------_...------------- .......------------......................
A"Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. _
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1 Outfall Description:
Outfall No. 001 Structure(pipe,ditch, etc.) Outfall from Retention Pond
Receiving Stream: Unnamed Tributary of Swearing Creek
Describe the industrial activities that occur within the outfall drainage area:
Metal Fabrication
2 Color:
Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint(light,medium,dark)as
descriptors:
Light brown
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SWU-242-112608

3 Odor:
Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak chlorine odor, etc.):
No odor noted
4 Clarity:
Choose the number which best describes the clarity of the discharge,where 1 is clear and 5 is very cloudy:
1 0 3 4 5
5 Floating Solids:
Choose the number which best describes the amount of floating solids in the stormwater discharge,where 1 is no
solids and 5 is the surface covered with floating solids:
1 2O 3 4 5
6 Suspended Solids:
Choose the number which best describes the amount of suspended solids in the stormwater discharge,where 1 is no
solids and 5 is extremely muddy:
Ol 2 3 4 5
7 Is there any foam in the stormwater discharge? Yes No
8 Is there an oil sheen in the stormwater discharge? Yes No
9 Is there evidence of erosion or deposition at the outfall? Yes No
10 Other Obvious Indicators of Stormwater Pollution:
List and describe
None
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be indicative of
pollutant exposure. These conditions warrant further investigation.
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