NCG030538_2022 DMR_20220712

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 5tormwater 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. NCG030538
Person Collecting Samples: Jessica Clark
Facility Name:CVG
Laboratory Name: PAR Labs
Facility County: Cleveland
Laboratory Cert. No.: 20
Discharge during this period:
Dyes
✓ No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? 0 Yes ✓ No
If so, which Tier (l, II, or III)?
A copy of this DMR has been uploaded electronically via httr)s://edocs.deg.nc.gov/Forms/SW-DMR RII Yes No
Date Uploaded: 7/12/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
T5S in mg/L (100 or 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 SW)
Lead, total recoverable in mg/ L
01051
(0.075 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 T5S 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
in ry of th)t person or persons who manage the system, orthose persons directly responsible for gathering the information, the information
bmitted is, o the best of my knoyfidge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false inform tion, includi�g the p sib li - fines and imprisonment for knowing violations."
7/12/2022
of Oermittee or Deli Authorized'ln ividual Date
[e-mail]
Email Address
704-937-4434
Phone Number