NCG030103_2022 DMR_20220714

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
f 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 a ro riate DEMLR Regional Office.
Certificate of Coverage No. NCG030103
Facility Name: Moen Incorporated
Person Collecting Samples: John West
Laboratory Name: Waypoint Analyticz
Facility County: Lee Laboratory Cert. No.: 402
Discharge during this period: r Yes No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes No
If so, which Tier (I, II, or III)? Tier I
A copy of this DMR has been uploaded electronically via https://edocs.dgg.nc.gov/Forms/SW-DMR LYes UNo
Date Uploaded
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in
Parameter
Code
Parameter
Outfall 01
Outfall 03 Outfall
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
06/08/2022
06/08/2022
46529
24-Hour Rainfall in inches
0.13
0.13
C0530
TSS in mg/L (100 or 50*)
<2.9
14.6
00400
pH in standard units (6.0-9.0 FW,
6.9
6.8
6.8-8.5 SW)
01119
Copper, total recoverable in mg/L
(0.010 FW, 0.0058 SW)
0.011
0.007
01051
Lead, total recoverable in mg/ L
(0.075 FW, 0.22 SW)
0.001
0.001
01094
Zinc, total recoverable in mg/ L (0.126
FW, 0.095 SW)
0.041
0.019
00340
Chemical Oxygen Demand (COD) in
m-,I ,,,�,
<50
<50
Outfall I Outfall
00552 1 Non -Polar Oil & Grease in mg/L (15) <5.8 <5.8
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of . All other water classifications have a benchmark of 100 mg/L
(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, including the possibility of fines and imprisonment for knowing violations."
2 2-
Signature of Permittee or Delegated Authorized Individual Date
cyfc ql %
Email Address Phone Number