NCG030061_2022 DMR_20220822

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. NCG030061 Person Collecting Samples: Jack Taylor
Facility Name: Moen Laboratory Name: Environment 1
Facility County: Craven Laboratory Cert. No.: 10
Discharged u ring this period: Lj Yes W 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)?
A copy of this DMR has been uploaded electronically via https:/JL-docs.deg.nc.gov/­Forms/SW-DMR eyes No
Date Uploaded: 8/9/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
P
N/A
Receiving Strez
N/A
Date Sample G
46529
24-Hour Rainfa
C0530
TSS in mg/L (1C
00400
pH in standard
6.8-8.5 SW)
01119
Copper, total rE
(0.010 FW, 0.01
01051
Lead, total recc
(0.07S FW, 0.2-,
01094
Zinc, total reco)
FW, 0.095 SW)
ChemicalOxyge
00340
_
mg/L (120)
00552
Non -Polar Oil &
arameter
Outfall001
Outfall 002
Outfall
Outfall
Outfall
m Class
other
other
dlected MM/DD/YYYY
I in inches
0 or 50*)
units (6.0-9.0 FW,
coverable in mg/L
158 SW)
verable in mg/ L
SW)
'erable in mg/ L (0.126
n Demand (COD) in
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 TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
(Freshwater) (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 pe ns who manage the system, or those persons directly responsible for gathering the information, the information
submitted Ps, to the best of ' y knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
fNe infooVtj�p + n the possibility of fines and imprisonment for knowing violations."
o4Delegated Authorized Individual
8/9/22
Date
katie..fritzler@mo n.corri _ [phone] ext 6341
Email Address Phone Number