NCG090006_2022 DMR_20220909 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG090000
Paints, Varnishes, Lacquers, Enamels, and Allied Products
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monaorin 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. NCG09 0006 Person Collecting Samples: Jens Schoenfuss
Facility Name: Mallard Creek Polymers, LLC Laboratory Name: PAR Laboratories, Inc.
Facility County: Mecklenburg Laboratory Cert. No.: 20
Discharge during this period: U Yes U No cif no, skip to signature and date)
Has your facility implemented mandatoryTier 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 htt s: edocs.de .nc. ov Forms SW-DMR ❑ Yes ❑ No
Date Uploaded: 9/9/22
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall002
Outfall003
Outfall004
Outfall
Code
N/A
Receiving Stream Class
Other
Other
Other
Other
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
pH in standard units (6.0-9.0 FW,
00400
6.8 — 8.5 SW)
Cadmium total (as cd) in mg/L (0.002
01027
or 0.003**)
Lead, total recoverable (as Pb) in
01051
mg/ L (0.075 FW, 0.22 SW)
Chromium III, total recoverable (as
C0034
Cr) in mg/ L (0.905 FW, n/a SW)
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
NA
NA
NA
NA
NCOIL
Estimated New Motor/Hydraulic Oil
NA
NA
NA
NA
Usage in al/month
* 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
** Outfalls to Trout Waters (Tr) have a benchmark Cadmium limit of 0.002 mg/L. All other water classification have a benchmark of 0.003 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional): A representative sampling event was not collected due to severe weather and rain during none working hours
"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 be
lcnowledg nd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false Inforpnation, inc l ding, 4 possibilit jhf fines and imprisonment for knowing violations."
of Permittee or Delegatfd Authorized Individual
[e-mail]
Email Address
9/9/22
Date
704-887-9450
Phone Number