NCG030085_2022 DMR_20220929

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 Monitorin Report (DMR) Upload for 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. NCG03 0085
person Collecting Samples: NA
Facility Name: Daimler Trucks -Mount Holly
Laboratory Name: NA
Facility County: Gaston
Laboratory Cert. No.: NA
Discharge during this period: Yes r 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, 11, or 111)?
A copy of this DMR has been uploaded electronically via htt s: edocs.de .nc. ov Forms SW-DMR ElYes N❑
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
outfall Dot
Outfall002
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
W5-IV; CA
W5-IV; CA
N/A
Date Sample Collected MM/DD/YYYY
NQE
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)
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 5W)
Chemical' Oxygen Demand (COD) in
00340
m /L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
' Outfalls to Outstanding Resource Waters (0RW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of Si] mi!/L. All other water classifications have a benchmark of 100 mg/L
FW (freshwater) 5w (Saltwater)
Notes (optional): NQE during this period (812022). 5DO 002 is on a quarterly sampling schedule.
"I certify by my signature below, under penaltyof 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 rson or perso anage the system, or those persons directly responsible forgathering the information, the information
submitted is,ttolthe hest o y know le a an belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false inform ti n, includ' g the possibility o es and imprisonment for knowing violations."
Signature of Permittee or Delegated 1;hl' ed I dlviduaI Date
0 704 0
Email Address Phone Number