NCG030063_2022 DMR_20221003

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. NCG03 0063
Person Collecting Samples: Jeff Gerlock
Facility Name: Industrial Connections & Solutions LLC
Laboratory Name: Meritech Inc.
Facility County: Orange Laboratory Cert. No.: 165
Discharge during this period: ®✓ Yes No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?
If so, which Tier (I, ll, or III)?
A copy of this DMR has been uploaded electronically via https:[e-mail]/Forms/SW-DMR
Date Uploaded: September2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1
Outfall2
Outfall3
N/A
N/A
46529
C0530
Receiving Stream Class
Date Sample Collected MM/DD/YYYY
24-Hour Rainfall in inches
TSS in mg/L (100 or 50*)
WS-V
8/21/2022
0.62
3
WS-V
8/21/2022
0.62
NS - no flow
WS-V
8/21/2022
0.62
3
00400 pH in standard units (6.0-9.0 FW,
6.8-8.5 SW) 7.07 NS
01119 Copper, total recoverable in mg/L
(0.010 FW, 0.0058 SW) 0.0052 NS
01051 Lead, total recoverable in mg/ L
(0.075 FW, 0.22 SW) <0.010 NS
01094 Zinc, total recoverable in mg/ L (0.126
FW, 0.095 SW) 0.0413 NS
00340 Chemical Oxygen Demand (COD) in
mg/L (120) <15 NS <15 25 44
00552 Non -Polar Oil & Grease in mg/L (15) 1<5
NS <5 <5 <5 * 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
FW (Freshwater) SW (Saltwater)
"Yes IvI No
E] Yes No
6.84
0.00448
<0.010
Outfall 6
WS-V
8/21/2022
0.62
4
7.44
0.00753
<0.010
Outfall 7
WS-V
8/21/2022
0.62
<2,6
7.65
0.00388
<0.010
0.053 10.0507 1 <0.010
"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, Jncluding the/possibility of fines and imprisonment for knowing violations."
4 /
ature of Permittee or
Authorized Individual
D�t�
[e-mail]
Email Address 919-688-6707
Phone Number