NCG190050_2022 DMR_20221005

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG190000
Marinas and Shipbuilding
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. NCG19 pond
Person Collecting Samples: vjd DG ems'
Facility Name: U,S. Co f�7- Gr4?q,0 SFv fT iJcvN
Laboratory Name:
Facility County: �� Ei ET
Laboratory Cert. No.: #- /2 #yp
Discharge during this period:
Yes 0
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ElYes []No
If so, which Tier (I, II, or III)? % /�/� /
A copy of this DMR has been uploaded electronically via httpsj/edocs.deg.nc.gov/Forms/SW-DMR El Yes nNo
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities - Benchmarks in (Red)
Parameter
Parameter
Outfali
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
dg /9pr�
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
So ppr,
NCOIL
Estimated New Motor/Hydraulic Oil
GyL
usage in gal/month
a?5
00340
Chemical Oxygen Demand in mg/L (120)
00400
pH in standard units (6.0 - 9.0 FW, 6.8-
,7 -7
8.5 SW)
01105
Aluminum, total recoverable in mg/ L
(0.75 FW, 0.24 SW)
01119
Copper, total recoverable in mg/L
3 9GMC
(0.010 FW, 0.006 SW)
• L
01051
Lead, total recoverable (as Pb) in mg/ L
(0.075 FW, 0.22 SW)
.:22
01094
Zinc, total recoverable in mg/L (0.126
FW, 0.095 SW)
MGAL
Additional parameters for outf ails in drainage areas that use >S5 gallons per month of new hydraulic oil on average
00552
1 Non -Polar Oil & Grease in mg/L (15)
Nth ':�JS
*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)
Notes (optional): j/E�Z / //Lu��,.,li,+-,. �p;, .�.�•C, !'ircri,,/GtG d,YY6F,�. (�Fjyr9,�
"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 personne' 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 know edge and belief, true, accurate, and complete 1 am aware that there are significant penalties for submitting
false information, including the possibility of fines and imprisonment for knowing vFo ations."
QZ
Si store of Permit orb uthorized Individual Date
Email Address Phone Number