NCG030715_2022 DMR_20221007

NCDEQ Division of Energy,Mineral and Land Resources
StL. -rnwater Discharge Monitoring Report(DMR) Form for NCG030000
Metal Fabrication
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Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report IDMR)Upload form within
30 days of receiving sam pling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. i JCG03 0715 Person Collecting Samples: Michael Kilpatrick(Pace)
Facility Name:Greenheck Fan Corporation -AP Laboratory Name: Pace Analytical Services, LLC
Facility County: Clevelan i Laboratory Cert. No.: 329
Discharge during this pen id El Yes D No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?Cl Yes No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR EJ Yes ❑No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class Class C
N/A Date Sample Collected MM/DD/YYYY 9/10/2022
46529 24-Hour Rainfall in inches 0.64
C0530 TSS in mg/L i i QO or 50*) 13
00400 pH in standard units(6.0—9 C'FW, 6.6
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L 0.0044
(0.010 FW,C '05ESVt/)
01051 Lead,total recoverable in mg/L <0.0020
(0.075FW,c -ISW)
01094 Zinc,total recoverable in mg/L(0.126 0.200
FW,0.095 S1"';
00340 Chemical Oxygen Demand(COD)in 26
mg/L(120) _
00552 Non-Polar Oil&Grease in mg/L(1J1 <5.0
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of SL mg/L.All other water classifications have a benchmark of 100 mg/L
(Freshwater)SW(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 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 in ion,including the possibility of fines and imprisonment for knowing violations."
Signature r el ted Authorized Individual Date
[e-mail] 715.841.8366
Email Address Phone Number