NCG030085_2022 DMR_20221129 (2)

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. NCGO3 0085 Person Collecting Samples:Thomas Gladden/Shield Engineering Inc
Facility Name:Daimler Trucks-Mount Holly Laboratory Name: Pace Analytical
Facility County:Gaston Laboratory Cert. No.:329
Discharge during this period:E Yes ❑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,II,or Ill)? Ill
A copy of this DMR has been uploaded electronically via https://edocs.deo.nc.Aov/Forms/SW-DMR QYes ❑No
Date Uploaded: I l zq/z/71
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 001 Outfall 002 Outfall Outfall Outfall
Code
N/A Receiving Stream Class WS-IV;CA WS-IV;CA
N/A Date Sample Collected MM/DD/YYYY 10/12/2022 .
46529 24-Hour Rainfall in inches 0.22
C0530 TSS in mg/L(100 or 501 100
00400 pH in standard units(6.0—9.0 FW,
7.7
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L 0.014
(0.010 FW,0.0058 SW) _
01051 Lead,total recoverable in mg/L 0.0033
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L(0.126 0.450
FW,0.095 SW) _
00340 Chemical Oxygen Demand(COD)in 290
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15) 11
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TS5 limit of 50 mg/L All other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional):Tier 3 Relief granted(2/2022)for Zn&Cu at both outfalls.Benchmark values exceeded at SOO#001 for Cu,Zn and COD.
"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 e best of my know dge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
fal e i formati ,including the ssi ility r tines and imprisonment for knowing violations."
w i 11/21/z2-
Signature of Permittee or Delegated Aut ized Individual Date
)(Wen.(dopvr(2CiA141/P(--1,,[, ithil 75-(-�SZ2 -71. 3
Email Address Phone Number