NCG030373_2022 DMR_20221105

•
NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCGU30000
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. NCG030373 Person Collecting Samples: WAYNE NAYLOR
Facility Name: MILLER CONTROL & MFG.CO. INC. Laboratory Name: MICROBAC LABORATORIES. INC
Facility County: SAMPSON Laboratory Cert. No.: 11 .
Discharge during this period:0 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?QYes D No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https:jJedocs.deg.nc.gov/Forms/SW-DMR El Yes O No
Date Uploaded: 11/05/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in (Red)
Parameter iParameter Outfall I Outfall Outfall Outfall OutfaN
Code
N/A Receiving Stream Class iC;SW
N/A Date Sample Collected MM/DD/YYYY 09/30/2022
46529 24-Hour Rainfall in inches 2.1
C0530 TSS in mg/L(100 or 501 4.0
U0400 pH in standard units (6.0— 9.0 FW, 6.79
6.8-8.5 SW) •
Copper, total recoverable in mg/L
01119 0.00416
(0.010 FW, 0.0058 SW)
Lead total recoverable in mg/L `
01051 0.00100
(0.075 FW, 0.22 SW)
01094 Zinc, total recoverable in mg/ L (0.126 0.0468
FW, 0.095 SW) , •
00340 Chemical Oxygen Demand (COD) in 25 4
mg/L(120) _ _�
00552 j Non-Polar Oil & Grease in mg/L (15) j4.78
• 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 mgJL
F\V (Freshwater) '.'.' (Saltwater)
Notes (optional): __
"1 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, includingthe possibility of fines and imprisonment for knowing violations."
t'D !"
10/05/2022
of Pmit ee or D egated Authorized Individual Date
Signature r g
[e-mail] 910-592-5112
Email Address Phone Number