NCG030707_2022 DMR_20230106

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-
resources/npdes-stormwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/o /3/0/7/o/1 /
Facility Name: A/e.1 Son (.7 I 01,4 1 — C 4-41ec v;11 e , A/C_
County: �-rr-k k nn Phone No. 1 tI 3— ;3 S
Inspector: 0, LLC.r9 +`c
Date of Inspection: 1 f a a/ 3
Time of Inspection: \\ no A M
Total Event Precipitation(inches):
...........................................................................................................................................................................
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event"is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. I Structure(pipe, ditch, etc.): P P.
Receiving Stream:
cov(4-1, CreeK
Describe the industrial activities that occur within the outfall drainage area: Me-.4-o. I ov\
'-or ,/'€J c.AN 4-0 I-etz / SL- -y Gc/4-oA,D1--'K. a ekti,S1- SVSfev► .5.
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SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red,brown, blue, etc.)and tint
(light,medium, dark)as descriptors: L;51. )/e.1 l o+..
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, etc.): /Vo O '$
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating solids:
O' 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes No.
8. Is there an oil sheen in the stormwater discharge? QYes /V No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes Ar No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe A/DA _. Qk,Serl..eQ
Note: Low clarity, high solids, and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

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Semi-Annual Facility Inspection Form
Stormwater Pollution Prevention Plan
Tube Specialties Company, Inc. - Statesville Plant
Name of Inspector: Date/Time:d
1� 'G A1.41,� ' d/l3/;;o;r�
Signature:
pAA
Instructions: On at least a semiannual basis,visually inspect all sources exposed to
stormwater for evidence of potential stormwater pollution. Status
Items to Inspect Yes No Action Needed?
Are areas inspected free of accumulations of trash,debris,or scrap 7r454, '1 ? c aec
materials? x c-sx,A9 �� � T
Are areas inspected free of evidence of previously spilled/released
chemical or petroleum products? K
Are areas inspected free of accumulations of dust,particulates,etc. on
outdoor surfaces that might contribute to stormwater contamination?
Are areas inspected free of evidence of past or current leaks from outdoor
machinery,equipment,or vehicles?
Are stormwater catch basins and drains free of debris that might prevent
stormwater drainage?Do any drain inserts need to be installed to prevent
debris from reaching the outfall?
Does any maintenance(i.e.erosion control,brush control)need to be
conducted at the stormwater outfall? �C
Are dumpsters,waste roll-offs,and any empty containers stored outdoors
properly maintained?
Are forklifts and other process equipment stored outside of the facility c .er5 Itz2,9
covered to prevent potential stormwater contamination? X Ord oi9 (aril S4S c4
rhSc ne=3 1- r5
Are areas inspected free of erosion that may contribute to stormwater
contamination?
Are appropriate and adequate spill response tools and materials kept S p't% r e 9
readily available? X re.Ple,n S►.(.
NOTES:

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. NCG0301 O1 Person Collecting Samples:
Facility Name: Net San & to(x i •5},cl ,.:►►e, AiL. Laboratory Name: 5}-}e-St.M I e AAR I y
Facility County:I/eget I Laboratory Cert. No.: 3?7SS
Discharge during this period: 1�, Yes No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?fYes 1E3 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 ®Yes No
Date Uploaded: /(o/ 9O.a3
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 1 Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class C
N/A Date Sample Collected MM/DD/YYYY )a/aa/a a
46529 24-Hour Rainfall in inches 1
C0530 TSS in mg/L(100 or 50*) 10
00400 pH in standard units(6.0-9.0 FW,
6.8-8.5 SW) '�
01119 Copper,total recoverable in mg/L
(0.010 FW,0.0058 SW) a.o3
Lead,total recoverable in mg/L
01051 (0.075 FW,0.22 SW) O.�)a
Zinc,total recoverable in mg/L(0.126
01094 FW,0.095 SW) O.O4i
00340 Chemical Oxygen Demand(COD)in
mg/L(120) a ,
00552 Non-Polar Oil&Grease in mg/L(15) 1
* 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):
"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,including the possibility of fines and imprisonment for knowing violations."
I ‘,/ ava3
Signature of Permittee or Delegated Authorized Individual Date
(`;c1.G4. (`‘.. nH-.e.k. Sion ) Cos, (7c(3)333—OCA6
Email Address Phone Number

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