NCG030085_2022 DMR_20230112

NCDEQ Division of Energy,Mineral and Land Resources
Stormwater 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(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:NA
Facility Name:Daimler Truck-Mount Holly Laboratory Name:NA
Facility County:Gaston Laboratory Cert.No.:NA
Discharge during this period:❑Yes El No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes Q No
If so,which Tier(I,II,or III)?
A copy of this DMR has ben uploaded electronically via https://edocs.deq.nc.gov/forms/SW-DMR Dyes ❑No
Date Uploaded: I! i 7.. z3
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 NQE
46529 24-Hour Rainfall in inches
CO530 TSS in mg/L(100 or 501
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)
01051 Lead,total recoverable in mg/L
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L(0.126
FW,0.095 SW)
00340 Chemical Oxygen Demand(COD)in
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15)
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of SO mg/L.All other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional):NQE during this period(12/2022).SDO 002 is on a quarterly sampling schedule(last sampled on 11/2022).
"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 it a system design •assu - at qualified personnel properly gather and evaluate the information submitted.Based on my
inquiry of th erson or pers s who •.nage t e system,or those persons directly responsible for gathering the information,the Information
submitted i o the best o my know d: an. belief,true,accu • -,•nd complete.I am aware that there are significant penalties for submitting
Iseynorm ion,• cludi g the po ibi • • d i • onment for knowing violations."
Signature of Permittee or De egated Aut •r' e Individual Date
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Email Address ' Phone Number