NCG030677_2022 DMR_20230215

NCDEQ Division of Energy, Mineral and Land Resources
Stoernwater Discharge Monitoring Report (MMR) Form for NCGO30000
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 0677 Person Collecting Samples:Jeff Garlock
Facility Name:Southeastern Tool and Die Laboratory Name! Meritech
Facility County: Moore Laboratory Cert.No.: 165
Discharge during this period: -Yes El No (if no,skip to signature and dote)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?El Yes ✓l No
If so,which Tier(I, Il;•or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR El Yes No
Date Uploaded:Jan 2023
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 1 -3-2022
46529 24-Hour Rainfall in inches 0.03 -__--
00530 TS5 in mg/L(100 or 501) 5 --
pH in standard'units(6.0—9.0 FW,
00400 7.86
6.8-8.5 SW) • 1
• r Copper,total,r..ecoverable In mg/L
01119 (0.010 FW,11.0058 SW)•
0.005
01051"`% Lead,total recoverable in mg/L• • 0.0012
(0.075 FW,;..22 SW)
01094 Zinc,total recoverable in mg/L(0.126 0.074
FW,0.095 SW)
• Chemical Oxygen Demand(COD)In
00340. mg/L(120) 38
00552 Non-Polar Oil&Grease in mg/L(15) <5
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 5'0 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
fals• information,including the i'issibilityof fin and imprisonment for flowing violations."
AMA
ature of Permittee or Deleg 'ed Aut orize Individual Date
/ [e-mail] 910-944-7677
Email Address Phone Number