NCG030503_2023 DMR_20230404

N0DEQ Division pf Energy, Mineral and Land Resources
5tVrmwater Discharge INIsnitorimg Report (0111WR) Form for 0CGO38Q00
Metal Fabrication
Click here forinstructinns
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DIVIR) Upload form within
3U days ofreceiving sampling results. Mail the original,signed hard copy of the DIVIR to the appropriate DEMLR Re�ional Office.
Certificate of Coverage No. N[G03030503 ' Person Collecting Samples:Beverly Welch
Facility Name:Keystone Powdered Metal Company Troutman Laboratory Name:N/A
Facility County:|redeU LoboratnryCert. No.:N/A
Discharge during this period:FlYes E1No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceeclances?n Yes 0Nu
|f so,which Tier(1, U,orU|)?
A copy of this DMR has been uploaded electronically via https:Vedoo.deqocp-ov/Forms/SW-DkxR 0Yes No
Date Uploaded:
Analytical Monitoring Requirements for Clutfalls with Industrial Activities—Benchmarks in(Red)
Parameter
Parameter OutfaU OutfaU ClutfaU OutfaU Outfa||
Code
N/A Receiving Stream Class
N/A Date Sample Collected yNK4/OD/YYYY
46529 Z4'Mour Rainfall ininches
C0530 TSSinmg/L(zOOor5O*)
00400
pMin standard units(60—g.UFxv
'
a0-3.5 SW)
01119 Copper,total recoverable inmQ/L
<0.010pW,0.00585mn
01051
Lead.total eco,emb�in mg/i
(O.075FW,8.235VV)
01094
Zinc total recoxe,recoverable 'in mg/L(Q I26
FxV,V.Og55wV)
Chemical Oxygen Demand(COD)in
--�- mg/L(12Q)
00552 Non-Polar Oil&Grease inm8/L(1s)
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters pN and Primary Nursery Areas(pmA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 mg/L
pxx(Freshwmte,)svv(ualtwatv,)
Notes(optional):No qualifying flow occurred during business hours during the sampling period.
"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 knmw|ed d b lief,true,accurate,and complete,I am aware that there am significant pena|Uesfor suhm}�inQ
false imprisonment for knowing vio|mions."
VX/o�
STg—n-ature of Pe,44 or DileQatedAuthorized Individual Date
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