NCG030727_2023 DMR_20230424

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 Monitorin Report DMR U load 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. NCG030• a,� Person Collecting Sa pi C' t ,
Facility Name: o. �'
Facility County t r kill,
Laboratory Name: C� b.. r
Laboratory Cert. No.: ?z_9
Discharge during this period: re No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?Bi s Q No
If so,which Tier(I,II,or HI)?
A copy of this DMR has been uploaded electronically via https:J/edocs.deq.nc.gov/Forms/SW-DMR
Date Uploaded:
s ®No
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in :,--.=i'
Parameter
Code Parameter OutranOutfall
Outfall Outfall Outfall
N/A Receiving Stream Class
yG`�i Oa ]C
N/A Date Sample Collected MM/DD/WYY Gq./ 17023 63 /2-7/2023
46529 24-Hour Rainfall in inches 0 , to l d (-t, (
COS30 T55 in mg/L , g
00400 pH in standard units `.3-3.0 Fad°,
01119 Copper,total recoverable in mg/L
DDgai 0. 0ll
01051 Lead,total recoverable in mg/L
01094 Zinc,total recoverable in mg/L
Chemical Oxygen ,O f v j CI O'°S7
00340 Demand(COD)in
mg/L E:.. �
00552 Non-Polar Oil&Grease in mg/L : : , �� A) .
`Outfalls to Outstanding Resource Waters(ORW},High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of:4 All other water classifications have a benchmark of ,,,:l.
r'`,(Freshwater).'L",(Saltwater)
1 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-ill ation,including the p sibility of fines and imprisonment for knowing violations."
Signat3r{e of Permittee or Delega utho ' Individual
Date
Email Address Phone Number