NCG030696_2023 DMR_20230512

NCDEQ Division of Energy,Mineral and Land Resources
orin Repo (DMR) Form for NCG030000
Stormwater Discharge Monit g
Metal Fabrication
Click here for instructions of DMR U load form within
Monitorin
Re Tonal Office.
Complete,sign,scan and submit the DMR via the Stormwater NPDES Perm
thetDMR to the a ro nate DEMLR Re
30 days of receiving sampling results. Mail the original,signed hard copy
Certificate of Coverage No.NCG030696
Samples:Hatchell Jackson
Facility Name:EDSCO Fasteners LLC Person
Laboratory Name:Collecting SGS
Facility
Cert. No.: 573
County:Cabarrus
Discharge during this period: Yes No (if no,skip to signature and date) NO
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances. Yes
If so,which Tier(I, II,or III)? 0 Yes No
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc-Rov/Forms/SW-DMR
Date Uploaded: 4/30/2023
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in(Red)
IParameter Parameter Outfall 001 Outfall 002 Outfall 003 Outfall 004 Outfall
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYY
46529 24-Hour Rainfall in inches
C0530 TSS in mg/L(100 or 50')
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(HQvy) Trout
have a benchmark TSS limit of 50 mg/L.All other water classifications have a bench Waters(Tr)and Primary Nurser mark of l00 rhg/L Y Areas(plyA)
Fw(Freshwater)SW(Saltwater)
Ee
otes(optional): No Discharge
rtify by my signature below,under penalty of law,that this document and all attachments veer
accordance with a system designed to assure that qualified personnel proper) e
and Prepared under
Y gather
inquiry of the person or persons who manage the system,or those persons direresponsible
evaluate theder Illy dire
submitted is,to the best of my knowledge and belief,true,accurate,and comp)eteY I em awa le for on ihe�on submitted on ordsupervl n
Base MY
sion i
false informal includingthe possibilityof fines and imprisonment for knowing violations."a that there are sign f°amaPion,the edinf On l
es for submi
Sign ure of Permittee or Delegated Authorized Individual tting
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4/2g/2023
[e-mail] Dat�— _
Email Address 7p4.323-8630
Phone Number