NCG030208_2023 DMR_20230504

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 Stormwdtei NPDES Permit Data Monitoring Reourt(DMR)Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regional 011rce.
Certificate of Coverage No. NCGO3 0208 Person Collecting Samples: Richard Harmon-Harmon Environmental,PA
Facility Name:McGee Corporation Laboratory Name: Waypoint Analytical,LLC
Facility County: Union Laboratory Cert. No.:402
Discharge during this period: Yes No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?ElYes Q No
If so,which Tier(I, II,or III)? .a r uosa m
A copy of this DMR has been uploaded electronically via https goy/forms/SW DMR I1Yes No
Date Uploaded: 5 f y1 Z
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in(Red)
Parameter Parameter Outfall 02 Outfall Outfall Outfall Outfall
N/A Receiving Stream Class No Flow
N/A Date Sample Collected MM/DD/YYYY No Flow
46529 24-Hour Rainfall in inches No Flow
C0530 TSS in mg/L(100 or 50') No Flow
00400 pH in standard units(6.0-9.0 Fw. No Flow
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L
(0.010 FW,0,0058 SW) No Flow
01051 Lead,total recoverable in mg/L No Flow
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L 2t' No Flow
FW,0-095 Sw)
00340 Chemical Oxygen Demand(COD)in No Flow
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L No Flow
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of . All other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional): No Flow J
"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 desired 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 is mation,including the possibility of fines and imprisonment for knowing violations."
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Signat r of Permittee or Delegated Authorized Individual Date
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Email Address Phone Number