NCG190103_2023 DMR_20230612

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG190000
Marinas and Shipbuilding
Click here for instructions
j Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR)Upload form within I
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.NCG19 /�1 ; Person CollectingSam Ies: 11 q�.,t )
g V P 1L�1Q.�C`1 QIJI�� 1
Facility Name: NO3uxuaetsiltaaboratory Name:8A one
Facility Coun t-C- _ _--! laboratory Cert. No.:r �O
W.
Discharge during this period:El Yes ❑No (if no,skip to signature and date) _j
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?0 Yes 'No
If so,which Tier(I,II,or III)?
A copy of this DMR has been uploaded electronically via httpsigedocs.deq.nc.gov/Forms/SW-DMR 04 Yes ❑ No I
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities-Benchmarks in(Red)
Parameter iParamater Outfall tiffs Otttfal 1 Outtall I OutfaN
Cede I
N/A i Receiving Stream Class
N/A I Date Sample Collected MM/OD/YYYY la i
46529 124-Hour Rainfall in inches in �_._ ___ . _ ._ __
C0530 ISS in mg/l(100 or 50*)
i t
00552 I Non-Polar Oil&Grease in mg/L(15) <
(�
00340 I Chemical Oxygen Demand in mg/l(120) 23•6 i ____ f l
00400 ; pH in standard units(6.0—9.0)
i Aluminum,total recoverable in mg/L '
r 01105 ! .
(0.75 FW,0.24 SW)
Chromium III,total recoverable in mg/L
01027 I at certain facilities" (0.905 FW,none • 0 12
i SW) -+- -
µ t Chromium VI,total recoverable in mg/L '
C0034 , at certain facilities**(0.016 FW,1.1 000 (2•
SW)
0 01042 , Copper,total recoverable in mg/t. • 0
i (0.010 FW,0.006 SW) _..__ __�_ _
01051 I Lead,total recoverable(as Pb)In mg/L oI1C i
+
(0.075 FW,0.22 SW) V+-� '
Nickel,total recoverable in mg/L(0.335 2 I i
C0034 FW,0.074 SW) O 1J — I
__ - - T
01092 i Zinc,total recoverable in mg/L(0.126
Estimated New Motor/Hydraulic Oil 05.S I
NCOIL -Usage in gal/month
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 mg/l
"Only required for Ship and Boat Building and Repairing(SIC 3731 facilities that perform metal fabrication in areas that could potentially be
exposed to stormwater
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
false information,including the possibility of fines and imprisonment for knowing violations."
._ _ _-_ D aft+ _ J — ,-202�
Signature of Permittee or Delegated Authorized Individual ate
Email Address Phone Number