NCG030469_2023 DMR_20230814

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
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Complete,sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Upload 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. NCG030469 Person Collecting Samples:JUSTIN WILLIAMS
Facility Name:JCI - TARBORO Laboratory Name:MICROBAC
Facility County:EDGECOMBE Laboratory Cert. No.:K3G0202
Discharge during this period:jYes El No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?D Yes No
If so,which Tier(I, II,or Ill)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR 0 Yes ©No
Date Uploaded:8/14/2023
Analytical Monitoring Requirements for Outfalls with Industrial Activities--Benchmarks in (Red)
Parameter 1
Code Parameter Outfall 1 Outfall Outfall Outfall Outfall
N/A Receiving Stream Class WS-IV
N/A Date Sample Collected MM/DD/YYYY 07/14/2023
46529 24-Hour Rainfall in inches .10
C0530 TSS in mg/L(100 or 50*) 8.24
00400 pH in standard units(6.0—9.0 FW, 7 65
6,8-8.5 SW)
03119 Copper,total recoverable in mg/L <0.00800
(0.010 FW,0.0058 SW)
Lead,total recoverable in mg/L
01051 (0.075 FW,0.22 SW) <0.0160
Zinc,total recoverable in mg/L(0.126
01094 FW,0.095 SW) 0.0393
00340 Chemical Oxygen Demand(COD)in <20.0
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15) <4.83
* 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/I
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 possibility of fines and imprisonment for knowing violations." /��///
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Signature of ermittee or D ated Authorized Individual Date
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Email Address Phone Number