NCG030675_2023 DMR_20240102

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 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. NCGO3 0675 Person Collecting Samples: Brandon Patrick
Facility Name:American Emergency Vehicles REV Laboratory Name:Water Quality Lab&Operation,INC
Facility County:ASHE Laboratory Cert. No.: 544
Discharge during this period:E✓ Yes In No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes In No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR Yes In No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Upstream' Outfall Downstream Outfall Outfall Outfall
Code
N/A Receiving Stream Class C+ C+
N/A Date Sample Collected MM/DD/YYYY 11/21/2023 11/21/2023
46529 24-Hour Rainfall in inches 0.95" 0.95"
C0530 TSS in mg/L(100 or 50*) 6 22
00400 pH in standard units(6.0—9.0 FW, 7.72 8.06
6.8-8.5 SW) -
01119 Copper,total recoverable in mg/L <0.01 <0.01
(0.010 FW,0.0058 SW)
01051 Lead,total recoverable in mg/L <0.01 <0.01
(0.075 FW,0.22 SW)
Zinc,total recoverable in mg/L(0.126
01094 FW,0.095 SW) 0.046 0.047
00340 Chemical Oxygen Demand(COD)in <20 <20
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15) <5 <5
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),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
Fw(Freshwater)SW(Saltwater)
Notes(optional):
"I certify by my signature below,under penalty of law,t this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified p sonnel properl gather and evaluate the information submitted.Based on my
inquiry of the person or persons who manage the system,or th se pers irectly responsible for gathering the information,the information
submitted is,to e bes of my knowledge and belief,true,accu t nd complete.I am aware that there are significant penalties for submitting
false informatio incl ing th po ibility of fines and impriso ent for knowing violations."
I � 2✓ Z
Signat o P rm ee ele a Autho i ivid I Date
Jeff. reye a v.c m 336-977-9021
Em II dress Phone Number