NCG200335_2023 DMR_20231230

NCDEQ Division of Energy, Mineral and Land Resources
i _ t s;; _ r' a u200000
(,_. MetiAl
Complete,sign,scan and submit the DMR via the nrmwater NPDES Permit Data Monitorine Report(DMR)Upload for. within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the
Certificate of Coverage No. NCG20 0335 Person Collecting Samples: Belinda Jarboe
Facility Name:Raleigh Metals Laboratory Name:
Facility County:Wake Laboratory Cert. No.:
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?❑Yes ❑d No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via _ ❑✓ Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in
Parameter Parameter Outfall Outfall Clutfall Outfall 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
00340 Chemical Oxygen Demand
00552 Non-Polar Oil&Grease in mg/L
01119 Copper,total recoverable in mg/L
01051 Lead,total recoverable(as Pb)in
mg/L
C0034 Zinc,total recoverable in mg/L
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil
Usage in gal/month
Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of .All other water classifications have a benchmark of
(Freshwater) (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."
1471,ed 11/30/2023 _
S' ature of Pe ee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 336-420-4853