NCG030503_2023 DMR)_20240103

NCDEQ Division of Energy,Mineral and Land Resources
Storm water Discharge Monitoring Report(DMR) Form for NCC030000
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. NCG03030503 Person Collecting Samples:Beverly Welch
Facility Name:Keystone Powdered Metal Company TRM Laboratory Name:
Facility County:Iredell Laboratory Cert. No.:
Discharge during this period:0 Yes No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?OYes No
If so,which Tier(1, II,or III)?
A copy of this DMR has been uploaded electronically via h_ttps://edocs.deg.nc.goy/Forms/SW-DMR E]Yes No
Date Uploaded:1/3/2024
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Outfall Outfall 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(100 or 50*)
00400 pH in standard units(6.0—9.0 FW,
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L
(0.010 FW,0.0058 SW)
01051 Lead,total recoverable in mg/L
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L(0.126
FW,0.095 SW)
00340 Chemical Oxygen Demand(COD)in
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15)
*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):No qualifying flow occured during normal business hours.
"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 for _ including he possibility o fines and ip6prisonment for knowing violations."
ure of Per a or Delegated Authorized Individual Dat
Email Address Phone Number