NCG030708_2023 DMR_20240108

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 0708 Person Collecting Samples: Jeff Gerlock
Facility Name:Environmental Air Systems Laboratory Name: Pace Analytical
Facility County: Guilford Laboratory Cert. No.: 37706
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 El 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 p✓ Yes El No
Date Uploaded: Jan 2024
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall OF-1 Outfall Outfall Outfall Outfall
Code _
N/A Receiving Stream Class WS-IV
N/A Date Sample Collected MM/DD/YYYY 12/10/23
46529 24-Hour Rainfall in inches 3.1
C0530 TSS in mg/L(100 or 50*) 18
00400 pH in standard units(6.0-9.0 FW, li 27
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L
(0.010 FW,0.0058 SW) 0.0027
01051 Lead,total recoverable in mg/L
(0.075 FW,0.22 SW) 0.0010
01094 Zinc,total recoverable in mg/L(0.126 0.0311
FW,0.095 SW)
00340 Chemical Oxygen Demand(COD)in 26.4
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15) 4.8
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
(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
gtthe p—ossibility of fines and imprisonment for knowing violations."
f.244.Signature of Permittee or Delegated Authorized Individual Date
[e-mail] 336-890-6126
Email Address Phone Number