NCG030130_2023 DMR_20240117 (2)

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 0130 Person Collecting Samples:NA
Facility Name:Daimler Truck NA-Gastonia NC Laboratory Name:NA
Facility County: Gaston Laboratory Cert. No.:NA
Discharge during this period:❑Yes Q No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes Q No
If so,which Tier(I, II,or III)?Tier I and Tier II
A copy of this DMR hps been uploaded electronically via https://edocs.deq.nc.Rov/Forms/SW-DMR 12 Yes ❑No
Date Uploaded: (- i2—Ltf
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 002 Outfall 003 Outfall Outfall Outfall
Code
N/A Receiving Stream Class C C
N/A Date Sample Collected MM/DD/YYYY NQE `NQE
46529 24-Hour Rainfall in inches
i C0530 TSS in mg/L I100 or 50")
00400 pH in standard units(6.0-9.0 FW,
5.8-8.5 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
0.095 SW)
00340 Chemical Oxygen Demand(COD)in
mg/L(120)
00552 I Non-Polar Oil&Grease in mg/L 1
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)SW(Saltwater)
Notes(optional): 4Q2023: NQE for SDO#002 and#003(12/2023),SDO#001 was sampled on 11/21/2023.
"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 informa ' ,in luding the possibility of fines and imprisonment for knowing violations." /
422
Sign ure of Permittee or Delegated Authorized Individual Dat !
5 CEDi :SC beCr t n C4 d,a tot Conn 70 J'6, •S76 o
Email Address Phone Number