NCG030033_DMR_20240408

NC Department of
Environmental Quality
NCDEQ Division of Energy,Mineral and Land Resous Received
Stormwater Discharge Monitoring Report(DMR)Form for NC c8(8 2024
Metal Fabrication
Click here for instructions Winston-Salem
RPginnal Office
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 givropriate I:)!_MLR He gi nal.,Officc.
Certificate of Coverage No.NCGO3 0033 Person Collecting Samples:Parker Alvis
Facility Name:lsomtetrics Plant#1 Laboratory Name: Pace Analytical Laboratories
Facility County: Rockingham Laboratory Cert.No.:633
Discharge during this period:El Yes El No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?p Yes El No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https j/edocs.dcsoc,,goyfp.rmsiWd7MF2 El Yes ®No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter
Code Parameter Outfall 001 Outfall 002 Outfall Outfall Outfall
N/A Receiving Stream Class C C
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(HOW),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)
I Notes(optional):No flow for month of March,2024.
"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."
/ as t 24
Signature `. �'� .//� oZa
g e mittee or Delegated Authorized Individual Date
[e-mail] 336-349-2329
Email Address Phone Number