NCG030729_DMR_20240411

NC Department of
Environmental Quality
Received
NCDEQ Division of Energy, Mineral and Land Resources APR 1 1 2024
Stormwater Discharge Monitoring Report(DMR) Form for NCG030000 Winston-Salem
Metal Fabrication Regional Office
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 0729 Person Collecting Samples: Scott Linthacum
Facility Name:PowerSecure Manufacturing, Inc.-PowerFab Laboratory Name: Pace Analytical
Facility County: Randolph Laboratory Cert. No.: 99006001,99030001,460025,381
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?❑✓ Yes fi No
If so,which Tier(I, II,or III)? II(now In liar III es of these results)
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR l Yes Q No
Date Uploaded:4/8/2024
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 001 Outfall 002 Outfall Outfall Outfall
Code
N/A Receiving Stream Class WS-IV,CA
N/A Date Sample Collected MM/DD/YYYY 3/6/2024
46529 24-Hour Rainfall in inches 0.3
C0530 TSS in mg/L(100 or 50*) 34.0
00400 pH in standard units(6.0-9.0 FW, 7.1
6.8-8.5 SW)
Copper,total recoverable in mg/L
01119 0.045
(0.010 FW,0.0058 SW)
Lead,total recoverable in mg/L
01051 (0.075 FW,0.22 SW) ND
Zinc,total recoverable in mg/L(0.126
01094 FW,0.095 SW) 0.24
00340 Chemical Oxygen Demand(COD)in 28.3
mg/L(120)
00552 Non-Polar Oil&Grease in mg/L(15) ND
*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): DMR only for Outfall 001 (Outfall 002 is still on quarterly monitoring,while Outfall 001 is on monthly monitoring)
"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 p sibility of ihesid impriso ment for knowing violations."
Y/10/aC"?
Sig ture of Permittee or Delegated Authorized Individual Date
[e-mail] 919-761-0277
Email Address Phone Number

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/O/3/0/7/-,�/C.j/
Facility Name: f o✓er'$eCvtr'e Amu-Cot' AtAr,h) T11c•. -- rovverFot b
County: 6 4,,1/ ff Phone No. 91 )- 6.30 -)-2-q-(
Inspector: .7,*- I-iIl"�nA C IA^'1
Date of Inspection: ?/6/_0-Li
Time of Inspection: /;3o 'eh
Total Event Precipitation(inches): 0. 3 o
All permits require qualitative monitoring to be performed during a"measurable storm event."
1
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature,I certify that this report is accurate complete to the best of my knowledge:
(Signat e of Permittee or Designee)
1. Outfall Description:
Outfall No. 00 j Structure(pipe, ditch,etc.): p i N t'
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: /14 e.fiv.1 Tot h r,ccirtki l.'
p;P A'i) Laser Pi is, weld"li abr�,c;\, blo.siFmy , epyle csPI)
Page 1 of 2
SWU-242,Last modified 06/01/2018