NCG030729_DMR_20240918

NC Department of
Environmental Quality
Recelved
NCDEQ Division of Energy, Mineral and Land Resources SFP 18 2024
Stormwater Discharge Monitoring Report(DMR) Form for NCG030000
Metal Fabrication Winston-Salem
Click here for instructions Regional 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 appropriate DEMLR Regional Office.
Certificate of Coverage No.NCG03 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: 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 LjNo
If so,which Tier(l,11,or 111)? III
A copy of this DMR has been uploaded electronically via httos://edocs.deg.nc.gov/Forms/SW-DMR EjYes LjNo
Date Uploaded:9/12/2024
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall001 Outfall002 Outfall Outfall Outfall
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DO/YYYY
46529 24-Hour Rainfall in Inches
C0530 TSS in mg/L(100 or 5001
00400 PH in standard units(6.0-9.0 FW,
6.8-8.5 SM
01119 Copper,total recoverable in mg/L
(0.010 FW,0.0059 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):This DMR is for outfall 001 only for the month of August Outfall 002 is quarterly.
"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 forgathering 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."
z I11111
5 nature of Permittee or Delegated Authorized Individual Date
[e-mail] 919-761-0277
Email Address Phone Number