NCG030717_2021 DMR_20210422

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. NCG03 0717
Person Collecting Samples: Magdaline Tzannis /Shield Engineering, Inc.
Facility Name: Jim Myers and Sons, Inc.
Laboratory Name: Pace Analytical Services, LLC
Facility County: Mecklenburg
Laboratory Cert. No.: 329
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 ❑ No
If so, which Tier (I, II, or III)? 1
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ❑✓ Yes ❑ No
Date Uploaded: LI /Z2 hoZl
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall001
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS-V; B
N/A
Date Sample Collected MM/DD/YYYY
01/25/2021
46529
24-Hour Rainfall in inches
0.6
C0530
TSS in mg/L (100 or 50*)
76
00400
pH in standard units (6.0-9.0)
6.1
01119
Copper, total recoverable in mg/L
0.056
(0.010)
01051
Lead, total recoverable in mg/ L
<0.010
(0.075)
01094
Zinc, total recoverable in mg/ L
0.32
0.126
78141
Total Toxic Organics (TTO) in mg/L(1)
0.768
(if required)
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in al/month
NA
NA
* 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
Notes (optional): Exceedance of Copper and Zinc at SDO #001.
"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."
4/22/2021
of Permittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 704-544-8397 ext 1502