NCG090023_2021 DMR_20210602

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG090000
Paints, !tarnishes, lacquers, Enamels, and Allied Products
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. NCG090023
Person Collecting Samples: Barry Sparks
Facility Name: Sherwin Williams Statesville
Laboratory Name: Statesville Analytical
Facility County: Iredell
Laboratory Cert. No.:440
Discharge during this period: Q 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 I11)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Farms/SW-DMR ❑✓ Yes ❑ No
Date Uploaded:61212021
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
parameter
Outfall1
Outfall2
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
05/03/2021
05/03/2021
46529
24-Hour Rainfall in inches
.61
.61
C0530
TSS in mg/L (100 or 50*)
53.24
74.7
00400
pH in standard units (6.0-9.0)
6.8
6.8
01027
Cadmium total (as cd) in mg/L (0.002
0005
<.0005
or 0.003**)
01051
Lead, total recoverable (as Pb) in
mg/ L (0.075)
.0037
.0032
C0034
Chromium III, total recoverable (as
0079
Cr) in mg/ L (0.905)
.0092
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
N/A
NIA
NCOIL
Estimated New Motor/Hydraulic Oil
NIA
N/A
Usage in gal/month
* 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
** Outfalls to Trout Waters (Tr) have a benchmark Cadmium limit of 0.002 mg/L. All other water classification have a benchmark of 0.003 mg/L
Notes (optional):
"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 informati including the possibility of fines and imprisonment for knowing violations."
V✓�— 6/2/2021
Signature of Permittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 704-761-2321