NCG030717_Monitoring Report_20220202

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for
Metal Fabrication
Click here for instructions
% C
O
Complete, sign, scan and submit the DMR via the Stormwater NPOES Permit Data Monitoring Report (DMR) Uo7q f 0 yi4hin l
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR I��pnal Office.
I
Certificate of Coverage No. NCG03 0717
Person Collecting Samples: NA
Facility Name: Jim Myers and Sons, Inc.
Laboratory Name: NA
Facility County: Mecklenburg
Laboratory Cert. No.: NA
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? Lj Yes U No
If so, which Tier (1, II, or III)?
A copy of this DMR has been uploaded electronically via https:/Iedocs.deci.nc.gov/Forms/SW-DMR QYes No
Date Uploaded: t 31 nl-z_
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
NQE
46529
24-Hour Rainfall In inches
C0530
TSSin mg/L(100or50•)
pH in standard units (6.0-9.0 FW,
00400
6.8-B.5 SW)
Copper, total recoverable in mg/L
01119
0.010 FW, 0.0058 SW)
Lead, total recoverable in mg/ L
OSO51
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
m L(120)
00552
Non -Polar Oil &Grease In mg/L (15)
' outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trait 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): NQE during this period (4th Quarter 2021).
"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 jncluding the possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
1 /31 /2022
Date
704-554-8397 ext 1502
Phone Number

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for N1CG030000
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitorir
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the
M m
Cu
o M
L\D C
v
Ir1�
Certificate of Coverage No. NCG03 0717
Person Collecting Samples: NA
Facility Name: Jim Myers and Sons, Inc.
Laboratory Name: NA
Facility County: Mecklenburg
Laboratory Cert. No.: NA
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 exceedances7 Yes No
If so, which Tier (I, Il, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes No
Date Uploaded: (31 202.2_
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
NQE
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L 1100or 50•)
pH in standard units (6.0-9.0 FW,
00400
6.8.8.5 SW)
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
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): NQE during this period 4th Quarter 2021).
"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 Informatio"cluding the possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
[e-mail]
Email Address
1/31/2022
Date
704-554-8397 ext1502
Phone Number