NCG030717_Monitoring Report_20220311

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030�
Metal Fabrication you^a'�c
Click here for instructions PsagG L �o? V
e ai
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report load form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DVf& Regional Office.
Certificate of Coverage No. NCGO3 0717
Person Collecting Samples: Magdaline Tzannis/Shield Englneering,lnc.
Facility Name: Jim Myers and Sons, Inc.
Laboratory Name: Pace Analytical
Facility County: Mecklenburg
Laboratory Cent No.: 329
Discharge during this period:
J+j
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, ll, or III)? Tier II
A copy of this DMR has been uploaded electronically via httos://edocs.deg.nc.aov/Forms/SW-DMR Yes No
Date Uploaded: j Zon
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter.
Parameter
Outliall001
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Gass
WS-V; B
N/A
Date Sample Collected MM/DD/YYYY
2/7/2022
46529
24-Hour Rainfall in inches
0.46
C0530
TSS in mg/L (100 or 50*)
99
RE
00400
pH in standard units (6.0 —9.0 FW,
6.5
D
3resville Regi
nal Office
6.8-8.5 SW)
01119
Copper, total recoverable in mg/L
0.025
MAR 11
�22
(0.010 FW, 0.0058 SW)
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<0.010
01094
Zinc, total recoverable in mg/ L (0,126
0.062
I
Ublic Water $
ipply
FW, 0.095 SW)
Chemical Oxygen Demand (COD) in
00340
mg/L(120)
<20
_
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0
* 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): SDO 001: excesdance in Copper for February 2022 sampling event.
"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."
of Permittee or Delegated Authorized Individual
DFI.EETWboD@ 3M5F0UIPA1E1VT•CdM
Email Address
ill3/q/Zo2i
Date
74LI 79A-g391
Phone Number

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,lnc.
Facility Name: Jim Myers and Sons, Inc.
Laboratory Name: Pace Analytical
Facility County: Mecklenburg
Laboratory Cert. No.: 329
Discharge during this period:U
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)? Tier II
A copy of this DMR has been uploaded electronically via https•//edocs deg nc pov/Forms/SW-DMR Yes No
Date Uploaded: 3/11un
Anahrtical Monitorine Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall Doi
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
WS-V; B
N/A
Date Sample Collected MM/DD/YYYY
2/7/2022
46529
24-Hour Rainfall in inches
0.46
C0530
TSS in mg/L(100 or50')
99
pH in standard units (6.0-9.0 FW,
6.5
00400
6.8-8.5 SW)
Copper, total recoverable in mg/L
RECEIVED
01119
(0.010 FW, 0.0058 SW)
0.025
Lead, total recoverable in mg/L
01051
0.075 FW, 0.22 SW)
<0.010
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.09S SW
0,062
Chemical Oxygen Demand (COD) in
<20
CDEQ
00340
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
<5.0
• Outfalls to Outstanding Resource Waters (OR", High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas IPIVA)
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): SDO 001: exceedance in Copper for February 2022 sampling event.
"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, Inclydingthe possibility of fines and imprisonment for knowing violations."
of Permittee or Delegated Authorized Individual
DFLEETIi @ 3M5EQUIPAEi1(T. WAI
Email Address
03/9/Zozi
Date
704-719-9383
Phone Number