NCG140434_MONITORING INFO_20180226

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& 14 0434.
DOC TYPE
❑HISTORICAL FILE
PP%,pAONITORING REPORTS
DOC DATE
p lotp DZ 4(/
YYYYM M DD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT(DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year. 2017
*Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 140434
Facility Name: Southern Concrete Materials — Ranger Plant
County: may Ch e aj `r e, e-
Phone Number: ( 828) 253-6421 Total no. of SDOs monitored 1
Certified Laboratory ETA Lab # 600
Lab #
Stormwater Discharge Outfall (SDO) No. 1 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Permit Date 8/112017 — 6/30/2022
Last Revised 5-22-2015

J I Certificate of Coverage No. NCG14 01Y❑41
CERTIFICATION
"I certify, 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."
[Required 6y 40 CFR § 122.22]
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
1
f
CERTIFICATE OF COVERAGE NO. NCG140434
GENERAL PERMIT NO. NCG140000
FACILITY NAME: Southern Concrete Materials -Murphy_
PERSON COLLECTING SAMPLES —Rob Lindsey
CERTIFIED LABORATORY ETS Lab # _600
Lab #
OPTIONAL INFO: _
Part A. Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Cherokee
PHONE NO. ( 1
ADD TO LISTSERVE? []YES❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other
Event Total In Tier 2
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
PH
Units}
TS5
(mg/L)
(minutes}
a
(in}
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
-
6-9z
1002,3
-
-
-
-
1
11-9-15
8.8
21
210
0.50
N
r
rI
r r A '1i
DE
l'
rV L J
to AL FILE
p '
e
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall, r
NO.
„Ib ,te Sample I
Collected
(mo/dd/yrj'
PH
{Standard
Units).
TPH using method
1664A'SGT-HEM
(mg/L}.
Total Suspended
'Solids
(mg/L}
Event
Duration,
(minutes]
Total
Rainfall a .
(in)
New Motor Oil
.,. • .
:Usage
(gal/month)
In Tier 2
Monthly:
Monitoring?
(y/n� .
# of Months,
-in Tier 2
Sampling'
6-91
152
1002 3
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copv of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitorine period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
" I certify, 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.
am aware that there are signifjcant. penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
ate}
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFli!ATE OF COVERAGE NO. NCG14 �l J
FACILITY NAME: t 31, c +`e
PERSON COLLECTING SAMPLES rd C c 14
CERTIFIED LABORATORY S 'r S Lab '# b ��
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: �- Q /.7
SAMPLING PERIOD: ❑ July -December 121 January -June
COUNTY
PHONE NO. (]
ADD TO LISTSERVE? EYES F4NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
ma/dd/yr OR
NO FLOW)'
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
In Tier 2
Monthly
�
Monitoring.
(y/n)
# of Months in Tier
2 Sampling2
-
-
6-92
1002.1
_
-
-
-
6
o
IF
CENTRAL
FILETS
uvv ��-'•;Ti�lV
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
c' "
=WTMM
L
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
No/dd/yr)1
PH
(Standard
Units)
TPH using method
1664A 5GT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling'
6-9'
15'
1002,3
s
L
/3
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR fincludine all "No Flow" & "No Discharee" reDorts) within 30 days of receipt of sample for at end of monitorine period
in case of "No Flow") to:
Division -of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, 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.
am aware that ere are signif' ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
j3
(Signature o e ttee) ( ate)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2