NCG140077_COMPLETE FILE - HISTORICAL_20100614

STORMWATER DIVISION CODING SHEET -
RESCISSIONS
PERMIT NO.
DOC TYPE
Nta- I � 00 � n
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ aoI Lo� ly
YYYYMMDD

FKWIFAA
NCDENR
DISCHARGE OUTFALL MONITORING REPORT
GENERAL PERMIT NCG140000
(Alt sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage
\__NCG1d D❑
Facility Name
flA [ HA rQG 7sf, 0
County
A �ff_
Phone Number
q 1 - 7So - 5'a O
Certified Laboratory #
�
Person Collecting Sampie(s)
�A 1/U W166
Collectors Signature
W
Sample Information
Permit Term
Year
Year StxVEnd Dates
Place check mark to indicate
applicabie sa ling period
Discharge Type (check as appropriate
Stormw ter Wastewater
I
August 1, 2009 to .lulu 31. 2010
9
❑
❑
IV ❑
❑ ❑ _
❑ ❑ Q
2
August 1, 2010 to June 30. 2011
Other
Part A. Stormwater Discharge Monitoring Data (For stormwa[er not combined with process wastewater)
Storm Event Characteristics
Date
Total Event Precipitation (inches)
Event Duration (hours)
x-
Stormwater Discharge Monitoring
Outfall
Date Sample
Total Flow
Total Event
Event Duration
pH
Total
No.
Collected
Precipitation
Suspended
Solids
(molddl r)
(MG)
(inches)
(ho
(Std. Units)
(me/1)
�Ilf
Does this facility perfo Vehicle Maintenance Activities using
oil per mouth? ❑ Yes �No on average more than 55 gallons of new motor
If yes, complete information below.
Stormwater Discharge'Nlonitoring from Vehicle Maintenance Areas
Outfall
No.
Date Sample
Collected
(mo/dd/yr)
Total blow
(MG)
Total Event
Precipitation
(inches)
Event
Duration
(hours)
New
Motor Oil
Usage
(al/mo)
pH
(Std. Units)
Total
Suspended
Solids
(m )
Oil and
Grease
(mgA)
SWU-241-080109 Page lof 2

Part B: Process wastewater discharge monitoring data
Sample #
Effluent Source(s) for this sample. ,/
Vehicle / E ui ment Cleanin ❑
Raw Material Stock -pile Wettin ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/l
Settleable Solids
ml/1
Sample #
Effluent Source(s) for this sample_
Vehicle / Equipment Cleaning
❑
Raw Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
-Recycle System Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/l
Settleable Solids
MI/1
Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sample #
Effluent Source(s) for this sample I/
Vehicle / Equipment Cleaning ❑
Raw Material Stock -pile Wetting j ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr '
.
Total Flow '
MG.
`.
Event Duration
hours
PH
Std. units
TSS
MO
Settleable Solids
mul
Sample #
Effluent Source(s) for this sample
4
Vehicle / Equipment Cleaning
❑
Raw Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
"A
"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."
�911; ljU N
(Print Name of Permittee or Designee)
r A� �_q-a��/l�
�ti
(Sign,4'tLre of Pern ittee or Designee) (Date)
Sul}-241-080109 Page 2 of 2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: Documenrs.htm##niiscfnrms
Permit No.: NICI G I J or Certificate of Coverage No.: VIC/00 / -41,010 I7l,7l
Facility [Name: z"" - / o
County: GV9.c Phone No. -Y-f 74v—/ s zo
Inspector: srrv-ter
Date of inspection:
Time of Inspection: /a A•
Total Event Precipitation (inches): �T
Was this a Representative Storrn Event? (See information below) 12 Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures Qreater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, f certify that this report is accurate and domplete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. �_ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: /4
2. Color: Describe the color of the
(light, medium, dark) as descriptors: _
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that th di
chlorine odor, etc.): /1
Page i of 2
may have (i.e., smells strongly of oil, weak
S)VU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes No .
10. Other Obvious Indicators of Stormwater Po6fion:
List and describe
Note: Low clarity, high solids -and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
sWU 242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: _Docurnenrs.hzm #miscform
Permit No.: N/C/aj_) I /v 1,
Facility Name:
Countv:1u
Inspector: wgyo� .w
Date of Inspection: S -/'
Time of Inspection: -
Total Event Precipitation (inches)
010/ or Certificate of Coverage No.: v/C/G/-/ 1 ,4Z1 b10/ 1/ r7/
rL -ht 2 - a o -
tW6
4
Phone No. 9/R - '74o - " s 2-0
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring must be perfonned during a representative
storm event (requirements vary).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 coggecutive hours of no precipitation.
By this
(Signature of P/rmittee or Designee)
accur complete to the best of my knowledge:
1. Outfall Description:- /
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
basic colors (red, brown, blue; etc.) and tint
3. Odor: Describe any distinct Bodo the ischarge ma�have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ���.��z m.�u c] r'ids�
Page 3 of 2
S WU-242-112609

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 ' 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
O 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
(D 2 3 4 5
7. Is there any foam in the stormwater discharge?
Yes No
S. Is there an oil sheen in the stormwater discharge?
Yes No
9. Is there evidence of erosion or deposition at the
Yes
outfall?
10. Other Obvious indicators of Stormwater Pollf*hon:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242-1 12608

A
71RU TEST
Page 1 of 1
Laboratory Report
Lab L6c6fron R' Lab Z000h6n 'C' lob Location 'W
NC/WW Cert.#: 067 NC/DW Cert.#: 37731 NCIWW Cert.#: 103 NCIDW Cert.#: 37733 NC/VVW Cert.#: 075 NCIDW Cert.#: 37721
6701 Conference Dr, Raleigh, NC 27607 6300 Ramada Or, Suite C2, Clemmons, NC 27012 6624 Gordon Rd, Unit G, Wilmington, NC 28411
Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone] Ph: [phone] Fax: [phone]
Project No.:
Project ID: SW - PLANT 1 HARGETT STREET
--- Prepared for ---
JOHN WILSON
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH, NC 27611
Report Date: 5/25/2010
Date Received: 5/19/2010
Work Order #: 1005-01269
Cust. Code: RE1520
Cust. P.O.#:
No. Sample ID Date Sampled Time Sampled Matrix Sample Type Condition
001 HARGETT ST, OUTFALL 001 5/19/2010 5:10 SW Grab 4 +1- 2 deg C
Test Performed
Method
Results
Lab Loc DaZedTime Qualifier
Total Suspended Solids
SM 2540D
57.0 mg/L
R 5/21/10 8:35
No. Sample ID
002 HARGETT ST. OUTFALL 002
Date Sampled
5/19/2010
Time Sampled Matrix
5:30 SW
Sample Type Condition
Grab 4 +I- 2 deg C
Test Performed
Method
Results
--- -- - --- zed --------
Lab Loc aI� Time Qualifier
Total Suspended Solids
SM 2540D
22.0 mg/L
R 5/21/10 8:35
Reviewed by:
for Tritest, Inc.

0
7T U -rE ST
6701 Conference Drive, Raleigh, NC 27607
ph: [phone] fax: [phone]
NCWW Cert # 67, NCDW Cert # 37731
Chain of Custody [ /Standar Tritest
Report Delivery
❑ Rush Report Delivery (w/ surcharge)
Note: Rush projects are subject to prior approval by Lab
Page 1 of 1
RequestedDueDate:
Report Results To:
Bill Results To:
I
IIIIIIII
IIIlllillll
IIIIII
IIIIIIIIIIIIIIIIII
I
READY MIXED CONCRETE CO:
READY MIXED CONCRETE CO.
P.O. BOX 27326
P.O. BOX 27326
RALEIGH, NC 27611
RALEIGH, NC 27611
Project Reference:
SW - PLANT / HARGETT STREE
Project Number:
Attn: JOHN WILSON
Phone: [phone] Fax: [phone]
Attn: JOHN WILSON
Purchase Order#:
Sampled By:
i"D
Sample Description
Composite
Start Date
Stop Date
Matrix
or Grab
Start Time
Stop Time
WW,DW,
Analyses Requested
Y q
Sm #
p
5W, GW etc.
HARGETT ST. OUTFALL 001
G
— -J 4 - zo J o
-Z„j a
SW
Total Suspended Solids
001
HARGETT ST. OUTFALL 002
G
s : tq zvlo
;;--1 u-za 10
SW
Total Suspended Solids
002
Re t )
ece' by (sig Lure)
Date
Time
For Lab Use Only:
Temperatue at receipt:
l ' quished by (signature)
signature)
Date
Time
[] 4+2 C
❑ Temp: C
Relinquished by (signature
Received by (signature)
Date
Time

�G3oTEST
SAMPLE
PRESERVATION CHECK -IN SHEET
WO#:
Checked in by:
Date:
4
Time:
Temp:
Route:
CD TT PU
I 5M
FEDX I
GC
UPS
Sample
No.
Analysis Requested
Sample
Type
Comp/
Grab
Container
Chlorine
c
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
r
CrGPos
1 e
one
'HCL
H2SO4
HNO3
NaOH
Thio
OTHER
Pos I n
Non
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Fos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
I-12SO4
HNO3
NaOH
Thio
OTHER
C / G
P 1 G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
I-I2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
I-I2SO4
I-IN03
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
I-I2SO4
HNO3
NaOH
Thio
OTHER
COMMENTS:

Beverly Eaves Perdue
Governor
A I
HCDEH P
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
February 12, 2010
JC:I I ICJ VV QI ICIJ
Ready Mixed Concrete
PO Box 27326 abject- Rescission of NPDES General-Peiiiiit
Raleigh, NC 27611 Certificate of Coverage Number -NCG 140077
Ready Mixed Concrete - Ready Mixed Concrete-I-largett S
Dee Freeman
Secretary
On 5/31/2009, the Division of Water Quality received your request to rescind you coverage under Certificate of Coverage
Number NCG 140077. In accordance with your request, Certificate of Coverage Number NCG140077 is rescinded
effective immediately. 4
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters of the State
without valid coverage under an NPDES permit will subject the responsible party to a civil penalty of up to $25,000 per
day. It is the intention of DWQ that enforcement proceedings will occur for persons that have voluntarily relinquished
permit coverage when, ill fact, continuing permit coverage was necessary. If, in retrospect, you feel the site still requires
permit coverage, you should notify this office immediately, Furthermore, if in the future you wish to again discharge to
the State's surface waters, you must first apply for and receive a new NPDES permit.
If the facility is in the process of being sold, you will be performing a public service if VOL] would inform the new or
prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Sarah Youn` at (919) $07-6303, or the Water Quality staff in our
Raleigh Regional Office at 919-791-4200.
Sincerely,
�+' Coleen 1-I. SUilitl5
cc. Raleigh Regional Office
Stormwater Permitting Unit
DWQ Central Files - Wattachnnents
Fran McPherson, DWQ Budget Office
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 9IM07-63001 FAX: 91M07-6494 l Customer Service: 1-877-623-6748
Internet: www,ncwaterquality.org
One
NortllCarolina
An Equal Opportunity 4 Affirmative Action Employer

4. Clarity: Choose the number which best describes the clari o6hC)di' harms, ArA-1 z c�a
�
and 5 is very cloudy: o o z—
0
0
00
0
0 -0
3.
�-� 0 Cr) m .A
1 2 3_ 4 0 0 0
rn
0
Cn
0
w
0
N"
0
N
0 0
_
W O N yO
O]
(0
N
W
N
� W
p to X W M--i W M �,
5. Floating Solids: Choose the number which best describes &e Xmr�ankof flgatin-ojds3n 31
stormwater discharge, where I is no solids and 5 is the surface cov&dgit r fI` tin soli: c-)
E
_
o 'a Cn y O
Cf! 3—CDD Cn
C-)
0
CJJ
ti C O
' 2 3 4 a5 CD ((DD a m �.
0 n C� 3
Mtn
c
A CD 3 3 n
6. Suspended Solids: Choose the number which best describm tl& an`�rloint of&usp`�ndq
0
s)ii�s
0
lt1
the stormwater discharge, where 1 is no solids and 5 is extremely moldy:
m 3 —
.Dr
5
1 2 —14 5 u' a
i>
L.
.�
�
(o m p
ET
a?
CD
R
�:
=
n
O
w
7. is there any foam in the stormwater discharge? Yes .o
�O :3"O
^
..
v
S.
Xs there an oil sheen in the stormwater discharge?
Yes
�To r
m
➢ ➢ �n
y-
`a
m
a
➢
a
➢
➢
c
➢
c.
a
a
Q
S
a
S
a
C
a
C
a
9.
Is there evidence of erosion or deposition at the outfall?
Yes`,
No
O
3
CD
M Cn Ln
0)
0
M
M
0
O
i W W
N -
OO
Ln
O
W
6
CD
W
O
N
4h.
00
10.
Other Obvious Indicators of Starmwater Pollution:
CD
(0 to CD
co
0
(0
rD
(0
0
List and t 1 C'� i��L�,r t tom' Z
� X 1'
�y t{ a (C C
�
j
11
Z
o
z
0
�describe
1 11t L Si 1 SL;i y i�r 1l'C-
t0 _3^`
.{,
G nnz>`_
�-
--- — -
-6
3
a
a
m
v
m�
<
n�
Q �m
@�Cn
m
c----
-- to W
-I—X
(D
0
0
cfl
cn
m c m ;
m a s m
D
b
„
y
Q. S2' ° O
m
p
G)
Note: Low clarity, high solids, and/or the presence of foam, oil shnmorgro9on/dposon
tg
m
3
l
O
indicative of pollutant exposure. These conditions warrant furtker kv@stiga on. @
n
a.
ry O Cr CD
Q m 0 i7 m'
Q
at
v
v
A
n
O 0 W a c
rn
Cn CD
CL�
W
m
n
(D
A
CD a
mZrm
3
w
m
m � y
Q p
CL
CD
CD
a
CD
a
N
0 0
A
CD
CD
d
5i,
CL c'
Q.
a
C a
Page 2 of 2
S WU-242-112608
n
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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this fonn, please visit: http://h2o,erir.state.nc,us/su/Forms Doc uments.htmttmiscforms
Permit No.. N/C/ C)1�1 1 �� 1 L�l 1 '1 or Certificate of Coverage No.: NICIGI_I_I
Facility Name: C-
County: L 6C4 C C c_.j�Lbe-_ _Phone No.
Inspector: C'.C',. lnf�_,
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): _ _\ t C,
Was this a Representative Storm Event? (See information below) M Yes ❑. No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signat e of Permit e or Designee) `� f
1. utfall Des 'ption: ~ J/
Outfall No. Structure (pipe, ditch, etc.) t 13C�
Receiving Stream: ij -T -in- _! i-'j c"Tc- (.i��1C
Describe the industrial activities that.occur within the outfall drainage area: � � n � U
2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strong]), of oil, weak
chlorine odor, etc.):
Page 1 of 2
5 wU-242.13 2609
A
Y .

1
F WA7E
oa° 9°� Permit Rescission Request Form
q Cert� to of Coverage umber
a National Pollutant Discharge Elimination System NCG140077
General Permit NCG140000
Please fill out and return this form only if you no longer need to maintain your NPDES stormwater permit.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information. -
Owner Affiliation Information * Rescission Correspondence will be mailed to the owner address
Owner / Organization Name: Ready Mixed Concrete,
Owner Contact: �� �a /Y Cuncn cc5n
Mailing Address: PO Box 27326
Raleigh, NC 27611
Phone Number: . 919-790-1520 Ext. -
Fax Number: 919-790-1512
E-mail address:
Facility/Permit Contact Information
Facility Name: Ready Mixed Concrete -Hargett S
Facility Physical Address: 613 W Hargett St
Raleigh, NC 27609
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Reason for rescission request (This is required information. Attach separate sheet if necessary):
A
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCG140077 under NPDES
Stormwater General Permit NCG140000 for the subject facility. I am familiar with the information contained in this
request and to the best of my knowledge and belief such information is true, complete and accurate.
Signature
! ,f
JO�rr� es dyC ��Crt ,
Print or type.name of person signing above
Date
kt 1p'
Title
Please return this completed rescission request form to: -SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617