NCG140266_2022 DMR_20220411 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMR) Form for NCG140000
Ready -Mix Concrete
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. NCG140266
Person Collecting Samples: S nTerra, Zach Garlick
Facility Name: Thomas Concrete of Carolina — Morrisville Plant
Laboratory Name: Pace Analytical
Facility County:Wake
Laboratory Cert. No.: ENV 375
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? ❑ Yes ❑✓ No
If so, which Tier (l, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ✓❑ Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Effluent Limits in (Red)
Parameter
Parameter
Outfall002
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
QNSW
N/A
Date Sample Collected MM/DD/YYYY
N/A
Daily Flow Rate in cfs (50% of 7Q10
82220
for HOW/ORW)
C0530
TSS in mg/L (30, 20, or 10*)
pH in standard units (6.0-9.0
00400
freshwater, 6.8-8.5 saltwater)
Settleable Solids in HQW, ORW, SA,
OCS45
SB, Tr & PNA (5 mL/L)
Non -Polar Oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
responses)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW) have a TSS limit of 20 mg/L, outfalls to Trout Waters (Tr) and
Primary Nursery Areas (PNA) have a TSS limit of 10 mg/L. All other water classifications have a benchmark of 30 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 informatioVncluding the possibilituf fiiPes iid imprisonment for knowing violations."
Signature f Permittee or Delegated AuPforized Individual
Email Ad ress [e-mail]
Date
Phone Number 919-832-0451