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HomeMy WebLinkAboutNCG140459_2022 DMR_20220928 (2)NCDEQ Division of Energy, Mineral and Land Resources Stormwater Discharge Monitoring Report (DMR) Form for NCG140000 Ready -Mixed 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. Mailed in DMRs must contain an original wet signature. Electronic signatures will not be accepted for mailed in DMRs. This is a requirement until the permittee has registered for eDMR for reporting. Certificate of Coverage No. NCG140459 Person Collecting Samples: Facility Name: Stevenson -Weir, Inc Laboratory Name: Facility County: Cabarras Laboratory Cert. No.: Discharge during this period: ❑ Yes ❑■ No (if no, skip to signature and date) Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes M No If so, which Tier (I, 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: Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red) Parameter Parameter Outfall Outfall Outfall Outfall Outfall Code N/A Receiving Stream Class N/A Date Sample Collected MM/DD/YYYY 46529 24-Hour Rainfall in inches C0530 TSS in mg/L (100 or 50") 00400 PH in standard units (6.0-9.0 FW, 6.8- 8.5 SW) Non -Polar Oil & Grease in 00552 mg/L (15) for drainage areas that use > 55 gal/mo of new hydraulic oil on average Estimated New Motor/Hydraulic Oil NCOIL Usage in gal/month • 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. 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 information, including the possibility of fines and imprisonment for Signature of Permittee or Delegated Authorized Individual