NCG140140_2023 DMR_20230718 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMR) Form for NCG140000
Ready-Mixed Concrete
Ciicy nere for instructions
Como'ete. sign. scan and submit the DMR via the Stormwater NPDES Permit Data Monitor•ng Report(DMR1 Upload form with,'
• 30 days of receiving sampling results Mail the or•ginai,signed hard copy of the DMR to the appropriate DEMLR Regional Office
Mailed .n DMRs must contain an original wet signature Electronic signatures Wi;i not be accepted for mailed in DMRs This a
requirement anti the permittee has registered for eDMR for reporting.
Certificate of Coverage No. NCG140140 Person Collecting Samples •
Facility Name: Williams Ready Mix products Inc Laboratory Name Waypoint Analytical LLC
Facility County' Union Laboratory Cert. No • 402
Discharge during this period Q Yes ❑ No (if no. skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances?❑Yes Q No
If so,wnich Tier(I,II, or III)?
A copy of this DMR has been uploaded electronically via nttps:/tedocs ceo nc.Rov/Forms/SW-DMR Q Yes ❑ No
Date Up oaded � (ro/y3
Part A:Analytical Monitoring Requirements for Outfalls with Industrial Activities—Effluent Limits in(Red)
Parameter Parameter Outfall - Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Gass WS-III
N/A Date Sample Collected MM/DD/YYYv ' 06,2012023 --
2220 Daily Flow Rate in cfs( f,of 7Q10 0�0006
for HQW/ORW)
C0530 TSS in mg/'.(30,20,or i0') 3.5
0OS45 Settleable Solids in HOW,ORW,SA.
• SB,Tr&PNA t5 ml/Lp O
00400 pH in standard units(6 0-9.0 9.50
freshwater,6.8-8.5 saltwater)
Non-Polar Oil&Grease in mg/L(N/A.
00552 but samples above 15 require tiered <5 8
responses)
Outfalis to Outstanding Resource Waters(011W',..nigh Quality Waters iFiQW)have a T55 limit of`ti r',r.L,outfalls to Trout Water' ilri and
Primary Nursery Areas(PNAI have a TSS limit of . ,.All other water classifications have a benchmark of 'i)nK
Notes)optional) Daily flow estimated based or water usage WiIlimas REady Mix Products inc is in the process of erimiatinq This discharge
I certify by my signature below, under penalty of law,that this document and all attachments were prepared under my direction or
s.:pervision in accordance with a system deigned to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inqu•ry of the person or persons who manage the system,o-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 air
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
Know.rg violations_"
7-18-2023
Signature of Permittee or Delegated Authorized Individual Date