NCG140375 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NCG14 0 �3 7
FACILITY NAME: Concrete Service Co. Plant No. 3
PERSON COLLECTING SAMPLES Winnie Jenkins
CERTIFIED LABORATORY Pace Analytical Lab # 12
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
SAMPLING PERIOD: 0 July -December ® January -June
COUNTY Cumberland
PHONE NO. ( 910 ) 323-9198
ADD TO LISTSERVE? AYES QNO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA OTrout
®Otherc;NSW
Date Sample
Collected
Outfall No.
(mo/dd/yr OR
NO FLOW)1
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly # of Months in Tier
2
Monitoring? 2 Sampling
(y/n)
- -
6-92
1002'3
Potential No Discharge
No Discharg
No Discharge
No Discharge
No Discharge
No Discharge No Discharge
Outfall 001
' 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, 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
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F
Part R- Vehirla Maintenance Ortivity Monitorine Renuirements for facilities usine > 55 eal of new motor oil/month — averaeed over a calendar vear.
Outfall
No.
pH TPH using method Total Suspended
Date Sample
(Standard 1664A SGT -HEM Solids
Collected
(mo/dd/yr)1 Units) (mg/L) (mg/L)
6-92 152 1002'3
Event Total New Motor Oil In Tier 2 # of Months
a Monthly
Duration Rainfall Usage in Tier 2
Monitoring? 2
(minutes) (in) (gal/month) (y/n) Sampling
- - - - -
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO x0
HAVE YOU CONTACTED THE REGION? , YES ❑ NO ❑x
REGIONAL OFFICE CONTACT NAME: 'Paul E. Rawls, Fayetteville Regional Office
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring 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 pen It f law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that lified p sonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those pers n dire I esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, -true, accurate, and complete -1
am aw r h t th e r ignificant penalties for submitting false information, including the possibility
o fines and imprisonment for knowing violations."
(Signa ure of Per i ee) (Date)
Permit Date: 7/1/2011-60/30/2015 \ Last Revised 7/13/11
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