NCG140309 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140309
FACILITY NAME: Southern Concrete Materials -Pond Road_
PERSON COLLECTING SAMPLES _Eddie Teague
CERTIFIED LABORATORY ETS Lab # 600
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Buncombe
PHONE NO. ( )
ADD TO LISTSERVE? [—]YES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other,
'Outfall No._
Date Sample 'I
Collected
mo/dd r OR
( /Y
NO FLOW) 1
pH
(Standard
Units)
TSS .
(mg/L)
Event
Duration :',.
(minutes)
Total
Rainfall°
(in)
. In Tier 2
Monthly
Y 7
Monitoring.
(Y/n)
# of Months in Tier
2 Sampling i
6-92
1002,3
1
9-29-15
8.1
64
1140
2.10
N
�� r
OV 0 2 2015
GENTRAL
D
FILES
R SECTION
1 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.
z 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.
s TSS benchmark values are 100 mg/I; except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/l.
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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Part ts: vemcie maintenance Activity monitoring Kequirements for tacmties using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
Date S ample
pH
r�
TPH using -Method,
Total Suspended, "
}
Event
3
Total "
a
New Motor Oil
In Tier: 2
Monthly
# of Months
=
No
Collected
(Standard
1664ArSGT.--HEM
Solids
Duration,
Rainfall _
Usage
Monitoring?
in,Tier 2 .
1
(mo/dd/yr)
Units)
(mg/E) ..
(tng/L)
(minutes) ..
(in),
(gal/month)
Samplmgz
a
3
. ;
6-92
15z: .. n .
1002,3 ' ,_
-
-.
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
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 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 the;Z significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
% j
(Signat re Permittee) (D te)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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