HomeMy WebLinkAboutNCG140249 DMR SWSTORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NC6140000
CERTIFICATE OF COVERAGE NO. NCG140249.
FACILITY NAME: Southern Concrete Materials-Hayesville_
PERSON COLLECTING SAMPLES _Rob Lindsey
CERTIFIED LABORATORY ETS Lab # _600
Lab #
OPTIONAL INFO:
Part A: stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: _2015
RECEIVED
SAMPLING PERIOD: ® July -December ❑ January -June b F_C 0 4 2015
COUNTY Clay
PHONE NO. (_) NTRAL FILES
ADD TO LISTSERVE? RYES ❑NO EMAIL: 'NR SECTION
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other
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 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, 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
Page 1 of 2
Date Sample
-�
AnTier2'
Outfall No.
��
Collected _ i
pH
(Standard
k TSS
Event.,
Duration
`Total' .
Rainfall°
Monthly,#
of Months in Tier,
-
(mo/dd/yr OR
f
D mts)
(mg/Lp
(min'utes)
(m)
Monitoring?
2 Sampling2
NCtFLOW )? l
(y/n)
6:.97:
11
11-9-15
8.7
9.2
1 210
0.60
N
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 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, 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
Page 1 of 2
Part is: venicie maintenance Activity monitoring Requirements for facilities using > 55 gal of new motor oil/month - averaged over a calendar year.
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 there ar significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signat r Permittee) ( ate)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2
Date
pH
TPH using method •
TotalSuspended
EEvent
= Total
New'Motor Oil
In.Tier 2
# of Months,,
Outfall
Sample ,
�
m
(Standard.
1664ASGT-HEMS°
Solid`s>
;'
Duration
Rainfall
Usage
Monthly
in1ier2'
'No'Collected
Units) =
(in
(mg/. I;
(minutes) .•
-
(gal/month)
Monitoring?
Samplingz.
4mo/dd/yr11
„(in)
(y/n)
2
6
2-r
23
Fi77
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 there ar significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signat r Permittee) ( ate)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2