NCG140155_MONITORING INFO_20180305

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv C& (VQ IrJ 5
DOC TYPE
❑HISTORICAL FILE
[� MONITORING REPORTS
DOC DATE
❑ a ol �/ o � o s
YYYYMMDD

R
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2017
*Report ALL WASTEWATER monitoring data on this form (include "No FlowT'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 140155
Facility Name: Southern Concrete Materials - Hendersonville
County: Henderson
Phone Number: ( - Total no. of outfalls monitored 1
Certified Laboratory ETS Lab # 600
Lab #
Wastewater (WW) Discharge Outfall No. 1
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year? Yes ❑ No
Outfall No.
Daily Flow Rate,
pH,
TSS,
SS,
Non -Polar O&G (EPA Method 1664
cfs
SU
mgll
mill
(SGT-HEM)), mg/l
1
if opplicable
Standard
Effluent
o QW or ORW
50% of 7Q10
freshwater
6.0-9.0
30
HQW, ORW, SA,
No Limit
Limitations
-
HQW
20
SB,PNA,orany
Trout
Indicate NO FLOW if
saltwater
5
Samples above Benchmark
applicable
DD V
6.p-8.5
HOW I ORW and Tr, or
subject to Tiered Responses
Daily Maximum
PN,
15
10
Date
Sample
t::� t17
�
Collected,
molddl r
3131117
No flow
a Ire may+ �.- A .r
v " L.
6/30/17
No flow
LIAR 0 5 2018
9/18/17
7.8
<5.0
NA
n,ni;� er-r-'rl/lnl
Permit Date 8/112017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG 14 ©0©[�-
CERTIFICATION
"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 are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122,22]
Signature
Date
0-`�
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 811/2017 - 6/30/2022
Last Revised 8-22-2017

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCC3140000
CERTIFICATE OF COVERAGE NO. NCG140155
FACILITY NAME: _Southern Concrete Materials — Hendersonville
PERSON COLLECTING SAMPLES: _Jeff Lamm
CERTIFIED LABORATORY:_ETS Lab f# _600
Rogers and Calcott Lab # _27
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: _2016
SAMPLE QUARTER: ®JUI-Sept ❑Oct -Dec ❑Jan -March []April -June
COUNTY: Henderson
PHONE NO. ( )
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA []Trout ®Other,
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT HEM6
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93.4
3035
53
(15)6
-
-
1
7-5
M D , VE
7.55
30
1.0
<5.0
120
r
r
[1C
1
R
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") 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
[phone]
YOU MUSTSIGN 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 are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of
Permit Date:7/1/2010-06/30/2015
7
(Date)
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL SDO - Semi -Annual MONITORING FORM
� i
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140155
FACILITY NAME: Southern Concrete Materials -Hendersonville
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 Henderson
PHONE NO. ()
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other,
Outfall No.
Date Sample
Collected
{mo/dd/yr OR
NO FLOW) -'Units}
PH
(Standard
TSS
(mg/L)
Event
Duration
{minutes}
Total
Rainfall'
{in}
In Tier 2
Monthly
Monitoring?
(y/n}
# of Months in Tier
2 Sampling'
-
-
6-92
1001.3
-
-
-
9-29-15
8.6
AM
100
1080
2.50
N
NOV 11
QW
' 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/l, except when discharging to ORW, HQW, 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.
-TiVED
2 2015
,L FILES
:ECTiON
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

�•. part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
(Co/doted
PH
{Standard
Units)
TPH using method
1664A SGT HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall ,
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring? .
# of Months
in Tier 2
Sampling2
6-92
152
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 Orhzinal and one copy of this DMR (includine all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample for at end of monitorine 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.
am aware t.t there are gnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
3 -�- I y/.
(Signature f mittee) (Datie)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

:,ii
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG 4 0 sys� p
FACILITY NAME: r
PERSON COLLECTING SAMPLES t
CERTIFIED LABORATORY__ 5 Lab #�
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: -o / RECEIVED
SAMPLING PfRIOQ: ❑ July -December January -June MAR 2 7 2015
COUNTY n [.i4'1, CENTRAL FILES
NO. { j DWR SECTION
ADD TO LISTSERVE? ❑YES O EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total a
Rainfall
(in)
in Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
6_92
1002.3
"3 i
7s
0 3
' 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.
3 TSS benchmark values are 100 mg/l, 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
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
+
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
pH
(Standard
Units)
TPH using method
1664A SGT--HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling'
6-9'
15'
1007.3
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 coov of this DMR (including; all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample for at end of monitorine 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.
am aware that there"re significanj penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per itt ( te)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2