NCG140166_MONITORING INFO_20180305

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ loIp D✓ +�v
YYYYMMDD

r�
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year lo
*Report ALL STORMWATER monitoring data on this form (include "No Flow"PNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 140166
Facility Name: Southern Concrete Materials — Grovestone Plant
County: Buncombe
Phone Number: ( 828 253-6421 Total no. of SDOs monitored 1
Certified Laboratory ETA Lab # 600
Lab #
Stormwater Discharge Outfall (SDO) No. 1 VMA Outfall? Yes ❑ No N
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No N
Was this outfall ever in Tier 2 during the past year? Yes ❑ No N
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIvFn
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ MAR a 5 20id
Other ❑ CENTRAL Fil P-,
LJYJj-(
Outfall No.
Total Rainfall,
inches
_
Total
Suspended
Solids TSS ,
( )
1l
pH,
SU
Non -polar O &G
(EPA Method
1664 SGT-HEM ,
( )�
mgll (VMA)
ff applicable
New Motor Oil
Usage (gallmo.)
Happlicable
Stormwater
Benchmarks
frtdlcafe NO FLOW if
applicable
Circle Benchmark
1 O VIJO
6.0-9.0
1 rJ
?55 g allmo. average requires TSS and
Non -polar O&G monitoring
Date Sample
Collected,
molddl r
MMM
06/30/2017
No flow
12/31/2017
No flow
Permit Date 81112017 — 6/30/2022
Last Revised 8-22-2015

jri
.l _ Certificate of Coverage No. NCG 14 ®/C7®©
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 §922.22]
Signature
Date
Mail Annual Summary Stormwater 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 8/1/2017 - 6/30/2022
Last Revised 8-22-2015

r..; STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140166 SAMPLE COLLECTION YEAR: _2016
FACILITY NAME: Southern Concrete Materials -Grove Stone SAMPLING PERIOD: ❑ July -December ® January -June
PERSON COLLECTING SAMPLES _Jeff Lamm
CERTIFIED LABORATORY ETS Lab #
b#
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
COUNTY Buncombe
PHONE NO. ( ) V n
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: []SA❑HQW ❑PNA ❑Trout ®Other
Event Total In Tier 2
Out#all No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW
PH
(Standard
Units)
TSS
(mg/L)
Duration
(minutes)
Rainfall"
(in)
Monthly
Monitoring?
n
# of Months in Tier
2 Sam. pling2
-
-
6_92
1002,3
1
No Flow
N/A
N/A
N/A
N/A
N/A
N/A
N/A
JUL
NTRA Fil
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/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
4 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)l
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?
(y/n)
# of Months
in Tier 2
Sampling z
6-92
152
1001"
-
-
-
-
-
N/A
N/A
N/A
N/A
N/A
N/A
N/A
HAS YOUR FACILITY MAD 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 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.
am aware that there are significpni penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
7/6/2016
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140166
FACILITY NAME: Southern Concrete Material s-Grovestone_
PERSON COLLECTING SAMPLES _Eddie Teague
CERTIFIED LABORATORY ET5 Lab # _60Q
Lab #
OPTIONAL INFO:
Part A: 5tormwater 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
Collected
(mo/dd/yr OR
NO FLOW) -'[minutes}
PH
(Standard
Units}
TSS
(mg/L)
Event
Duration
Total E
Rainfall
(in]
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingx
-
-
6_92
1002•51
1
No Flow
-
-
x
'(AL FILES
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.
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
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.
_
OGii=alt'
No.
Date Sample
Collected
(mo/dd/yr)1
pH
(Standard
Units}
TPH using method
I854A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall 4
{' }
New Motor Oil
Usage
{& l/month)
In Tier 2
Monthly
Monitoring?
{y/n)
# of Months
in Tier z
Sampling'
6-9x
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 Original and one coov of this DMR f including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for 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.
am aware that there ar significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
� l �
(Signat r Permittee) (Da
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
Z
CERTIFICATE OF COVERAGE o. NCG14Q L k
FACILITY NAME: 44 d-4T n Ls 1
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #-
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
RECEIVED
SAMPLE COLLECTION YEAR: J1 JUL11,
SAMPLING P RIOD: ❑ July -December January -June
COUNTY _ia n t ��, i CENTRAL FILES
PHONE NO. ( ] CWR SECTION
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout Other
Outfall No.
Date Sample
Collected
OR
(ma/dd/yr 1
NO FLOW}
pH
{Standard
Units)
T55
(mg/L)
Event
Duration
(minutes)
Total
Rainfall o
(in)
in Tier 2
Monthly
�
Monitoring.
(y/n)
# of Months in Tier
2 Sampling2
-
-
6-92
1O02.3
-
-
-
-
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, 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.
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.
f:
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
Monthly
Monitoring?
(Y/n)
#t of Months
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 Original and one coov of this DMR (includinR all "No Flow" & "No Discharge" reoorts) 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 thay#ere ark.4nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(te)
Permit Date:7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2