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HomeMy WebLinkAboutNCG140210_MONITORING INFO_20190509STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO /V �� ly o a) DOC TYPE ❑HISTORICAL FILE L�.MONITORING REPORTS DOC DATE ❑ � � � _I D 5 0 YYYYMMDD PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company_- HAW RIVER Pit # 609 1 QTR r� �.0 Ong — State 0 Copy — State 0 Copy — Plant 0 Copy - File SAMPLE COLLECTION YEAR 2019 SAMPLE QUARTER ®Jan -March ❑April -June ❑Jul -Sept []Oct -Dec PERSON COLLECTING SAMPLES No Flow 1 COUNTY ALAMANCE t/E CERTIFIED LABORATORY Pace Analytical Lab #633 �� 1 ONE NO (336) 226-1181 MAY 0 9 201 ADD TO LISTSERVE? ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES [:]NO ® DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW PartA Wastewater Monitoring Requirements CEN i ?SAL F IL1 OPTIONAL INFO 1:3WR SECT 101N Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE RM MD) 2 pH (standard) } Total Suspended Solids (ni Settleable Solids (mL/L) Non -Polar Oil & Grease using method 1664SGT-HEM s (ni Discharge Duration (minutes} Total Flaw , (gallons/day} - - 6 934 3035 53 (15)6 1 2/21/19 VE RM MD 78 46 N/A N A 90 N/A Discharge was result of rain event - SW comingles with Process Water '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 'Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE) Raw Material Stockpiles (RM) Mixing Drum Cleanout (MD) Reportmore than one type if the waste stream is commingled '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 DEMLR RO staff notifies you to continue monitoring " 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 "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 beset 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 DEMLR If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DEMLR and the DEMLR Regional Office may require an annual flow report on a case by case basis Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 1 of 2 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 Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 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 are significant penalties for subVtrng false information including the possibility of fines and imprisonment for knowing violations" (Signature5f Permittee) Permit Date 8/1/2017-06/30/2022 6:5611 (D e) Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company -- HAW RIVER Pit # 609 PERSON COLLECTING SAMPLES No Flow CERTIFIED LABORATORY Pace Analytical Lab #633 RECEIVED LIMIT VIOLATIONS? YES [:]NO ® JA N 2 3 2019 CEwNT.�AL FIL.E5 Part A Wastewater Monitoring Requirements r)%A10 ece—rind 4 QTR Ong — State 0 Copy — State 0 Copy — Plant 0 Copy File SAMPLE COLLECTION YEAR 2018 SAMPLE QUARTER ❑Jan -March ❑April -June ❑Jul -Sept ®Oct -Dec COUNTY ALAMANCE PHONE NO (336) 226-1181 ADD TO LISTSERVE2 DYES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Outfall No Date Sample Collected � (mm/dd/yr) Type of Wastewater {VE, RM MD) Z pN (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) Non -Polar Oil & Grease usingmethod 1664SGT-HEM6 (m g/L) Discharge Duration (minutes) Total Flow (gallons/day) - - 6-93 4 3035 53 (15 )6 1 10/10/18 VE RM MD 78 90 N/A N/A 75 N/A Discharge was result of rain event - SW comingles with Process Water i 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 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 '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 DEMLR 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 TSS limits are 2C 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 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 beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 028 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 70,10 flow and report this information to DEMLR If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DEMLR and the DEMLR Regional Office may require an annual flow report on a case by case basis Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 1 of 2 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 Resources Attn DWR Central Files 1617 Mail Service Center Raleigh North Carolina 27699-1617 (919) 807 6379 YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTFD "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�somitting false information including the possibility of fines and imprisonment for knowing violations" (Signature of Permi Permit Date 8/1/2017-06/30/2022 (D te) Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 3QTR Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File CERTIFICATE OF COVERAGE NO NCG14 0 210 / SAMPLE COLLECTION YEAR 2018 FACILITY NAME Chandler Concrete Company HAW RIVER Pft,"# 609J ^'AMPLE QUARTER ❑tan -March ❑April -June ®Jul -Sept ❑Oct -Dec PERSON COLLECTING SAMPLES No Flow NOV D 6 2018 COUNTY ALAMANCE CERTIFIED LABORATORY Pace Analytical Lab #633 PHONE NO (336) 226-1181 CENTRAL FIL p3ADD TO LISTSERVE7 ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES []NO ® DV"JR SECTIQ;NI DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Part A Wastewater Monitoring Requirements 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) Non -Polar Oil & Grease using method 16645GT--HEM6 (mg/L) Discharge Duration (minutes) Total Flow (gallons/day) - 6-93 4 303 5 53 (15 )6 - 1 NO FLOW VE RM MD - - N/A N A - N/A NQD No Qualifying Discharge this period - ` 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 1 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 °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 DEMLR RO staff notifies you to continue monitoring ° pH limits are 6 9 S U for wastewater discharges to freshwaters and 6 8 8 5 S U for discharges to saltwaters ' 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 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 beset 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 DEMLR If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DEMLR and the DEMLR Regional Office may require an annual flaw report on a case by case basis Permit Date 8/1/2017-06/30/2022 Last Revised 07/27/17 Page 1 of 2 MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE (ORATE ND OF MONITORING PERIOD IN CASE OF "NO FLOW" TO Division of Water Resources Attn DWR Central Files 1617 Mail Service Center Raleigh North Carolina 27699-1617 (919) 807 6379 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 are significant penalties fgyKubmitting false information, including the possibility of fines and imprisonment for knowing violations" lG (Signature of Perm Permit Date 8/1/2017 06/30/2022 /s z J� (Ate) Last Revised 07/27/17 Page 2 of 2 I Id PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 2 QTR V Ong -State 0 Copy - State 0 Copy - Plant 0 Copy File CERTIFICATE OF COVERAGE NO NCG14 0 2 10 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Chandler Concrete_ Company - HAW RIVER Plt # 609 SAMPLE QUARTER ❑Jan -March ®April -June ❑Jul-]Jul❑Oct-Dec PERSON COLLECTING SAMPLES No Flow ® COUNTY ALAMANCE CERTIFIED LABORATORY Pace Analytical Lab #633 RECEIVEDPHONE NO (336) 226-1181 ❑ ® AUG 0 3 2018 ADD TO LISTSERVE? ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES NO DISCHARGING TO CLASS ❑SA ❑HOW ❑PNA ❑Trout ZOther WS-V NSW CENTrU,L FILES OPTIONAL INFO PartA Wastewater Monitoring Requirements DIAIR SECTION Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater 2 (VE RM MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) Non -Polar Oil & Grease using method 16645GT-HEM6 (mg/L) Discharge Duration (minutes) Total Flow , (gallons/day) - - 5-934 3035 53 (15)6 i NO FLOW VE RM MD - N/A N/A - N/A NQD - No Qualifying Discharge this period - 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 ` 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 '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 DEMLR 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 5 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 6 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 beset 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 DEMLR If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DEMLR and the DEMLR Regional Office may require an annual flow report on a case by case basis Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 1 of 2 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 Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 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 t 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, fitting false information including the possibility of fines and imprisonment for knowing violations " (Signature of Permi Permit Date 8/1/2017-06/30/2022 v —7 /-� / .9 (Da ] Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 2 QTR 0 Ong — State Copy — State s`0 Copy — Plant 0 Copy File CERTIFICATE OF COVERAGE NO NCG14 0 2 10 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Chandler Concrete Coms�any HAW RIVER Plt # 609 SAMPLE QUARTER ❑Jan -March ®April -June ❑Jul -Sept ❑Oct -Dec PERSON COLLECTING SAMPLES No Flow COUNTY ALAMANCL CERTIFIED LABORATORY Pace Analytical Lab #633 PHONE NO ( 336) 226-1181 T ADD TO LISTSERVE7 ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Part A Wastewater Monitoring Requirements Non -Polar Date Sample Type of Wastewater pH Total Suspended Settleable Oil & Grease Discharge Total Flow Outfall No Collected (VE RM MD) Z (standard) Solids Solids using method Duration (gallons/day) ' (mm/dd/yr) (mg/L) (mL/L) 1664SGT-HEM6 (minutes) (mg/L) - 6 934 3035 53 (15)6 - - 1 NO FLOW VE RM MD - - `- NIX" N K' z - N/A � ♦ J .f NQD - No Qualifying Discharge this period - ' 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 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VF) Raw Material Stockpiles (RM) Mixing Drum Cleanout (MD) Report more than one type if the waste stream is commingled 'if an effluent limit rs exceeded twice in a row the permittee is required to institute monthly monitoring for that parameter for six months unless DEMLR RO staff notifiesyou to continue monitoring ' pH limits are 6 9 S U for wastewater discharges to freshwaters and 6 S S 5 5 U for discharges to saltwaters ' 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 ` 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 limas 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 DEMLR If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DEMLR and the DEMLR Regional Office may require an annual flow report on a case by case basis Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 1 of 2 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 Resources Attn DWR Central Files 1617 Mail Service Center Raleigh North Carolina 27699 1617 (919) 807 6379 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 t 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 fitting false information, including the possibility of fines and imprisonment far knowing violations " (Signature of Per Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 1 QTR Ong -- State 0 Copy -- State 0 Copy - Plant 0 Copy File CERTIFICATE OF COVERAGE NO NCG14 0 2 10 SAMPLE COLLECTION YEAR 2018 SAMPLE QUARTER ®Jan -March []April -June ❑Jul -Sept ❑Oct -Dec FACILITY NAME Chandler Concrete_ Company HAW RIVERIP&# 609q (�/F---, PERSON COLLECTING SAMPLES BROOKS - COUNTY ALAMANCE CERTIFIED LABORATORY Pace Analytical Lab #633 APRPHONE NO (336) 226-1181 �[}A"DD TO I_ISTSERVE? [-]YES ®NO EMAIL LIMIT VIOLATIONS? YES ® NO ❑ CEN' rci,, ,-,,DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW D11VR SECTICOPTIONAL INFO PartA Wastewater Monitoring Requirements OutfallNo Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE RM MD) Z pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) Non -Polar Oil & Grease using method 16645GT--HEM6 (mg/L) Discharge Duration (minutes) Total Flow (gallons/day) - - 6-934 3035 53 (15)6 - 1 03/01/18 VE RM MD 78 36 7* N/A N/A 55 N/A Discharge was result of ram event - SW comingles with Process Water ' 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 'if an effluent limit is exceeded twice in a row the permlttee is required to institute monthly monitoring for that parameter for six months unless DEMLR 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 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 provis=ons 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 beset 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 DEMLR If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DEMLR and the DEMLR Regional Office may require an annual flow report on a case by case basis Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 1 of 2 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 Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807 6379 *Reviewing sample technique and providing additional filter berm on site 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 lam aware that there are significant penalties fob submitting false information including the possibility of fines and imprisonment for knowing violations" (Signature of ¢f 1 (Date) Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER— Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 4 QTR `0'0' Ong - State 0 Copy - State 0 Copy -- Plant 0 Copy File CERTIFICATE OF COVERAGE NO NCG14 0 210 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Chandler Concrete Company - HAW RIVER Pit # §09 SAMPLE QUARTER ❑Jan -March ❑April -June ❑Jul -Sept ®Oct -Dec PERSON COLLECTING SAMPLES BROOKS REGEIVEDCOUNTY ALAMANCE CERTIFIED LABORATORY Pace Analytical_ Lab #633 PHONE NO (336) 226-1281 �E9 0 5 20W ADD TO LISTSERVE? DYES ®NO EMAIL LIMIT VIOLATIONS? YES [:]NO ® C{ENTFU\L FILES DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW DWR SECTION OPTIONAL INFO Part A Wastewater Monitoring Requirements Outfall No Date Sample Collected 1 (mm/dd/yr) Type of Wastewater (VE, RM, MD) z pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) Non -Polar Oil & Grease using method 1664SGT HEM6 (mg/L) Discharge Duration (minutes) Total Flow 7 (gallons/day) - 6 934 3035 53 (15)6 1 NO FLOW VE RM MD - - N/A N/A - N A No Discharge this Period - 1 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 0eanout (MD) Report more than one type if the waste stream is commingled '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 DEMLR 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 STSS 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 6 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 N Section A, including the Tiered Response Action 'Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7410 flow and report this information to DEMLR If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DEMLR and the DEMLR Regional Office may require an annual flaw report on a case by case basis Permit Date 8/1/2017-06/30/2022 Last Revised 07/27/17 Page 1 of 2 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 Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 , (919)807-6379 , SAMPLE COLLECTION TOOK >20 MINUTES, VERY LOW FLOW, '4" OF RAIN, 75 MINUTE DISCHARGE YOU MUSTSIGN THIS CERTIFICATION FORANY 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 an 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 matting false information including the possibility of fines and imprisonment for knowing violations " (Signature of Permi (D e) Permit Date B/1/2017-06/30/2022 Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company- HAW RIVER Plt # 609 PERSON COLLECTING SAMPLES BROOKS CERTIFIED LABORATORY Pace Analytical Lab #633--% 1 V FD LIMIT VIOLATIONS) YES ® NO ❑ NOV 0 2 2017 Part A Wastewater Monitoring Requirements CIENTrRAL FIL E,F, SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER ❑Jan -March COUNTY ALAMANCE PHONE NO (336) 226-1181 3QTR Ong —state 0 Copy — State 0 Copy — Plant 0 Copy File ❑April -tune ®Jul -Sept ❑Oct -Dec ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA []Trout ®Other WS-V NSW OPTIONAL INFO Outfall No Date Sample Collected 1 (mm/dd/yr) a yt'f'k OLA I Type of Wastewater 2� (VE, RM, MD) ON , pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) Non -Polar Oil & Grease using method 16645GT-HEM 6 (mg/L) Discharge Duration (minutes) Total Flow (gallons/day) w - - - 6-93 4 3015 53 (15 )6 - 1 9/12/17 VE_RM MD 80 391 N/A N/A 75 N/A Discharge was result of rain event - Sample Taken - Did not meet collection criteria 1 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 '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 'If an effluent limit is exceeded twice in a row the permrttee is required to institute monthly monitoring for that parameter for six months unless DEMLR 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 5 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 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA 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 beset 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 DEMLR If the permrttee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permrttee shall notify DEMLR and the DEMLR Regional Office may require an annual flow report on a case by case basis Permit Date 8/1/2017-06/30/2022 Last Revised 07/27/17 Page 1 of 2 i 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 Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 SAMPLE COLLECTION TOOK>20 MINUTES, VERY LOW FLOW, %" OF RAIN, 75 MINUTE DISCHARGE V � YOU MUSTSIGN THIS CERTIFICATION FORANYINFORMATION 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 penaltie>sjbr submittin false information, including the possibility of fines and imprisonment for knowing violations " /o z /'7 (SignatureofPermittee) t (Date) r _ 1 rl � crj l Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 2of2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Pace Analytical Lab #633 OPTIONAL INFO Part A Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR 2017 SAMPLING PERIOD ❑ July -December COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? [-]YES ®NO EMAIL DISCHARGING TO CLASS [-]SA ❑HQW NSW FORM �J Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File ® January -June ❑PNA ❑Trout ®OtherWS-V 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 10021 - - 1 4/25/17 77 169 300 275 N N/A JUL 2 4 2017 SW and PW samples share same outtall Oa ,_r n , CH DWI SE CTION 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 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 Outfall No Date Sample Collected (mo/dd/yr)' pH (Standard Units ) TPH using method 1664A SGT HEM m L { g/) Total Suspended Solids m L { g/) Event Duration minutes (minutes) Total Rainfall' in { ) New Motor Oil Usage al month (g / ) In Tier 2 Monthly Monitoring (y/n) # of Months in Tier 2 Sampling' 6-92 152 10023 N/A 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 Mall 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 directl responsible for gathering the information, the information submitted is, to the best of my knowledge and belief true, accurate, and complete am aware tha ar sign cant penalties for submitting false information, including the possibility of roes a d imprisonment for knowing violations " (Signa'ture of Pe mittee) {D te) Permit Date 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Plt_609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIQLATIONS7 YES ® NO ❑ Turbulent flow / some erosion may have contributed to high TSS Not able to obtain another qualifying sample during testing period Part A Wastewater Monitoring Requirements n i0/ Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE7 DYES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW 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 using method 1664A SGT-HE (mg/L) Discharge Duration (minutes) Total Flow (gallons/day)' - - - 6_934 3035 53 (15)6 - - 1 4/25/17 VE RM MD 77 169 ND N/A 300 1425 �I r� .a.c W " f 1111 i Discharge was result of rain event - SW comingles with Process Water CEI\ F1 A FILE ' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here Please make sure to mark the sam13 e"q' L afier--�b8V0 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 5 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 6 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 028 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 Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 Flies 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 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�t t there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " _) 17 ( ignature of Permittee) ( ate) Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - H 4,h =P PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 APR 2 4 2017 LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow /fegMT�16I _E may have contributed to high TSS Not able to obtain �Vdt%l e ON qualifying sample during testing period Part A Wastewater Monitorinie, Reauirements Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? DYES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z {VE, RM, MD} pH {standard} Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A 6 SG (mg/L}/L) Duration (minutes) Total Flow {gallons/day} - - - 6-934 3035 53 (15)6 - - 1 NO FLOW VE RM MD - - - N/A VED 917 4 CENTRA FILES LMK w No Qualifying Discharge observed this Period - SW comingles with Process Water 1 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 3If 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 5 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 6 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 1SA 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 Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 (919)807-6379 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 1 am aware thpqhere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow / some erosion may have contributed to high TSS. Not able to obtain another qualifying sample during testing period Part A Wastewater Monitorine Requirements Ong — State 0 Copy — State 0 Copy — Plant 0 Copy File SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE7 OYES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ❑Trout Mother WS-V NSW OPTIONAL INFO Outfall No Date Sample i Collected (mm/dd/yr) Type of Wastewater 2 {VE, RM, MD) pH {standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A 6 SG (mg/L)/L) Duration (minutes) Total Flow {gallons/day] - - - 6-93 4 303 5 53 (15)6 - - 1 12/6/16 VE RM MD 81 20 ND N/A 75 225 L7 I\ FEB 0 Discharge was result of ram event - SW commgles with Process Water 1 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 3If 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 6 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 Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 (919) 807 6379 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 t e are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company_ - Haw River Pit 609 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Pace Anal real Lab #633 OPTIONAL INFO Part A Stormwater Monitoring Requirements SAMPLE COLLECTION YEA SAMPLING PERIOD ® July -December COUNTY Alamance PHONE NO (136) 578 - 2912 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [_]SA ❑HCI,W NSW FORM .6 Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File ❑ January -June ❑PNA ❑Trout ®OtherWS-V Outfall No Date Sample Colle d (mo/ R -- FLOW] PH St na dard Units) TSS (mg/l.) Event Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months In Tier 2 Samplmg2 - - 6-9 100 - - - - 1 27/ 87 73 30 125 N N/A 04 CENT SW and P W samples share same outfall R SEC � f #to Y W Bf 1`I}tf��I M 1d 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 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 z (mo/dd/yr) pH (Standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total o Rainfail (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) H of Months in Tier 2 Samplrng2 6-9 15 100 - - - - - 1 N/A 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 UMR (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 direAy responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware tha, t;W aWs}gnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signatur`e of Permittee) Ja z. ¢ (Date) Permit Date 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Lieltt CERTIFIED LABORATORY Pace Analytical Lab #633 i '" SAMPLE COLLECTION YEAR fV Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File SAMPLE QUARTER ®J -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow / some erosion DISCHARGING TO CLASS USA [:]HQW ❑PNA ❑Trout ®Other WS-V may have contributed to high TSS Not able to obtain another S-W�- qualifying sample during testing period EC E IUCORTIONAL INFO Part A Wastewater Monitoring Requirements Kink/ A 4 h , Date Sample Type of Wastewater CEWPAL F` Total Suspended LES Settleable TPH usingDischarge method 1664A Total Flow Outfall No Collected : (VE, RM, MD) [$3*01311C Solids ION Solids SGT-HEAP Duration (gallons/day)' (min/dd r) (mg/L) (mL/L) (mg/L) (minutes) - - 6-934 3035 53 (15)6 - - 1 VE RM MD 87 73 ND N/A 30 45 Discharge was result of rain event - SW comingles with Process Water Ux >; 1 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 2 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 5 U for discharges to saltwaters 5 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 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TRH 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 beset 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 Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 (919)807-6379 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 ULere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " z�// re of Permittee) Permit Date 7/1/2010-06/30/2015 1 2 (D e) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 1 0_ FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow / some erosion may have contributed to high TSS Not able to obtain another qualifying sample during testing period Part A Wastewater Monitoring Requirements 0 Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File SAMPLE COLLECTION YEAR 2016 SAMPLE QUARTER ❑Jul -Sept []Oct -Dec ®Jan -March ❑April -June COUNTY Alarnance PHONE NO (336) S78 - 2912 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [—]SA ❑I FIQW­'®PNA7QTrout ®Other WS-V NSW OPTIONAL INFO MAY - 3 Z0i6 ')IND c M TIONI Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD) PH (standard) Total Suspended Solids (mg/L) I, Settleable Solids (mL/L) r0MT_P,H,usmg)CLc method 1664A S �m� L 31�in I WIT Discharge Duration (minutes) Total Flow (gallons/day)7 - - - 6-934 3035 53 (15)6 - - 1 NO FLOW VE RM MD N/A No Qualifying Discharge observed this Period - 1 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 5 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 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VNIA 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 Treasured 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 Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 Flies 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 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 t er are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " ure of Permittee Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING F GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company - Haw River Plt 609 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Pace Analytical Lab #633 OPTIONAL INFO Part A Stormwater Monitorine Reouirements SAMPLE COLLECTION YEAR 2016 SAMPLING PERIOD ❑ July -December COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? DYES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW NSW /6 Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File ® January -June ❑PNA ❑Trout ®OtherWS-V Outfall No Date Sample Collected (mo/dd/yr OR NO FLOW)1 pH (Standard Units) TSS (mg/L) Event Duration (m(n Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampl(ng2 - 6-9 100 - - 1 NO FLOW N N/A / _ k= eg- A M : ot__ve— 2 v Alb'V1 LUb 1n I i CARITF A! c VIDWR 3ErCTION No Qualifying Discharges Observed this Period 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 3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout and PNA waters where they are 50 mg/I 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 Outfali No Date Sample Collected (mo/dd/yrJl 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) g of Months in Tier 2 2 Sarnphng 6-9 215 2loa 2,3- - - - - 1 N/A HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ED 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 DWQCentral 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 a are nificant penalties for submitting false information, including the possibility of fines an imprisonment for knowing violations" (Signature of Permittee) (ate) Permit Date 7/1/2011 60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company --Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow / some erosion may have contributed to high TSS Not able to obtain another qualifying sample during testing period Part A Wastewater Monitoring Requirements Ong — State 0 Copy — State , a 0 Copy — Plant 0 Copy - File SAMPLE COLLECTION YEAR 2016 SAMPLE QUARTER ❑Jul -Sept ❑Ott -Dec ❑ an -March ®April -June COUNTY Alamance PHONE NO (336)578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout S-V NSW 0O OPTIONAL INFO Date Sample Type of Wastewater PH Total Suspended Settleable TPH usingDischarge method 1664A Total Flow Outfall No Collected' (VE, RM, MD) (standard] Solids Solids SGT-HEAe Duration (gallons/day)7 (min/dd/yr} [mg/L} (mL/L} [minutes} n f (mg/L) - - - 6-93 4 303 5 (1 ! 53 (15)6 - — 1 NO FLOW VE RM MID f!' , rr N/A AI I I li 4 I's No Qualifying Discharge observed this Period - L!: NTRAL F LES vR SEC I UN 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 3If an effluent limit is exceeded twice in a row, the permlttee 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 5 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 6 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 7 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 permlttee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permlttee shall notify DWQ and the DWQ Regional Office may require an annual flow report on a case -by -case basis Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY 11NCLUDING 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 (919) 907 6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED 0 "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 t t there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations " re 6 Pe Permit Date 7/1/2010-06/30/2015 ,; 112 Y//4 ( te) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light - CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow / some erosion may have contributed to high TSS Not able to obtain another qualifying sample during testing period Part A Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR SO Ong —State 0 Copy — State 0 Copy — Plant 0 Copy File SAMPLE QUARTER ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - Z912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Date Sample i Type of Wastewater pH Total Suspended Settleable TPH usingDischarge method 1664A Total Flow Outfall No Collected (VE, RIM, MDjz (standard) Solids Solids S Duration , (gallons/day} (mm/dd/yr) (mg/L) (mL/L) imHLM6 (minutes) - - - 6-934 3035 53 (15)6 - - 1 NO FLOW VE RM MD N/A I V FF No Qualifying Discharge observed this Period - <" I "L FILE < 1 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 " I r N 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 3If an effluent limit is exceeded twice in a row, the permrttee 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 5 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 6 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 beset 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 permrttee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permrttee shall notify DWQ and the DWQ Regional Office may require an annual flow report on a case by case basis Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 (919)807-6379 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 directlFeV nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am awar�e are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " ature of Permittee Permit Date 7/1/2010 06/30/2015 Zs L (Da(te) Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING GENERAL PERMIT NO NCG140000 �i CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Pace Analytical Lab #633 OPTIONAL INFO Part A Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR 1116 SAMPLING PERIOD ® July -December COUNTY Alamance PHONE NO ( 336) 578 - 2912 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW NSW FOR Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File ❑ January -June ❑PNA ❑Trout ®OtherWS-V Outfall No Date Sample Collected (mo/dd/yr OR NO FLOW)1 pH (Standard Units) TSS (mg/L) Duration urati (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling2 - - 6-92 100 23 - - - - 1 NO FLOW N N/A RF:r.F=I1 CENTRAL I`I No Qualifying Discharges Observed this Period " E_L 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 3 TSS benchmark values are 100 mg/I 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 ED i6 ES N 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 Rainfall4 {in} New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? {y/n} # of Months in Tier 2 2 Sampling 6-9 is 10023 - - - - - 1 N/A 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 copv 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 am aware that t significant I ies for submitting false information, including the possibility ofyfine Jamand ylnprisonment for knowing violations " " {Signature'of Permittee} Permit Date 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow / some erosion may have contributed to high TSS Not able to obtain another qualifying sample during testing period Part A Wastewater Monitorine Reauirements Ong -State 0 Copy - State 0 Copy - Plant 0 Copy - File SAMPLE COLLECTION YEAR-1610- SAMPLE QUARTER ®Jul -Sept ❑Oct -Dec [Dan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of wastewater z (VE, RM, MD] pH {standard] Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A S (mg/L) Duration (minutes) Total Flow , (gallons/day} - - - 6-934 3035 53 (15)6 - - 1 NO FLOW VE RM MD N/A — ir—CEM NftU f! ) fl L F LES No Qualifying Discharge observed this Period - UN 1 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 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 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA 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 Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 (919) 807-6379 a 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 #4 there arg, significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Perm w /d /"'� (Da ) Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #W-CEIVED OPTIONAL INFO JUL Z015 CENTRAL FILES Part A Stormwater Monitoring Requirements 1­111n,r, r SAMPLE COLLECTION YEAR 2014-2015 SAMPLING PERIOD ❑ July -December COUNTY Alamance FORM ,, Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File ® January -June PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ❑Trout ®OtherWS-V NSW Outfall No Date Sample Collected (mo/dd/yr OR NO FLOW)1 pH (Standard Units) vLv v TS5 (mg/L) Event Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling2 - - 6-9 100 23 - - - - 1 5/1/15 79 514 185 20 N N/A Discharge due to storm event/PW commingles with SW SW and PW samples share same outfall 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 3 TS5 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 i 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/iid%yr�l PH (Standard - Units) TPH u g method 1664ASGT-HEM �— .�{m"g/L} Total Suspended Solids _ (mg/L) �_ _ �Ev'ent Duration ;� (minutes) Total < < a Rainfall -- —� (injF�, New Motor Oil " ' Usage S F (gal/,month) - Monthly Monitoring} _ # of Months - �in Tier 2 - Z —Sampling z 1 N/A K_ r 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 0 #_" Mail OnRinal and one coov of this DMR (includine all "No Flow" & "No Discharee" reoorts) within 30 days of receipt of sarnole (or 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 pe onnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons direc spon able for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware t re ni ant penalties for submitting false information, including the possibility of f es an mprisonment for knowing violations " 7 z.Y �.� (Signature o Permittee) (D te) Permit Date 7/1/2011-60/30/201S Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File SAMPLE COLLECTION YEAR 2015 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June COUNTY Alamance CERTIFIED LABORATORY Pace Analytical Lab #633 �� ADD TOPHONE ILIOSTS 36) 578 - 2912 ]YES ®NO EMAIL LIMIT VIOLATIONS? YES ® NO ❑ Turbulent flow / some erosion f LU15DISCHARGING TO CLASS [:]SA ❑HQW may have contributed to high TSS Not able to obtain another NSW qualifying sample during testing period CENTRAL FILE DWR SECTI01!. PTIONAL INFO Part A Wastewater Monitoring Requirements ❑PNA ❑Trout ®Other WS- V TPH using ' 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 5 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 6 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 Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 I Page 1 of 2 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 (919) 807-6379 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 respo able for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware thXAere are significa penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " / Signature of Permittee) Permit Date 7/1/2010-06/30/2015 ZS' f ate) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Anal ical Lab #633 LIMIT VIOLATIONS? YES ® NO ❑ Part A Wastewater Monitoring Requirements Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File SAMPLE COLLECTION YEAR 2015 SAMPLE QUARTER ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [-]SA[:]HQW❑PNA [-]Trout ®Other WS-V NSW OPTIONAL INFO Date Sample Total Suspended Settleable TPH usingDischarge Outfall No 1 Collected Type of Wastewater z RM, MD) pH Solids Solids method 1664A S T-HEM Duration Total Flow (mm/dd/yr) (VE, (standard) (mg/L) (mL/L) (minutes) (gallons/day), - - - 6-934 3035 53 (15)6 - - 1 NO FLOW VE RM MD N/A V r—Lj M No Qualifying Discharge observed this Period - n J'_�FILES 1 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 3If 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 pH limits are 6-9 S U for wastewater discharges to freshwaters, and 6 8-8 5 S U for discharges to saltwaters 5 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 6 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 Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 Mall Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 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 tha a are signifi nt penalties for submitting false information, including the possi�Iity of fines and imprisonment for knowing violations " J (Signature of Permittee) Permit Date 7/1/2010-06/30/201S Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING F GENERAL PERMIT NO NC6140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analvtical Lab #t633 OPTIONAL INFO RECEIVED FEB 0 3 2015 Part A Stormwater Monitoring Reauirements SAMPLE COLLECTION YEAR 2014-2015 SAMPLING PERIOD ® July -December ❑ January -June COUNTY Alamance /0 Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File PHONE NO (336) 578 - 2912 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ❑Trout ®OtherWS-V NSW Outfall No Date Sample Collected (mo/dd/yr OR 1 NO FLOW} CENTRAL pH (Standard Units) FILES WR SKSTION (mg/L) Event Duration (minutes) Total A Rainfall (in) In Tier 2 Monthly 7 Monitoring? (y/n) # of Months in z Tier 2 Sampling - - 6-9 100 23 - - - - 1 10/14/14 73 87 >60 1 25" N N/A Discharge due to storm event/PW Lommmgles with SW SW and PW samples share same outfall 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 PartB 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 1 (mo/dd/yr) 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 6-92 15 1002 3 - - - - 1 N/A HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail OnRinal and one coov of this DMR flncludlnP all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample (or at end of monitorine oenod 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 pe onnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons dire sponsible fohgatherrng the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware fe ni can enalties for submitting false information, including the possibility of ine and imprisonment for knowing violations " 7� (Signature of Permittee) (pate) Permit Date 7/1/2011 60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ® NO ❑ Part A Wastewater Monitoring Requirements Ong — State 0 Copy - State 0 Copy - Plant 0 Copy File SAMPLE COLLECTION YEAR 2015 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? [-]YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z [VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A S (mHLM6 Discharge Duration (minutes) Total Flow (gallons/day) - - - 6-934 3035 53 (15)6 - - 1 01/12/15 VE RM MD 74 100 ND N/A >45 LINK Discharge was result of ram event - SW comingles with Process Water 1 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 2 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 5 U for wastewater discharges to freshwaters, and 6 8-8 5 S. U for discharges to saltwaters 5 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 6 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 70:10 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 Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SA.MeLE 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 (919) 807-6379 The sampler was unable to remain on site for the duration of the storm event / discharge '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 th W are significan"enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " of Permitteej Sl l S (Da V Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 210 FACILITY NAME Chandler Concrete Company - Haw River Pit 609 PERSON COLLECTING SAMPLES Tim Light CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ®NO ❑ Part A Wastewater Monitoring Requirements 0 _-,,Ong - State ,� Copy -- State 0 Copy - Plant 0 Copy - File SAMPLE COLLECTION YEAR 2015 SAMPLE QUARTER ❑1ul-Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY Alamance PHONE NO (316) 578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA [-]HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VERMMD) , , pH (standard] Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SG7-FI (mg/L ) Duration (minutes) Total Flow 7 (gallons/day] - - - 6-934 3035 53 (15)6 - - 1 01/12/15 VE RM MD 74 100 ND N/A >45 UNK Discharge was result of ram event - SW comingles with Process Water 1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here Please make sure to mark the sample quarter Z Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM i m _ Cleanout (MD) Report more than one type if the waste -stream is commingled 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 RO staff 4 notifies you to continue monitoring ApAPI?H limits are 6-9 S U for wastewater discharges to freshwaters, and 6 8-8 5 5 U for discharges to saltwaters I 5 p g g Zo/ D 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 classificat nFNR a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA areas TPH does not have ate , but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action p�RMr ICC$ 7 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 15 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 Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SA^APLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"} TO Division of Water Quality Attn DWG Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 The sampler was unable to remain on site for the duration of the storm event / discharge 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 they are sigmficanjjpenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) Sl l S (Da e)/ Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarteriy Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NC till"L,-rc Q & 1 SFACILITY NAME e� M� _ 9 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Lab # Akfja 44 Lab # LIMIT VIOLATIONS? YES [] NO ❑ Part A Wastewater Monitoring Reauirements SAMPLE COLLECTION YEAR c., 01 %4 i SAMPLE QUARTER )ul-Sept ❑Oct -Dec Dian-Marct COUNTY a.i4 PHONE NO 3.34J O&A - 3�9y ADD TO LISTSERVE7 []YES []NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA []Trout OPTIONAL INFO _ I_ ❑April -June []Other, 4utfa1l Na Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD) PH (standard] Total Suspended Solids (mg/L) Settleable Solids (m TPH using method 1564A (mg/L)L/L) 5Gr /l.) Discharge Duration (minutes) Total Flow 7 (gallons/day} - - - 6-934 3035 53 (15), - - i oV G.So el1 1- Ca r„ a1 0 0l ds" NCENE C ors i 1 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 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Leaning (VII Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 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 `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 limas are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 nI for all other water classifications Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 a 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 beset to SO% of the Summer 7QIO Flow as per 15A NCAC 02B 02-24 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q1O flow and report this information to DWQ If the penmittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permlttee 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 DAY5, OF RECEIPT OF SAMPLE (OR AT END OE MOJh 1LO8ING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST 5 6N THIS CERTIFICATION FOR AN rINFORMAi! NO 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 1 am aware that there are significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations " ���� 9 �3a-fy (Signature of Permittee) (Date) Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERA! PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company - Haw River Plt 609 PERSON COLLECTING SAMPLES James Adkins CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Requirements Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File SAMPLE COLLECTION YEAR 2013-2014 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Outfall No Date Sample Collected) (mm/dd/yr) Type of Wastewater VE, RM, MD 2 () pH {standard} Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A 6 (mg/L) SGT-HEM Duration (minutes) Total Flow 7 {gallons/day} - - - 6-934 3035 53 (15)6 - - 1 4/15/14 VE RM MD 73 163 ND N/A 45 680 Discharge was result of rain event - SW comingles with Process Water ` 1 If wastewater systems have not discharged in this quarter — report "No How" 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 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 5 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 5 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 7 Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset 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 Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 T Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 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 resp sable for gathgmg the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware-6 f� her are signif ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " / / / 7 ignature of Permittee) Permit Date 7/1/2010-06/30/2015 7 (, te) Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING F GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Company -_Haw Rover Pit 609 PERSON COLLECTING SAMPLES Raymond Yellock CERTIFIED LABORATORY Pace Analytical Lab #633 OPTIONAL INFO Part A Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR 2013-2014 SAMPLING PERIOD ❑ July -December COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:)SA ❑HQW NSW ® January -June ORM Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File ❑PNA []Trout ®OtherWS-V OutfaU No Date Sample Collected (mo/dd/yr OR t NO FLOW] pH Standard Units ( ) TSS {mg/L) Event Duration {minutes] Total Rainfall" {in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Samplin� 1 1/14/14 71 ND 60 20 N N/A ins ' IV MAY Discharge due to storm event/PW commingles with SW SW and PW samples share same outfall 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 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 PartB Vehicle Maintenance Activity Monitoring Requirements for facilities using > SS gal of new motor oil/month —averaged over a calendar year Outfall No Date Sample Collected (mo/dd/yr)' pH (Standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total - Rainfair (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) g of Months in Tier 2 Samplini 6-9 15 lop"- - - - - 1 N/A F HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO HAVE YOU CONTACTED THE REGION? YES ❑ NOD REGIONAL OFFICE CONTACT NAME Mail Original and one copv 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 Mad 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 realignsi le for athenng the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware tha if ant enalties for submitting false information, including the possibility of f nes d imprisonment for knowing violations " (Signature of Permittee) 61 (D e) Permit Date 7/l/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 10 FACILITY NAME Chandler Concrete Coin an - Haw River Pit 609 PERSON COLLECTING SAMPLES Raymond Yellock CERTIFIED LABORATORY Pace Analytical Lab #633 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Requirements Ong - State 0 copy - State 4 Copy - Plant 0 Copy - File SAMPLE COLLECTION YEAR 2013-2014 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY Alamance PHONE NO (336) 578 - 2912 ADD TO USTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other WS-V NSW OPTIONAL INFO Date Sample Total Suspended Settleable TPH usingDischarge Outfall No Collected Type of Wastewater 2 (VE, RM, MD) pH (standard) Solids Solids method 1664A SGT-HEMS Duration Total Flow , lgallons/day) (min/dd/yr} (mg/L) (mL/L} { mg/L} (minutes] - - - Cr93,4 30"' 53 (15)6 - - 1 1/14/14 VE RM MD 71 ND ND N/A 90 1020 RQ -1 MAY Z 2U14 No Qualifying Discharge observed this Period - I ;iRlr �t�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 5 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 6 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 beset 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 Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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 1N CASE OF "NO FLOW") TO Division of Water Quality Attn DWQCentral Files 1617 Marl Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 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 ere are sig Ificant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations " (Signatur of Permitte (13e) Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2