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Home My WebLink AboutNCG140281_MONITORING INFO_20190123STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v Cc, Iq Q DOC TYPE ❑HISTORICAL FILE CjF MONITORING REPORTS DOC DATE ❑ �� f I � � a 3 YYYYMMDD PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Company JEFFERSON Plt# 504 PERSON COLLECTING SAMPLES BurgessC�Cr� f CERTIFIED LABORATORY Blue Ridge Labs Lab #27 C CI V D LIMIT VIOLATIONS? YES ❑ NO ® JAN 2 3 2019 CENT RAL FILF=v Part A Wastewater Monitoring Reouirements DWR SECTION 4 QT R 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 ASHE PHONE NO (336) 226-1181 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Non Polar Date Sample Type of Wastewater pH Total Suspended Settleable Oil & Grease Discharge Total Flow Outfall No Collected 1 (VE, RM, MD)z (standard) Solids Solids Solids usingmethod Duration {gallons/day)' (mm/dd/yr) (mL/L) 15545GT--HEM6 (minutes) 6-934 1035 53 (15)6 - 1 10/10/18 VE RM MD 67 ND ND N/A 60+ 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 L Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Clearing (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 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 th information, the information submitted is to the best of my knowledge and belief, true accurate and complete I am aware that there are signficantpenalties fo�syrirttmgfalse information including the possibility offines and imprisonment for knowing violations /' / ! (S&ature of Permvee ( te} 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 NCC3140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Com an -- JEFFERSON Plt# 504 PERSON COLLECTING SAMPLES Burgess RECEIVED CERTIFIED LABORATORY Blue Ridge Labs Lab #275 LIMIT VIOLATIONS? YES [:]NO ® NOV 0 6 2018 CEN , RA4 FILES Part A Wastewater Monitoring Requirements «;NR SECTION 3QTR 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 ASHE PHONE NO (336) 226-1181 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Non -Polar Date Sample Type of Wastewater pH Total Suspended Settleable Oil & Grease Discharge Total Flow Outfall No 1 Collected (VE RM, MD) z (standard) Solids Solids using method Duration (gallons/day)' (mm/dd/yrJ (mg/L) (mL/L) 16645GT-HEM6 (minutes) (rng/L) 6 934 1035 53 (15)6 - - 1 NQD VE RM MD - - - N/A - NIA NQD - No Qualifying Disch this per - Discharge Observed -Qualified sample unobtainable 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 Geanout (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 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 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 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 sub pptting false information including the possibility of fines and imprisonment for knowing violations (Signature of Perm Permit Date 8/1/2017 06/30/2022 . Ile, (Da ) Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 2 QTR CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Company JEFFERSON Pit# 504 0) 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 PERSON COLLECTING SAMPLES Burgess COUNTY ASHE 3�`FE: / CERTIFIED LABORATORY Blue Ridge Labs Lab#275 E�°��, E 1PHONE NO (336) 226-1181 ,p ADD TO LISTSERVE? ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES ❑ NO ® AUG 0 3 2018 DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ❑Other C Part A Wastewater Monitorini; Reauirements crI�iL ,OPTIONAL INFO i�inlGJ L^C'F rirlw Non Polar Date Sample Type of Wastewater pH Total Suspended Settleable Oil & Grease Discharge Total Flow Outfall No Collected' z (VIE RM MD) (standard) Solids Solids using method Duration (gallons/day)' (mm/dd/yr) (mg/L) (mL/L) 1664SGT-HENI6 (minutes) (ni 6 934 1035 53 (15)6 - 1 4/24/18 VE RM MD 82 0 0 N/A 45 N/A Discharge was result of rain event - SW cornmgles 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 i 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 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 bi't 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 DEMLR If the permittee cannot obtain a Summer 7Q10 flow for t7e 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 USCHARqED 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 WFORMATION 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 gat rand 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 i rn ion, 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 sub ng false information, including the possibility of fines and imprisonment for knowing violations ature of Permittee) 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 8 1 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Chandler Concrete Company JEFFERSON Plt# 504 SAMPLE QUARTER ®Jan -March ❑April -June -]Jul -Sept ❑Oct -Dec PERSON COLLECTING SAMPLES Burgess ECE (COUNTY A5HE CERTIFIED LABORATORY Blue Ridge Labs Lab #275 ! PHONE NO (336) 226-1181 APR 3 0 ?ADD TO LISTSERVE? [:]YES ®NO EMAIL LIMIT VIOLATIONS? YES [:]NO ® C DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C PartA Wastewater Monitoring Requirements Liv t i cAt_ FILOPTIONAL INFO DOIR SECTION - Non -Polar Date Sample Type of Wastewater pH Total Suspended Settleable Oil & Grease Discharge Total Flow Outfall No 1 Collected {VE, RM, MD)z {standard) Solids Solids usingmethod Duration {gallons/day)' (mm/dd/yr) (mg/L) (mL/L) 1664SGT-HEM6 (minutes) (mg/L) 6 934 1035 53 (15)6 - 1 NO FLOW VE RM MD - - - N/A - N/A NQD - No Qualifying Discharge this period Discharge Observed -Qualified sample unobtainable 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 'Ifan 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 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 70.10 Flow as per 15A NCAC 026 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 recewmg 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 f 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 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 subr�ting false information including the possibility of fines and imprisonment for knowing violations ' ature of Permittee) Permit Date 8/1/2017 06/30/2022 //,//e (D e) Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 4 QTR CERTIFICATE OF COVERAGE NO NCG14 0 2 81 FACILITY NAME Chandler Concrete Company JEFFERSON,Phl#_ 4, ED PERSON COLLECTING SAMPLES BURGESS CERTIFIED LABORATORY Lab #i FEB 0 5 2013 LIMIT VIOLATIONS? YES ❑ NO ® CCNTF-;VEL I=1LC DIAIR SECTION Part A Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER ❑Jan -March COUNTY ASHE PHONE NO (336) 226-1181 �t _0—Ong - State 0 Copy - State 0 Copy - Plant 0 Copy File ❑April -June ❑Jul -Sept ®Oct -Dec ADD TO LISTSERVE? [-]YES ®NO EMAIL DISCHARGING TO CLASS ❑SA []HOW ❑PNA ®Trout ®Other C OPTIONAL INFO Non -Polar Date Sample Type PH Total Suspended Settleable Oil & Grease Discharge Total Flow Outfall No Collected' (VE, RMMD)' (standard) Solids Solids using method Duration 7 gallons/day) (mm/dd/yr) , , (mg/L) (mL/L) 16645G7-HEM6 (minutes) (mg/L) - ? - 6-934 1035 53 (15)6 - 1 NO FLOW VE RM MD - - - - N/A_ - N/A - a f - , 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 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 '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 e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater but instead is subject to benchmarks and provisions of Part IV, Section A including the Tiered Response Action 'Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall 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 70.10 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 G s 0 YOU MUSTSIGN THIS CERTIFKATION 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 property 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 sub tang false information, including the possibility of fines and imprisonment for knowing violations " 3a � ignature of Permitt e) (D e) 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 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Compaq - JEFFERSON Pit# 504 PERSON COLLECTING SAMPLES BURGESS CERTIFIED LABORATORY Lab # RECEIVE LIMIT VIOLATIONS? YES ❑ NO ® NE)V 0 : 2017 PartA Wastewater Monitoring Requirements CENTRAL PILE"') 3QTR ,d Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER ❑Jan -March ❑April -June ®Jul -Sept ❑Oct -Dec COUNTY ASHE PHONE NO (336) 226-1181 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:)SA CHOW ❑PNA NTroul ®Other C OPTIONAL INFO U NH SE(, HOP,) Non -Polar Date Sample Type of Wastewater pH Total Suspended Settleable Oil & Grease Discharge Total Flow OutfallNo 1 Collected 2 (VE, RM, MD} (standard) Solids Solids using method Duration (gallons/day) (mm/dd/yr) (mg/L) (mL/L) 16645GT--HEM6 (minutes) - - - 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 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 5 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 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 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 Regionaf 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 t YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA77ON 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 subrm tang false information, including the possibility of fines and imprisonment for knowing violations" rllA - (Signature ofPermittee) (D te) Permit Date 8/1/2017 06/30/2022 Last Revised 07/27/17 Page 2 of 2 �0� Ong — State PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 Copy — State GENERAL PERMIT NO. NCG140000 0 Copy — Plant 0 Copy File Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Chandler Concrete Company - Jefferson 504 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec []Jan -March ❑April -June PERSON COLLECTING SAMPLES COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 RECEIVEPHONE TON105TSERVE9$2 - 87fi0 ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES [:]NO ® JUL 2 4 2017DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C uEN TRAL FILEiOPTIONAL INFO Outfall No Date Sample Collected 1 {min/dd/yr] Type of Wastewater (VE, RM, MD)? 'r--' `' k pH (standard) Total Suspended Solids {mg/L] Settleable Solids {mL/L] TPH using method 1664A SGT-HfM6 (mg/L) Discharge Duration (minutes) Total Flow (gallons/day)' - - - 6-934 3015 53 (15)6 - - 1 NO FLOW VE RM MD N/A No 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 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 e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis Permit Date 7/1/2010-06/30/2016 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 at there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " —, i ure of i ( te) Permit Date 7/1/2010 06/30/2016 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 Lab # OPTIONAL INFO Part A Stormwater Monitorine Requirements SAMPLE COLLECTION YEAR 2017 SAMPLING PERIOD ❑ July -December COUNTY Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS []SA ❑HQW C CIJ Original - State ❑ Copy State ❑ Copy Plant ❑ Copy - File ® January -June ❑PNA ®Trout ®Other C Outfall No Date Sample Collected (mo/dd/yr OR NO FLOW)' O pH (Standard Units) TSS (mg/L) Event Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly 7 monitoring? n # of Months in Tier 2 Sampling2 - - 6-92 10023 - - - - 1 NO FLOW - - - - N N/A 11 IL f 4 6 f No Discharge this Period CENT ?AL FILES i.uvvf- ,JCL i iCjfV 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 Permit Date 7/1/2011 60/30/201S 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 I664A 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 Sampling2 6-91 152 10013NOT APPLICABLE HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail Original and one copy of this DMR(including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample or at end of monitoring period In case of "No Flow") to Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system or those persons directly esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that th rfrcant penalties for submitting false information including the possibility of nes nd imprisonment for knowing violations " (Signature of Permittee) (DSte) Permit Date 7/1/2011 60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER— Quarterly Discharge Monitoring Report 0 Copy State GENERAL PERMIT NO. NCG140000 0 Copy - Plant 0 Copy File Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Chandler Concrete Com an - Jefferson 504 SAMPLE QUARTER ❑Jul -Sept []Oct -Der ®Jan -March ❑April -June PERSON COLLECTING SAMPLES E IVE Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 PHONE NO (336) 982 - 8760 APR 2 Zn 'ADD TO LISTSERVE7 ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES [—]NON CENTRAL_ FII_gOSCHARGING TO CLASS [:]SA [:]HQW ❑PNA ®Trout ®Other C DWR SECTION 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 6 5G/L) (mg/L) Discharge Duration (minutes) Total Flow 7 (gallons/day} - - - 6-93 ° 303 5 53 (15)6 - - 1 NO FLOW VE RM MD 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 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 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 s 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 7/1/2010-06/30/2016 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 respon ble for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee (D te) Permit Date 7/1/2010-06/30/2016 Last Revised 07/13/11 Page 2 of 2 Orig — State PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 Copy — State GENERAL PERMIT NO. NCG140000 0 Copy — Plant 0 Copy - File Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Chandler Concrete Company - Jefferson 504 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ®Jan -March []April -June PERSON COLLECTING SAMPLES COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 RECEi1/EIYNE NO (336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES ❑ NO ® APR 2 A 20161SCHARGING TO CLASS [_]SA ❑HQW ❑PNA ®Trout ®Other C CENTRAL FILE OWR SECTIOPOPTIONAL INFO Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD) PH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-1 EM' (mg/L) Duration (minutes) Total Flow (gallons/day)7 - - - 6-934 3035 53 (15f - - 1 NO FLOW VE RM MD N/A No 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 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 S 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 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 7/1/2010-06/30/2016 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 TH15 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 respon able 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " 1 / / /! (Signature of Permittee Permit Date 7/1/2010 06/30/2016 410, i-7 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 Copy SStae GENERAL PERMIT NO NCG140000 0 Copy - Plant 0 Copy File Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Chandler Concrete Company - Jefferson 504 SAMPLE QUARTER ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June PERSON COLLECTING SAMPLES �°► COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #2REL. EIVED PHONE NO (336) 982 - 8760 FEB 0 7 2017 ADD TO LISTSERVE? ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES [:]NO ® DISCHARGING TO CLASS [:]SA [:]HQW ❑PNA ®Trout ®Other C CENTRAL FILES DWR SECTION 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 SGT-HEM (mg/L) Duration (minutes) Total Flow (gallons/day) - - - 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 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 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 15A NCAC 028 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 70,10 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 7/1/2010-06/30/2016 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 AM 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_Oere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " of Permit Date 7/1/2010-06/30/2016 2�f (Date) Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 Lab # OPTIONAL INFO Part A Stormwater Monitoring Requirements MONITORING FORM SAMPLE COLLECTION YEAR 2017 SAMPLING PERIOD ® July -December Original - State ❑ Copy - State Ll Copy - Plant CI Copy - File ❑ January -June COUNTY Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE? []YES ®NO EMAIL _ DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C Outfall No Date Sample Collected (mo/dd/yr OR t NO FLOW) PH (standard Units TSS (mg/L) Event Duration (minutes] Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier z 2 Sampling - - 6-9z 100 23 - - - - 1 NO FLOW - - - - N N/A C _ LI 11! z it E 1 No Discharge this Period _ If NO FLOW" or "NO DISCHARGE Enter "NO FLOW' or "NO DISCHARGE" for each outfall here Please make sure to mark the sample period above 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH) you must implement the Tier 1 or Tier 2 responses in the General Permit Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range 3 TSS benchmark values are 100 mg/I except when discharging to ORW HQW Trout and PNA waters where they are 50 mg/I ° For each sampled measurable storm event the total precipitation must be recorded using data from an on site rain gauge Permit Date 7/1/2011 60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year Outfall No Date Sample Collected (mo/dd/yr}f pH (standard Units) TPH using method 1664A SGT HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (in) New Motor OilIn Usage (gal/month) Tier 2 Monthly Monitoring (y/n) # of Months in Tier 2 Samplingz 6-92 15 1002 3 - - - NOT APPLICABLE 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 conv of this DMR (including all "No Flow" & "No Discharge" reoorts) within 30 days of receipt of samole (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 sponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that h re s+gnificant penalties for submitting false information, including the possibility of fi es d imprisonment for knowing violations " � 77_ _ (Signature of Permittee) (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 Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 81 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 LIMIT VIOLATIONS? YES ❑ NO X", Ong -State 0 Copy - State 0 Copy -- Plant 0 Copy File SAMPLE COLLECTION YEAR 2016 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec [Dan -march ®April -June COUNTY Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Date Sample Type of Wastewater pH Total Suspended Settleable TPH usingDischarge method 1664A Total Flow Outfal! No Collected) (VE, RM, MD) (standard) Solids Solids SGT HEM6 Duration 7 (gallons/day) (mm/dd/yr) (mg/L) (mL/L) (mg/L) (minutes) - - - 6 934 3035 53 (15)6 / - - 1 NO FLOW VE RM MD N/A , rr l Ntutivtu v Il l ( 2 r No Qualifying Discharge observed this Period - - u � L IU CEN TRAL 91 , 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 allWR SECTION 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 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 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 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 7/1/2010-06/30/2016 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 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " J� (Signature of Permittee Permit Date 7/1/2010 06/30/2016 /7 (-Date Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2016 FACILITY NAME Chandler Concrete Company - Jefferson 504 SAMPLING PERIOD ❑ July -December ® January -June PERSON COLLECTING SAMPLES COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 PHONE NO (336) 982 - 8760 Lab # ADD TO LISTSERVE? ❑YES ®NO EMAIL _ OPTIONAL INFO DISCHARGING TO CLASS ESA ❑HQW ❑PNA ®Trout ®Other C Part A Stormwater Monitoring Requirements Outfall No Date Sample Collected (mo/dd/yr OR NO FLOW)1 pH (Standard Units) T55 (mg/L) Event Duration (minutes) Total a Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier Z 2 Sampling - 6-9 100 - - - - 1 NO FLOW - - - - N N/A on NE-CEII f AI if II T ;r No qualifying discharge observed this period i,,rp "L F,u ' If NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE' for each outfali 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 Original - State For each sampled measurable storm event the total precipitation must be recorded using data from an on site rain gauge ❑ Copy - State ❑ Copy - File ❑ Coov Plant v 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 (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total Rainfalls (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 2 Sampling 6-9 2 15 2 100 23 - - - - NOT APPLICABLE HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reoorts) within 30 days of receipt of sarnole (or at end of monitoring period in case of "No Flow") to Division of Water Quality 00 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 dirVly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that More are sienAicant nenaities for submittine false information. mcludine the nossibility of fines and imnrisonmPnt fnr knnwme vinlatinns " (Signature of Permittee) -` (Vate) / 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 Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 8-1---, FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Lams Inc Lab #275 LIMIT VIOLATIONS? YES [:]NOCK 0 Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File SAMPLE COLLECTION YEAR 2016 SAMPLE QUARTER ❑Jul -Sept ❑Ott -Dec ®Jan -March ❑April -June COUNTY Ashe PHONE NO (336) 282 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)2 pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A SGT-HEMe (mg/L) Discharge Duration (minutes) Total Flow (gallons/day)7 - - - 6-93 a 3035 53 (15)6 - - 1 NO FLOW VE RM MD N/A o�I1lr—lj No Qualifying Discharge observed this Period - _ DVVR SECTION! it, Lrc1vfH1 JUN 'KIA tr bJ%, HAH 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 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 pH limits are 6 9 S U for wastewater discharges to freshwaters, and 6 8-8 5 S U for discharges to saltwater$ 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 VIVIA 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 7010 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 06/30/2016 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 responsibl r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware tha jAh94are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " L CzG ( nature of ermittee) (D ej Permit Date 7/1/2010-06/30/2016 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 81 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 Lab # OPTIONAL INFO Part A Stormwater Monitorine Requirements SAMPLE COLLECTION YEAR-206 SAMPLING PERIOD ® July -December COUNTY Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE7 []YES ®NO EMAIL DISCHARGING TO CLASS [_]SA ❑HQW 14E ❑ January -June ❑PNA ®Trout ®Other C Outfall No Date Sample Collected (mo/dd/yr OR 1 NO FLOW) pH {Standard Units) TSS (mg/L) Event Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) #� of Months in Tier z 2 Sampling - - 6-92 100 3 - - - - 1 NO FLOW - - - - N N/A 'f FEB 0 No qualifying discharge observed this period cENTRALIv K SEC 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/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/i onginal - State ° For each sampled measurable storm event the total precipitation must be recorded using data from an on site rain gauge ❑ Copy - State ❑ Copy - Fite ❑ Coov Plant /ED 2016 ILES I ION 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 p Collected (mo/dd/yr}1 pH (Standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total Rainfall° (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? [y/n} # of Months in Tier 2 2 Sampling 6-9 15 100 23 - - - - NOT APPLICABLE 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 Oneinal and one coot/ of this DMR frncludine all "No Flow" & "No Dischame" reports) within 30 days of receipt of samDle for at end of monitonne Denod 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 per nnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directlya siblF ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware th r scaes for submitting false information, including the possibility ZY1461 nd imprisonment for knowing violations" (Signature of Permittee) (Dade) 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 NCC3140000 Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Company_- Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Slue Ridge Labs Inc Lab #275 LIMIT VIOLATIONS? YES [:]NON SAMPLE COLLECTION YEAR -2014 /1i Ong - State 0 Copy - State 0 Copy - Plant 0 Copy - File SAMPLE QUARTER ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY Ashe �� PHONE NO (336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL r"0" DISCHARGING TO CLASS [:]SA ❑HQW [:]RNA ®Trout ®Other C OPTIONAL INFO Date Sample Type of Wastewater pH Total Suspended Settleable TPH using method 1664A Discharge Total Flow Outfall No Collected' z [VIE, RM, MD} (standard) Solids Solids 6 SGT-HEM Duration (gallons/day} (mm/dd/yr) (mg/L) (mL/L) (mg/L) (minutes) - - - 6-934 3035 53 (15)6 - - 1 NO FLOW VE RM MD N/A P� iff r,% L_ i L— NnV ,f 7n15 No Qualifying Discharge observed this Period - CNv 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 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 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 06/30/2016 Last Revised 07/13/11 R24 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 �WSW=" ■ F" 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 here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations ( gnat re of Permittee) (Date) Permit Date 7/1/2010-06/30/2016 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 81 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab ##275 LIMIT VIOLATIONS? YES ❑ NO 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 Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Date Sample Total Suspended Settleable TPH usingDischarge Outfall No i Collected Type of Wastewater (VE, RM, MD)z pH (standard) Solids Solids method 1664A SGT HEM' Duration Total Flow (gallons/day), (mm/dd/yr) (mg/L) (mL/L) (mg/ L) (minutes) - - - 6-934 3035 53 (15)' - - 1 NO FLOW VE RM MD N/A JUL 3 2015 No Qualifying Discharge observed this Period - nyA/a U-n` T;Ltr"I - v r 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 sax 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 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 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 7/1/2010-06/30/2016 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 th,4there are signif" nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " 2 b� gnature of Permittee) ( te) Permit Date 7/1/2010 06/30/2016 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NQ NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2014-2015 FACILITY NAME Chandler Concrete Company- Jefferson 504 SAMPLING PERIOD ❑ July -December ® January -June PERSON COLLECTING SAMPLES COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 PHONE NO (336) 982 - 8760 Lab # ADD TO LISTSERVE7 ❑YES ®NO EMAIL _ OPTIONAL INFO DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C Part A Stormwater Monitoring Requirements Outfall No Date Sample Collected (mo/dd/yr OR NO FLOW)' PH (Standard Units) TS5 (mg/L) Event Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Momtoring7 (y/n) # of Months in Tier z 2 Sampling - - 6-9 100 3 - - - - 1 NO FLOW - - - = - v - N N/A AL CENTRAL FILES No qualifying discharge 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 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 Gen ral 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 HOW, Trout, and PNA waters where they are 50 mg/I Original State 4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge ❑ Copy - State ❑ Copy - File ❑ CODV Plant 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 p Collected (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 2 Sampling 6-92 is 100 - - - - NOT APPLICABLE 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 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 Deriod 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 ress on e for at/lioering the information, the information submitted is, to the best of my knowledge and belief true accurate, and complete am aware that t r si ica en Les r submitting false information, including the possibility of f nes and mprisonment for knowing violations " (Signature of Perm ttee) ( 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 2 8 1 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Requirements Y 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 Ashe :w- PHONE NO (336) 982 - 8760 Cm. ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ®Trout ®Other C C-J OPTIONAL INFO W Immi Outfall No Date Sample Collected) (mm/dd/yr] Type of Wastewater (VE, RM, MD) PH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A S (mg/L) Duration (minutes)mg/L} 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 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 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 am 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 SAMPLTIOR > 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 ther re si rnficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " I � / Signature Permit Date 7/1/2010 06/30/2015 `�g1x (D (te) Last Revised 07/13/11 Page 2 of 2 Ong —State PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 0 Copy — State `~ GENERAL PERMIT NO. NCG140000 0 Copy CoFile CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2015 FACILITY NAME Chandler Concrete Company - Jefferson 504 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Requirements COUNTY Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A 6 SGT-HEM (mg/L) Duration (minutes) Total Flow (gallons/day), - - - 6-934 3035 53 (15)6 - - 1 NO FLOW VE RM MD N/A No Qualifying Discharge observed this Period - 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 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 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 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 SAMPL-r(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 the re so mficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " Xx (Signature of rmitt e) (D (te) 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 Part A Wastewater Monitoring Requirements CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 LIMIT VIOLATIONS? YES [—]NO i Ong — State 0 Copy — State 0 Copy — Plant 0 Copy - File SAMPLE COLLECTION YEAR..2491B" SAMPLE QUARTER ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June COUNTY Ashe PHONE NO ( 336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD) PH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A SGT-HEM' (mg/L) Discharge Duration (minutes) Total Flo {gallons/day - - - 6-93 4 303 5 53 (15 )6 - - 1 NO FLOW VE RM MD N/A ECEZ No Qualifying Discharge observed this Period - C ENTRAL FILE WR SECT101 ' 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 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 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 7/1/2010-06/30/2016 Last Revised 07/13/11 I01 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 4 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 t here are signific nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations ature of Permittee) Permit Date 7/1/2010-06/30/2016 Ile -e It ( (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 2 8 1 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Requirements 0 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 Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VIE, RM, MD) pH (standard] Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A 6 SGT-HEM (mg/L) Discharge Duration (minutes) Total Flow (gallons/day] - - - 6-934 3035 S3 (15)6 - 1 NO FLOW VE RM MD A, it 2014 n� 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 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 70.10 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 bans 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) 907 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 g thering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware there are sigr ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " �// / lJ re of Permittee Permit Date 7/1/2010 06/30/2015 30 ( ate) Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2013 - 2014 FACILITY NAME Chandler Concrete Company -Jefferson 504 SAMPLING PERIOD ❑ July -December ® January -June PERSON COLLECTING SAMPLES COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 PHONE NO (336) 982 - 8760 Lab # ADD TO LISTSERVE7 ❑YES ❑NO EMAIL _ OPTIONAL INFO DISCHARGING TO CLASS [:]SA❑HQW ❑PNA ®Trout ❑Other C Part A Stormwater Monitoring Requirements Outfall No Date Sample Collected (mo/dd/yr OR NO FLOW)' pH (Standard Units) TSS (mg/L) Event Duration [minutes) Total Rainfa114 (in) In Tier 2 Monthly Monitoring? (YIn) # of Months inTier 2 Sampling - - 6-9 100 - - - - 1 NO FLOW - - - - N N/A U� LU TRAL FILES DWOBOG 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 D Original State For each sampled measurable storm event the total precipitation must be recorded using data from an on -site ram gauge D Copy State D Copy File D Cow Plant 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 1 (mo/dd/yr} PH (Standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (in) New Motor Oil Usage (gal/month) In Tier Z Monthly Monitoring (y/n} # of Months in Tier 2 z Sampling 69 15 100 - - - - NOT APPLICABLE 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 Mali Oripinal and one coov of this DMR (includiniz all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitonnlz 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 re_Wonsible for gather)ing the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete am aware t (5ignatare of Permittee) icant oenalt for submitting false information, including the possibility of fi es a d imprisonment for knowing violations " a (g to)/ 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 8 1 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 LIMIT VIOLATIONS? YES [:]NON 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 Ashe PHONE NO (336)982 - 8760 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Date Sample Total Suspended Settleable TPH using Discharge Type of Wastewater PH method 1664A Total Flow Outfall No Collected' (VE, RM, MDJ (standard] Solids Solids SGT-HEM Duration (gallons/day] ' (mm/dd/yr) (mg/L) (mL/L) (minutes) (mg/L) - - - 6-934 3035 S3 (15)6 - - 1 NO FLOW VE RM MD N/A •rd r,I v La J MA 12 Lt115 \rAL rFL t�1lsl C'�r+rr, 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 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 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 r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that th/�re a sig ificant enalties for submitting false information, including the possibiI ty of fines and imprisonment for knowing violations " f/ J / (Signature of P&mittee) Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2014-2015 FACILITY NAME Chandler Concrete Company - Jefferson 504 SAMPLING PERIOD ® July -December ❑ January -June PERSON COLLECTING SAMPLES COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 PHONE NO (336) 982 - 8760 Lab # ADD TO LISTSERVE? ❑YES ®NO EMAIL _ OPTIONAL INFO DISCHARGING TO CLASS [:]SA❑HQW ❑PNA ®Trout ®Other C Part A Stormwater Monitoring Requirements Outfall No Date Sample Collected (mo/dd/yr OR 1 NO FLOW) pH {Standard Units} { TS5 m g/L} Event Duration (minutes} Total 4 Rainfall (in)Momtormg In Tier 2 Monthly (y/n) # of Months in Tier 2 5amplmgz - - 6-9 100 23 - - - - 1 NO FLOW - - - - N N/A No qualifying discharge observed this period FEB 0 3 UM r.;=NTRAI FILES DWR S 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 If a value is in excess of the benchmark, or outside the benchmark range (far 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 Original -State ° For each sampled measurable storm event the total precipitation must be recorded using data from an on site rain gauge ❑ Copy - State ❑ Copy - File ❑ Coov Plant 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 p 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 Samplingz -6 9 - ' "15 l0o2a NOT APPLICABLE HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO HAVE YOU CONTACTED THE REGION? YES IF NO ❑ REGIONAL OFFICE CONTACT NAME Mail Onizinal and one coov of this DMR {includinR all "No Flow" & "No Dischame" reports) within 30 days of receipt of sample (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 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 g hering the information, the information submitted is to the best of my knowledge and belief true, accurate, and complete am aware tha a si fi ant p aloes for submitting false information, including the possibility of f nes d imprisonment for knowing violations ' 3v /f (Signs ure of ermittee) (D te) Permit Date 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 tate PROCESS WASTEWATER - Quarterly Discharge Monitoring Report 0 Copy -State GENERAL PERMIT NO NCG140000 0 Copy — Plant 0 Copy File CERTIFICATE OF COVERAGE NO NCG14 0 2 8 1 SAMPLE COLLECTION YEAR 2015 FACILITY NAME Chandler Concrete Company - Jefferson, 504 SAMPLE QUARTER ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June PERSON COLLECTING SAMPLES COUNTY Ashe CERTIFIED LABORATORY Blue Ridge Labs Inc Lab #275 PHONE NO (336) 982 - 8760 RIECEIVEDADD TO LISTSERVE-0 ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES [:]NO ® 2015 DISCHARGING TO CLASS [:]SA[-]HQW❑PNA ®Trout ®Other C FEB 0 3 Part A Wastewater Monitorine Reauirements CENTRAL FILES SECTIONOPTIONAL INFO Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MDjz pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L) 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 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 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for sax 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 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 tWe are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " of Permittee] / 150 f ( 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 8 1 FACILITY NAME Chandler Concrete Company - Jefferson 504 PERSON COLLECTING SAMPLES CERTIFIED LABORATORY Blue Ridge Labs Inc _ Lab #275 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 Ashe PHONE NO (336) 982 - 8760 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [—]SA ❑HQW ❑PNA ®Trout ®Other C OPTIONAL INFO Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT--HEM' (mg/L) Duration (minutes) Total Flow (gallons/day) - - - 6-9" 3e 53 (15)' - - 1 NO FLOW VE RM MD N/A No Qualifying Discharge observed this Period - UVyU1bVC7 ' 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 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 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 flaw 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 an 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 a information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that tie "�ificant enahies for submitting false information, Including the possibility of fines and imprisonment for knowing viniations " Permittee} Permit Date 7/1/2010-06/30/2015 4 .1257 T (Date) Last Revised 07/13/11 Page 2 of 2