NCG140394_MONITORING INFO_20171231

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO
/V ('�� Q 3� C�
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
p a'=�% � �I� �3)
YYYYMMDD

* ftANNUAL SUMMARY DISCHARGE MONITORING
_ REPORT (DMR) — STORMWATER _
SUBMIT TO CENTRAL OFFICE*
General Permit No NCG140000
Calendar Year 2017
'Report ALL STORMWATER monitoring data on this form (Include "No Flow / No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No NCG 140394
Facility Name Southern Concrete Materials — West Waynesville Plant
County Haywood
Phone Number (828 ) 253-6421 Total no of SDOs monitored 1
Certified Laboratory ETA Lab # 600
Lab #
Stormwater Discharge Outfall (SDO) No 1 VMA Outfall? Yes ❑ No N
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No N
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes enough consecutive samples below benchmarks to decrease frequency ❑
Yes received approval from DEMLR to reduce monitoring frequency ❑
Other
L1
Outfall No
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
rp /i
pH,
SU
Non -polar O&G
(EPA Method
1664 SGT-HEM ,
)}
mg/1 (VMA)
If applicable
New Motor Oil
Usage (gallmo }
lfapplicable
Stormwater
Benchmarks
Indicate NO FLOW!(
applicable
Circle Benchmark
r /1
1 ool50
6 O�� �
A�
1
?55 gallmo average requires TSS and
Non polar O&G monitoring
Date Sample
Collected,MMM
mo/dd/ r
06/30/2017
No flow
12/31/2017
No flow
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

j - Certificate of Coverage No NCG 14 @]©611�
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belidf, true, accurate, and complete I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations "
[Required by 40 CFR §122 22]
Signature
Date 2—/a--d//
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N C Department of Environmental Quality (DEQ)
- Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions'? Contact DEMLR Stormwater Permitting Staff in the Central Office at
[phone]
Permit Date 8I112017 - 6/30/2022
Last Revised 8-22-2015

w
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO NCG140394
FACILITY NAME _Southern Concrete Materials -West Waynesville
PERSON COLLECTING SAMPLES _Jeff Lamm
CERTIFIED LABORATORY ETS Lab #
Lab #
OPTIONAL INFO
Part A Stormwater Monitoring Requirements
r
SAMPLE COLLECTION YEAR _2016 /
SAMPLING PERIOD ❑ J l D b J
u y- ecem er anuagy- une
COUNTY Haywood
PHONE NO ( )
ADD TO LISTSERVE7 ❑YES [:]NO EMAIL
DISCHARGING TO CLASS [_]SA. ❑HCIW
❑PNA ❑Trout
0
®Dther Q
Outfall No
Date Sample
Collected
{ mo/dd/yr OR
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
2 Sampling2
-
6-92
10021
-
-
-
-
1
No Flow
N/A
N/A
N/A
N/A
N/A
N/A
N/A
tu
JUE
CENTWI
FILES
1 If "NO FLOW" or "NO DISCHARGE, Enter' NO FLOW" or "NO DISCHARGE for each outfall here Please make sure to mark the sample period above
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I
° For each sampled measurable storm event the total precipitation must be recorded using data from an on site rain gauge
Permit Date 7/1/2011 60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 8 Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year
Outfall
No
Date Sample
Collected 1
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
1664A SGT HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall'
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-92
152
10013-
N/A
N/A
N/A
N/A
N/A
N/A
N/A
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receiDt of sample (or at end of monitorine 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 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 signifipint penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
(Signature of
7/6/2016
(Date)
Permit Date 7/1/2011 60/30/2015
Last Revised 7/13/11
Page 2of2