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NCG140115_MONITORING INFO_20181212
STORMWATER DIVISION CODING SHEET NCG -PERMITS PERMIT NO. No 15 DOC TYPE ❑ HISTORICAL FILE LY MONITORING REPORTS DOC DATE ❑ a j �. a YYYYM M D D ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 Calendar Year 2 01e `Report ALL STORMWATER monitoring data on this form (include "No Flow'!'No Dis�tlfN gand Benchmark Exceedances) from the previous calendar year to the DEQ MARCh7116f each.ear. Certificate of Coverage No. NCG 14 ®0 1�© CENTRAL FILES Facility Name: IT'eGL M;jfc� CP-,erl:-_ CO. MAIR cr-l^Tlnm County: i>, Phone Number: (jZ5Z 3332 Total no. of SDOs monitored Certified Laboratory F►,V)r•an-w$,+ 1, 1 P0C.• Lab # /D Lab # Stormwater Discharge Outfall (SDO) No. 1 _ VMA Outfall? Yes," No ❑ Is this outfall currently in Tier 2 for any parameter? Yes ❑ Nolff Was this outfall ever in Tier 2 during the past year? Yes ❑ N%N: 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 ❑ Outfall No. dpl Total Rainfall, inches Total Suspended Solids (TSS), m 1I pH, SU Non -polar O&G (EPA Method 1664 ( SGT-HEM)) , mgll (VMA) N applicable New Motor Oil Usage (gallmo.) If applicable 5tormwater Benchmarks Indicate NO FLOW it applicable circl Benchmark �7 nn NCO � 4 C rt-A O V V D 1 r J >55 gallmo. average requires T55 and Non -polar OSG monitoring Date Sample Collected, molddlyr MMM O 2y 1� , O 9 11 q 4 s' 4b a re x- IIJOY -7 Z 81 to L S too , Permit Date 81112017 — 6/30/2022 Last Revised 8-22-2015 Certificate of Coverage No. NCG14 ©0 J�® CERTIFICATION "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §122.7a� Signature / Date 12— 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 81112017 — 6/30/2022 Last Revised 8-22-2015 Efivvokalmg[W W&etewater;ID: 10 FYP.O. BOX 7085, 114 QAKMONT DRIVE PHONE (252) 756-6208�� GREENVILLE, N.C. 27835-7085 FAX (252 756-0633 ARGOS READY MIXED(6209 GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/l TPH (1664B), mg/I 001 Analysis Method Discharge Date Analyst Code 7.4 04/24/18 JTH 4500HB-11 19 04/26/18 KDS 2540D-11 <5 04/25/18 SE.J EPA1664B ID#: 1089 DATE COLLECTED: 04/24/18 DATE REPORTED : 04/27/18 REVIEWED BY: % hmpumbA Wastewater ID: 10 PHONE (252) 756-6208 � -- GREENVILLE, N.C. 27858 _ FAX (252) 756-0633 ARGOS READY MIXED(6209 GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/l TPH (1664B), mg/l 001 Analysis Method Discharge Date Analvst Code 8.6 11/15/18 JMS 4500HB-11 72 11/16/18 KDS 254OD-11 <5 11/16/18 SEJ EPA1664B ID#: 1089 DATE COLLECTED: 11/15/18 DATE REPORTED : 11/19/18 REVIEWED BY: ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 Calendar Year 201-7 *Report ALL STORMWATER monitoring data on this form (include "No Flow'T No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG14 []II00. RECEIVE® Facility Name: _ &4 & 4e 1CAO�t 62 County: ?�+t UE�. I G I-"+ f Phone Number: (?52) 758 3332 CtTjotal:no.Fof,SDOs monitored J Certified Laboratory Eh. Y0Mj%Yrv4- I, 1#iic • Lab # WR SECTION Lab # Stormwater Discharge Outfall (SDO) No. I VMA Outfall? Yes No ❑ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No-S�- Was this outfall ever in Tier 2 during the past year? Yes ❑ No-k— 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 ❑ Outfall No. Total Rainfall, inches Total Suspended Solids TSS , ) m 11 pH, �� Non -polar O&G (EPA Method 1664 SGT-HEM , ( )) mgll (VMA) ff applicable New Motor Oil Usage (gal/mo.) if applicable Stormwater Benchmarks !ndlcafe NO FLOW if applicable Circle Benchmark VV 1 AO 0 6 D-g O 1 5 r55 g allmo. average requires TSS and Non -polar O&G monitoring Date Sample Collected, molddlyr MMMI 1110e,117 44, 9.3 4 S e0awAorr Permit Date 811/2017 — 6/30/2022 Last Revised 8-22-2015 Certificate of Coverage No. NCG14 OQO[j1® CERTIFICATION "I certify, under penalty of law, that this document and ail attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §12,2.th Signature 1/ Date I 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 - 6/30/2022 Last Revised 8-22-2015 P.O. BOX 7085, 1144 OAKMONT DRIVE GREENVILLE, N.C. 27835-7085 READY MIX CONCRETE (GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 Wastewater ID: 10 TPHONE (252) 756-6208 FAX (252) 756-0633 ID#: 1089 DATE COLLECTED: 11/09/17 DATE REPORTED : 11/14/17 REVIEWED BY: P- 001 Analysis Method PARAMETERS Discharge Date Analyst Code PH (not to be used for reporting) 8.3 11/10/17 KDS 4500HB-11 Total Suspended Residue, mg/1 76 11/13/17 AKS 2540D-11 TPH (1664B), mg/1 <5 11/13/17 SEJ EPA1664B STORMWATER DISCHARGE DUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 D 1 ! S 6:,-( ¢ n JI `SAMPLE COLLECTION YEAR: zol7 FACILITY NAME: eA l 4W,ne_ CD, f14,A" SAMPLING2ERIOD: ❑ July -December Rihnuary-June PERSON COLLECTING SAMPLES O COUNTY CERTIFIED LABORATORYFAv;fVnntit** Q&m JW- Lab # /t7_ PHONE NO. (252) 7S �3332 Lab # ADD TO LISTSERVE? ❑YES.RNO EMAIL: OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other 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 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier I 2 Sampling 6-9f� 10/0Z's - - - yy- 1-7 rAC: k��t I V n � -+v f RAL FILES i ION `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/l. ° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date:7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activitv Monitoring Reauirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar vear. 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 Rafnfali . {in) New Motor Oil Usage (gal/month) � In Tier 2. Monthly Monito0ng? (y/n) g of Months In Tier 2 . 2.;: Sampling 6-9 15 100 ' - - - - �.-;r 4 3.7 t, N HAS YOUR FACILITY HAD 4 OR MORE'BENCHMARK C EXCEED N T ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NQ�r HAVE YOU CONTACTED THE REGION? YES ❑ N REGIONAL OFFICE CONTACT NAME: Mail Original and one copy of this DMR (including all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample for at end of monitoring period in case of "No Flow" to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICA TIQN FOR ANY INFORMAT ON 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 ;vy esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware thate significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ittee) Permit Date:7/1/2011-60/30/2015 S- 3-tor -r (Date) Last Revised 7/13/11 Page 2 of 2 a Emw'mbimml % hm nr?�ORJ Wastewater ID: 10 iu P.O. BOX 7085, 114`OAKMONT DRIVE PHONE (252) 756-6208 GREENVILLE, N.C. 27835-7085 FAX (252) 756-0633 READY MIX CONCRETE (GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARAMETERS 001 Analysis Method Discharge Date Analyst Code PH (not to be used for reporting) 6.4 04/25/17 KDS 4500HB-00 Total Suspended Residue, mg/I 12 04/26/17 MAR 254OD-97 TPH (1664B), mg/1 c5 04/27/17 SEJ EPA1664B ID#: 1089 DATE COLLECTED: 04/24/17 DATE REPORTED : 04/27/17 REVIEWED BY: 'zld 1-- STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM :+ GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140--L I FACILITY NAME: 'RV&&J6bEfJ1CO rco. 4rn'r41* PERSON COLLECTING SAMPLESAl f O CERTIFIED LABORATORY�+W+r0111Mt DKfj)yrrLab # Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: Zw(.O SAMPLING PERIOD: ;S�Tuly-December ❑ January -June COUNTY t't++ PHONE NO. (2SZ ) 7 S$" 5W2_ ADD TO LISTSERVE? ❑YES4S�id'D EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other• Outfall No.. Date Sample Collected {mo/dd/yr OR NO FLOW) pH {Standard Units) TSS (mg/L) Event Duration (minutes) Total , Rainfall {in} In Tier Monthly# Monitoring? {y/n} of Months in Tier mpli2 2Sa ng 6-9 100 ' - REC CENTRAL 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 (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. a TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date:7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected (mo/dd/yr)' pH (Standard Units) TPH using method 1664A SGT-HEM (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) d of Months in Tier 2 Sampling2 6-9 15 100 ' - - - - - 12 OG V 7. Z G HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC T ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NG-� HAVE YOU CONTACTED THE REGION? YES ❑ N REGIONAL OFFICE CONTACT NAME: Mail Original and one coov 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 qualifielplersonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons 'r ly esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am awie that e re sigqjijcAAt-pemIties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of 1 Z-00 -zoaf (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 EmAmmumM % hompo umbd P.O. BOX 7085, 114 OAKMONT DRIVE - v ` - GREENVILLE. N.C. 27835-7085 READY MIX CONCRETE (GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARAMETERS PH (not to he used for reporting) 'rota( Suspended Residue, mg/l TPH (16646), nng/1 001 Analysis ,Method Discharge Date Anah-st Code 7.2 12/07/16 KKM 4500HB-00 5.2 12/08/16 KNIH 254OD-97 C5 12/09/16 SEJ EPA1664B - Wastewater ID; 10 _-PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 1089 DATE COLLECTED: 12/06/16 DATE REPORTED : 12/09/16 REVIEWED BY: STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NtCG14 0 S� FACILITY NAME: M&4 M t c PERSON COLLECTING SAMPLES i ,,oe 0A01 CERTIFIED LABORATORY ., V+rDn0v*1* 1 C-Lab # .- / 0 Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: Z Or b SAMPLING PERIOD: ❑ July -December anuary-June 11 COUNTY Pt +' PHONE NO. ( gn) ADD TO LISTSERVE? []YES []NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [:]Trott ❑he` Ot-r/_ In Tier 2;4- Date Sample Collected (mo/dd/yr OR NO FLOW)t pH Units) TSS (mg/L) Event (minutes) Total 4 (in) Monthly Monitoring? (y/n) #i of Months in 2 Tier 2 Sampling - - 6-9 100 ' - - - - ps e3 U JV •-� 4 `� 23 2016 CENTI I mi cn DWR 'ECTION 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. ° 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 ydar. Outfall No. Date Sample Collected 1 (mo/dd/yr) PH (Standard Units) TPH using method 16ti4A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a RainfalE (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling2 6-9 2 115 100 ' - - - - - 0 to , 2 4 Ir 3 Igo • 4 a HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NOW HAVE YOU CONTACTED THE REGION? YES ❑ NOX, REGIONAL OFFICE CONTACT NAME: Mail Orieinal and one coov of this DMR fincludine all "No Flow" & "No Discharee" reports) within 30 days of receir)t of sample (or at end of monitorine oeriod 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 quJresponsible ersonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am avy. that 1 are sib' 'errnt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ittee) os- I?-7DAP (Date) r Permit Date:7/l/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 • Ekw'ommmml + P.O. BOX 7085, 114 0AKM0NT DRIVE PHONE (252) 756-6208 GREENVILLE, N.C. 27835-7085 FAX (252) 756-0633 READY MIX CONCRETE (GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/l TPH (1664B), mg/l r} 00t Analysis Method Discharge Date Analyst Code 7.2 05/03/16 SDB 4500HB-00 13 05/04/16 KDS 2540D-97 <5 05/10/16 SEJ EPA1664B ID#: 1089 DATE COLLECTED: 05/03/16 DATE REPORTED : 05/12/16 REVIEWED BY; STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NC6140000 RECEN D CERTIFICATE OF COVERAGE N0. NCG140-1_5 SAMPLE COLLECTION YEAR: 20/5 NOV 12 2015 FACILITY NAME: */IrSAMPLING PERIOD:�uly-December ❑ January -June PERSON COLLECTING SAMPLES i COUNTY CENTRAL FILES CERTIFIED LABORATORY&nV�{0"*%trrV0 . IrtL+ Lab # /O PHONE NO. (U?-) i5$- 333 2- DWR SECTION If Lab # ADD TO LISTSERVE? []YES EMAIL: OPTIONAL INFO: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other Part A: Stormwater Monitoring Requirements Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)1 pH (Standard Units) TSS (mg/L) Event Duration (minutes) Total , Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 SamplingZ - 6-9 100 , - - - - 02 - 7• if IL14 '7 2+ 2- 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. ° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 r: Pp_rt 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 Rainfa114 (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling" 6-9 15 100 ' - - - - - -I 11-02-�570 0 9.10 S Z.2AIA"'70eal. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN S AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ 1\10+�r 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 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 thaequai personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those p ly responsible for ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am a are si t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." I MOO, z�r5� (Snatuil9f Permittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 EmohimmW Ala hmpufflUd wastewater zn: is P.O. BOX 7085, 114OAKMONTDRIVE-----v-�� -� --WPHONE (252)�756-6208 GREENVILLE, N.C. 27835-7085 FAX (252) 756-0633 READY MIX CONCRETE (GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/1 TPH (1664B), mg/1 001 Analysis Method Discharge Date Anatvst Code 7.1 11/02/15 CMC 4500HB-00 9.6 11/03/15 MLH 2540D-97 <5 111031t5 SEJ EPA1664B ID#: 1089 DATE COLLECTED: 11/02/15 DATE REPORTED : 11/04/15 REVIEWED BY: 1H ' - .%. TORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 Q j 1 __q FACILITY NAME: Rer.1. N1.',r.PA e i.rr%00e (4A PERSON COLLECTING SAMPLES m CERTIFIED LABORATORY vt�J; r0r�.�+�+-1- �� Lab # - fs�_ Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: Z O) 5r SAMPLINGERIOD: NTuly-December ❑ January -June COUNTY I }�' PHONE NO. (?,?)_7S3-EFff0 ADD TO LISTSERVE? ❑YES kNO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other, Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)1 PH (Standard Units) TSS (mg/L) Event Duration (minutes) Total Rainfa114 (in) In Tier 2 Monthly Monitoring? Wn) of Months inTierier 2 Sampling - - 6-9 100 , - - - - 09 zy 7• .� 2,, 57o 9 N If 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 N_o. rM^ i Date Sample Collected {mo/dd/yrjl PH (Standard Units} TPH using method 1664A,SGT=HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total 4 Rainfall (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? {y/n} fi of Months in Tier z x Sampling 6-9 15 100 ' - - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCE£ ENCE 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 (includine all "No Flow" & "No Discharl=e" reports) within 30 days of receipt of sample for at end of monitoring period in case of "No Flow" to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those personJh7re tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am a�r�re th are sigoifieant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (s ttee) r0—-15r ( ate) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 � L FACILITY NAME: •C4 ft ?.j am 7hoi 04 PERSON COLLECTING SAMPLES Y dal CERTIFIED LABORATORY Lab # I Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 201s SAMPLINGERIOD: ❑ July -December .7pgTnuary-June COUNTY K tr PHONE NO. (Z_Q-) 7 3Z ADD TO LISTSERVE? [-]YES 2 L= EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other, Outfall No.. Date:Sample Collected (mo/dd/yr OR NO FLOW) pH (Standard .- Units) TSS (mg/L)Monitoring? Event :Duration (minutes): Total Rainfall'. (m) .` -In Tier 2 , Monthly (Yln) . # of Months in Tier z 2 Sampling _ .. - 6-9 . .. . . 4�00 N N 8 Z015 C wR S I 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. °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 1 (mo/dd/Yr) pH ( Standard Units) . TPH using method 1664A SGT-HEM jmg/L) - Total Suspended Solids (mg/L), ;. Event ° " Duration (minutes) Total Rainfall . (in) New Motor Oil Usa e „ g - {gal/month} In Tier 2 Monthly y Monitoring? {y/n) . #" of. Months in Tier 2" Z.. " Sampling 6 9 15 KJO f v1 Wl*,r-r I f Y HAS YOUR FACILITY HAD 4OR MORE BENCHMARK EXCEEDENCF ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ Na�'� HAVE YOU CONTACTED THE REGION? YES ❑ N 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 for at end of monitoring period in case of "No Flow") to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU 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 diply responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am ire th re are sign t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." -IG-rS (SiAvuvol Permittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2of2 P.O. BOX 7085, 114 OAKMONT DRIVE GREENVILLE, N.C. 27835-7085 READY MIX CONCRETE (GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARANIETERS PH (not to be used for reporting) Total Suspended Residue, mg/1 TPH (166413), mgll Was twat O= ID: 10 �- - - A PHONE (252) 756-6208 FAX (252) 756-0633 001 Analysis Method Discharge Date Analyst Code 8.5 06/02/15 TRB 4500HB-00 60 06/03/15 KKF 254OD-97 G5.0 06/04/15 SEJ EPA166413 ID#: 1089 DATE COLLECTED: 06/02/15 DATE REPORTED : 06/05/15 REVIEWED BY: A77---- STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 a ! S SAMPLE COLLECTION YEAR: 2b)q FACILITY NAME: 1Re444 M-.Jtl CBnCrL ��,�Pu P�Gnf #IKSAMPLING ERIOD: 7uly-December ❑January -June PERSON COLLECTING SAMPLES J`? i Gk; eCalC..� COUNTY CERTIFIED LABORATORY E11V1r6,Aft v+ 1 jh Lab# JL-7T PHONE NO. (2-XZ) 7521333Z Lab # ADD TO LISTSERVE? ❑YES MAIL: OPTIONAL INFO: DISCHARGING TO CLASS: []SA ❑HQW []PNA ❑Trout []Other Part A: Stormwater Monitoring Requirements Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW )1 PHEvent (Standard Units) TSS (mg/L) Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) €1 of Months in Tier 2 SamplingZ - 6-9 100 , - - y CFV � T u . I CENTRAL F SECTION ' 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 (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I. For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected (mo/dd/yr)� pH (standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (in) New Motor Oil Usage (gal/month) in Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Z Sampling 6-9 15 100 ' A A-1 o Z # 2, z tto 15r 9kP92X1 I N HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEE EN ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO HAVE YOU CONTACTED THE REGION? YES [IN 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 for at end of monitoring period in case of "No Flow" to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualifi p onnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons di r sponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am awjre tha a re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (SigbWureW Pyrmittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 Emw'UmEM Ala hcwpomUd 9 TP.O. BOX 7085, �14 OAKMONT DRIVE l GREENVILLE. N.C. 27835-7085 READY MIX CONCRETE (GREENVILLE) MR. RICKIE GRAY P.O. BOX 877 GREENVILLE ,NC 27834 PARAMETERS PH (not to be used for reporting) Total Suspended Residue, mg/1 TPH (1664A), mg/1 Wastewater ID; 10 ---- -- - - -_ - - PHONE (252) 756-6208 - FAX (252) 756-0633 ID#: 1089 DATE COLLECTED: 09/24/14 DATE REPORTED : 09/26/14 001 Analysis Method Discharge Date Analyst Code 7.2 09/24/14 TRB 45001-IB-00 61 09/25/14 KKF 2540D-97 <5.0 09/25/14 SEJ EPA1664B REVIEWED BY: