HomeMy WebLinkAboutNCG140133_MONITORING INFO_20190304STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v /ci�I3:�
DOC TYPE
❑HISTORICAL FILE
C�MONITORING REPORTS
DOC DATE
❑ a � � 7 o 3 D
YYYYMMDD
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
'Report ALL STORMWATER monitoring data on this form (include "No FloWil"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: Gastonia 92 Plant
County: Gaston
Phone Number: 7( 04) 529-6364
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 0
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 0
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency p MAR 0 4 Z019
Other ❑ CENTi.AL FILES
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m II
pH,
SU
Non -polar O&G
(EPA Method
1664 SGT-HEM})
mg/1 (VMA) �
!!applicable
New Motor Oil
Usage (gallmo.)
It applicable
Stormwater
Benchmarks
mdfca,e NO FLOWif
applicable
Circle Benchmark
1 QQIF�O
6, t)-9. �
1 5
>65 p allmo, average requlrea T55 and
Non-potarOBGm Woring
Date Sample
Collected
molddl r
sssia
t671
',
a 'h aS
Via# y4
a *
a'r a� a4 r
2/7/2018
NO FLOW
9/26/2018
NO FLOW
Permit Date 8/1/2017 — 6/3012022
Last Revised 8-22-2015
S-�
Certificate of Coverage No. NCG14 , rTPCN
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 §122.22]
Signature
Date
1�
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 8/112017 — 6/30/2022
Last Revised 8-22-2015
ANNUAL 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"f'No Discharge" and Benchmark
Exceedances) from the previous calendar vear to the DEQ by MARCH 1 of each near.
Certificate of Coverage No; NCG 14 ®1❑ 30 30 4
Facility Name: Gastonia Main Plant MAR 0 7 2018
� •i=1V r rMAL f-ILES
County: Gaston GWR SECTION
Phone Number: 70{ 4 __ } 617-4431 Total no. of SDOs monitored 1
Certified Laboratory Prism Lab Lab # 402
Lab #
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑,r
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 0
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 1❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
p
Solids (TSS),
mg/1
H
p �
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM))
mg/1 (VMA)
H applicable
New Motor Oil
Usage allmo.
g (g )
Happlicable
Stormwater
Benchmarks
lndlta[e NO FLOW H
applicable
circle Benchmark
1 OUIrJO
.f�
(>i.�-9�
'� 5
>55 gallmo. average requires 7SS and
Non -polar O&G monitoring
Date Sample
Collected,`
molddlyr
Wr
4/24/2017
001 No Flow
9/11/2017
SW 001
7.0
BRL
BRL
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015
Certificate of Coverage No. NCG14 ❑O [!IEN0
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 §122.22J
Signature
Date a 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 811/2017 — 6/30/2022
Last Revised 8-22-2015
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. COC140133
FACILITY NAME: Gastonia Main St #165
PERSON COLLECTING SAMPLES: Z Pie
CERTIFIED LABORATORY Prism Lab # 402
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2017
SAMPLING PERIOD: ❑ July -December
COUNTY Gaston
PHONE NO. (704) 372-2930
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW
® January -June
❑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 a
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
-
6-9
100 •
-
V". Lti ♦+N
-0-_ iI iF�-M
-
I X L_ V-0
..- I V L_ I—F
001
6/30/2017
NO FLOW
JUL
? 7 2011
vLZE4 I r
111AIP <
rtL r-FLF,C)
Pr Ti nl
` If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected 1
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
1664A 5G7-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
n
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-9
15
100 '
-
-
-
-
-
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 Orieinal and one coov of this DMR (includine all "No Flow" & "No Dischame" reports) within 30 days of receipt of sample for at end of monitorins 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 qua ' ied personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons pirrctly re nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aWarp that ere a,. nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of
I LY1 r -7
(Date)
Permit Date: 7/1/2011-60/30/201S 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. COC140133
FACILITY NAME: Gastonia Main St #165
PERSON COLLECTING SAMPLES: Zane Carpenter
CERTIFIED LABORATORY Prism Lab # 402
OPTIONAL INFO:
Part A: Stormwater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2017
SAMPLING PERIOD: ❑ July -December
COUNTY Gaston
PHONE NO. (704) 372-2930
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW
® January -June
❑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
Rainfall 4
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier'
2 SamplingZ
-
-
6-9
100 ,
-
-
-
-
001
4/24/2017
NO FLOW
r
ENTRAL FILES
WR SECTION
S 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 TS5 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
1. vw—
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)
!n Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling
6-9
15
100 ,
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEED NCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO,�
HAVE YOU CONTACTED THE REGION? YES ❑ NOP
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (includine all "No Flow" & "No Discharze" 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 qua ified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons tectly r ponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am gwge that ere W significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sig6�Aure of
SC2 (r 7C2 (r 7
(Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE`
General Permit No. NCG140000
Calendar Year 2018
*Report ALL WASTEWATER monitoring data on this form (include "No Flov T'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0❑�
Facility Name: Gastonia #2 Plant
County: Gaston
Phone Number: (704 ) 529-6364
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of outfalls monitored 1
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No [Z]
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 0
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ✓❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑✓
Were there any limit violations in the calendar year? Yes ❑ No ❑✓
C toOutfall No.
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
it applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
Standard
Effluent
Limitations
Gaily Maximum
HQW or ORW
50 /o of 7Q10
indicate NO FLOW if
applicable
freshwater
6.0-9.0
wa
saltter
6.8-8.5
30
NOW
20
HOW l ORW and Tr, or
PNA
10
HOW, ORW, SA,
sa, PNA, or any
Trout
a
5
No Limit
samples above Benchmark
subject to Tiered Responses
1 5
Date
D
Sample
Collected,
molddlyr�
+
i+'.
° €
%"'a g
3a� ,
3/19/201 B
NO FLOW
C3 C f "%
9/7/2018
NO FLOW
a.. v,/ It._ i V 1...
MAg Q S 2niq
�Gkti 11;7AL rILlrS
r N%Arr" r.... ...._...
1
'— • • , , v,,,-tom I I1,Ji'�
Permit Date 8/1/2017 — 6/3012022
Last Revised 8-22-2017
Certificate of Coverage No. NCG 14 07CLf 1
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 §122.221
Signature
Date
Mail Annual Summary Wastewater 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 8i112017 — 6/30/2022
Last Revised 8-22-2017
�-djL
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
CERTIFICATE OF COVERAGE NO. NCG140133
FACILITY NAME: Gastonia Main St
PERSON COLLECTING SAMPLES Shane King
CERTIFIED LABORATORY Prism Lab # 402
OPTIONAL INFO:
Part A. Stormwater Monitoring Requirements
GENERAL PERMIT NO. NCG140000
SAMPLE COLLECTION YEAR: 2016
SAMPLING PERIOD: ❑ July -December
COUNTY Gaston
PHONE NO. (704) 372-2930
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
® January -June
❑PNA [-]Trout ®Other
Outfall No.
Date Sample
Collected
(ma/dd/yr OR
NO FLOW}1
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
[minutes}
Total
a
Rainfall
(in]
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
-
-
6-9
100 '
-
-
-
-
001
4/12/2016
8.6
B RL
' 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 1
(mo/dd/yr)
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)
# of Months
in Tier 2
Sampling'
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO-EKJ
HAVE YOU CONTACTED THE REGION? YES ❑ NQE�—
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR (includine all "No Flow" & "No Discharee" 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 direr ly resp ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am away tat er a significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
c/ 7 `t /
(Signat re 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
CERTIFICATE OF COVERAGE NO. NCG140133RECEIVED
FACILITY NAME: Gastonia Main St
PERSON COLLECTING SAMPLES: Shane King OCT 2 3 2015
CERTIFIED LABORATORY: Prism Lab # 402 CENTRAL FILES
DWR SECTION
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Gaston
PHONE NO. (704) 372-2930
ADD TO LISTSERVE? DYES ®NO EMAIL: o�
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
C►utfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
S g1L)l6
(mgn)
Duration
(minutes)
Total Flow
7
gallons/day)
-
-
6-93,4
303,5
53
(15)"
-
-
001
09/21/15
No Flow
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.S 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.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
s
tJ A instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the 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.
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 awzWe fat thAre arfl significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ature of Permittee)
Permit Date:7/1/2010-06/30/2015
_ (of? f _Lr�
(Date)
Last Revised 07/13/11
Page 2 of 2
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140133
FACILITY NAME: Gastonia Main St
D
PERSON COLLECTING SAMPLES: Shane King
REC {
CERTIFIED LABORATORY: Prism Lab # 402
JUL 2 4 2015
LIMIT VIOLATIONS? YES ❑ NON
CENTRAL FILES
DVVR SECTION
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec Dian -March NAp I -June
COUNTY: Gaston
PHONE NO. (704) 372-2930 G 99
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout NO er—�
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD}
pH
(standard}
Total Suspended
Solids
(mg/L)
SettleableTPH
Solids
(ml/L)
Using
method 1664A
6
SG
/L)
(mg/L)
Discharge
Duration
{minutes}
Total Flow
7
{gallons/day}
-
-
-
6-93,4
303,s
53
(15)6
-
-
001
06/30/15
No Flow
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.
31f 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.
Permit Date: 7/1/2010-06/30/2415
Last Revised 07/13/11
Page 1 of 2
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 i;;;kead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the 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.
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 frectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I anj aygare to# theye aj� significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
{Signature of Permittee)
Permit Date:7/1/2010-06/30/2015
ffr`r�'i
(Date)
Last Revised 07/13/11
Page 2 of 2
a
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140133 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Gastonia Main St SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March
PERSON COLLECTING SAMPLES: Zane Carpente
CERTIFIED LABORATORY: Prism Lab # 402 �ECcf V ED
LIMIT VIOLATIONS? YES ❑ NO Z MAY Y32015
CENT -Part A: Wastewater Monitoring Requirements DWR �G7lnEns
COUNTY: Gaston
PHONE NO 17041372-2930
❑AprU Lune
M
ADD TO LISTSERVE? DYES ®NO EMAIL: COD
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ZOther_ar!_
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
SettleableTPH
Solids
(mL/L)
usingDischarge
method 1664A
SGT HE[ve
(mg/L)
Duration
(minutes)
Total Flow
�
(gallons/day)
-
-
-
6-93.4
303,S
53
(15)6
-
-
001
03/11/15
No Flow
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.
a 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 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.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
s 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,
o but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Ft-64 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 026 .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.
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:
N 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 d' ectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I an a4raXe tha he,41are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
Permit Date: 7/1/2010-06/30/2015
S ,rr, , -
(Date)
Last Revised 07/13/11
Page 2 of 2
h.i
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140133
FACILITY NAME: Gastonia Main St
PERSON COLLECTING SAMPLES: Zane Carpenter
CERTIFIED LABORATORY: Prism Lab i# 402
LIMIT VIOLATIONS? YES []NO
Part A: Wastewater Monitorine Reouirements
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June
COUNTY: Gaston
PHONE NO. (704) 372-2930
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)s
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
-
-
-
6-93,4
3Q3,s
53
(15)6
-
-
001
6/30/2014
RM
9.7
BRL
BRL
N/A,
BRL
BRL
)
C
If wastewater systems have not discharged in this quarter — report "No Flom' 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.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
. "ti
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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL. SUMMARY (INCLUDING ALL "NO FLOW", -NO DISCHARGE-) WITHIN 30_DAYS OF RECEIPT OF SAMPLEIOR
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 p sonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direct) esp ble for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awarjp tjlat then r sl ificant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations."
T- / Y— 7 �( c
gnature f Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
RECEIVED
APR 15 2014
CENTRAL FILES
DWQIBOG
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140133
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Concrete Supply Co., LLC
is hereby authorized to discharge process wastewater and stormwater from a facility located at
Concrete Supply Co. — Gastonia Main Street Plant
401 East Main Street
Gastonia
Gaston County
to receiving waters designated as unnamed tributary to Catawba Creek, a class C water in the
Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, I1, I1I, IV, V, and VI of General Permit No. NCG140000 as
attached.
This certificate of coverage shall become effective April 14, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 14, 2014
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
4r ;T Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCD84R
"*`" C`"°"w'°° `pjcscu' PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S 10. N ,G G 1 4 10 1 1 1 3 1 3
IL Permit status prior to requested change.
a. Permit issued to (company name): CEMEX Construction Materials Atlantic, LLC
b. Person legally responsible for permit: Larry McSwam
First MI Last
VP/GM Carolinas
Title
101 Young Court
Permit Holder Mailing Address
Greenville SC 29615
City State Zip
(864) 605-9877 (864) 605-9869
Phone Fax
c. Facility name (discharge): CEMEX — Gastonia
d. Facility address: 401 E. Main St
Address
Gastonia NC 28054
City State Zip
e. Facility contact person: Johnny M Tapia (803) 327-2494
First / M1 / Last Phone
I1I. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
0CT1 7 2013
d. Facility name (discharge):
e. Facility address:
Concrete Supply Co., LLC
Henry Batten_
First MI Last
President
Title
P.O. Box 5247
Permit Holder Mailing Address
Charlotte NC 28299
City State Zip
(704) 372-2930 Henry.Batten@ConcreteSupplyCo.com
W Y Phone E-mail Address
Gastonia — Main St
401 E. Main St
Address
Gastonia NC 28054
City State Zip
f. Facility contact person: Johnie Alexander
First MI Last
Johnie. Alexander@ConcreteSupplyCo.
(704) 372-2930 com
NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Johnie Alexander
First MI Last
Environmental Manager
Title
P.O Box 5247
Mailing Address
Charlotte NC 28299
City State Zip
704 372-2930 dohnie.Alexander rr concretesu i co.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or name change?
x Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
X This completed application is required for both name change and/or ownership change requests.
X Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or
a bill of sale) is required for an ownership change request. Articles of incorporation are not
sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's
Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Larry McSwain, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
9- 19. 26i3
Signature Date
APPLICANT CERTIFICATION
1, Henry Batten, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
q, Z7 • Za l 3
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008
NCB NR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr, Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E. Skvarla, III
Secretary
April 14, 2014
Subject: NPDES General Permit NCG140000
Certificates of Coverage -Multiple
Concrete Supply Co., LLC
Formerly CEMEX Construction Materials Atlantic, LLC
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of Coverage
to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The
terms and conditions contained in the General Permit remain unchanged and in full effect. These
revised Certificates of Coverage are issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at (919) 807-6300.
Sincerely,
ORIGINAL SIGNED W
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan
Winston-Salem RO, M. Gantt
Fayetteville RO, B. Cole
Asheville RO, L. Herbert
Raleigh RO, J. Holley
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, !North Carolina 27699-1612.919.707-92001 FAX: 919-715-8801
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http./Ipmal.ncdenr.org/web/I
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
Deborah Reese, DEMLR Budget Office — please update billing info
Stormwater Permitting Program Files
Central Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Wake County Environmental Services, Attn: Eric Green, P.O. Box 550, Raleigh, NC 27602