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Home My WebLink AboutNCG140332_MONITORING INFO_20190226STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑HISTORICAL FILE f� MONITORING REPORTS DOC DATE p YYYYMMDD Semi-annual Stormwater kischarge Monitorin Re ort I; p for North Carolina Division of Water Quality General Permit No. NCG140000 Date Submitted February 19, 2019 CERTIFICATE OF COVERAGE NO. NCG140332 FACILITY NAME Powell's Ready Mix Concrete COUNTY HALIFAX PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY Pace Ana_I_ytical Lab Cert. # 633 Comments on sample collection or analysis: _pH measured infield by Stormwater Services Group Lab Cert #5054 SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD 0 Jan -June ❑ July -Dec RE�EI or ❑ Monthly' (month) ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA FEB 2 6 2019 []zero -flow ❑Water Supply []SA II Other C CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (if yes, report your analytical results in Part B below) Part A: Stormwater Discharges from Areas of Facility with Concrete production activities Outfall No. Date Sample Collected, mo/dd/yr 46529 00530 00400 Total Rainfall, inches Total Suspended Solids, mg/L pH, Standard units Benchmark - - 100 Within 6.0-9.0 001 02/11/19 0.68" 53.4 7.53 Part B: Vehicle Maintenance Areas Monitoring Requirements (If applicable) yes ✓ no ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 46529 00556 00530 Total Rainfall, inches Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total.Suspended Solids, mg/L Permit Limit - - 15 100 I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here, SWU-250 Last revised Nov 20, 20 17 Page 1 of 2 STORM Er_.,jT CHARACTERISTICS: Date 02/11/19 .(first event sampled this reporting period) Total Event Precipitation (inches): 0.68" Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement rer 1, Trer 2, or Tier responses. See Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO O IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mall an on final and one copy of this DMR includin a!! "Na Discharge" reports, within 30 days o receipt a the lab results or at end o monitoringperiod in the case o "No Discharge"' re orts to: NCDEQ/ Division of Water Resources Attn: DWR 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 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 submitting false information, including the possibility of fines and imprisonment for knowing violations." `�4� �1� 1-11� 7-� -a,- �� -�, ") -1, (�, (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 Last revised Nov 20, 2017 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG140000 Date Submitted September 21, 2018 CERTIFICATE OF COVERAGE No. N CG 140332 FACILITY NAME _Powell's Ready Mix Concrete COUNTY HALIFAX PERSON COLLECTING SAMPLES __ J Frei/ SwSG LABORATORY_ Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: _pH measured in field by Stormwater Services Croup (Lab Cert #5054) SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June Ef July -Dec or ❑ Monthly' (month) RC� , L ISC_HAARGGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA 4•• �j . ❑Zero -flow ❑Water Supply [:]SA SEP 2 6 2018 EZ Other C CENTRAL_ FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes (if yes, report your analytical results in Part B below) Part A: Stormwater Discharges from Areas of Facility with Concrete production activities Outfali No. Date Sample Collected, mo/dd/yr 46529 00530 00400 Total Rainfall, inches Total Suspended Solids, mg/L pH, Standard units Benchmark - - 100 Within 6.0 — 9.0 001 09/14/18 0.15 81.8 7.38 Part B: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ✓ no ❑ No discharge this period' Outfa II No. Date Sample Collected, mo/dd/yr 46529 00556 00530 Total Rainfall, inches Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L Permit Limit - - 15 100 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 Last revised Nov 20, 2017 Page 1 of 2 STORM L - _AT CHARACTERISTICS: Date Sept 14, 2018 (first event sampled this reporting period) Total Event Precipitation (inches): 0.15" Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2; or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 dovs of receipt of the lab results for at end of monitoring period in the case of "No Discharge" report: NCDEQ/ Division of Water Resources Attn: DWR 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 9 .a 4 -2-� (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 SWU-250 Last revised Nov 20, 2017 Page 2 of 2 Semi-annual Stormwa for North Carolina Division of Water Quality General Permit No. NCG140000 Date Submitted MaV 21 2018 CERTIFICATE OF COVERAGE NO. NCG140332 FACILITY NAME _ Powelrs Ready Mix Concrete COUNTY HALIFAX PERSON COLLECTING SAMPLES _ J Frei/ SwSG LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: pH measured in field by Stormwater Services Group (Lab Cert #50S4) R CCISAMPLE COLLECTION YEAR 2018 9AMPLE PERIOD ® Jan -June ❑ July -Dec MAY So 20 or ❑ Monthly' month C DI&ARGING TO CLASS ❑ORW ❑HQW [—]Trout❑PNA N W�L FILES ❑Zero -flow ❑Water Supply ❑SA CJ� SEC710N 0 Other C PLEASE REMEMBER TO SIGN ON THE REVERSE --> Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes (if yes, report your analytical results in Part B below) Part A; Stormwater Discharges from Areas of Facility with Concrete production activities Outfall No. Date Sample Collected, mo/dd/yr 46529 00530 00400 Total Rainfall, inches Total Suspended Solids, mg/L pH, Standard units Benchmark - - 100 Within 6.0 — 9.0 001 05/06/18 0.111, 683 7.56 Part B: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ✓ no ❑ No discharge this period' Outfall No. Date Sample Collected, mo/dd/yr 46529 00556 00530 Total Rainfall, inches Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), Mg/L Total Suspended Solids, mg/L Permit -Limit - - 15 100 1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 Last revised Nov 20, 2017 Page 1 of 2 STORM E. i" CHARACTERISTICS: Date May 06, 2018 (first event sampled this reporting period) Total Event Precipitation (inches): 0.11" Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement rer 1, Trer 2, or Tier 3 responses. See General Permit text FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART Il SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART it SECTION B. • TIER 3, HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO O IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy o this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: NCDEQ/ Division of Water Resources Attn: DWR 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdesswgtab-4 SWU-250 Last revised Nov 20, 2017 Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG140000 Date Submitted December 18, 2017 CERTIFICATE OF COVERAGE NO. NCG 140332 FACILITY NAME Powell's Ready_ Mix Concrete COUNTY HALIFAX PERSON COLLECTING SAMPLES J Frei/ SwSG LABORATORY Pace Analytical Lab Cert. # 633 Comments on sample collection or analysis: _pH measured -in field_ by Stormwater Services Grour) {Lab Cert #50541 SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June lZ July -Dec or ❑ Monthly'_ (month) ^ RECEIVED DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RE ds V ❑2ero4low ❑Water Supply ❑SA DEC I g 7017 ® Other C CENTRAL i=lLES PLEASE REMEMBER TO SIGN ON THE REVERSE � GWR SECT101.1 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ✓ no (if yes, report your analytical results in Part 8 below) Part A: Stormwater Discharges from Areas of Facility with Concrete production activities Outfall No. Date Sample Collected, mo/dd/yr 46529 00530 00400 Total Rainfall, inches Total Suspended Solids, mg/L pH, Standard units Benchmark - - 100 Within 6.0 -- 9.0 001 12/06/17 0.151, 24.2 7.93 Part 8: Vehicle Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period' Outfal I No. Date Sample Collected, mo/dd/yr 46529 00556 00530 Total Rainfall, inches Non -Polar Oil and Grease/TPH EPA Method 1664 (SGT-HEM), mg/L Total Suspended Solids, mg/L Permit Limit - - 15 100 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. SWU-250 Last revised Nov 20, 2017 Pagel of 2 STORM Be _,or CHARACTERISTICS: Date Dec 06, 2017 (first event sampled this reporting period) Total Event Precipitation (inches): 0.15" Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, fer 2, or Tier 3 responses. See General Permit text FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. . • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Q IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?' YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of thrs DMR including all "No Discharge" reports, within_30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: NCDEQ/ Division of Water Resources Attn: DWR 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," (Signature of Permittee) (Date) Additional copies of this form may be downloaded at: http:l/portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 SWU-250 Last revised Nov 20, 2017 Page 2 of 2 STORMWATER DISCHARGE OUTFALL � S� - Semi -Annual MONITORING FORM i CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 2 FACILITY NAME: POWELUS READY -MIX CONCRETE PERSON COLLECTING SAMPLES J D FREI/ SwSG CERTIFIED LABORATORY: PACE LABS SwSG OPTIONAL INFO: Field pH measured by SwSG Part A: 5tormwater Monitoring Requirements GENERAL PERMIT NO. NCG140000 RECEIVED SAMPLE COLLECTION YEAR: 2016 DEC 2 0 201AMPLING PERIOD: ® July -December ® January -June CENTRAL FILET 11141 HALIFAX Lab # 1ZIA631ECTIO0ONE NO. (252) 535-9717 Lab # 5054 ADD TO LISTSERVE? EYES ®NO EMAIL: DISCHARGING TO CLASS: ESA ❑HQW ❑PNA ❑Trout ®Other, Outfali No. Date Sample Collected (mo/dd/yr OR NO FLOW)1 pli [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 - - 6-9 100 , - - - - 001 05/29/16 8.13 56.9 +/-240 0.31" N r r-n/a 001 12/04/16 7.69 27.0 +/-165 0.11" N n/a ' 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. 4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: VE Maintenance Activitv. Monitorine Reouirements for.facilities usine > I&I of new motor oil/month — averaeed 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) r Total Rainfalls (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (Wei)Samplingz # of Months in Tier 2 6-9 "15 100 - - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NON HAVE YOU CONTACTED THE REGION? YES ❑ NO ®, REGIONAL OFFICE CONTACT NAME: - Mail Original and 'one copy of this DMR includin all "No Flow" & "No Dischar e" re orts within 30 days of receipt of sample or at end of monitoring eriod _ 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 it 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 foe 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 foe knowing violations." (Signature of Permittee) (Date) Permit Date-'7/1:/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (S O) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 2 FACILITY NAME: POWELUS READY -MIX CONCRETE PERSON COLLECTING SAMPLES J D FRET/ SwSG CERTIFIED LABORATORY: PACE LABS Lab # 633 SwSG Lab # 5054 OPTIONAL INFO: Part A: Stormwater Monitoring Requirements RECEIVED SAMPLE COLLECTION YEAR: 2016 'J C T 28 2016 SAMPLING PERIOD: ❑ July -December ® January -June CENTRAL FILES COUNTY HALIFAX DAUB SECTION PHONE NO. (252) 535-9717 ADD TO LISTSERVE? EYES ®NO 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 tmg/Lj Event Duration (minutes) Total 4 Rainfail (in) In Tier 2 Monthly .Monitoring? (y/n) # of Months in Tier 2 Samplingx - - 6-9 100 , - - - - 001 05/29/16 8.13 56.9 +/- 240 0.31" N n/a 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW; 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: V, I Maintenance Activity Monitoring Requirements for facilities using > , A of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected jmo/dd/yr]1 PH (Standard Units) TPH using method 1564A SGT NEM (mg/L) Total Suspend Solids (mg/L) Event Duration (minutes) Total n Rainfall (in) New Motor oil Usage (gal/month) In Tier 2ed Monthly Monitoring? (y/nj # of Months in Tier 2 Z Sampling 6-9 15 200 , - - - - - 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 coav of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receiot 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 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 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 am aware that ther significan a cities for submitting false information, including the possi i ity of fines and i risonment for knowing violations." (Signature of Permittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2of2 STORMWATER DISCHARGE OUTFALL (S ) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 2 FACILITY NAME: POWELL'S READY -MIX CONCRETE PERSON COLLECTING SAMPLES J D FREI/ SwSG CERTIFIED LABORATORY PACE LABS Lab # Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements REC 4SAMPLE COLLECTION YEAR: 2015 JAN SAMPLING PERIOD: ® July -December ❑ January -June COUNTY HALIFAX CENTRAL FIPH0NE NO. (252) 535-9717 4Q-)WR SECTfgDD TO LISTSERVE? DYES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other C 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 Samplinga - 6-9 100 ' - - - - 001 12/28/15 7.58 46.2 +/-120 0.15" N n/a �.cry i htAL FILEfi ' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. 4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: V. -,Maintenance Activity Monitoring Requirements for facilities using > - al 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 Z Sampling 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 (includina all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample for 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 gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there re signi nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 E STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 2 FACILITY NAME: POWELL'S READY -MIX CONCRETE PERSON COLLECTING SAMPLES J D Frei/ SwSG CERTIFIED LABORATORY Pace Analytical Lab # 40 SwSG Lab # 5054 OPTIONAL INFO: Part A: 5tormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 2015 SAMPLING PERIOD: ❑ July -December ® January-r `n�C��V�JU COUNTY HALIFAX PHONE NO. (252) 535-9717 MAY 0 4 2015 ADD TO LISTSERVE? []YES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA Opp xtf40tl�Es— DWR 5 TfON Outfall No. • Date Sample Collected (mo/dd/yr OR NO FL0W)1 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 Samplingz - - 6-9 100 , - - - - 001 04/19/15 7.63 226 +/- 360 0.691, N 0 Click here to enter text, Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. 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/l. For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. nmr room r" C� Moe Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month -- averaged over a calendar year, Outfall No. Date Sample Collected (mo/dd/yr)1 pH (Standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) N of Months in Tier 2 2 Sampling 6-9 15 100 , - - - { +i,Gh+1G� 1}C"a+w"l Y'AW . HA�,VR 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 (includine all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period in case of "No Flow") to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant ppnaltiie5 for submitting false information, including the possibility of fines and impriment for knowing violations." Il s�0 (Signature of Permittee Permit Date:7/1/2011-60/30/2015 (Date) Last Revised 7/13/11 Page 2 of 2 STORM WATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM' GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 2 SAMPLE COLLECTION YEAR: 2014 R1VED SAMPLING PERIOD: ®,July -December January -June 1 FACILITY NAME: POWELL S READY -MIX CONCRETE' _ _ _ _ _ PERSON COLLECTING SAMPLES R W Hunter/ SwSG COUNTY HALIFAX DEC 0 9 ZU14 CERTIFIED LABORATORY Pace Analytical Lab # 40 PHONE NO. (252) 535-9717 - - ADD,TO LISTSERVE? ❑YES -®NO EMAIL: CENTRAL FILES SwSG Lab # 5054 OPTIONAL INFO: - DISCHARGING TO CLASS: -❑SA ❑HQW ❑PNA —]Trout ®Other-wR S�CTJQN Part A: Stormwater Monitoring Requirements - Outfall No.{Standard Date Sample Collected - (mo/dd/yr OR'(mg/Lj NO FLOW) I pli • Units) i � T55 ' Event Duration (minutes). Total 4 Rainfall (in) - In Tier 2 .Monthly Monitoring? (y/n) # of. Months in Tier 2 Samplingx - 6-9 10D '- 001 05/15/14 - 7.65 SA +/- 900 1.67' N 0 001 '— -11/17/14 -- 6.45 48.9: +/- 330 0.28. N 0 t 1 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. Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the. Tier.l 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. J 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/l/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 I664A 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/nl # of Months in Tier 2 x Sampling 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 cony of this DMR (including all "No Flow" & "No Discharge" reports) within 30 clays of receipt of sampie (oratend of monitoring period. in case of "No Flow") to: Division of Water Quality Attn: DWQ Central Files 4 1617 Mail Service Center - - - t Raleigh, North Carolina 27699-1617_ YOU MUST SKIN THIS CERTIFIC477ON 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, aril complete: f am aware that the a are significant p Ides for'submitting false information, including the possi ility of fines and impris hment for knowing violations." (Signature of Permittee) " Pate) Permit Hate: 7/1/2011-60/30/2015 Last Revised 7/13/11, .` Page 2 of 2 EF STORMWATER DISCHARGE OUTFALL (SDO) - Semi -An nua1WONITORING FORM GENERAL PERMIT NO. NCG140000 RECEIVED JUN 10 2014 CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 2 FACILITY NAME: POWELL'S READY -MIX CONCRETE PERSON COLLECTING SAMPLES Jim Frei/ Sw_ SG CERTIFIED LABORATORY Pace Analytical Lab i# 67 SwSG Lab ## 5054 OPTIONAL INFO: Part A: Stormwater Monitorine Reauirements SAMPLE COLLECTION YEAR: 2014 CENTRAL FILES SAMPLING PERIOD: ❑ July -December ® January -June DWQ180G COUNTY HALIFAX PHONE NO. (252) 535-9717 ADD TO LISTSERVE? [-]YES ®NO EMAIL: DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA []Trout ®Other Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)t PH (Standard Units) TSS (mg/L) Event Duration (minutes) Total Rainfall° (in) In Tier 2 Monthly Monitoring? (Yin) #I! of Months in Tier 2 Sampling2 - - 6-9 100 Z,3- - - - 001 05/15/14 7.65 5.4 - +/- 900 1.67 N 0 ' 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/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 Imo/dd/yr)l pH (Standard Units) TPH using method 1664A SGT HEM (mg/L) Total Suspend Solids (mg/L) Event Duration (minutes) Total Rainfall' (in) New Motor Oil Usage (gal/month) In Tier 2ed Monthly Monitoring? (y/n) # of Months In Tier 2 z Sampling 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 Original and one coos of this DMR (includine all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitorinP 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 T7I5 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 there are significa tenalties for submitting false information, including the possibi ity of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2of2