NCG140073_MONITORING INFO_20010813

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
w
DOC TYPE
❑ HISTORICAL FILE
L MONITORING REPORTS
DOC DATE
❑ 0001 0� 1 3
YYYYM M DD

A DISCHARGE OUTFALL MONITORING REPORT
NC®ENR GENERAL PERMIT NCG140000 �
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage I NCG 14 ©�
Facility Name'.
Certified Laboratory #
327
Person:Collecting Sample(s).
LLH�On/ Gr�iG! J t S
Collectors Signature
Sample Information
Perrot Term
Year Start/EfiTDates
Place check mark.to uidicate
,aPPlicable sampling periods "
_.
Discharge Type (cti'eck as a - ropnate):+
Stormwater
aWastewater
1
August 1 1999 to July 31, 2000
Li
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
2
August 1, 2000 to July 31, 2001
3
August 1, 2001 to July 31, 2002
4
August 1, 2002 to July 31, 2003
5
August 1, 2003 to July 31, 2004
Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
- a _'
- Date "' c ,.. .. ,
#;Total Eveiii'Piect `itation inches =; :' (
Event Dura •on hour`s). a .
✓1A -
Stormwater Discharge Monitoring
Outfall
Date Sample v
.Total Flow
Total Event l ,
i Event Duranon
pH
Total11
No
Collected '
' ,
Ptecipitanon z
; Y
4
t ,
Suspended
+
,
mo/dd/
G
tif,-` inches
•; hours
s
IJ -,9
i rJ
a ;s
-D l
o I 7,M-s`-7t*'Zi
JiW✓'
TJ
If K-iS—o ( .IL`6d6s7/v(- 'v , /•Sfws. 7 y&/
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? O Yes I No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Outfall :
:No.
Date Sample
Collected
(mo/dd/ r)
Total Flow.;
„ " '
(MG
.>Total Event
Preci itatiow
P
inches
• . Event _
"Duration :
hours '
New .•:'
Motor Oil
'Usage
al/mo
pH.
Std. Units)
Total
Suspended :.:
Solids
m 1
Oil and
Grease
m
SWU-241-080199 Page lof 2

Part B: Process wastewater discharge monitoring data
Sample #
Effluent Sources for this sarti le '
Vehicle / Equipment Cleanin
❑
Raw Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
Parameter
-;Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
mg/I
Settleable Solids
ml/l
Sample # _
"EffluentSource "s'for this saiii le
Vehicle / Equipment Cleaning
❑
Raw Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
_Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
nil/1
Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sample # _
Effluent Sources) for this sarri le
Vehicle / Equipment Cleaning
❑
Raw Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
:Parameter ; ;
. ` -Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/l
Settleable Solids
ml/1
Sample #
by Efthi'ent Sources 'ftir this sam" le'.,,r
Vehicle / Equipment Cleanin
❑
Raw Material Stock -pile Wettin
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
Pa;atneter
';" Untt
-Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
Mul
"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." /% /
L 4 h1 ew 1' L S j% Y✓
(Print Nadte of Permittee gr Designee)
(Si tune of Permittee or Designee) (Date)
SWU-241-080199 Page 2 of 2

TRITEST, INC.
3909 Beryl Road
Raleigh, NC 27607
Telephone: [phone]
Fax: [phone]
NC/WW Cert.#: 067
L a b o rat cry Report
--- Prepared for --- Page 1 of 2
LYMAN AUSTIN Report Date: 8/21/01
READY MIXED CONCRETE CO. Date Received: 8/14/01
P.O. BOX 27326
RALEIGH, NC 27611 Work Order #: 0107-00651
Project ID: PLANT 6
Project Info: PLANT #6
Cust. Code: RE1520
Cust. P-O.}#:
No.
Sample
ID
Date Sampled
Time Sampled
Matrix
Condition
001
OUTFALL
1
8/13/2001
13:12
SW
4±2°C
Test Performed
Method
Total Suspended Solids EPA 160.2
Results Tech Analyzed Qual
178 mg/L MB 8/16/01
No.
Sample
ID
Date Sampled
Time Sampled
Matrix
Condition
002
OUTFALL
2
8/13/2001
13:15
SW
4+2°C
Test Performed Method
Total Suspended Solids EPA 160.2
Results Tech Analyzed Qual
205 mg/L MB 8/16/01
No.
Sample
ID
Date Sampled
Time Sampled
Matrix
Condition
003
OUTFALL
3
8/13/2001
13:21
SW
4±2°C
Test Performed
Method
Total Suspended Solids EPA 160.2
---- Continued on Next Page ----
Results Tech Analyzed Qual
87 mg/L MB 6/16/01

TRITEST, INC.
L a b o r a t o r y R e p o r t
Page 2 of 2
READY MIXED CONCRETE CO. Report Date 8/21/01
Project No. PLANT 6 Work Order No. 0107-00651
No. Sample ID Date Sampled Time Sampled Matrix Condition
004 OUTFALL 4 8/13/2001 13:25 SW 4+2°C
Test Performed
Method
Results Tech Analyzed Qual
Total Suspended Solids EPA 160.2 461 mg/L MB 8/16101
Report certified by:
for Tritest, Inc.

T,aitest, Inc.
3909 Beryl Road, Raleigh, NC 27607
_1h: (919) 8344984 fax: [phone]
NGW CERT067, NCDW CERT#37731
Report Results To
Company: READY MIXED CONCRETE CO.
Address: P.O. BOX 27326
RALEIGH, NC 27611
Attn: LYMAN AUSTIN
Phone: [phone]
Sampled by (signature):
Fax: [phone]
Chain of Custody
Bill To:
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH. NC 27611
Tritest W.O. #0107-00651"k
Project Reference: Stormwater
Project Number: PLANT 6
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (w/surcharge)
"RUN pmje are-- bPb appvval by labnlory
Requested Due Date:
Sample Description
Composite
Grab
—Time
Start Date
End Date
Matrix
�.ow
Analyses Requested
Tritest
Sample
Start
End TimeSW,GWS
OUTFALL 1
Grab
/ - vl,- >)
/3
SW
WC-TSS
001
OUTFALL 2
Grab
J3 uG -o/
/9-A'4 -o/
SW
WC-TSS
002
OUTFALL 3
Grab
!rG- D /
4)1/G-6
SW
WC-TSS
003
OUTFALL 4
Grab
1fmy,1-&,1
SW
WC-TSS
004
R q ed by igna
Re by (sig tur
Date
Time
inquished by (signal
Rec ved by ( lgnat )
Date
Time
R n ulshed by ( gnature
Receive (s nature
'
Date
Time
r
Receipt Conditions (Lab Use Only): ,
❑ 4t2"C OTemp: (5l• / `C
Res. Chlorine OAbsent ❑Present i°'/a
Acid preserv. <2? OYes ❑No /Va
Base preserv. >12? OYes ❑No Mi a

01
STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Coverage No. NCG //
Facility Name: - f� a ; z onil?n'�T� o Prai — D
County: // "'e Phone No.: (g/1 79D
Inspector. � i ImD.1/ _-Zlj�—
Date of Inspection: /-�3 ' ,41m/"&7-- oiDD /
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No.: ;ct /� Structure (pipe,
Receiving Stream: Z( -52�")s
activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light,;medium, dark)� as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak
chlorine odor, etc.);,
"M
&ZZ. Ai e. F:,
11/17/97

4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy:
1 2 3 4 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge where 1 is no solids and 10 is the surface covered in floating solids:
1 (2) 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
stormwater discharge where 1 is no solids and 10 is extemely muddy:
1 2 3 4 5 0 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? YES NO
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES NO
C
9. Other Obvious Indicators of Stormwater Pollution:
List and describe:
NOTE: Low clarity, high solids and/or the presence of foam or oil sheens may be
indicative of pollutant exposure. These conditions may warrant further
investigation.
11/17/97

STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Coverage No. NCG % kl,
Facility
Phone No.: f9191 i D - /,) ,-,"D
Date of Inspection: /-- /blJ% - d Z
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No.: Structure (pipe (pipe, etc.): 4/f eo//
Receiving Stream t��Nd z(Ft 1 .n /r- lead cD M�FrI
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and'tint
(light;, medium, dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak
chlorine odor, etc.Z
.G
G
T-
11/17/97

4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy:
1 2 3 4 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge where 1 is no solids and 10 is the surface covered in floating solids:
1 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
stormwater discharge where 1 is no solids and 10 is extemely muddy:
1 2 3 4 (�) 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? YES NO
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES NO
0
9. Other Obvious Indicators of Stormwater Pollution:
List and describe:
NOTE: Low clarity, high solids and/or the presence of foam or oil sheens may be
indicative of pollutant exposure. These conditions may warrant further
investigation.
11 /17/97

i
SiTORTNI ATER DISC UARf..,T TA i.i.Y. (810)
QUALITATIVE MONITORING 1i?::FORT
C rtficate of Coverage. No NC'C;
l J lilty Namf
C.c�unty:.. -/ C �..__. —.--, _ Phone No
!)rite of Inspection _--
i
ll1 tliis signature, 1 certify thin this repoitis ucianau- and a niplete. it.) rl.c btlal of u':y.
i
knowledge:
r,Signji tre oj'Perniirtce or Designee)
1: Outfall Description
✓�9/,' JJ t;, a�� d
Ulutfal'. No• --- =} __
Str.;ctup (pipe.. ditcl ctc:.l
/J r..�Jf',
ku•eivill, rea.m:rI '_
Cc
-
_.
l >c .�_t It1P the iI7llUSlf: al. iylfics
t}t-a rxcur v iibiit tiltru,lf iil dr !� �.
I
24i Uulor
I tc;cribe the Bolo[ c f the discharge
usin basic cube; !red, brown,
blur, c.tc.i &mt u:n
medium, dark) as deSCO:;
+rs:
i
?' Odor
iincobe any djaiC' a o%s Um
l w Ala'"1'llL' my h:i'':c O.:':.
c lii(i inc od'Jr, etc.):

4 Clarity '
C'iioose the number which hest dc—oribc" (lie clarity u± rhr, dis; Ilar e c:here i is c limy
16 is very Cloudy:
I 2 3 4) 5 6 7 S 9 t0
s.Floating Solids
CbiOUSt. tile, number w11:01 best ch::.crlb"s th1 :;—mmi n! of fioadrig solids In ihC Sh:'; ill i'r ili •i.i
discharge where I is no solids and 10 is the tir:r;r::' c'.Iecred in floatin
D2 3 4 5 6 7 8 9 !0
F Suspended Solids
i
C+ions[ the nunhcr a'11ch best describes the amnunf , f saspecd: d solid,; it-, the
stgrcllwctter discharge where I Is no solids and 10 is ertemi y muddy:
2 3 4 5 6 7 8 9 10
I
i
7.1 Foam
1, there. Any foam in Lice stc-nnwatei disc`1iarge,? YES NC..
H. Oil Sheen
1s th re an oil sheen ii1 tic stormwater dischagn—'' YGS tit) ,
i
9: Other Obvious Indicators of Stormwater Pollut on:
I
List and describe:
I
_....... ..... ... -- .-...—.....
i
NOYE: Low c';1ruy, high solids t,ntL'ar vie pf c fence. f r"on;n or
Ilil112Sti': e of po11t:!:1nt e-posur_. Thc.,c cori;itint;e may `n'�...:n'i lllrl.il:'.r
' ir�restlgaLon.

STOWNIWATER DISCHARGE DU F1A— (SINI)
QUAI ITATINT MONITORING ➢:€TC:DEiT
C�. ufrntcot(uv�agc,No. NCv
Coumy:---- //�%'= --
r•
- --
-- Phone No.: i'_rL_.—
/r `• -n
1)ijte of lnspc+lion: c Y_' ^' ,' _
i
Jay tttis signature, I oenify lhat ihis *epiat is ac-curak and co nplc.te to du> be!;r cf my
6__tiuwJc;dge:
(S gnulure of Pertnitlee or DeSi,4rWO - ----- -- — --
' 1 Q)utfali [test:ripfion
0uu,1J Structure. (pipe, duck etc.):_,. --- r
c
D sr'f:
D.,twObc the iridusuiat ac- ivitie thattoi _,ur n tLii u'!tc o ifiAb tirarn,ga are:c
Dcscrihe. thr cotor of Ehe dis,-harge using b<tsi;: colors (: ed, brrsv."n,
(fight, medium, dark) as descriptors:
;i. Uttar
i)cSc'rib tst, ite 'e ti.'.: ... :° $'TUf: t i !'•f J!, ,: d!
any d rct odors th:;t the. di=ghat-�tt ra..r, ,

4., Clarity
(.howe to nuinUr"Uh best Clarity i)i klis&xg:c1iC'.rC I is
10 is very cloudy:
1 2 3 4 5 (1. 7 F, 9
5: Floating Solids
Chvi)se, the nLlfnbCl Which best describes the iirrinunt of float ng solids W Ow wmiwaw i,
disclmrge. uldr I is no solids and 10 is the. surfRut; t 6vaml in fluaing MQ
3 4 5 6 7 8 9 to
6,1 Suspended SoUds
k-U1111- U.1 111111.LIL4 which he-st d"c6bes the &lnount ,?, suspended Soli is in Ote
stynnswer disebarge where 1 16 rw solids find 10 k ey.winely muddy:
1 2 3 4 8 9
7,i Foam
Is there any foam it-, the acirmwater discharge,? YES NO
8 Oil sheen
110wre an oil Fbeen in the stunnv.,ater discharge? YES 1410)
9. (Aber 00 hm Indicators of storalwater pollutitfn:
list and describe:
. . . .... .....
-- ---- ----
indlative of Qumnt mposwe. Ownt coMan nay vaawn fart er
investigation.