HomeMy WebLinkAboutNCG140075_MONITORING INFO_20120112STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V u&
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ �� �� t
YYYYM M DD
CA
ir�� JAN 1 2 2012
Stormwater Discharge Outfall (SDO�
R°leigll F°Siona
Qualitative Monitoring Report L—
For guidance on filling out thisform, please visit: htto://h2o.enr.state.ne.us/su/Forms Doc uments. hum#misctbrms
PermitNo.: N/C/4/LW' P10
Facility Name: 4,--Ile - Ga
County: GJ,--a
Inspector: a�✓aJ L
Date of Inspection: 9
Time of Inspection: 9:,
A. m
or Certificate of Coverage No.: N/C/G/.2 W1 d/ b /7
Total Event Precipitation (inches): /• z ✓''
No. 9/q-
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sign re, I fy that t*]reportinaccurate and complete to the best of my knowledge: u
or
1. Outfall Description:
Outfall No. i Structure (pipe, ditch, etc.)
Receiving Stream:
Desefhe industri activities tll oc�r within t�e outfall draina,!pareai r s
L ��
9 G wln%j f�AJG�66LL�i,6sstt/m /1
2. Color: Describe the color of the discharge using basic colors (red, 'own,
(light, medium, dark) as descriptors: J A
3. Odor: Describe any distinct odors that the discharge may have (i.e
chlorine odor, etc.): i
Page I of 2
blue, etc.) and tint
strongly of oil, weak
SWU-242-112608
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes E)
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen-, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112608
Form s.t READY MIXED CONCRETE COMPANY
PLANT # j-/ DATE: 8 -
North Carolina Qualitative Monitoring Report
Certificate of Coverage No. NCG 1400 / Plant Name: U y
County.
Inspected by: .e GUeGi✓�
Date of Inspection:
By this signal re, I ify tb its report is accurate and complete to the best of my knowledge:
sig ure)
STORMWATER DISCHARGE OUTFALL (SOO) VISUAL MONITORING REPORT
1 Outfall Description (attach SDO Visual Monitoring Report for each add'I SDO) O
Outfall No. SDO % Structure (pipe, ditch, etc.)
Receiving Stream'
Descri the Indus 'at actl 'fi that o within thh utfall drainage are.
.�� 4 //
2 Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and lint (light, medium,
dark, etc)
3 Odor
Describe any distinct odors that the discharge may have (i.e. smelis strongly of oil, weak chlorine odor,
etc.)
4 Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
2 3 4 5
7 B 9 10
5 Floating Solids
r
Choose the number which best describes the amount of solids in the stormwater discharge
where 1 is clear and 10 is extremely muddy:
1 2 3 4 5
6 7 8 9 10
6 Floating Solids
Choose the number which best describes the amount of solids in the stormwater discharge
where 1 is clear and 10 is extremely muddy:
1 2 3 4 5
6 7 8 9 10
7 Foam
Is there any foam in the stormwater discharge? YES NO.
B Oil Sheen
Is there any oll sheen in the stormwater discharge? YES NO
9 Other Obvious ndicators of Stormwa'teerr
List and dsecribe / o,
NOTE:
Low clarity, high solids, and/or presence of foam or oil sheen may be indicative of pollutant exposure.
These conditions may warrant further investigation.
r
NCDENR
DISCHARGE OUTFALL MONITORING REPORT
GENERAL PERMIT NCG140000
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage
NCG14 ] E] Fj� ❑S
Facility Name
County
Phone Number
Certified Laboratory.# -
• >%'z
Person Collecting Sample(s)
�) '
.Ltwo� GUCG'/.t/�
Collectors Signature
-
N
Sample Information
Permit Term
Year
Year Start/End Dates
:Place check mark to indicate
applicable sampling period
Discharge Type (check as appropriate)
,'Stormwater
Wastewater,
1
August 1. 2009 to Jul • 31. 2010
❑
❑
❑
- ❑
2
An ust 1, 2010 to June 30, 201 ]
Other
'l'ZbI/ 'o b'L'6
Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Date. Total Event Precipitation (inches) .Event Duration (hours)
/.Z;f—
Stormwater Discharge Monitoring
Outfall
No.
Date Sample
Collected
(mo/dd/vr)
Total Flow
(MG)
Total Event
Precipitation
.(inches)
Event Duration
-.
(hours)
pH
- (Std. U its)
Total
Suspended
Solids
(m )
.Zi
D
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? ❑ Yes ❑ No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Outfall
No.
Date Sample
Collected
(mo/dd/yr)
Total Flow
(MG)
Total Event
Precipitation
(inches)
Event
Duration
(hours)
New
Motor Oil
Usage
(eabmo)
pH
(Sid. Units)
Total
Suspended
Solids
(mg/1)
Oil and
Grease
(me/1)
t
.. r
S WU-241-080109 Page 1 of 2
Part B: Process wastewater discharge monitoring data
Sample # _
Effluent Sources) for this sample /
Vehicle / Equipment Cleanin ❑
Raw Material Stock -pile Wettin ❑
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
I ml/I
Sample #
Effluent Source(s). for this sample 4
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
mIA
Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
SWU-241-080109
Sample #
Effluent Source(s) for this sample
4
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 #
Effluent Source(s) for this sample, ,/
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/I
Settleable Solids
ml/l
"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." _
(PrilyNTme of Permittee or Designee)dAA'
V
(Signature o Vrmittee or Designee) (Date)
Page 2 of 2
ARADISCHARGE OUTFALL MONITORING RE]
NCDENR GENERAL PERMIT NCG140000
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage
NCG14 QMME[
Facility Name
>raDV YY1>/°tD CONCQ�Tc
County
OYWIF
Phone Number
Cg i 9) 46 `l - q q [ I
�WLEE;�
NOV 6 ?006
i
�DENR RALEIGH REGIONAL OFFICE;
Certified Laboratory 1#
7-3
Person CollectingSample(s)
Ctgvow
LL�tLtotroS
Collectors Signature
Sample Information
Permit Term
Year
Year StarUEnd Dates
Place check mark to indicate
applicable sampling period
Discharge Type (check as appropriate)
Stormwater.
Wastewater
1
August 1, 2004 to July 31, 2005
Q—
❑
❑
❑
❑
1$j
❑
❑
❑
❑
❑
2
August 1, 2005 to July 31, 2006
3
August 1, 2006 to July 31, 2007
4
August 1, 2007 to July 31, 2008
5
August 1, 2008 to July 31, 2009
Part A: Sforrnwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Date
Total Event Precipitation (inches)
Event Duration (hours)
�o- T -ZOD
SD
Stormwater Discharge Monitoring
Outfall
No.
. Date Sample
Collected
Total Flow
Total Event
Precipitation
(inches)
Event Duration
hours
pH
(Std. Units)
Total
Suspended
Solids
(me/n
i
o-oro-o
a
o
p
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? ❑ Ye; XNo If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas .
Outfall
Date Sample
Total Flow
Total Event
Event
New
pH
Total
Oil and
No.
Collected
Precipitation
Duration
Motor Oil
Suspended
Grease
Usage
Solids
(mo/dd/ r)
(MG)
(inches)
(hours)
(gal/mo)
(Std. Units)
(mom 1)
(mg )
SWU-241-080104 Page loft
Part B: Process wastewater discharge monitoring data
Sample #
Vehicle / Equipment Cleaning ❑
Raw Material Stock -pile Wetting ❑
Mixing Drum Clean -out ❑
Recvcle Svstem Overflow ❑
Parameter,
Unit,
Data
Collection Date
mc/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
mg/l
Settleable Solids
ml/1
Sample #
Effluent Source(s) for this sample 4
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/1
Settleable Solids
ml/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 Source(s) for this sample
Vehicle / Equipment Cleanin ❑
Raw Material Stock -pile Wettin ❑
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/1
Settleable Solids
ml/1
Sample #
Effluent Sources for this•sam le 4
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/I
Settleable Solids
min
"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 f--- vtd imprisonment for knowing
violations.", A
(Print Name ^f
—/ 4/ 6
of Yermtaee or Designee)
swu-241-080104 \/ Page 2 of 2
Permit No.: N/C/ L
Facility Name: ,2
County: ra,
Inspector: cA,
Date of Inspection:
By this signature, I
I OLNR RALEIGH REGIONAL OFFICE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
y / b 011 1 or Certificate ofCoverage No.: NIG`GI { l 1d /O/
/�A1/-YYJi I,cA �U�VClf�o L141�/7 ---
PhoneNo. OJU 4167-99/I
report is accurate and complete to the best of my knowledge:
(Sigbature of Permittee or Des gn&e)
1. Outfall Description
Outfall No. 1 Structure (pipe, ditch etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the
dark) as descriptors: _
3. Odor
Describe any distinct
etc.)
basic colors (red, brown, blue, etc.) and tint (light, medium,
JECoE
that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
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 O 5
6 7 8 9 10
Page 1
SWU-242-101599
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 with floating solids:
lO 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 extremely muddy:
1 2O 3 4 5- 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge?
S. Oil Sheen
Yvs' No
t•
Is there an oil sheen in the stormwater discharge? Yes No
9. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
Page 2
SWU-242-101599
0
0
Telephone: (919)834-4984
Fax: (919)834.6497
TROOTEST
6701 Conference Drive
Raleigh, NC 27607
Laboratory Report
--- Prepared for ---
LYMAN AUSTIN
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH, NC 27611
Page 1 of 1
NC/WW Cert. M 067
NC/DW Cert. M 37731
Report Dale: 10/12/2006
Date Received: 10/6/2006
Work Order #: 0610-00494
Project No.: Cust. Code: RE1520
Project ID: PLANT 4 Cust. P.O.#:
No. Sample ID
001 OUTFALL 1
Date Sampled Time Sampled Matrix Sample Type Condition
1016/2006 8:28 SW Grab 4 +/- 2 deg C
Analyzed
Test Performed Method Results Date Time Qualifier
Total Suspended Solids EPA 160.2 53.2 mg/L 1019106 16:00 H
Reviewed by:
JQ4A g,U dJ
for Tritest, Inc.
FA
(6(ra
O (d6 —0049 K
Tritest W.O. 0499-9G4-9R
3909 Beryl Road, Raleigh, NC 27607 Standard Report Delivery
ph: (919) 834-4984 fax: (919) 834-6497 Chain of Custody ❑ Rush Report Delivery (w/ surcharge)
NCWW Cert #67, NCDW Cart # 37731 Note: Rush projects are subject to prior approval by Lai
Requested Due Date:
Report Results To:
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH, NC 27611
Attn: LYMAN AUSTIN
Phone: 919-790-1520
Fax 919-981-0910
Bill Results To:
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH, NC 27611
Attn: LYMAN AUSTIN
Page 1 of 1
Project Reference: PLANT #® N-
Project Number: PLANT m q
Purchase Order #:
Sampled By: �&ApW
Sample Description
composite
or Grab
ow
Stop Time sw cinietc
_
Smp #
Start Time
to- C-r 6
(,-fkT-otvSw
TotalSuspended of s
001
OUTFALL 2
6--
-SVti
Totai-Suspended-Sdiids
C1G
002
OUTFALL 3
G
—
-SVi/
To-FaT uspended Solids
003
n s na ure)
;erved by pgrust
uate
0- --Q
I i e
7 1 v�
or Lab Use unly:
Temperatue at receipt:
'Re] quished by (signs
ce ed by (signature) ,1
I , /'
Date
itl b
Time }
4+2 C
El
Reunq 0
hed by (signature
Rec Wed by (signature)
Date
Time
19/ Temp: S0 C
0
0
�F E�paT�ST
Sample Analysis Requested Sample Comp/
No. Type Grab Container
l SS Ci /( Pl
C/G I P/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
C/G
COMMENTS:
w
0
P/G
P/G
P/G
P/G
P/G
RESERVATION
0 - [904gy
la' b
D TTS
Chlorine I None I HCL I H2SO4
Pos / neg
-Fos
ne
HCL
H2SO4
neg
None
HCL
H2SO4
Pos neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos / neg
None
HCL
MSO4
Pos /neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos neg
None
HCL
H2SO4
Pos/neg
None
HCL
H2SO4
Pos/neg
None
HCL
H2SO4
-Fos neg
one
HCL
H2SO4
Pos/neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos / neg
None
HCL
H2SO4
Pos/neg
None
HCL
H2SO4
Time: I t 70-6
UPS
HNO3
I NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
07"HLR
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
1IN03
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
1-fNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
HNO3
NaOH
Thio
OTHER
,f
APA DISCHARGE OUTFALL MONITORING REPORT
NCDENR GENERAL PERMIT NCG140000
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage
NCG14
Facility Name
County
LovrKL &. Ir -e aril
Phone Number
ki 9) 4& q- g 9 1 1
Certified Laboratory #
3 .3
Person Collectina Sample(s)
'11
C t M,V, W ILL L i NS
Collectors Signature
Sample Information
Permit Term Year.Start/End Dates
Year
Place check mark to indicate
applicable sampling period
Discharge Type (check as appropriate)
Stormwa.
ter
V✓astewater
t August 1, 2004 to July 31, 2005
El
❑'
❑
❑
❑
�❑
❑
❑
❑
❑
❑
2 August 1, 2005 to July 31, 2006
3 I August 1, 2006 to July 31, 2007
4 August 1, 2007 to July 31, 2008
5 August 1, 2008 to July 31, 2009
Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Stormwater Discharge Monitoring
Outfall
No.
. Date Sample
Collected
(mo/dd/ )
Total Flow
Total Event
Precipitation
(inches)
Event Duration
(hours)
pH
(Std. Units)
Total
Suspended
Solids
(mJl)
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
of 1 per month? ❑ Ye; xNo If yes, complete information below.
. Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Outfall
No.
Date Sample
Collected
(mo/dd/yr)
Total Flow
(MG)
Total Event
Precipitation
(inches)
Event
Duration
(hours)
New
Motor Oil
Usage
(gallmo)
pH
(Sid. Units)
Total
Suspended
Solids
(Mg I)
Oil and
Grease
(m- )
I
SWIJ-241-080104 Page loft
Part B: Process wastewater discharge monitoring data
Sample #
Effluent Source(s) for this sample
✓
Vehicle / E ui ment 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
mgR
Settleable Solids
MIA
Sample #
Effluent Source(s) for this sample
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/1
Settleable Solids
ml/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 Source(s) for this sample
✓
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/I
Settleable Solids
ml/1
Sample #
Effluent Source(s) for this, sample ✓
Vehicle / Equipment Cleanin ❑
Raw Material Stock -pile Wettin ❑
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
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 f--- -md imprisonment for knowing
violations." , n f
(Print N, - of
vc
of rermtttee or Designee)
SwU-241-080104 u Pate 2 of 2
a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/ G / / / `/
Facility Name: 1,qbv
County: j jF
Inspector: l A VDI1
Date of Inspection: _
By this signatttfe, I certify
S//J� or Certificate of(
eY/'Jzb Lv u4n7c L1
Phone No.
N/C/G/ 1/`fld /D l-1l1`J!
G7-49/1
report is accurate and complete to the best of my knowledge:
(Sigfiature of Permittee or Designee)
1. Outfall Description
Outfall No. -L Structure (pipe, ditch tc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge usti basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: t t c-H -r 1 E Co c
3. Odor
Describe any distinct
etc.)
that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
1q
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 O 5
6 7 8 9 10
Page I
SWU-242-101599
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 with floating solids:
lO 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 extremely muddy:
1 2O 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Y",s' No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
Page 2
SWU-242-101599
Telephone: (919)834.4984
Fax: (919) 834-6497
0
0
�G oTEST
6701 Conference Drive
Raleigh, NC 27607
Laboratory Report
--- Prepared for ---
LYMAN AUSTIN
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH, NC 27611
Project No.:
Project ID: PLANT 4
No. Sample ID
001 OUTFALL 1
Page 1 of 1
NC/WW Cert. #: 067
NC/DW Cert.#: 37731
Report Date: 10112/2006
Date Received: 10/6/2006
Work Order #: 0610-00494
Cust. Code: RE1520
Cust. P.O.#:
Date Sampled Time Sampled Matrix Sample Type Condition
10/6/2006 8:28 SW Grab 4 +/- 2 deg C
Analyzed
Test Performed Method Results Date Time Qualifier
Total Suspended Solids EPA 160.2 53.2 mg/L 1019106 16:00
Reviewed by:
-K(kj� gv (�l
'c�
for Tritest, Inc.
ago—%
i6(�
Pane 1 of 1
Tritest W.O. 0489-98498
3909 Beryl Road, Raleigh, NC 27607 Standard Report Delivery
ph: (919) 834-4984 fax: (919) 834-6497 Chain of Custody Rush Report Delivery (w/ surcharge)
NCWW Cent #67, NCDW Cent # 37731 Note: Rush projects are subject to prior approval by Lab
Requested Due Date:
Report Results To:
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH, NC 27611
Attn: LYMAN AUSTIN
Phone: 919-790-1520
Fax 919-981-0910
Bill Results To:
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH. NC 27611
Attn: LYMAN AUSTIN
Project Reference: PLANT#@ `t
Project Number: PLANT 1)
Purchase Order#:
Sampled By: �/p,AO 6(JiGGJD S
Sample Desc7lptlon
Composts
1vialrix
wwowj
-
_
Start Tlme
=< a
or Grab
Stop Tl'Mei sw `wetc
Sm #
P
v- cT-o1,
1. L* _Otp
Sw
Total uspen a of s
OUTFALL 2
G-------------
--SW-----
Total Suspended -Solids
002
OUTFALL3
G __—__-_.--------'SNI
--TooTaTSuspendedSolids
003
n s na ure
eive y signa u
a e
i e r
% 3 ll�
or a Use n y:
r
Temperatue at receipt:
.'Ref quished by (sign
F46ce ed by (signature)
�,��
Date
I
Time
iS31
all_
e 0
❑ 4±2 c
Temp: 50 C
Relinq i
hed by (signature
Rec ed by (signature)
Date
Time
0
c�
=0=G 0TEST
-
SAMPLE
PRESERVATION CHECK -IN SHEET
woa:
66(o-col-triq
Checked in by:
&\,j ,11 J
Date:
I
Time:
70 6
Temp:
J `U • L,
Route:
D
TTS
I TTPU
I USM
FEDX
I GC
I UPS
Sample
No. -
Analysis Requested
Sample
Type
Comp/
Grab
Container
Chlorine
Preservative
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
l
TSS
C / CU
P /
Pos ne
e
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
one
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL'
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4 I
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thin
OTHER
C / G
P / G
Pos / neg
None
HCL
H2SO4
HNO3
NaOH
Thio
OTHER
COMMENTS:
1 h' A ADISCHARGE OUTFALL MONITORING REPORT �( -
MC®EN9R GENERAL PERMIT NCG140000
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage NCG 14
Facility Name .
County r'
Phone Number 1(?- O _ )Q
Certified Laboratory #
�'
Person Collecting Sample(s)
Collectors Signature
Sample Information
Permit Term .
Year
Year Start/End Dates !
Place'check markto indicate.
applicable samP?g Pm?-
Discharge Type,(check as appropriate);
Storniwater, , !
Waste 'water
1
August 1, 1999 to Julyy31, 2000
13
❑ r
0
❑
❑
❑
❑
[�
❑
❑
❑
❑
❑
❑
❑
2
August 1, 2000 to July 31, 2001
3
August 1, 2001 to Jul 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
.:: � :-'. Date ",,,.,t, �.;_?,,,,
�TotalEvent�Erebi'itaflon`inches
-:<°EventDiiiiition hours "' -""�
Stormwater Discharge Monitories
Outfall ,
Date Sample
Total Flow
TotalEvent
Event Duration
pH
Total
No
Collected
,
Precipitation
',
Sus tided
' "inches
mo/dd! t
... G ."
,, ..
>'- ours
Std Umts
q. -0
O1
7200
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? ❑ Yes P No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Outfall
No..
Date Sampler
Collected- .
(mo/dd/ )
Total Flow';
e .;
G
: :Total Event
Precipitation
(inches
Event `
Duration'
(hours)
:' "' New '
-f-Motor Oil
Usage
(gal/mo
pH
Sid. Units
; :Total • -..
Suspended
Solids
m 1 '
, Oil and ..
Grease
m
SWU-241-090199 Page lof 2
Part B: Process wastewater discharge monitoring data
Sample #
Effluent Sources for this sample 4
Vehicle / Equipment Cleaning ❑
Raw Material Stock -pile Wetting ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
�� Parameter ,
; Umt
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
ml/1
Sample #
*';w,Effltient'Source s''for thtssain le��-1
Vehicle / Equipment Cleanin
❑
Ra% Material Stock -pile Wettin
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
j PPaaameter
Umt
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
mg/1
Settleable Solids.
ml/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 sample
Vehicle / Equipment Cleanin
❑
Raw Material Stock -pile Wettin
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
Paaine[er
_. -
Unit ''.
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
I ml/1
Sample # _
�a�Effluent Sources for lfissam le : ;
Vehicle / Equipment CleaningO
Raw Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
ruParameter }
,y Umt _
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH .
I Std. units
TSS
mgfl
Settleable Solids
ml/1
"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 fipes and imprisonment for knowing
violations." I A / 1
Name of 4rmittee or Designee)
-LS-0
or Designee)
SWU-241-080199 v Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Cov rage No. NCG ' `1 /�1 _
Facility Name: %,mot i�T�(d • Arl W
Countv: Q Phone No.: fgKl —756 — I.tdh)
Date
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
64t�
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No.: Structure (pipe ditch c.):
Receiving Stream:
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, ediu , dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, ak
chlorine odor, etc.):
11/17/97
�ye
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:� 5 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge where Lt\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 < 3 4 5 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
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
TRITEST, INC.
3909 Beryl Road
Raleigh, NC 27607
Telephone: (919) 834-4984 NC/WW Cert#: 067
Fax: (919) 834-6497 NC/DW Cert M. 37731
Laboratory Report
-- Prepared for ---
1 of 1
LYMAN AUSTIN
READY MIXED CONCRETE CO.
Report Date: 10112101
10112/1
P.O. BOX 27326
Date Received:
RALEIGH, NC 27611
Work Order #: 0109-01026
Project ID: PLANT 4 Cust. Code: RE1520
Project ID: PLANT #4 / STORMWATER Cust. P.O.#:
No. Sample ID
001 OUTFALL 1
Date Sampled Time Sampled Matrix
9/24101 16:15 SW
Condition
4n2oC
Test Performed Method Results Analyzed Qualifier
Total Suspended Solids EPA 160.2 200 mg/L 9/28/01
Report Certified by:
for Tritest, Inc.
Tritest, Inc.
7909 Beryl Road, Raleigh, NC 27607
ph: (919)834-4984 fax: (919) 834-6497
NCW CERT967, NCDW CERT# 7731
Report Results To:
Company: READY MIXED CONCRETE CO.
Address: P.O. BOX 27326
RALEIGH, NC 27611
Attn: LYMAN AUSTIN
Phone: 919-790-1520 Fax: 919-981-0910
Sampled by (signature):
Chain of Custody
Bill To:
READY MIXED CONCRETE CO.
P.O. BOX 27326
RALEIGH, NC 27611
0/0�--0/0.26
Tritest W.O. #Ot89-0OfT43-Qb
Project Reference: Stormwater
Project Number: PLANT 4
Purchase Order #:
❑ Standard Report Delivery
❑ Rush Report Delivery (w/surcharge)
"Rust, pokes are sugee 1a p aPPMu l W M I WQWry
Requested Due Date:
Sample Description
Composite
Grab
—Time
Start Date
End Date
Matrix
W W.DW
sW,CWS
Analyses Requested
Tritest
Sample
Start
Fnd Timp
OUTFALL 1
Grab
^Ci
SW
WC-TSS
001
Relinquished by (signature)
Recei ad y (sign re)
Date
Time
�-/
R 11 qui ed by ( gnaturd)
Rec ived b si natur
to
Time
Rd�nquish b (si ature)
Received by (signature)
Dat6
Time
Receipt Conditions (Lab Use Only): C�
❑ 4t2°C [Temp: ' "Caaa!!! Cl
Res. Chlorine 17Absent ❑Present yyn/a
Acid preserv. <2? []Yes ONo 't3\n/a
Base preserv. >12? OYes ONo /"QIi1/a