NCG140091_MONITORING INFO_20191105

ET�/o
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�jC C� ly bob
DOC TYPE
❑ HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
��0 1 �j �� o S-
❑ _
YYYYMMDD

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
3CITR
0) Ong - State
0 Copy - State
0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 9 1 SAMPLE COLLECTION YEAR: 2019
FACILITY NAME: Chandler Concrete Company ROXBORO PltN 607 SAMPLE QUARTER: ❑Jan -March ❑April -June ®Jul -Sept ❑Oct -Dec
PERSON COLLECTING SAMPLES: NO FLOW -OWEN RECFI\/EGQUNE :PERSO. ON 226-1181
CERTIFIED LABORATORY:_ Lab 1i
NOV 05 2012ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
CENTRAL FILE&TIONAL INFO:
Par[ A: Wastewater Monitoring Requirements DWR SECTION
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Ty
(VE, RMMD)Wastewater
(VE, ,
(standard) n
d
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil &Grease
usingmethod
16645GT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day) '
-
6-93,4
303'5
53
(15)6
1
NO FLOW
VE RIM MD
N/A
N/A
N/A
'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.
'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 DEMLR 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 HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
`Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA 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.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall beset to 50%of the Summer 7Q10 Flow as per 15A NCAC 02B.0224. Permittees
who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 forylomitting false information, including the possibility of fines and imprisonment for knowing violations."
of Pe
Permit Date:8/1/2017-06/30/2022
Z4 17
( te)
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring, Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 9 1 SAMPLE COLLECTION YEAR: 2019
FACILITY NAME: Chandler Concrete Company ROXBORO Plt# 607 SAMPLE QUARTER: ❑Jan -March
PERSON COLLECTING SAMPLES: NO FLOW - OWEN COUNTY: PERSON
CERTIFIED LABORATORY: Lab # PHONE NO. [phone]
LIMIT VIOLATIONS? YES []NO
Part A: Wastewater Monitoring Requirements
3QTR
0 Orig — Stale
O) Copy — State
0 Copy — Plant
0 Copy - File
❑April -June ®Jul -Sept ❑Oct -Dec
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil &Grease
Discharge
Total Flow
Outfall No.
Collected
(VE, RM, MD )z
(standard) -
Solids
--
Solids
-;
using method
Duration
(mm/dd/yr)
-
, (n-I -
1664'SGT--HEM' :
(minutes)
'(gallons/day),
(mg/0
693q
,,, 303s.,
..,. .-.53 -
- (15)6
_
1
NO FLOW
VE RM MD
:`N A =;
.: N/A
:'N' A.,
'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.
`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.
'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 DEMLR 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.
s TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
`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 HOW waters shall beset to 50%of the Summer 7Q10 Flow as per 15A NCAC 026.0224. Permittees
who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7C10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 forelmitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Z9
17
( te)
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2