NCG140215_MONITORING INFO_20200113

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMITNO.
�jC� lyua S
DOC TYPE
❑ HISTORICAL FILE
C'Y\ MONITORING REPORTS
DOC DATE
❑ a�ial� D 3
YYYYM M D D

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. 1NCG14 O o3 I 5
FACILITY NAME: a1� '��c(idsi r'"ttX
PERSON COLLECTING SAMPLES: I�•aaca (-�,e�le�2
CERTIFIED LABORATORY:-.r",ieha "+ .IV'(-; ar�I Lab # 3c4_
Lab #
LIMIT VIOLATIONS? YES ❑ NO
SAMPLE COLLECTION YEAR: O 19 1
SAMPLE QUARTER: RJu{y-Sept ®Oct -Dec Dan -March ❑April -June
COUNTY:(tO''�l
PHONE NO.
ADD TOLISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW []RNA ❑Trout ❑Other
OPTIONAL INFO:
air.• v cxvwa�m
Outfall No.
ug ncyu
Sampie
Collected
Type of Wastewater
(VE, RM, MD) z
PH
(standard)
Total Suspended
Solids
(mg/L)
ble
jSolids
L)(mg/L)
JTPHusing
ethod1664A
SGT-HEM'
DischatDate ge
Duration .
minutes)(gallons/day)(mm/dd/yr)
Total Flow
6-93.
303.s
(15)cCop,I
19
1 � �(
l
Or
°I D
0.03810
JAN �
L FILES
nl
'if wastewater systems have not discharged in This quarter —rep rt"No How- or "No uiscnarge- here. riease make auic ,,=.....'..�
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 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

Process wastewater discharges shall only be monitored for TPH when commingled with stormwa ter discharges from VMA areas. TPH does not have a�Yimit 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 7Q10IFlow 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.
i
I
nA AU
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files 5
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
'!A
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."
of Permittee)
Permit Date: 7/1/2010-06/30/201S
(Date)
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 CV ,& I ,�
FACILITY NAME: IAf)ic-_mS 2<M1r�y �M
PERSON COLLECTING SAMPLES I1ov�r+, j�t41e:�
CERTIFIED LABORATORY) r can-; b Lab# 39
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: AD in
SAMPLING PERIOD:July-December ❑January -June
COUNTY &" �
PHONE NO. (33fA) '�S-s •'tj.S�i�
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)'
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total '
Rainfall
(in)
In Tier 2
Monthly.
Monitoring?
(Y/n)
q of Months in Tier
2Sampling'
-
-
6-9'
100 ''
-
-
-
-
1 1
5.6
L, g
9 0
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NOD I SCHARGE" 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 consecutive samples are below the benchmark or within the benchmark range.
a T5S benchmark values are 100 mg/I, except when discharging to ORW, HOW, 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-GO/30/2015 Date of last pH meter calibration: /1) 0 � 110 � l� "Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity ivinnitnring I-- -
Outfall
No.
-
Date Sample
Collected
(mo/dd/yr)'
----• ---•-••••d
pH
(Standard
Units)
^w�••=•_•.�
TPH using method
1664A SGT-HEM
(mg/L)
y, munnes using»
Total Suspended
Solids
(mg/L)
gal of new motor
Event
Duration
(minutes)
oil/month-averaged
Total
Rainfall°
(in)
over a calendar
New Motor oil
Usage a
(gal month
/ )
year.
In Tier 2
Monthly
Monitoring?
(y/n)
g of Months
in Tier 2r
Sampling
6-9
I
nro OUR rNuu i y hAU 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES Q NO JX
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
in case of "No Flow"I to:
Division of Water Quality
Attn: OWQ 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 managesthe system, or
t ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
those persons directly responsible for ga
am i ware that there are i ni(icant a i[ting false information, including The possibility of fines and imprisonment for knowing violations."
(Signs ure of Pe ittee) ! (Date)
Permit Date: 7/1/2011-60/30/201S
Last Revised 7/13/11
Page 2 of 2

t, *� ��M, � ^i� , + i� r I ! j t�'� �A `• i, � � I i i Pi it
For: Ready Mixed Concrete Company (Williamson)
1590 Williamson Street
Winston-Salem, NC 27107
Attn: Danny Rathbone
Report of Analysis
12/20/2019
JGa& .......
••�i�i i6 Cr4I �y
NC 1{3�4 �Z: N
s Nc1137701 t
p7RECt�Q
Client Sample ID:
2
Lab Sample ID:
76047-01
Site:
Ready Mixed Concrete
Collection Date:
12/13/2019 7:00
Parameter
Method
Result
Units Rep Limit Analyst Analysis DatelTime
pH '
SM 4500 H+6-2000
8.5
Sld. Units
12/13/2019 0703
Settleable Matter
SM 2540 F-1997
<0.1
mill 0.1
AW 12/13/2019 1315
Total Suspended Solids (TSS) SM 2540 D-1997
17.4
mg/L 5
AW 12116/2019
Client Sample ID: 1 Lab Sample ID: 76047-02
Site: Ready Mixed Concrete Collection Date: 12/13/2019 7:00
Parameter Method Result Units Rep Limit Anal s Analysis Date/Time
pH SM 4500 H+8-2000 7.5 Sid. Units 12113/2019 0703
Total Suspended Solids (TSS) ' SM 2540 D-1997 6.8 mg/L 5 AW 12/1612019
NA = not analyzed
1
P.O. Box 473 106 Short Street Kernemville, North Carolina 27284 Tel: [phone] Fax 336-99G-0326 ww .randalabs.com page 1
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