NCG140232_MONITORING INFO_20190808

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
2 QTR
0 Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 2 3 2 SAMPLE COLLECTION YEAR: 2019
FACILITY NAME: Chandler Concrete Piedmont - Chimney Rock Rd Plt #103 SAMPLE QUARTER: []Jan -March ®April -June []Jul -Sept []Oct -Dec
PERSON COLLECTING SAMPLES: r-� COUNTY: GUILFORD
CERTIFIED LABORATORY:Pace Analytical -Lab )#633 ®RECEiv�`"D PHONE NO. [phone]
0 a 2��9 0 S 20jg ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES [:]NO ® AUG DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-III, NSW
O-N_1 �,,\L FILES CE NTRAL FILES OPTIONAL INFO:
Part A: Wastewater Monitoring Requirement5�t�jR SECTION rWR S�GTION
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(nrI
Non -Polar
Oil &Grease
using method
1664 SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow'
(gallons/day)
-
-
-
6_93,4
303,5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N A
N A
N A
2
NO FLOW
RM
N/A
N/A
N/A
No Discharge this Period -
' 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.
3If 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.
'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.
6 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, 5ecdon 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 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 forgath ingthe information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant pr altr sybmitting false information, including the possibility of fines and imprisonment for knowing violations."
�`I-, 72 /
gnature ofPerQtee) (D te)
Permit Date:B/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
2 QTR
CERTIFICATE OF COVERAGE NO. NCG14 0 2 3 2
FACILITY NAME: Chandler Concrete Piedmont - Chimney Rock Rd Pit #103
PERSON COLLECTING SAMPLES: _
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
0 / Orig - State
fY Copy - Stale
0 Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2019
SAMPLE QUARTER: ❑Jan -March April -June ❑Jul -Sept ❑Oct -Dec
COUNTY: GUILFORD
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HOW ❑PNA ❑Trout ®Other: WS-111, NSW
OPTIONAL INFO:
Non -Polar
Date Sample
Type of Wastewater
pH.
Total Suspended
Settleable
Oil &Grease
Discharge
Total Flow
Outfall No.
Collected 1
(VE, RM, MD)
(standard)
Solids
Solids
usingmethod
Duration
7
(gallons/day)
(mm/dd/yr) .
(mg/L)
`; �.(rnL/L)
1664•SGT-HEM6 -
(minutes)
...
.. -
- ..
(mg/L)
6_93,4
,. 303,5
5' - ..
.:(15)6.
1
NO FLOW
VE RM MD
--:N/A'`.'N/A-
N A
2
NO FLOW
RM
r N/A
N/A . ;.
N/A
No Discharge this Period -
' 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 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.
'Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall be set to 50%of the Summer 7Q10 Flow as per i5A NCAC 02B .0224. Permittees
who discharge wastewater to HQW 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 gath ing the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significantp alt r�tlbmittingfalseinformation,includingthepossibilityoffinesandimprisonmentforknowingviol'ations."
1 —�- i 2 /
gnature of PerQtee) (D te)
Permit Date:8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE No. NCG14 O _L 6
FACILITY NAME: Cs CQ
PERSON COLLECTING SAMPLES: 69 n-C
CERTIFIED LABORATORY: Lab # �tl�yq
Lab #
LIMIT VIOLATIONS? YES ❑ NO;g
Part
%�Favocu,� �Onnihn •:nn 0--i�e ments
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec [_]Jan -March ®April -June
COUNTY: Tots �+h
PHONE NO. (�)
ADD TO LISTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HOW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
..................................
Outfall No.
.....�....
Date Sample
�
Collected
(mm/dd/yr)
�..._...-
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
S ( mg/L) -/L)
Discharge
Duration
(minutes)
Total Flow
3
(gallons/day)
6-93.4
303.5
53
(15)s
-
p
— o t..3
u t T
AJ V
as{
�-f7 ✓
oiAP'iellfFl
1
,
rt_n".
GL_N I IVu rtw
rTNmR SECT
Uri
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to marK the sample quaff Le, duuve.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (Rtvl); Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f 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.S S.U. for discharges to saltvw ters.
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_,_
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 alimit 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 HQW waters shall be set to 50% of the Summer 7Q10 Flow 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
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
[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 manag 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
(Date)
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
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