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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NL G I yO
DOC TYPE
❑ HISTORICAL FILE
E� MONITORING REPORTS
DOC DATE
❑ l� 1
YYYYM M DD
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 4 2 6
FACILITY NAME: Chandler Concrete Piedmont - S.Elm Greensboro #117
PERSON COLLECTING SAMPLES: RECFIVED
CERTIFIED LABORATORY:Pace Analytical Lab #633
NOV 05 2019
LIMIT VIOLATIONS? YES ❑ NO ® CENTRAL FILES
Part A: Wastewater Monitoring Requirements QWR SECTION
3QTR
SAMPLE COLLECTION YEAR: 2019
SAMPLE QUARTER: ❑Jan -March
COUNTY: GUILFORD
PHONE NO. (336) 226-1181
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WWI NSW
OPTIONAL INFO:
0/ Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
❑April -June ®Jul -Sept ❑Oct -Dec
Outfall No.
Date Sample
Collected1
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil&Grease
using method
1664SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(8 allons/ da
V)'
-
-
-
6-934
303,5
53
(15)6
-
-
1
NO FLOW
VE RM MD
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 7Q20 Flow as per 15A NCAC 028.0224. Permittees
who discharge wastewater to HOW waters shall obtain a Summer 7010 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
(919)807-6379
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 forsbmitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date:8/1/2017-06/30/2022
(D e)
Last Revised 07/27/17
Page 2 of 2
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
3QTR
CERTIFICATE OF COVERAGE NO. NCG14 0 4 2 6
FACILITY NAME: Chandler Concrete Piedmont - S.Elm Greensboro #117
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
0 Ong — State
07 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2019
SAMPLE QUARTER: ❑Jan -March ❑April -June ®Jul -Sept ❑Oct -Dec
COUNTY: GUILFORD
PHONE NO. (336) 226-1181
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HOW ❑PNA ❑Trout ®Other: WWI NSW
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)
(mg/L)
(mL/L)
1664SGT-HEM'
(minutes)(gallons/day)'
i-`'
' (mg/L)
6_93,4
303,5
153..
"(15)6
-
-
1
NO FLOW
VE RM MD
t
_ �
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.
' 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 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
(919)807-6379
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 forAmitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date:8/1/2017-06/30/2022
(D e)
Last Revised 07/27/17
Page 2 of 2