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Home My WebLink AboutNCG140185_MONITORING INFO_20151005w�Ro STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑HISTORICAL FILE fT�MONITORING REPORTS DOC DATE ❑ Qu) 6 ) YYYYMMDD I PROCESS WASTEWATER — Quarterly .Discharge Monitoring Rep i rt GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 FACILITY NAME: Fl S ` #G PERSON COLLECTING SAMPLES: r7'r �G r CERTIFIED LA 60RATORY:A c m La.b # Lab 777 LIMIT VIOLATIONS? YES ❑ NO ❑ - Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: ;2 C % J SAMPLE°QU7_�Vr/z TER- []Jul -Sept ❑Oct -Dec MJan-March ❑April -June COUNTY: i PHONE NO. !2 �� , .� i U ADD TO LISTSERVE? ❑YES ❑NO EMAIL: I: DISCHARGING TO CLASS: ❑5A ❑HQW ❑PNA [—]Trout ❑Other C'. SLJ OPTIONAL INFO: ::. Oiitfali.No, ....TP Date Sample :-, ' 1 ;:`_ Collected {min/dd/yr} , _ « F :;Typeof.Wastewater (VE; RM, MD) `' r - _.. _pH {standard) .. �• _ � • j 7ptal Suspended `-=` .,; Solids - 5ettieatife ; .:. _ - Solids H using = s . r.: �— ' methad.I664A` ' SGT HEA96 Discharge , = ai Duration == i= - TatalF{ow_,- =,_ {galleons/clay) ;-. , } _-- � c 7,Z SiI 1 U r,i R SECTl01 S . I i 1 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. Z 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. I a 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 cl'!Kharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/t for all other water' classifications. , - I Permit Date: 7/1/2010-06/30/2015; . Last Revised 07/13/11 i Page 1 of 2 I r 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, Section A, including the Tiered Response Action. ' Flow rate can be measured continuously or calculated. Flow limits for ivasfewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02I3 .0224. Permittee3.who discharge wastewater to HQW waters shall -obtain a Summer' 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Surrmmer7Q10 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 an a,case-by-case basis. 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" ualifed ersorinel 'ro erl I . q p p , p y gather and evaluate the information submitted. Based on my in of the person or persons wl{o manage the system, or those persons directly responsible;1or 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." (Signature of Permittee (Date) i } Permit. Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 .p-ge 2 of 2 I i - %t+`'��l^�;"yam' $� •S Zirl��•3 i4 e ivirochle ANALYTICAL & CONSULTING CHEMISTS } EnvironmIental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910,392.4424 Fax 71013owsertown [toad, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway; Jacksonville, NC 28540 • 910.347.5843 Lab/Fax info u,environmen talcheIII ists.com Argos Ready Mix Concrete Date of Report:- Apr 22, 2015 PO Box 11120 Customer PO #: Wilmington NC 28404 Customer ID: 09080016 Attention: E. B. Godwin Report #: 2015-04665 Project ID: Scottshill 67 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-10766 Site: SDO1 4/9/2015 11:35 AM Water Greg Koeller Test Residue Suspended (TSS) Comment: Reviewed by - Method SM 2540 D Results Date Analyzed 7.2 mg/l- 04/17/2015 Report k: 2015-04665 Page 1 of 1 Analytical Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTOnY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 9I -392-4424 info @environmentalchemists com CLIENT: �" �o� /�� U /77 s PROJECT NAME: �,�� ? REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: PHONEIFAX: �'/j�' ^ U Q/per COPY TO: email: Sampled By: ^ O 6`11 c- f• SAMPLE TYPE: 1= Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection m E y = E CS m c ci a m r Q PRESERVATION oLU a i J z z x ANALYSIS REQUESTED Date Time Temp o a`� 0 0 Y z W o l.SS G C P G G G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G Transfer Rel' quished By: DateMme Received By: Date/Time temperature when Received:. Accepted: / e tt�edj• ResampI R uested: Delivered By: Received -- Date: 1 G4 1- Time: _ Comments: TURNARbUND: PROCESS WASTEWATER — Quarterly.Discharge Monitoring Report g7tCEA - GENERAL PERMIT No. NCG140000 GENSFCT 4N W CERTIFICATE OF COVERAGE NO. NCG14 FACILITY NAME: F PERSONCOLLECTING SAMPLES: _ CERTIFIED LABORATORY: Lab # g`f L Lab #... 7. 773- `7 LIMIT VIOLATIONS? YES ❑ NO Part A: WastewaterMonitoring Requirements g q SAMPLE COLLECTION YEAR: SAMPLE'QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March April -June COUNTY: PHONE NO. `[ lU) GfrG Wit , p. ADD TO LISTSERVE? ❑YES ❑NO EMAIL: I DISCHARGING TO CLASS: ❑SA ❑HQW' ❑PN i ❑Trout ❑OtherG%SL✓ OPTIONAL INFO: I Outfall Na. Date Sam !e-=_. &iip :,- 1 Collected - {min/dd%yr) —� Type of Wastewater E: ?_::- [VE, RM, MD) _ = pH r (standard) al Tot Suspended Solids h'- (mg/L) 5e ttleable -f.. _-Solids °{mL/L)_ r - method 16S4A' - _ SGT HE11?6E - Discharge Duration (minutes) Tbtal FIo ' s /S E ' E 1 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. z 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. 3 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. a pH limits are 6-5 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 wasteiviater_di�charges to HQW waters,.10 mg/fr 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 i i 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, Section A, including the Tiered Response Action. ' Flow rate can be measured continciously or calculated. Flow limits far wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittee� who�dischargerywastewate'r to HQW waters shall -obtain a Summe?,7Q10 flow and report this information to DWQ. If the permittee cerinot obtain a Sumrrier 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 I report on a;case-by-case basis. i MAIL ORIGINAL AND ONE COPY -OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS! OF RECEIPT OF SAMPLE Ii 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 (919) 807-6379 = - . fi e YOU MUST SIGN THIS CERTIFIG4TION 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 respansible4or gathering the information, the information submitted is, to the hest 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.".: ;! I (Signature of Perm' ee) (Date) Permit- Date: 7/1/2010-06/30/2015 LastRevised 07/13/11 D-ge 2 of 2 Envitirrochem ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax 710 Bowsertuwn [load, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347,5843 Lab/Fax info ci environmentalchemists.com Argos Ready Mix Concrete Date of Report: Aug 18, 2015 PO Box 11120 Customer PO #: Wilmington NC 28404 Customer ID: 09080016 Attention: E. B. Godwin Report #: 2015-10679 Project ID: Scottshill 67 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 15-25237 Site: SD41 8/3/2015 11:05 AM Water Greg Koeller Test Method Results Date Analyzed Residue Suspended (TSS) SM 2540 D Comment: Reviewed by: 27.5 mg/L 08/14/2015 Report #:: 2015-10679 Page 1 of 1 6602 ill Way ngton ENVIRONMENTAL CHEMISTS, INC OFFICE. r1G-3 2-0223FIAX91G-3 2-44 45 Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info@environmentalchemists.com COLLECTION AND CHAIN OF CUSTODY CLIENT: /� c�� 1 i PROJECT NAME: G REPORT NO: S —I c)(.0 1 ADDRESS: Q /j�vX /// D CONTACT NAME: PO NO: is ya G yrJ- J REPORT TO: ,� ` �1c+�w�tiJ PHONEIFAX: COPY TO: email: Sam led B : SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification Collection m m m n' m E o m a� o` v °' o L C v ¢ 9w a g z PRESERVATION ANALYSIS REQUESTED Date Temp z z r y o s o z a 'Y' = o Spa 1 JTime U Z C P l 7 Sdc,�s T5 C P G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G C P Tf G _ G Transfer Relinquished By: DateTme Received By: Daterrime 1. 2. Temperature wheeceived Accepted. / Re' ct d:t Resample R uest Delivered By: of ` Received By: Date: 13 Time: Comments: SGc vv1 �� rP c' cI O-r� a`I` �d _ _ TUR AR ND: i i PROCESS WASTEWATER —Quarterly Discharge Monitoring -Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO: NCG14 FACILITY NAME:�7CG PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: ,fvr/�7z �ti�m _ Lab # Lab #- 7771 LIMIT VIOLATIONS? YES ® NO ❑ Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: SAMPLE QUARTER: ❑Jul -Sept Oct -Dec ❑Jan -March ❑April -June COUNTY: II-Nc%"✓ iE- PHONE NO. Gilt/ Z', e) _ ADD TO LISTSERVE? []YES ❑NO EMAIL: I DISCHARGING TO CLASS: ❑SA ❑HQW . ❑PN i ❑Trout ❑Other OPTIONAL INFO: f Outfall No. Date Sample = 1 Collected Type�o#Wastewater -z, =- _ -pH g {standard),,F Total Suspended - 5oiids =- ,-' Settleable .: _ Solids. T ;'method ISb4A = SGTWEN16 Discharge _ -- Total Flow,- (gallons/day) T_{W)6 '"I vtl) ME 93 �.! �, �L FILE • '�L i ION 1 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. Z 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 linriit 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 Iimits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 T551imits 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 _ i 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, 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 0213 .6224. Permitteeg aavho� ischarg6 wastewater to HQW waters shall obtain a Summe? 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 inay require an annual flow report on a'case-by-case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (IN 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 (919) 807-6379 CLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS! OF RECEIPT I- I: - I 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;!far 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." -w✓_"_-f- - 3-� 7-1 ^(Signature of Permittee) Permit Date: 7/1/2010-06/30/2015 (Date) LastRevised 07/13/11 .0-ge 2 of 2 OF Environmental Chemists, Inc. envirochem 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) SM1 710 Bowsertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DES CERTIFICATE 437729 Ready Mixed Concrete Date of Report: Jan 07, 2015 PO Box 11120 Customer PO #: Wilmington IBC 28404 Customer ID: 09080016 Attention: B. B. Godwin Report #: 2014-16082 Project ID: 67 Scottshill Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-39187 Site: SD01 12/23/2014 1:00 PM Water Greg Koeller Test Method Results Date Analyzed Residue Suspended (TSS) SM 2540 D 108 mg/L 01/02/2015 Comment: Sample received and analyzed out of holding time. Reviewed by: MQ A A'd 0., QW0&%-1__ - Report #:: 2014-16082 Page 1 of 1 r Environmental Chemists, Inc. g 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 3924424 (Fax) $M 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Ready Mixed Concrete Date of Report: Jan 07, 2015 PO Box 11120 Customer PO #: Wilmington NC 28404 Customer ID: 09080016 Attention: E. B. Godwin Report #: 2014-16082 Project ID: 67 Scottshill Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-39187 Site: S001 12/23/2014 1:00 PM Water Greg Koeller Test Method . Results Date Analyzed Residue Suspended (TSS) sM 2W 0 108 mg1L 01/02/2015 Comment: Sample received and analyzed out of Folding time. Reviewed by: MO A Ja o Reportk: 2014-16082 Page 1 of 1 PROCESS WASTEWATER — Quarterly Discharge Monitoring GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 O_ZE_�L FACILITY. NAME: PERSON COLLECTING SAMPLES: _ 1�YcT � t ��Y _ CERTIFIED LABORATORY: e6ZV5Lab # 4q Lab #. 7 7:7 2 LIMIT VIOLATIONS? YE' NO [] Part A: Wastewater Monitoring Requirements i Report I SAMPLE COLLECTION YEAR: SAMPLE QUARTER: OW -Sept gOct-Dec [j]Jan-March ❑April -tune COUNTY: �, /uc�c ►o PHONE NO. Gi/U C�G �J��1CI j ADD TO USTSERVE? ❑YES ❑NO EMAIL: 1 DISCHARGING TO CLASS: ❑SA ❑HQW ' ❑PN i ❑Trout ❑Other OPTIONAL INFO: 'Outfall No. _ bate Sample .; 1 = Collected {mmLdi jyr} = µ -- ,T'= _ -"-p . -. - x . Ty a of;Wastewater _ pVE RM MD z^��_ { ] } , --�-�-• -� '�, � _� _ _pH- _ _ standard { }. Total Suspended SoUds - ti € _ {mgll) Settleatile�, : SaUds = fmyE1. TPH using _ = .. �:. method 1664A _ = = ,,-T -=t __ - - Durat�an {minutes) Total Flow rz allons da 1 r` s - �'' �.f?-93fN.s.�Q3t i.+�3., __ �,`11�)6 :'4 `^. MOM -,2,3 V` eAn /?7 -2 a + i - i f : 1If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. Z 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. 31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, u i less 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. s TS5 limits are 20 mg/L for wastewater ds�charges to HQW waters, l0 mg/i' for Trout and PNA waters, and 30 mg/L for all other water classifications. Permit Date: 7/1/2010-06/30/2015; I Last Revised 07/13/11 Page 1 of 2 I 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, Section A, including the 1 iered 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 028 .0224. Permittee3 who -discharge wastewater to HQW waters shall -obtain a Summe?;7Q10 flow and report this information to DWQ. If the permit -tee cannot obtain a Summer 7Q10 flour, 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. MAIL ORIGINAL AND ONE COPY, OF.THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS! OF RECEIPT -OF Si 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 (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'qualiiied personnel properly gather and evaluate the information submitted. 'Based on my inquiryof 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 4. violations." t..: G'fit��• 3—�% j� (Signature of Permittee) (Date) Permit_ Date: 7/1/2010-06/30/2015. Last: Revised 07/13/11 image 2 of 2 r PROCESS WASTEWATER — Quarterly Discharge Monitoring GENERAL PERMIT -NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 FACILITY NAME: /��` '6 7 Cv fS A/ l PERSON�COLLECTING SAMPLES: l ASS CERTIFIED LABORATORY:Lab # C9Y Lab #. 3 7 719'_ LIMIT VIOLATIONS? YES ® NO Q Part A: Wastewater Monitoring Requirements i Report i SAMPLE COLLECTION YEAR: _ 1y SAMPLE QUARTER: ❑Jul -Sept [Oct -Dec COUNTY: AAl4/e_ �— PHONE NO. 5M J-1F50. ADD TO LISTSERVE? []YES []NO EMAIL: I DISCHARGING TO CLASS: []SA ❑HQW - ❑PNA OPTIONAL INFO: arch ZApril-June ❑Trout []Other C; sW Outfail No. ;- Date Sam le.= P ' Cnlleded (mm/dd/yr) - - - y Type of. Wastewater -2: (VE, RM, MD} _ i - _ z £ e pH - {standard] t� Total Suspended - Solids 1 , ' - �_ (gig%L} rii 3i3 :i Settleable = Solids j _ (mL/LJ �: TPH using ; i 4 method 166gA - - I = 5GT NEN16 ( } L\ W Discharge ; l Duration �f [minutes)u - Total Flow r (gallops/day), /!J --6;,934 , - 53' ,{ZS�6r' I i. - - MAR 2-3 Zuib Q c,9 �Ee r�TinKi i i i - i i ' 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. 3 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. s 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 LastRevised07/13/11 Page 1 of 2 i i M 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, 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 SO%of the Summer 7Q10 Flow as per 15A NCAC 02B :0224. Permittee3 who discharge'wastewater to HQW waters shall obtain a Summe? 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a 5u+nmer. 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. MAIL ORIGINAL AND ONE COPY, OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE") WITHIN 30 DAYS! OF RECEIPT OF SAMPL 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 (919) 807-6379 . �I 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'qualitied 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 afire significant penalties for submitting false information, including the possibility of -fines and imprisonment for knowing violations. i.. (Signature of Permit. Date: 7/1/2010-06/30/2015. (Date) Last Revised 07/13/11 °-ge 2 of 2 ` Environmental Chemists, Inc. envirochem 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) SM 710 Bowsertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Ready Mixed Concrete PO Box 11120 Wilmington NC 28404 Attention: E. B. Godwin Date of Report: Oct 08, 2014 Customer PO #: Customer ID: 09080016 Report #: 2014-11996 Project ID: Scottshill 67 Lab ID Sample ID: Collect DatelTime Matrix 14-29450 Site: SD01 6/24/2014 1:05 PM Water Test Method Results Residue Suspended (TSS) 5M 2W D Comment: Received and anal yz d outside of holding time. Reviewed by: 1 Sampled by Billy Ross Date Analyzed 76.3 mg/L 09/30/2014 Report #:: 2014-11996 Page 1 of 1 4OF i PROCESS WASTEWATER --- Quarterly Discharge Monitoring -Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 l _2 .�;' FACILITY NAME: e^e 6 7 PERSON' COLLECTING SAMPLES: CERTIFIED LABORATORY:�Lab # qd ± tab #.:3.7.7 2- LIMIT VIOLATIONS? YES Z NO ❑ Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: l y SAMPLE QUARTER: [I]Jul-Sept ❑Oct -Dec Dan -March -KApril-June COUNTY: /yr'nJal� i— r PHONE NO. '310 - _-G y/ U. ADD TO USTSERVE? ❑YES ❑NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ' ❑PNA ❑Trout ❑Other C: SLU OPTIONAL INFO: OutFall:No, Date Sam Ie ::. Collected (mm/dd%yr} ` _ _:_ s -,': T e.of_Wagge p. er yp-� - iF- (VE, fiMMD}(standard} _ r pH rotaM. ! 5usiended _ P-� ESoEids Settleable _=* Solids. m thodl56 A �' =� F=- D�schar e { �.£ g Duration_ (minutes} Total Flow t 3 ,v (gallons/dayj - r=.� - ? 4, 3 l 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. 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 monitorirg. 4 pH limits are 6-4 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.. 5 T55 limits are 20 mg/L for wastewater discharges to HQW waters, 10 rng/C for Trout and PNA waters, and 30 mg/Lfor all other water classifications. , Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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, Section A, including the Tiered Response Action. ' Flow rate can be measured continuously or calculated. Flow limits'for wastewater discharges to HQW waters shail be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B -0224. Permitteeg who discharge wastewater to HQW waters shall obtain a 5ummer'>1Q10 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. MAIL ORIGINAL AND ONE COPY OF -THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS' OF RECEIPT:OF SI 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 I: (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 wAh 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 responsiblerfor 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. (Signature of Permittee) Permit. Date:7/1/2010-06/30/2015. (Date) Last'Revised 07/13/11 A-ge 2 of 2 Environmental Chemists, Inc.. • 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fix) SM 710 Qowsertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDE.NR: DWQ CERTIFICATE. #94. DLS CERTIFICATE #37729 Ready Mixed Concrete Date of Report: Oct 08, 2014 PO Box 11120 Customer PO #: Wilmington NC 28404 Customer ID: 09080016 Attention: E. B. Godwin Report #: 2014-11996 Project ID: Scottshill 67 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-29450 Site: SD01 6/24/2014 1:05 PM Water Billy Ross Test Method Results Date Analyzed Residue Suspended (TSS) SM 2W 0 76.3 mg/L 09/30/2014 Comment: Received and analyz d outside of holding time. Reviewed by: 1 Reportt: 2014-11996 Page 1 of 1 t PROCESS WASTEWATER — Quarterly Discharge Monitoring Re por# GENERAL PERMIT NO. NCG140000 1 CERTIFICATE OF COVERAGE NO. NCG144 FACILITY NAME: Aln CG1hlz,' 7 SeUT�/i:'� PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: `;&Vj'kV C or.1 Lab # C� lab#.7.772-9 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: SAMPLE QUARTER: Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY: PHONE NO. milli ADD TO LISTSERVE? ❑YES []NO, EMAIL: I DISCHARGING TO CLASS: ❑SA ❑HQW • ❑PNA ❑Trout ❑Other OPTIONAL INFO: tJutiall No. Date Sample 1 Collected {mm/dd/yr) - -;' Type of Wastewater r 'z: #'Solids ,[VE, RM, MD] - _ = _ pH a _ _ r [standard] Total 5u`spended =-;- -_ a a. (mg/L] Settleable r 5ol�ds (mL/L) TPH using i method 166aA' = SGT HEM- - 1 Discharge = Duration f= _ (minutes} - Total Flow _ s-- _ (gallons/day]'; _ 71� � F if &-C;H. \/Pn Ciz NIR1�it i ' 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. z 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 DWQ Ra 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. j s 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 i 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, 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 5046 of the Summer 7Q10 Flow as per 15A NCAC 02B :0224. Permitteeg who'discharge,waste water to HQW waters shall -obtain a 5umme?,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. 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 (919) 807-6379 u i 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 eyaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly resp6nsi6lefor gathering the information, the information submitted is; to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of.flnes and imprisonment for knowing violations.,,_: ! 1, (Signature of Permittee) (Date) Permit. Date: 7/1/2010-06/30/2015. I Last;Revised 07/13/11 .0-ge 2 of 2 Flp" Environmental Chemists, Inc. envirochem 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) , SM 710 Bov✓sertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Ready Mixed Concrete Date of Report: Oct 08, 2014 PO Box 11120 Customer PO #: Wilmington NC 28404 Customer ID: 09080016 Attention: E. B. Godwin Report #: 2014-11993 Project ID: Scottshill 67 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-29443 Site:-SD01 ;. -9/2312014 11:00 AM Water Greg Koeiler Test Method Results Date Analyzed Residue Suspended (TSS) SM 2540 D 17.5 mg/L 09/30/2014 Comment: Reviewed by: 1 t Report #:: 2014-11993 Page 1 of 1 i PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 !- . E t 1 CERTIFICATE OF COVERAGE NO. NCG14 Q FACILITY NAME: _ 'Oep7 �G'� 7 _SGU7 PERSON !COLLECTING SAMPLES: CERTIFIED LABORATORY: `iV+ ;ee C f)—i Lab # lrff`L - Lab# 777; s LIMIT VIOLATIONS? YES ❑ NO 7� Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: SAMPLE QUARTER: 0Jul-Sept ❑Oct -Dec Dian -March ❑April -June COUNTY:c�r1'c y- - - - PHONE NO. ADD TO LISTSERVE? [}YES []NO EMAIL: DISCHARGING TO CLASS: []SA ❑HQW - ❑PNA QTrout ❑Other �: Sw OPTIONAL INFO: Oiitfall.No. Date Sam le 1 < ? 'Collected _ (mrn/dd/yr) Type of Wastewater = z- : (VE,(standard) - = Y f - ; } pH_ t: 'r - r Total Suspended Solitls # -- , _ a_ �mg/L) Settleable Sohdsr; - TRH:usm9 method 1664d _ = SGT=NfNt� Discharge Duatran ,s - (otei Flow F� j r J. i I I 4 I+I 1 I j I ! ' 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. 3If an effluent limit is exceeded twice in a raw, 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 6.8-85 S.U. for discharges to saltwaters. 5 T55 limits are 20 mg/L for wastewater ds�charges to H6V 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 I` Page 1 of 2 - i j 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, 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 Sumrher 7Q10 Flow as per 15A NCAC 02B-.0224. Permittee3 who'd :ischarge- waste water io HQW waters shall obtain a Summer' n7Q10 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. MAIL ORIGINAL AND ONE COPY•OF.THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DA 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-C_arolina 27699-1617 (919) 807-6379 PT 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'4ualifiied personnel properly gather and evaluate the information submitted. Based on my inquiry of,the person or persons wh#o manage the system, or those•persons directly resporisib_ieforgathering the information, the information submitted is; to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the'possibility of -fines and imprisonment nt for knowing violations. (Signature of Permittee) (Date) Permit. Date: 7/1/2010-06/30/2015 Last;Revised 07/13/11 i D-ge 2 of 2 Environmental Chemists, Inc. • 0 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) ' sus 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 ANALYTICAL 8 CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Ready Mixed Concrete Date of Report: Oct 08, 2014 PO Box 11120 Customer PO #: Wilmington NC 28404 Customer ID: 09080016 Attention: E. B. Godwin Report #: 2014-11993 Project ID: Scottshill 67 Lab ID Sample ID: Collect Date/Time Matrix Sampled by 14-29443 Site:,SD01 9/23/2014 11:00 AM Water Greg Koeller Test Method Results Date Analyzed Residue Suspended JSS) SM2s40D Comment: Reviewed by: t 1 17.5 mg/L 09/30/2014 Report*: 2014-11993 Page 1 of 1 Orig — State PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 Copy — State GENERAL PERMIT NO. NCG140000 0 Copy — Plant 0 Copy - File CERTIFICATE OF COVERAGE NO. NCG14 0 2 10 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Chandler Concrete Company - Haw River Pit. 609 SAMPLE QUARTER: []Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June PERSON COLLECTING SAMPLES: Tim Light COUNTY: Alamance CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. (336) 578 - 2912 RECEIVED ADD TO LISTSERVE? ❑YES ®NO EMAIL: LIMIT VIOLATIONS? YES ®NO ❑ FEB 0 3 2015 DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other: WS-V NSW CENTRAL ALES OPTIONAL INFO: Part A. Wastewater Monitoring Requirements DWR SECTION Outfall No. Date Sample = Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)z pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A SGT-HEM' (mg/L) Discharge (minutes) Total Flow 7 (gallons/day j - - - 6-93'4 303,5 53 (15)6 - - 1 10/14/14 VE RM MD 7.3 8.7 ND N/A >60 UNK Discharge was result of rain event. - SW comingles with Process Water 1 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 DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 3 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. 6 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 HQW waters shall be set to SO% of the Summer 7Q10 Flow as per 15A NCAC 026 .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. Permit Date:7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 0 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 Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 The sampler was unable to remain on site for the duration of the storm event / discharge. YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATION 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 thI6 are ski nifican penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ature of Permittee) 30 / (D te) Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring i Report GENERAL -PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 D _L E_5" FACILITY NAME: /2/yi e, L etG % Se- o,&A ,,/ 1 PERSON COLLECTING SAMPLES: GSS CERTIFIED LAB'ORATORY: Lab#G� Lab # 177� 9 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: ?U /,% SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec COUNTY: PHONE NO./rJ ADD TO LISTSERVE? ERYES [:]NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑P OPTIONAL INFO: ! an -March ❑April -June /�17 ee' . e"o')I 1 ❑Trout ❑Other G % .SGv Outfall No. Date Sample s! 1 Collected [mm/dd/yr} - = x i iYpe of Wastewater z _ [VE, RM, MD} _ � r � ; t pFi 4 - - (standard} Tatal Suspended - _ s Solids i t ej'f Settleable - Solids - PH srn - . w.r - 9 method 1664A' GT EHl6 Discharge [minutes} ' - -- Total Flow . {gallons/day} Ai_ U 3 1 e i i j 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. 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, u . less DWQ RO staff notifies you to continue monitoring. a 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 lihn.its 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 lRevised 07/13/11 j Page 1 of 2 i 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, 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 02I3 .0224. Permitteeg who'dischargewastewater to HQW waters shall -obtain a Summe? 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a 5_ummer7Q10 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 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 (919) 807-6379 YOU MUSTSIGN 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 wiish a system designed to assure thatqualified 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 iinformation, 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 imp'p'risonme nt for knowing violations. r j (Signature of Permittee) (Date) Permit -Date: 7/1/2010-06/30/2015 Last�Revised 07/13/11 j ..°age 2 of 2 i - PROCESS WASTEWATER -- Quarterly Discharge GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 e FACILITY NAME: PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: Lab # rf+"-� Lab # Z 77-21 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements i Monitoring Report SAMPLE COLLECTION YEAR: 2a 1y SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec Jan -March- ❑April -June COUNTY: - /y--A"Wee PHONE NO. 41/rJ ADD TO LISTSERVE3 ®YES []NO EMAIL: 1-'4/17tC, cow DISCHARGING TO CLASS: ❑SA ❑HQW • ❑PNA ❑Trout ❑Other C� Gu OPTIONAL INFO: -. - ' Outfall No. - bate Sample 1 Collected {mm/dd/yr} _ } -- r - - Type of Wastewater (VE, , # .T� w�-_ PH T ota! Suspended = ' _Sa[ids tr'Solids,'metho L} Settleable Msf - _� a I664A Discharge Duration i Total Flow , __ = 3-1 [/,E�m m P, - j j 3 I - 1 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. z 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. 1 s 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: 7/1/2010-06/30/2015i :. LastRevised 07/13/11 i Pagel of 2 • f I 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, 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. Permitteeg who: clischarge}wastevkiateri to HQW waters shall -obtain a Summe? WQ10 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 MAIL ORIGINAL AND ONE COPYOF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYSIf OF RECEIPT OF SAN AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: . ke Division of Water Quality f Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 = I! I YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: I "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 wf3o manage the system, or those persons directly responsible}for gathering the information, the information submitted is, to the best of my knowledge and belief, truce, accurate, and complete, l am aware that there are significant penalties for submitting false information, including the possibility of.fines and imprisonment for knowing violations." {° (Signature of Perm ittee) (Date) Permit. Date. 7/1/2010-06/30/2015 :. Last; Revised 07/13/11 i Jl�ge 2 of 2 Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 envirochem(910) 392-0223 (Lab) • (910) 392-4424 (Fax) sM 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CLRTIFICA'i'F #37729 Ready Mixed Concrete Date of Report: Apr 09, 2014 PO Box 11120 Customer PO #: Wilmington NC 28404 Report #: 2014-03927 Attention: E. B. Godwin Report to: E. B. Godwin Project ID: Scottshill 67 Lab ID Sample ID: Scotts Hill Collect Date/Time Matrix Sampled by 14-09505 Site: 3/28/2014 5:00 PM Water Billy Ross Test Method Results Date Analyzed Residue Suspended (TSS) SM 2540 0 <2.8 mg/L 04/03/2014 Comment: c C Reviewed Report #:: 2014-03927 Page 1 of 1 �l 101 Analytical & Consulting Chemists ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: Dt_S CERTIFICATION # 37729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 916-392-4424 info@envrironmentalchemists.com CLIENT: PROJECT NAME: //- G>< 4e'7 /0 S1 REPORT NO: ADDRESS: Pd,/(0 CONTACT NAME: PO NO: REPORT TO: PHONE/FAX: 9/6 COPY TO: 6 4u U /0 9 email: F 6• �eA c L Sampled By: ,•'jy fs SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream. SO = Soil. SL = Sludge. Other _ Sample Identification Collection G m v� � o E C m a o ` V W 2ill zDate PRESERVATION ANALYSIS REQUESTED Time Temp iE = n a C P p,. ' P G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G C P G G Transfer Relinquished. By: Date[Time Received By: DatetTime 1. 2. Temperature when Received: ' fro c- Accepted: L---- Rejected: Resample Requested: Delivered By: � ��V'�'r' _ Received By: 2' ` �Date: I V Time:_ jj—jj r Comments: TURNAROUND: Date 03/07/2014 RMCC Production Page 4 Time 08:23 Priced Orders Total Information: Pre Tax Sales Tax Invoice Total Cost Amount Gross Margin Discount Tax on Total Amount Amount Discount Discount Amount Amount Charge Sales Invoices 1637.50 110.53 1748.03 0.00 1637.50 0.00 0.D0 0.00 Credit Memos Debit Memos ------------ ----------- ---- - ------ ------------ ------------ ------------ ----------- ------------ Sub Total 1537.50 110.53 1748.03 0.00 1637.50 0.00 0.00 0.00 CCD Sales cash Sales Invoices Credit Memos ❑ebit Memos Sub Total Check Sales Invoices Credit Memos Debit Memos Sub Total Credit Card sales Invoices Credit Memos Debit Memos Sub Total Total COD Sales invoices Credit Memos Debit Memos Sub Total Report Total 284.30 19.19 ., 303.49 0.00 284.30 0.00 0.00 0.00 ------------ 284.30 ----------- 19.19 ------------------------ 303.49 ------------ 0.00 ------------ 284.30 ----------- 0.00 ------------ 0.00 D.Do 284.30' 19.19 303.49 0.00 284.30 0.00 0.00 0.00 ------------ 284.30 ----------- 19.19 ------------------------ 303.49 ------------ 0.00 ------------ 284.30 ----------- 0.00 ------------ 0.00 0.00 ------------ 1921.80 ----------- 129.72 ------------------------ 2051.52 ------------ 0.00 ------------ 1921.80 ----------- 0.00 ------------ 0.00 0.00 El Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 nvircie(910) 392-0223 (Lab) • (910) 392-4424 (Fax) SM 710 E3owsertown Road • Manteo, NC 27954 (252)473-5702 ANALYTICAL & CONSULTING CHEMISTS NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 Ready Mixed Concrete Date of Report: Apr 09, 2014 PO Box 11120 Customer PO #: Wilmington NC 28404 Report #: 2014-03927 Attention: E. B. Godwin Report to: E. B. Godwin Project ID: Scottshill 67 Lab ID Sample ID: Scotts Hill Collect Date/Time Matrix Sampled by 14-09505 Site: 3/28/2014 5:00 PM Water Billy Ross Test Method Results Date Analyzed Residue Suspended (TSS) See 2540 D <2.8 mg/L 04/03/2014 Comment: , Reviewed by: s 1 Report #:: 2014-03927 Pagel of 1 6602 ngton, NC 28405 3 - �, ENVIRONMENTAL CHEMISTS, INC OFFICE:910E392a0223F'AX916-392-4424 Anafjh€� g Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 €nfo@environmentalchemists.com ' _ - COLLECTION AND CHAIN OF CUSTODY CLIENT: PROJECT NAME: 4,7 /-4�1 REPORT NO: ! — d 3k� Z ADDRESS: 100 /(O CONTACT NAME: 9. PO NO: ItJG �' o y REPORT TO: PHONE/FAX: 9141,e� V6 COPY TO: 6 a 01017 email: j6A c c Sampled BY: SAMPLE TYPE: I = Influent, E = Effluent. W = Well. ST = Stream. SO = Soil. SL = Sludge. Other-. Sample Identification Collection m m s A e a 0 U m c (7 a v o m C J U E O � 03 �= PRESERVATION ANALYSIS REQUESTED Date Time TempN LU _ _ _ z. o o ,/ C P /} P G G C P G G C P G G C P G G C P G G . C P G G C P G G C P G G C P G G Transfer Relinquished -By: Date/Time Received By: Date/Time I. Fer€npe-cature when Received: C- Accepted: /Rejected : Resample Requested: )elivered By: Received By:,ry4_ ��, _ _- Dater Time:_ ;ornments: TURNAROUND: