NCG140347_MONITORING INFO_20200124

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v Cc, 1y U ✓ 7
DOC TYPE
❑HISTORICAL FILE
f� MONITORING REPORTS
DOC DATE
❑ a b a D 0
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2019
'Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG140347
JAN 2 4 2020
Facility Name: Thomas Concrete of Carolina — Fuauay Varina Plant
County: Harriet CENTW\L FILES
Phone Number: [phone] Total no. of SDOs monitored 1 DWR SECTION
Certified Laboratory ESC Lab # ENV 375
Lab #
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall No.
001
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
mg/1
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mgll (VMA)
napplkofe
New Motor Oil
Usage (gallmo.)
lfsppgcable
Stormwater
Benchmarks
fndkate NO FLOW 1l
gpp,keble
Grele Benchmark
100150
60-9.0
.
15
'S5 g allmo. areraga reaulres TSS and
Non•polarO&Gmonlloring
Date Sample
Collected,
moldd! r
.. ,4
.
6130/19
NO FLOW
12/31/19
NO FLOW
Permit Date 8/112017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG140347
CERTIFICATION
"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."
[Required by 40 CF�R/§122,221
Signature h
Date 1 c" 0 -alQ90
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6130/2022
Last Revised 8-22-2015