NCG160221_Monitoring_20191101

STORMWATER DISCHARGE OUTFALL ( )
ANNUAL SUMMARY DATA MONITORING REPORT
? Permit Year
Rewsed 9/17/2014
En
rmit No.?J
NCG160000 y
of Coverage No. NCG160221
ring report summary is due to the DEIVILR Regional Office no later than November i fy �jo
e: Blythe Brothers Asphalt - Pineville Plant
ecklenburger: 704-588-0023 ext. 235
Total no, of SDOs monitored: 3
Part A. Outfall No. SDO-o0 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier-2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes Yes❑ No
I Al
FUI
LAJ
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? No
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DEMLR to reduce monitoring frequency
Other n
"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
Implete. I am aware that there are sign' t penalties for submitting false information, including the possibility of fines and imprisonment for knowing
Rations."
Signature: /0 ` 201'�
Date:

Part B. On-Stie Vehicle Maintenance outfall No. _4z—IT—
is this outfall currently in Tier 2 (monitored monthly)? - - .'
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency F�
Received approval from DEMLR to reduce monitoring frequency ❑
other
Malt MnUW DMR SUMArY KePOMF &U,
D15MR-M,gl�gnWorfice office �Jfllrf
A&,jev.jjji, 0 ffioo (828) 296-450a
[phone]
jvlooresvilfel Office - (104)M-1690
Rofefoh birioD
Washington Office --(262) 9413,6481
tjjjlc6 ... (01Q) TV$ 7216
Winslow-Salern. (336) 77 V�5000
'26.90jig-Ijighww 70
S-,VWjjjanO8, NC 28778
[phone]
6,ygel Bul , itkv -4
,., .16 Suitc.71
payettevffle;.NC: .28301-50-43
(mo) 433-3300
(252) 06-6481
Yes 11 No 11
YesF] No F]
3ast
NAC - -`28115
(7(4) 6534699
jAm, NC Z8405-M' 5
[phone]
sg�5 WjUb4-AONVn 8b,"t,
WiMton.gajem, NC 27107
(im,) 771-5000
D— 17

DISCHARGESTORMWATER
OU A
ANNUAL SUMMARY
AR DATA MONITORING REPORT
■
Permit Year C/
General Permit No.
NCG160000
Certificate of Coverage No. NCG160221
This monitoring report summary is due to the ®EMLR Regional Office no later thano
Nov��l`� Year.
Facility Name: Blythe Brothers Asphalt - Pineville Plant County: Mecklenburg
Phone Number: 704-588-M7:1 ext. Tar
Total no. of SDOs monitored: 3
Fai L p. vutrau rdo. suo-001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? yes ❑ No
Ful
Was this outfall ever in Tier 2 (monitored monthly) during the past year? YesD No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DEMLR to reduce monitoring frequency
Other (--,
eenehrr�cirk'
Date Sample Collected,
mm/dd/yy
Total Raln#alh
!U/�1.
00.530
TSS,.`=ing/L
"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
raplete, I am aware that there afe sigmfic pt*nalties for submitting false information, including the possibility of fines and imprisonment for knowing
nations."
Signature:
Date: /0 2 ®/
page

Part B. On-Stle Vehicle Maintenance Outfall No.
is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
if this outfal I I was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency F�
Received approval from DEMLR to reduce monitoring frequency
❑
Other,
Mail AnnuW DMR Swnrnmy- RVO"510'-
At heVIIIO Offir-9--, J828) 296-45.00t
1=0V0tteVIJW:QtflVG .. (910)433-3-800:
plooresvilla offioe ... (104yixe-1690
Rofof(& Offico — .. - JJz j 0)
washington Offloo ....(252) 804-601
w1mingtob O9'3i06 .—
IJVI n s t o 1 -t� le�a I ern (336) '17 1w!30 00
SNvwn,-zno,a, NC 28778
(828) 29,6-4500
ALtMrI4g0fPftX'.
.5S5 Wflugfitown Street
Winstowgaletn, NC 27107
(33.6)771-5600
275 GIreen. Street
systdBuilditkv , Suite, 714
F.ayettevillpr. INC28301-50-43
( 10),133-3300
YesNoF]
Yes D NoD
610 Rmt CiffittrAvenIK/3'
�moorosvillo' NICIS
(70-() 663-16W.,
Wihnifigtoxi, NC 28405-M5
(252) "6 6481 [phone]
in.....,. I el

General Permit No
Certificate of Coverage No. NCG160221�
This monitoring report summary is due to the ®EMLR Re Tonal Office no la er o0�
g t than No h year.
Facility Name: Blythe Brothers Asphalt - Pineville Plant
County: Mecklenburg>
Phone Number: 704-588-0023 ext. 235
Total no. of SDOs monitored: 3
Part A. Outfall No. SDO-00 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes No JAI
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes F1No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DEMLR to reduce monitoring frequency
Other El
Qutfall SDO-00
Total Raigfall,
inches
gp5ao
," T$s,;=mg1�
BehcFimark'
It. A
Date Sample Collected,
mm/dd/yy
5
a
- Ply
-6-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 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
mplete. I am aware that there are signifjoaM penalties for submitting false information, including the possibility of fines and imprisonment for knowing
nations." __—y
Signature:
Date: % t/ ` L'9 — 0
Page

Part B.'On-Stie Vehicle Maintenance outfall No.
Is this outfall currently in Tier 2 (monitored monthly? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinue
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DEMLR to reduce monitoring frequency
other
Tbtal:Rairtfial(` Non polarC71f.&
O.utf�ll, TSS;; mgf L G'rease;, ring/L
mrihes
Berrcfimtlrk tVjA
5Q/10Q 15
Date Sample Collected,
mm/dd/yy
Mail Annual DrvlR SurnmAry Reports tci
F',sfit3 llh,3 Off cl O ......
Ftayette Cl3 €J.tn t3_..
t93�J:)4,"-3800 f'
tBioure'sViff t9.f#ie
(7Q4jF>� -Ii� �d
Rat4,idh Office ._...
i I ).7 i 4200
tWasfiington Ofte
4262)8410£,41 ,
Wn.sfo4'vSajerrE
249t US EE i i vaay' i 225 Orval Street 610 ;East CeaterAvej1u0jS�rtt1
w-irinanoa, NC 28778 SyQtclatiiditig Suite 714 ports ille. `281 5
(928) 29 -4500 Fayetteville,, LTc28501-5043 (7(ik) 60-16%9
(910)4. 3-33()o
tiei b, N(,r 217609 NC 27889 WiItaiiikPjA)n, N 28405- 5
< ) 7 a € of (2.52) 046-6481
}i3i Lei ;4I E1ViC£0ltiy
5�S b�Xai�htc�t�n Bticx:t
Winston Salem, 34C' 27107
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