NCG140424_2020 DMR_20210212

NCDEQ Divisions of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMR) (Form for NCG140000
Ready -Mixed Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report DMR Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG14
Facility Name: PAAF Batch Plant
Person Collecting Samples: Edward Murchison
Laboratory Name: Microbac Laboratories
Facility County: curnberland Laboratory Cert. No.: KOK0214-01
Discharge during this period: 0 Yes ❑ No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ❑■ No
If so, which Tier (I, II, or II1)?
Part A: Analytical Monitoring Requirements for Outfalls with industrial Activities— Effluent Limits in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
11/13120
82220
Daily Flow Rate in cfs (!;W/o of 7Q10
�
for HQW/ORW)
C0530
TSS in mg/L (30, 20, or 10*)
21.7
00545
Settlleable Solids in HQW, ORW, SA,
C
SB, Tr & PNA (5 mL/L)
00400
pH in standard units (6.0-9.0
7 1
freshwater, 6.8-8.5 saltwater)
A
Non -Polar oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
< 5
responses)
.
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW) have a TSS limit of 20 mg/L, outfalls to Trout Waters (Tr) and
Primary Nursery Areas (RNA) have a TSS limit of 10 mg/L. All other water classifications have a benchmark of 30 mg/L.
Notes (optional):
"I certify by my signature below, under penalty of Idw, 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
knowin iolati ns
` 12 Feb 21
Signature of Permittee or Delegated Authorized Individual
Date *, Re- SArAP[.E DRAWA)
DN 13 Nov 20 .
Am

RC Construction
Edward Murchison
310 West Park Ave
Greenwood, MS 38930
Analytical Testing Parameters
Client Sample ID: Sample
Sample Matrix; Aqueous
Lab Sample ➢D: KOK0214-01
Field Parameters
SMi 4500-H+ 6-2011
pH, Field Test
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
KO K0214
Project Name: Rope AAF Testing
Project 1 PONumber: NIA
Received: 11 /13/2020
Reported: 11/18/2020
Collected By: Craig
Collection Date: 11/13/2020 9:19
Result RL Units_ Dilution Mote Prepared Analyz
7.1 1.0 S.U. 1
11/13/20 0919 RJC
Inorganics Total
Result
RL
Units
Dilution Note
Prepared Analyzed
Analyst
EPA 1664B
Oil & Grease (SGT-HEM)
<5.00
5.00
mg/L
1
111/8/20 o933
TBM
SMI 2540 D-2011
*al Suspended Solids
21.7
2.53
mglL
1
11/13120 1427
MT
SM 2540 F-2011
Settfeable Solids
e0.10
0.10
mLIL
1
11i13120 1120
TBM
Sill 4500-H+ B-2011
pH at 25 °C
10
1.0
S.U.
1 H
11/13/20 1120
TBM
Definitions
H:
Anafyte was preparers andlor analyzed outside of the analytical method holding time
MDL:
Minimum Detection Limit
mg/L:
Milligrams per Liter
mLlL:
Milliliter per Liter
RL:
Reporting Limit
S.U.:
Standard Units
Report Comments
Reviewed and Approved By:
rho data and information on this, and other accompanying documents, represents only the
sample(s) analyzed. This report is incomplete unless all pages indicated irr the footnote are Brittany Smith
present and an authorized signature is included. The services were provided under and Administration
subject to Microbac's standard terms and conditions which can he located and
reviewed at ahttos.lJwww.microbac.com/standard-terms-conditions>. Reported: 11/1812020 17707
hiicrobac Laboratories, Ino.
2592 Hope Mills Rd ] Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 D# 2

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