NCG140424_2021 DMR_20210212

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DIVIR) Formfor NCG140000
Ready -Mixed Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (I)MR) 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. NCG
Facility Name: PAAF Batch Plant
Person Collecting Samples: Edward Murchison
Laboratory Name: Microhac Laboratories
Facility County: Cumberland Laboratory Cert. No.: KIA0316-01
Discharge during this period: ❑I■ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes❑ No
If so, which Tier (1, 11, or 111)?
Part A: Analytical Monitoring Requirements for Outfalls with industrial Activities-- Effluent Limits in (Red)
Parameter
parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
01/21/21
82220
Daily Flow Rate in cfs (50% of 7Q10
C
for HQW/ORW)
•1
C0530
TSS in mg/L (30, 20, or 10*)
<5.10
5ettlleable Solids in HQW, ORW, SA,
1005A5
C
SB, Tr & PNA (5 mL/L)
•
00400
pH in standard units (6.0-9.0
8.8
freshwater, 6.8-8.5 saltwater)
Non -Polar Oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
C
responses)
a
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW) have a TSS limit of 20 mg/L, outfallsto Trout Waters (Tr) and
Primary Nursery Areas (PNA) 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 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
Signature of Permittee or Delegated Authorized Individual
12 Feb 21
Date

�(&MICROBACI
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K1A0316
RC Construction Project Name: Pope AAF Testing
Edward Murchison Project! PO [Number: NIA
310 West Park Ave Received: 01/21/2021
Greenwood, MS 38930 Reported- 02/03/2021
Analytical Testing Parameters
Client Sample ID: Sample
Sample Matrix: Aqueous Collected By: Murchison
Lab Sample ID: KlAO316-01 e Collection Date: 01/21/2021 12:04
Inorganics Total
Result
RL
knits
DF Note
prepared Analyzed
.Analyst
EPA 1664B
Oil & Grease (SGT-HEM)
c5.00
5.00
mg/L
1 Al2
01/27/21 0648
TBM
SM 2540 o-2011
Total Suspended Solids
<5.10
5.10
mg/L
2
01/25/21 1608
TXN
Sty 2540 F-2011
Settleable Solids
<0.10
0A0
mUL
1
01/22121 1302
MT
sere 4500-H+ B-2011
H at 25 °C
8.8
1.0
S.U.
1
01/25/21 1120
TXN
Definitions
Al2;
MS/MSD fail recovery, but the LCS passes criteria.
Analyte was prepared and/or analyzed outside of the analytical method holding time
mg1L.
Milligrams per Liter
mLIL:
Milliliter per Liter
RL:
Reporting Limit
S.U.:
Standard Units
Repoli Comments
Reviewed and Approved By:
The data and information on this, and other accompanying documents, represents only the
sample(s) analyzed. This report is incomplete unless all pages indicated in 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 be located and
reviewed at �hPB�_s:1/enurvr.micrabac.cornlstancdard-terries c®ndilians>- Reported: 02/0312021 08:22
a i�dii�Yffii��c ks���4°ras�rfe=, tis�.
2592 Hope lWills Rd i Fayetteville, MC 28306 1910.864.1920 p I www.rnicrobac.corn al of 2

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