NCG140435_2020 DMR_20210302

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMForm for NCG140000
Ready -Mixed Cvncre-te
o '
Complete, sign, scan and submit the DMR via the 9,pf mwyit t ?>c = ;S r--r; nR pia Py oi:ot;rf imp s: i _= within
3D days of receiving sampling results. Mail the original, signed hard copy of the DMR to the �pVrrjEate DEW-11
Certificate of Cavkrage No. NCG14 0435 Person Collecting Samples: Gary Stroupe, Owner
Facility Name: American Concrete, Inc. Laboratory Name: Water Tech Labs Inc.
Facility County: Burke Laboratory Cert. No.: 50
Discharge during this period- [R Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatery Tier response actions for any benchmark exceedances? Yes W No
If so, which Tier (1, II, or III)?
Part A: Analytical Monitoring Requirements for Qutfalls with Industrial Activities-- Effluent Limits in (lied)
Par axr 3 r
Outfall
Outfalt
[]utfali
Qutfaii
43utfall
Code
N/A
Receiving Stream Class
WS-IV; C
N/A
Date Sample collected MM/DD/YYYY
12/15/20
Daily Mw ikatn in cfs �Solgcf 701..0
$2220
wawtvwtW)
N/A
C0530
T5S in mg/L;M, 20, or 10')
9
5eD lleable SoE�ds in HC.W,. Oil , UL�
00545
S6, Tr & PN€+ IS Wit;
<0.1
p srs standard units (f X4'Q
l}b�iDD
Sfrm, tot, 6. =t..5 Uwme;r).
7.3
it=Yi�r Oi€ rsa Grease in. rog/L (NJA�
52
rom
t.ia�s 8t2i#i! 7 5 require tiered
<5:6
* Outfails to outstanding Resource Waters (ORW), High Quality Waters {HQW) have a TS5 limlt of ZO mg/t, outfalls to Trout Waters (Tr) and
Primary Nursery Areas �PNA) have a 7S5 limit of 10 ng/1.. All other water classifications have a benchmark of 30
Otes JaW_iorai); Daily Flow Rate not recorded during this monitoring period. 12H analysis exceeded holdin tim
"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' o the best of my knowledge and belief, true, accurate, and complete. I am
aware that there�rr nificant penalties for �g,.information, including the possibility of fines and imprisonment for
knowing
of Permitte r Delegate thorixed lndi